Scott McKenzie @ScottMcKenzieCo
NHS Industry Advice, Training & Management Consultancy. Strategic insight and troubleshooting for NHS providers, Federations, PCNs, Pharma, Med Tech and Devices scottmckenzieconsultancy.com UK Joined February 2009-
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Over 800 practices under 10k list gone. That used to be the norm
🎶 Hibs away, uh-huh, uh-huh... Officially endorsed - @kcandsunshineb @HibernianFC
I’ve been saying this for years Roy, we need to offer a longer patent protection.
I’ve been saying this for years Roy, we need to offer a longer patent protection.
Watch how they push accessibility. Why is having a scan in a shopping centre better than having it in a hospital apart from convenience? And when patients are dying on trolleys why are we looking at convenience. Why can’t anyone see this?
Watch how they push accessibility. Why is having a scan in a shopping centre better than having it in a hospital apart from convenience? And when patients are dying on trolleys why are we looking at convenience. Why can’t anyone see this?
@Parody_RCGP I fear this thinking is based on Red Wall and Reform focus groups. Cos why else? As you say, it makes zero sense on every cogent level. This is the intellectual redundancy lens we are looking through now. The race to the bottom.
Unconscionable - and worth understanding why. It would cost pittance to ensure these talented new GPs are in practice rather than risking a brain drain from U.K. worth £m+
Unconscionable - and worth understanding why. It would cost pittance to ensure these talented new GPs are in practice rather than risking a brain drain from U.K. worth £m+
Equally Labours last big shift in GP investment in the early 2000’s came with substantial increase in overall health funding. You can’t dual run existing services with new models without additional cost.
Equally Labours last big shift in GP investment in the early 2000’s came with substantial increase in overall health funding. You can’t dual run existing services with new models without additional cost.
This is on top of all the list experience and know how when the CCGs moved into ICSs. It’s usually those with the long knowledge that choose to go - which is why we end up reinventing things in a regular cycle as the organisational knowledge gets lost.
This is on top of all the list experience and know how when the CCGs moved into ICSs. It’s usually those with the long knowledge that choose to go - which is why we end up reinventing things in a regular cycle as the organisational knowledge gets lost.
Had a chat about GP practice funding last night with my mates in the pub (& more other things before you ask 🤣). £123 core funding per patient …. Answer was .. we’ve not been until I raised a puzzled look knowing their health history ! Not been turned out to be have quite a lot
GPs aren’t failing to prescribe - GPs aren’t allowed to prescribe because there are rules set by @NHSEngland @DHSCgovuk & NICE which are very restrictive Now redo that headline @itvnews @BeccaBarry this is entirely unfair on GPs
GPs aren’t failing to prescribe - GPs aren’t allowed to prescribe because there are rules set by @NHSEngland @DHSCgovuk & NICE which are very restrictive Now redo that headline @itvnews @BeccaBarry this is entirely unfair on GPs
NHS reveals scale of GP advice and guidance DES take-up gponline.com/nhs-reveals-sc…
‘A third of GP appts June were carried out either over the phone or online Up from 30.9% in June 2024, & 28.3% in June 2023’ But TOTAL appts ‘25 30.5m ‘24 28.1m ‘23 29.3m Face to Face increasing ‘25 19.3m in 21d = 919k/day ‘24 18.3m in 20d = 915k/day ‘23 20.1m in 22d = 914k/day
New Global sum uplift announced. But to be fair @nickbostock and me predicted what was needed a couple of months back … gponline.com/extra-100m-nee…
You do wonder who is advising them and what evidence they are looking at … I may be biased but if I was interested in the business model of general practice I’d be asking financial people who deal with it day to day about the pros and cons of existing models !
You do wonder who is advising them and what evidence they are looking at … I may be biased but if I was interested in the business model of general practice I’d be asking financial people who deal with it day to day about the pros and cons of existing models !
The NHS 10-Year Plan and the Future of General Practice. A Thread….
