Iain Moppett
@iainmoppett.bsky.social
Human, doctor, anaesthetist, academic - in that order. Director Centre for Research & Improvement at RCoA. Editor Anaesthesia. #HipFracture #AnSky #PatientSafety Views own. Work for University of Nottingham and Nottingham University Hospitals.
Reposted by Iain Moppett
This is an extremely important thread for all of us in NHS secondary care and includes a great piece from @emmajourno.bsky.social and @abirimmer.bsky.social.
My concern is, as we try to stay off Twitter, these pieces disappear into the ether.
There was a valiant effort to make #MedSkyDebate...
My concern is, as we try to stay off Twitter, these pieces disappear into the ether.
There was a valiant effort to make #MedSkyDebate...
1/ The medical workforce and the #SASsix, a Saturday morning thread...
The eagle-eyed among you may have spotted two related publications relating to workforce this week. Taken together, they paint a stark picture of the current medical workforce.
The eagle-eyed among you may have spotted two related publications relating to workforce this week. Taken together, they paint a stark picture of the current medical workforce.
November 22, 2025 at 2:28 PM
This is an extremely important thread for all of us in NHS secondary care and includes a great piece from @emmajourno.bsky.social and @abirimmer.bsky.social.
My concern is, as we try to stay off Twitter, these pieces disappear into the ether.
There was a valiant effort to make #MedSkyDebate...
My concern is, as we try to stay off Twitter, these pieces disappear into the ether.
There was a valiant effort to make #MedSkyDebate...
Reposted by Iain Moppett
2/ The new General Medical Council workforce report once again illustrates that the most rapidly rising cohort in the medical workforce are locally-employed doctors. This year is also looks at their contract duration, and finds that the majority in this group are on short-term contracts.
November 22, 2025 at 8:22 AM
2/ The new General Medical Council workforce report once again illustrates that the most rapidly rising cohort in the medical workforce are locally-employed doctors. This year is also looks at their contract duration, and finds that the majority in this group are on short-term contracts.
Reposted by Iain Moppett
1/ The medical workforce and the #SASsix, a Saturday morning thread...
The eagle-eyed among you may have spotted two related publications relating to workforce this week. Taken together, they paint a stark picture of the current medical workforce.
The eagle-eyed among you may have spotted two related publications relating to workforce this week. Taken together, they paint a stark picture of the current medical workforce.
November 22, 2025 at 8:22 AM
1/ The medical workforce and the #SASsix, a Saturday morning thread...
The eagle-eyed among you may have spotted two related publications relating to workforce this week. Taken together, they paint a stark picture of the current medical workforce.
The eagle-eyed among you may have spotted two related publications relating to workforce this week. Taken together, they paint a stark picture of the current medical workforce.
Reposted by Iain Moppett
There’s lots we don’t know about delirium. To help researchers ask the right questions, not necessarily the ones we think of, it is really valuable to have the input of clinicians, patients, carers and others. So click the link and tell us what you think. #AnSky www.surveymonkey.com/r/WTHNBZK
Research priorities for Delirium in the UK: A James Lind Alliance Priority Setting Partnership
Take this survey powered by surveymonkey.com. Create your own surveys for free.
www.surveymonkey.com
November 12, 2025 at 8:38 PM
There’s lots we don’t know about delirium. To help researchers ask the right questions, not necessarily the ones we think of, it is really valuable to have the input of clinicians, patients, carers and others. So click the link and tell us what you think. #AnSky www.surveymonkey.com/r/WTHNBZK
Reposted by Iain Moppett
The term ‘pleasantly confused’ is still used. Please stop. It’s delirium. And it’s not pleasant. And it is recalled. @amaclullich.bsky.social #AnSky #SurgSky @rcoanews.bsky.social onlinelibrary.wiley.com/doi/abs/10.1...
Measuring the distress related to delirium in older surgical patients and their relatives
Objectives Delirium is a common postoperative complication with implications on morbidity and mortality. Less is known about the psychological impact of delirium in patients and relatives. This stud...
onlinelibrary.wiley.com
November 12, 2025 at 8:38 PM
The term ‘pleasantly confused’ is still used. Please stop. It’s delirium. And it’s not pleasant. And it is recalled. @amaclullich.bsky.social #AnSky #SurgSky @rcoanews.bsky.social onlinelibrary.wiley.com/doi/abs/10.1...
