Dr Louella Vaughan
@drlkvaughan.bsky.social
260 followers 150 following 150 posts
Consultant Acute Physician, The Royal London. Health policy nerd. Former Harveian Librarian, RCP. Antipodean. Views own.
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drlkvaughan.bsky.social
Throwing my hat in the ring for RCP Clinical Vice President!

Great to see so many excellent people putting themselves forward.

Fellows, don't forget to get out and VOTE!
Reposted by Dr Louella Vaughan
profbolton.bsky.social
👇… Not right time for vote / when done - do properly! ….
drlkvaughan.bsky.social
The RCP is asking Fellows to vote on key constitutional reforms, including extending the franchise.

A group of 27 Fellows tabled a motion saying reform should be slowed down + done properly.

Not enough information. Too many questions.

Our views here:

tinyurl.com/ye5k2fa2
RCP Constitutional Reforms - The Case for No (Not Yet)
The Royal College of Physicians (RCP) is currently asking Fellows to vote on constitutional reforms. The reforms seem relatively straightforward – widening the franchise to allow Collegiate members to...
tinyurl.com
drlkvaughan.bsky.social
The RCP is asking Fellows to vote on key constitutional reforms, including extending the franchise.

A group of 27 Fellows tabled a motion saying reform should be slowed down + done properly.

Not enough information. Too many questions.

Our views here:

tinyurl.com/ye5k2fa2
RCP Constitutional Reforms - The Case for No (Not Yet)
The Royal College of Physicians (RCP) is currently asking Fellows to vote on constitutional reforms. The reforms seem relatively straightforward – widening the franchise to allow Collegiate members to...
tinyurl.com
drlkvaughan.bsky.social
Interesting piece Helen!
drlkvaughan.bsky.social
Sadly, you are probably right.

To be subdivided and flogged for apartment blocks.
drlkvaughan.bsky.social
Australian 3/4 acre block outer suburbs...
drlkvaughan.bsky.social
Andy, this topic is MUCH more fun over on Twitter.

Everyone on Bluesky is too polite.
drlkvaughan.bsky.social
I am so very sorry Trisha.

She was a very lovely one.
drlkvaughan.bsky.social
Time is running out!

Less than 3 days left to vote in the @rcphysicians.bsky.social elections.

Links to voting in email from Civica.

Vote @drlkvaughan.bsky.social for Vice President!
Reposted by Dr Louella Vaughan
drasifqasim.bsky.social
Please encourage your FRCP colleagues to vote before Monday 14th April

Vote Asif Qasim for President

@drlkvaughan.bsky.social for VP
@respirologist.bsky.social Dr Philip Pearson for Council
@copddoc.bsky.social Prof Nick Hopkinson for Council

#TimeForChange
drasifqasim.bsky.social
It’s an honour to be standing for election as president of the RCP

Thanks my proposers:
Prof Sir Richard Thompson
Dr Taryn Youngstein
Prof Sir Shakeel Qureshi

Details on the election website soon and more at asifqasim.co.uk

My vision is to restore the @RCPhysicians as the #VoiceofPhysicians
Dr Asif Qasim, MA PhD FRCP
Dr Asif Qasim MA PhD FRCP is a London-based Consultant Interventional Cardiologist and former NHS Clinical Director with a PhD in Cardiovascular Medicine. Dedicated to healthcare innovation, medical e...
asifqasim.co.uk
drlkvaughan.bsky.social
Thanks both!

Claudia and I found it a very difficult piece of work to do. But was important to document experiences and analyze impact soon after events.

Organisations have VERY short memories.
Reposted by Dr Louella Vaughan
drasifqasim.bsky.social
I've talked to hundreds of Members and Fellows and their views are clear: we need to revitalise the RCP and restore the #VoiceOfPhysicians

Vote Asif Qasim before Monday 14th April

It's time to act: let's make the RCP something we can be proud of
drlkvaughan.bsky.social
Thanks Fiona!

The algorithm threw you up in my timeline on pretty much my first day on Twitter.

I thought: Oh Cool. Interesting stuff. And followed you.

Here we are, a decade later...
drlkvaughan.bsky.social
Governments around the world need to face up to the issue that the cost of providing healthcare over the next 2 decades is going to be wildly expensive.

Making the workforce less skilled and less efficient for marginal cost savings isn't the solution.

Fin
drlkvaughan.bsky.social
half a century. Fully trained doctors provide the best care. It just isn't possible to chunk up the job and outsource it.

Not is it just not efficient in the long run, but it creates other problems. And patients suffer as a consequence.
5/
drlkvaughan.bsky.social
How do you make one?
How do you ensure safety and accountability?

Especially problematic given that what doctors do (mostly) is to THINK about things and make DECISIONS. The skill stuff is an added extra.

The grand experiment with workforce subs has been going on for over
4/
drlkvaughan.bsky.social
that not everything a doctor does need years of training. And somethings could (and have been been) be safely done by someone not a doctor.

But the problem is that workforce substitution quickly slides into the existential:
What is a doctor?
What do they do?
3/
drlkvaughan.bsky.social
anywhere in the world. Except perhaps Germany.

The logical solution is train more doctors and to use carrots (+ the occasional stick). But this is expensive!

So the alternative, since the 1960s, has been workforce substitution. This is attractive, as it certainly is true
2/
drlkvaughan.bsky.social
Just off the Leng Review call.

Once again it strikes me just how existential the issue of workforce substitution is and what is at stake.

The root cause is not enough doctors. Historically, not enough in rural and remote places. With the coming 'Silver Tsunami', not enough
1/