John Howat
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johnhowat.bsky.social
John Howat
@johnhowat.bsky.social
Resident doctor in South London. Fulham fan.
Resonant and depressing reflections on the state of acute services, the sense of moral injury and being set up to fail.

Nursing staff retention a real issue - experienced matrons are gold dust yet the incentive structures for long careers as front line nurses are extremely inadequate.
October 19, 2025 at 2:05 PM
At least they’re being honest this is a cost-cutting measure here rather than the usual mental gymnastics involved in claiming lesser qualified staff provide better care
July 3, 2025 at 4:15 PM
I don’t think it’s unreasonable for patients to expect access to a named professional with knowledge of them, their conditions and how they may interact. Perhaps we could call this role ‘a doctor’.
June 1, 2025 at 9:38 AM
Sheds some grim light on Khan + Mackintosh’s vision for the club. Turning our ground into real estate under our noses.
January 27, 2025 at 10:01 PM