Reposted by Iain Moppett
Our UK SNAP3 cohort of older surgical patients reported delirium occurred in around 1 in 16 overall and 1 in 5 for those living with frailty. It’s not just those with hip fracture either. Older age, emergency surgery have higher risks #AnSky #SurgSky www.bjanaesthesia.org/article/S000...
www.bjanaesthesia.org
November 12, 2025 at 8:38 PM
Our UK SNAP3 cohort of older surgical patients reported delirium occurred in around 1 in 16 overall and 1 in 5 for those living with frailty. It’s not just those with hip fracture either. Older age, emergency surgery have higher risks #AnSky #SurgSky www.bjanaesthesia.org/article/S000...
Reposted by Iain Moppett
At the risk of sounding like a cracked record, #Delirium is a common but frequently under-recognised and under-appreciated complication of surgery. #AnSky #SurgSky
Postoperative outcomes in older patients living with frailty and multimorbidity in the UK: SNAP-3, a snapshot observational study
Older surgical patients experience longer hospital stays and a higher risk of morbidity
and mortality than their younger counterparts. Frailty (19.6% of cohort) and multimorbidity
(63.1% of cohort) in...
www.bjanaesthesia.org
November 12, 2025 at 8:38 PM
Reposted by Iain Moppett
I hope anaesthetists, surgeons and intensivists (and anyone who is interested) will give their thoughts about #Delirium research. Such an important but overlooked issue that affects at least 1 in 16 older surgical patients. www.surveymonkey.com/r/WTHNBZK #AnSky #GeriSky #SurgSky #NIHR
November 12, 2025 at 7:26 PM
Reposted by Iain Moppett
Officially FRCPEd ! Feeling very festive at the college ! @rcpedin.bsky.social
November 21, 2025 at 6:13 PM
Officially FRCPEd ! Feeling very festive at the college ! @rcpedin.bsky.social
Reposted by Iain Moppett
Emergency Department (ED) staff: screen ALL patients over 65 for delirium.
Emergency departments are where it's most missed and most dangerous.
Make it as routine as checking blood pressure.
Emergency departments are where it's most missed and most dangerous.
Make it as routine as checking blood pressure.
November 20, 2025 at 7:49 AM
Emergency Department (ED) staff: screen ALL patients over 65 for delirium.
Emergency departments are where it's most missed and most dangerous.
Make it as routine as checking blood pressure.
Emergency departments are where it's most missed and most dangerous.
Make it as routine as checking blood pressure.
Reposted by Iain Moppett
Gosh. Thursday. 😭
Incredible poem in BMJ Emergency Medicine from QLD-based registrar Dr Kirsty Whitmore.
Incredible poem in BMJ Emergency Medicine from QLD-based registrar Dr Kirsty Whitmore.
November 20, 2025 at 6:54 AM
Gosh. Thursday. 😭
Incredible poem in BMJ Emergency Medicine from QLD-based registrar Dr Kirsty Whitmore.
Incredible poem in BMJ Emergency Medicine from QLD-based registrar Dr Kirsty Whitmore.
Reposted by Iain Moppett
Our Centre for Perioperative Care (CPOC) are recruiting for a Surgical Deputy Director.
The successful applicant must be a member of the The Royal College of Surgeons of Edinburgh.
For more information & to apply 👉https://ow.ly/LKYi50XouaP
The successful applicant must be a member of the The Royal College of Surgeons of Edinburgh.
For more information & to apply 👉https://ow.ly/LKYi50XouaP
November 19, 2025 at 2:44 PM
Our Centre for Perioperative Care (CPOC) are recruiting for a Surgical Deputy Director.
The successful applicant must be a member of the The Royal College of Surgeons of Edinburgh.
For more information & to apply 👉https://ow.ly/LKYi50XouaP
The successful applicant must be a member of the The Royal College of Surgeons of Edinburgh.
For more information & to apply 👉https://ow.ly/LKYi50XouaP
Reposted by Iain Moppett
This #RCoA commissioned mixed-methods #systematicreview looks at the role of and working models of non-physician providers of #anaesthesia in high-income countries - what evidence exists in the literature?
https://www.bjanaesthesia.org.uk/article/S0007-0912(25)00471-4/fulltext
https://www.bjanaesthesia.org.uk/article/S0007-0912(25)00471-4/fulltext
November 19, 2025 at 8:00 AM
This #RCoA commissioned mixed-methods #systematicreview looks at the role of and working models of non-physician providers of #anaesthesia in high-income countries - what evidence exists in the literature?
https://www.bjanaesthesia.org.uk/article/S0007-0912(25)00471-4/fulltext
https://www.bjanaesthesia.org.uk/article/S0007-0912(25)00471-4/fulltext
Reposted by Iain Moppett
There is a U-shaped relationship between BMI and the risk of postoperative loss of independent living.
