banner
drkatie.bsky.social
Dr Katie Bramall
@drkatie.bsky.social
2.5K followers 360 following 64 posts
@doctor_katie in the other place Chair @BMA_GP England & UK Chief Executive @CambsLMC GP @HaileyViewGP Views my own: RT ≠ endorsement Retired quizzer; devoted mother; loves a good pair of slippers & synthpop bangers.
Posts Media Videos Starter Packs
Reposted by Dr Katie Bramall
drcarolinegp.bsky.social
drcarolinegp.bsky.social @drcarolinegp.bsky.social · 8d
Our practice gets a minimum average of 44 online queries an hour on a Monday. 31 an hour the rest of the week We don’t have the resourcing to cope with this unless we cancel all other work. In the past two weeks we have had two sick babies put through on admin form. Despite our website saying don’t
drkatie.bsky.social
Dr Katie Bramall @drkatie.bsky.social · 8d
According to this data

💥5,967 (over 96%) of practices in England have at least one online consultation system
 
💥5.1 million patient online submissions occurred in August

💥3.5 million clinical, the rest admin

(For context every A&E nationwide offers 67,000/day)

3/x
2 3
Reposted by Dr Katie Bramall
drstevetaylor.bsky.social
Dr Steve Taylor @drstevetaylor.bsky.social · 7d
GPs have done all they can to keep patients safe and provide as much as possible
1.4million people will consult today
Compare this with 67,000 in A&E

The reason for the concerns is we have a capacity problem & a funding crisis
The 8 am rush (it’s bad) will be replaced by the GP waiting list (worse)
drkatie.bsky.social
Dr Katie Bramall @drkatie.bsky.social · 8d
If @wesstreeting thinks GPs are stuck in 20thC, visit a hospital

We are the science museum!

➡️Electronic records since 1991
➡️Online triage
➡️Ambient scribes
➡️SMS
➡️Online bookings
➡️Electronic prescribing
➡️Online referrals
➡️Video consults DAYS after 1st lockdown….

1/x
9 25
drkatie.bsky.social
Dr Katie Bramall @drkatie.bsky.social · 8d
Pls RT if you care about
- patient safety
- speaking truth to power
- want better access to your GP
- worry about future of NHS

GPs want to work WITH this govt
Talk to us!

@ShaunLintern @parthaskar @drlukeevans @Parody_RCGP @DailyMailUK @RoyLilley @doctor_oxford @bmj_latest
1 4 9
drkatie.bsky.social
Dr Katie Bramall @drkatie.bsky.social · 8d
And so too support your ICBs & teams under huge pressure & redundancy threats to work WITH their practices again supporting patient safety

Again this is the need for co-production not top-down diktat

Trust your 6,331 neighbourhood health services = Your GP practices!

10/11
1 1 5
drkatie.bsky.social
Dr Katie Bramall @drkatie.bsky.social · 8d
Pls, @wesstreeting @SKinnock

Let us talk

Let’s support your ambition but give us a guarantee that you won’t breach practices that are trying their best to deliver this

Get @NHSEngland to engage with @theHSSIB recommendations in interest of pt safety @PatientsAssoc

9/x
1 2
drkatie.bsky.social
Dr Katie Bramall @drkatie.bsky.social · 8d
@Accurx @KlinikUK @TPP_SystmOne @econsult keen to work with practices to make this safe

@NHSEngland @DHSCgovuk why won’t you join us?

8/x
1 1 2
drkatie.bsky.social
Dr Katie Bramall @drkatie.bsky.social · 8d
Patients deserve safe & quick access to their GP

Any economics student will explain if you need quick + safe, it won’t be cheap

But GP costs under £140 per pt per year - less than your pet insurance

Less than the cost of 🍎 a day!

& we know continuity of care saves lives

7/x
4 13
drkatie.bsky.social
Dr Katie Bramall @drkatie.bsky.social · 8d
Patients deserve safe & quick access to their GP

Any economics student will explain if you need quick + safe, it won’t be cheap

But GP costs under £140 per pt per year - less than your pet insurance

Less than the cost of 🍎 a day!

& we know continuity of care saves lives

7/x
1 4
drkatie.bsky.social
Dr Katie Bramall @drkatie.bsky.social · 8d
We lack the resources, capacity and capabilities to meet the needs of our patients if we can’t switch off online requests when we are full

Not to mention mandating we MUST contact the patient THAT SAME DAY no matter how many patients contact us 🤯

Not safe

6/x
2 5 18
drkatie.bsky.social
Dr Katie Bramall @drkatie.bsky.social · 8d
Not just opinion of @BMA_GP but also @theHSSIB

I wonder what @CQCProf & @gmcuk think?

This break’s Jess’ Rule

5/x
1 3 14
drkatie.bsky.social
Dr Katie Bramall @drkatie.bsky.social · 8d
On average 88.9 submissions per 1,000 patients in August 2025

The range = 0 to 884.8 online consults, per day, per practice

Why do @NHSEngland @DHSCgovuk insist on treating all practices the same?

Why can’t we temporarily pause online when we are full?