Patients with mild obesity experienced a lower risk of losing the ability to live independently after surgery.
#AnSky #MedSky
doi.org/10.1111/anae...
Patients with mild obesity experienced a lower risk of losing the ability to live independently after surgery.
#AnSky #MedSky
doi.org/10.1111/anae...
November 17, 2025 at 11:02 AM
There is a U-shaped relationship between BMI and the risk of postoperative loss of independent living.
Patients with mild obesity experienced a lower risk of losing the ability to live independently after surgery.
#AnSky #MedSky
doi.org/10.1111/anae...
Patients with mild obesity experienced a lower risk of losing the ability to live independently after surgery.
#AnSky #MedSky
doi.org/10.1111/anae...
Reposted by Iain Moppett
Shocking reality: 1 in 4 older hospital patients develop #delirium, yet most families have never heard the word.
We need to do much better in improving public awareness of delirium.
We need to do much better in improving public awareness of delirium.
November 18, 2025 at 7:58 AM
Shocking reality: 1 in 4 older hospital patients develop #delirium, yet most families have never heard the word.
We need to do much better in improving public awareness of delirium.
We need to do much better in improving public awareness of delirium.
Reposted by Iain Moppett
We are pleased to announce that Professor Malcom West and Professor John Moore have been appointed as clinical co-leads for the first National Clinical Audit of Perioperative Care (NCAPC).
Learn more about the project and the clinical co-leads 👉 ow.ly/2MSf50XrMQk
#Ansky #Medsky
Learn more about the project and the clinical co-leads 👉 ow.ly/2MSf50XrMQk
#Ansky #Medsky
November 17, 2025 at 12:12 PM
We are pleased to announce that Professor Malcom West and Professor John Moore have been appointed as clinical co-leads for the first National Clinical Audit of Perioperative Care (NCAPC).
Learn more about the project and the clinical co-leads 👉 ow.ly/2MSf50XrMQk
#Ansky #Medsky
Learn more about the project and the clinical co-leads 👉 ow.ly/2MSf50XrMQk
#Ansky #Medsky
Reposted by Iain Moppett
Join us in London or online for our Hip fracture care seminar.
Covering topics such as: Surgical options and potential controversies surrounding hip fracture surgery; Enhanced recovery for hip fracture care; and more.
📆 Tuesday 9 December 2025
📍 21 Portland Place & online
👉 buff.ly/8Z4EJNy
Covering topics such as: Surgical options and potential controversies surrounding hip fracture surgery; Enhanced recovery for hip fracture care; and more.
📆 Tuesday 9 December 2025
📍 21 Portland Place & online
👉 buff.ly/8Z4EJNy
November 17, 2025 at 1:01 PM
Join us in London or online for our Hip fracture care seminar.
Covering topics such as: Surgical options and potential controversies surrounding hip fracture surgery; Enhanced recovery for hip fracture care; and more.
📆 Tuesday 9 December 2025
📍 21 Portland Place & online
👉 buff.ly/8Z4EJNy
Covering topics such as: Surgical options and potential controversies surrounding hip fracture surgery; Enhanced recovery for hip fracture care; and more.
📆 Tuesday 9 December 2025
📍 21 Portland Place & online
👉 buff.ly/8Z4EJNy
Reposted by Iain Moppett
Let’s try a little #MedSky game. When I finished med school:
-gastric lavage had been scrapped for ODs
- Doxapram was still used for T2 resp failure in COPD
- co-danthrusate was widely used,
- Quinolones were magic and only consultants were allowed to prescribe them.
What year did I qualify?
-gastric lavage had been scrapped for ODs
- Doxapram was still used for T2 resp failure in COPD
- co-danthrusate was widely used,
- Quinolones were magic and only consultants were allowed to prescribe them.
What year did I qualify?
November 14, 2025 at 9:31 PM
Let’s try a little #MedSky game. When I finished med school:
-gastric lavage had been scrapped for ODs
- Doxapram was still used for T2 resp failure in COPD
- co-danthrusate was widely used,
- Quinolones were magic and only consultants were allowed to prescribe them.
What year did I qualify?
-gastric lavage had been scrapped for ODs
- Doxapram was still used for T2 resp failure in COPD
- co-danthrusate was widely used,
- Quinolones were magic and only consultants were allowed to prescribe them.
What year did I qualify?
Reposted by Iain Moppett
Love this, when I finished med school
- cefotaxime was the latest antibiotic
- we had a new look BNF
- we wore white lab coats with nice big pockets
- H. Pylori was starting to be linked to ulcers (yes I did gastro house job)
- vagotomy with Pyloroplasty was a common treatment for GI bleed
- cefotaxime was the latest antibiotic
- we had a new look BNF
- we wore white lab coats with nice big pockets
- H. Pylori was starting to be linked to ulcers (yes I did gastro house job)
- vagotomy with Pyloroplasty was a common treatment for GI bleed
Let’s try a little #MedSky game. When I finished med school:
-gastric lavage had been scrapped for ODs
- Doxapram was still used for T2 resp failure in COPD
- co-danthrusate was widely used,
- Quinolones were magic and only consultants were allowed to prescribe them.
What year did I qualify?
-gastric lavage had been scrapped for ODs
- Doxapram was still used for T2 resp failure in COPD
- co-danthrusate was widely used,
- Quinolones were magic and only consultants were allowed to prescribe them.
What year did I qualify?
November 15, 2025 at 7:44 AM
Love this, when I finished med school
- cefotaxime was the latest antibiotic
- we had a new look BNF
- we wore white lab coats with nice big pockets
- H. Pylori was starting to be linked to ulcers (yes I did gastro house job)
- vagotomy with Pyloroplasty was a common treatment for GI bleed
- cefotaxime was the latest antibiotic
- we had a new look BNF
- we wore white lab coats with nice big pockets
- H. Pylori was starting to be linked to ulcers (yes I did gastro house job)
- vagotomy with Pyloroplasty was a common treatment for GI bleed
Reposted by Iain Moppett
Our Centre for Perioperative Care (CPOC) is recruiting for a Deputy Director.
This role is open to senior clinical leaders from any perioperative care profession and offers a unique opportunity to help shape the future of surgical care.
For more information & to apply 👉 https://ow.ly/MzUk50Xou5Z
This role is open to senior clinical leaders from any perioperative care profession and offers a unique opportunity to help shape the future of surgical care.
For more information & to apply 👉 https://ow.ly/MzUk50Xou5Z
November 14, 2025 at 1:32 PM
Our Centre for Perioperative Care (CPOC) is recruiting for a Deputy Director.
This role is open to senior clinical leaders from any perioperative care profession and offers a unique opportunity to help shape the future of surgical care.
For more information & to apply 👉 https://ow.ly/MzUk50Xou5Z
This role is open to senior clinical leaders from any perioperative care profession and offers a unique opportunity to help shape the future of surgical care.
For more information & to apply 👉 https://ow.ly/MzUk50Xou5Z
Reposted by Iain Moppett
Reposted by Iain Moppett
New subanalysis from #SNAP3 examining the prevalence of frailty & postoperative #morbidity and #mortality in these populations – does this show the need for a specific #perioperative services targeting these subgroups?
https://www.bjanaesthesia.org.uk/article/S0007-0912(25)00501-X/fulltext
https://www.bjanaesthesia.org.uk/article/S0007-0912(25)00501-X/fulltext
November 13, 2025 at 11:00 PM
New subanalysis from #SNAP3 examining the prevalence of frailty & postoperative #morbidity and #mortality in these populations – does this show the need for a specific #perioperative services targeting these subgroups?
https://www.bjanaesthesia.org.uk/article/S0007-0912(25)00501-X/fulltext
https://www.bjanaesthesia.org.uk/article/S0007-0912(25)00501-X/fulltext
I hope anaesthetists, surgeons and intensivists (and anyone who is interested) will give their thoughts about #Delirium research. Such an important but overlooked issue that affects at least 1 in 16 older surgical patients. www.surveymonkey.com/r/WTHNBZK #AnSky #GeriSky #SurgSky #NIHR
November 12, 2025 at 7:26 PM
Reposted by Iain Moppett
Delirium has a visibility problem, not just a diagnostic one.
How many cases of delirium are you missing day to day by not looking proactively?
How many cases of delirium are you missing day to day by not looking proactively?
November 11, 2025 at 7:58 AM
Delirium has a visibility problem, not just a diagnostic one.
How many cases of delirium are you missing day to day by not looking proactively?
How many cases of delirium are you missing day to day by not looking proactively?