This is not safe

4/x
1 4 17
drkatie.bsky.social
Dr Katie Bramall @drkatie.bsky.social · 8d
According to this data

💥5,967 (over 96%) of practices in England have at least one online consultation system
 
💥5.1 million patient online submissions occurred in August

💥3.5 million clinical, the rest admin

(For context every A&E nationwide offers 67,000/day)

3/x
1 5 15
drkatie.bsky.social
Dr Katie Bramall @drkatie.bsky.social · 8d
And guess what? @NHSEngland own data from August:

I’ve just found the following dataset:

digital.nhs.uk/data-and-infor…

“Submissions via Online Consultation Systems in General Practice, August 2025”

Well well well… 🕵️‍♀️
 
2/x
https://digital.nhs.uk/data-and-infor…
1 2 15
drkatie.bsky.social
Dr Katie Bramall @drkatie.bsky.social · 8d
If @wesstreeting thinks GPs are stuck in 20thC, visit a hospital

We are the science museum!

➡️Electronic records since 1991
➡️Online triage
➡️Ambient scribes
➡️SMS
➡️Online bookings
➡️Electronic prescribing
➡️Online referrals
➡️Video consults DAYS after 1st lockdown….

1/x
3 30 42
drkatie.bsky.social
Dr Katie Bramall @drkatie.bsky.social · 24d
Govt now need to *listen* to our solutions for how to avoid potential disputes, and how this won’t cost Treasury a penny.
3 6
drkatie.bsky.social
Dr Katie Bramall @drkatie.bsky.social · 24d
@BMA_GP have articulated our concerns professionally & in good faith

GPs have been labelled “laggards” & “blockers of progress” despite eRS; EPS; GPSoC; GPC-UR read access; 99% surgeries on cloud-based telephony; & access higher than any point in 77 yr Hx of NHS: 1.5m pts/day
3 4
drkatie.bsky.social
Dr Katie Bramall @drkatie.bsky.social · 24d
Equally true:

@TheBMA warns Secretary of State the NHS will die, should Labour lose the next election, because they refused to work with Drs & imposed unevidenced top-down reforms & dangerous contracts risking patient safety…

theguardian.com/society/2025/s…

@BMA_GP @rcgp @TheDA_UK
https://theguardian.com/society/2025/s…
3 5 8
drkatie.bsky.social
Dr Katie Bramall @drkatie.bsky.social · Aug 15
4. Extend NHSResolution for IG liabilities

5. Govt explicit preference GPs lead SNP & parity of opportunity @ MNP level

This is a critical juncture for the profession

We want to work w Govt to secure solutions, not create problems

But GPs need to see action
2 3
drkatie.bsky.social
Dr Katie Bramall @drkatie.bsky.social · Aug 15
GPCE clear what’s needed to ⬇️doubt ⬆️confidence & avoid disputes:

1. Roadmap & timelines for GMS contract renewal & transparency of investment

2. ARRS > practice-level reimbursement

3. Additional practice-level scheme to reduce GP
under/unemployment asap….
1 1 3
drkatie.bsky.social
Dr Katie Bramall @drkatie.bsky.social · Aug 15
Support is appreciated but actions count most
Re: 10YP that means ICBs pushing back on Trusts to ensure GP influence @ N’hood level

Govt must listen to GPs to meet the 3 objectives
GPs can support principles whilst
pointing to where 10YP fails in described implementation.
1 3
drkatie.bsky.social
Dr Katie Bramall @drkatie.bsky.social · Aug 15
1 1
drkatie.bsky.social
Dr Katie Bramall @drkatie.bsky.social · Aug 15
Great article by James here: on the back of @wesstreeting’s letter to GPs this week: (in thread)

www.bma.org.uk/news-and-opi...
The results are in: GPs do an amazing job
Despite the severe pressures family doctors are under they have seen 30 million patients in one month alone, finds survey
www.bma.org.uk
1 9 21
Reposted by Dr Katie Bramall
helensalisbury.bsky.social
Helen Salisbury @helensalisbury.bsky.social · Jul 4
Newsnight last night. I had more to say but it wasn't easy.
We already have Neighbourhood health centres - they are called GP surgeries. Invest in GP - we know it works if funded properly
youtu.be/mDEDXFQfqIk?...
Helen Salisbury Newsnight July 2025
YouTube video by Christina Pagel
youtu.be
11 33 98
drkatie.bsky.social
Dr Katie Bramall @drkatie.bsky.social · Jul 3
This:
drstevetaylor.bsky.social
Dr Steve Taylor @drstevetaylor.bsky.social · Jul 3
Already over 6000 Neighbourhood Health Centres in England

GP Practices have lost 20% real terms funding since 2016, if they hadn’t they would be better able to provide the care patients need
Still 31m appts/month

Fund GP practices properly & they’ll do the rest with less funding & quicker
1 2 9
drkatie.bsky.social
Dr Katie Bramall @drkatie.bsky.social · May 30
…in this model, as a precaution, while the facts can be established
 
Patients shouldn’t have to worry that what they tell their GP will get fed to AI models without the full range of safeguards in place to dictate how that data is shared

@bma_gp
2 5