Negotiations have failed, Streeting is too full of testosterone. Time to bring in a White Knight… someone trusted, neutral and serious. ACAS? Possibly. Or maybe a senior figure with clinical credibility. Mediation doesn’t mean weakness. myemail.constantcontact.com/Five-steps.htm…
@rheumipainmask @DrSteveTaylor @TheBMA @RebuildGP @SKinnock @NHSEngland @DAUK_GP @VictoriaTzB @KamilaRCGP @rcgp “Because you’re not the NHS you’re private businesses” GMS reform is essential to delivering what the Govt wants - they just don’t know it yet
NEW: Two North London NHS systems will merge to form largest ICB in England. Will commission healthcare for 4.5m people. Merger due to spending cuts which ICB chief says are "a major blow" w/ @mimilaunder hsj.co.uk/london/icb-mer…
When deciding funding where do you think Govt & NHS England put their £? Cost of appts: Out-patients £109-£362 A&E £114-£563 Urgent treatment centre £84-£114 Hub appts £48 Pharmacy First £48 ARRS £35 GP practice £23 Despite this GP practices have had 20% cut & no new funding
GP practices have had £2bn removed from core funding by @NHSEngland 8yrs This has been done by not increasing the budget per patient by £35 Instead the £ has been moved to ARRS - additional roles PCN budget £1.6bn Pharmacy First £650m Resulting in no increase in GP access 🤷🏻♂️

Farzana Hussain @fhussain73
12K Followers 2K Following GP Newham London. GP of the Year 2019. HSJ BAME Bubbling Under List 2024.Blessed to be Muslim.All views are my own. On bluesky too
Selvaseelan Selvaraja... @DrSelvarajah
26K Followers 8K Following Just a GP in East London with various roles. #TeamGP #NHS . Views - mine only, not organisations I’m part of. #தமிழ்
Stephanie deGiorgio @DrSdeG
25K Followers 4K Following Chief Clinical Officer and Co-Founder of https://t.co/xRlzuTDIUr. Portfolio GP Urgent Care, Kent. Women's Health, Obesity @AboutObesityorg. #Long Covid.
Digital and Tech GP @drgandalf52
12K Followers 4K Following Digital GP with the intellect & geeky style of a TimeLord & the magic, presence & beard of Gandalf. @[email protected] Owner eGPlearning & S1 FBUG
Partha S Kar 🇮🇳... @parthaskar
56K Followers 12K Following Type 1 Diabetes & Technology Lead @NHSEngland @NHSGIRFT Consultant Diabetes, Portsmouth IMG- From Kolkata 🇮🇳 Rest? Click link Motto: Dance lightly with life
🌟Ben Allen GP 🌟 @BenAllenGP
7K Followers 6K Following Sheffield GP, NHS leader, convener, innovator, OD, QI, large scale change. Releasing potential for joyful & effective teams. Open to challenge! Views my own
Dr Steve Taylor @DrSteveTaylor
11K Followers 3K Following GP (Ex-Partner/Trainer) - enjoying the extra time & space - Believe in the NHS (Opinions my own) - NHS Facts and Stats Facebook - DAUK GP Spokesperson #BeKind
Ruth Rankine 💙 @rankine
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Neena Jha @DrNeenaJha
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Dr Nikita Kanani (she... @NikkiKF
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Ben Gowland @BenXGowland
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Dr Carter Singh MBE @drcartersingh
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Sally 💙 Oldbury �... @OldburySally
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Maria @Maniactaz
117 Followers 768 Following Every step you take today brings you closer to your dreams. Keep moving forward! 💪✨
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Original Mango Group ... @designbyOMG
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ANDREWLUIS_TIPSTER @M22139581
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Emma Radcliffe💙 @emmrad
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40 Followers 1K Following
Jean Smith @JeanSmi62924254
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Theighl @TheighlrpweCU1
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Sir David Haslam @DavidAHaslam
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Ada @hiponeitizadora
542 Followers 246 Following “I knew that if I failed I wouldn’t regret that, but I knew the one thing I might regret is not trying.” No🚫crypto. No🚫investment. If you ask for money, you
Kelly @Kellybulld2
396 Followers 4K Following “You learn more from failure than from success. Don’t let it stop you. Failure builds character.”
Kenny Reid @penandniblick
2K Followers 6K Following Author : Seve Ballesteros's Touch of Class ⛳💪🇪🇦 https://t.co/o3kDgfiDtE
PS @rheumipainmask
836 Followers 928 Following Early Retired GP #DrugResistant #RheumatoidArthritis #ChronicPain #Fibromyalgia #Disabled Wheelchair User . Just my opinions and painful rants
Meeeeee @DonnaDlm71
30K Followers 13K Following I like stories where women save themselves. Never take orders! I even avoid suggestions. Blocked myself, cos I can't put up with my shit either. 🎗🇬🇧🇮🇱
David Oliver (also on... @mancunianmedic
71K Followers 25K Following NHS Dr 36 y. Covid wards++ Gov, policy, academic, officer roles. Byline: @BMJ_latest. Columns: health press, papers. @mjauk. Manc-in-South. MCFC. Craic. Schlock
Farzana Hussain @fhussain73
12K Followers 2K Following GP Newham London. GP of the Year 2019. HSJ BAME Bubbling Under List 2024.Blessed to be Muslim.All views are my own. On bluesky too
Selvaseelan Selvaraja... @DrSelvarajah
26K Followers 8K Following Just a GP in East London with various roles. #TeamGP #NHS . Views - mine only, not organisations I’m part of. #தமிழ்
Stephanie deGiorgio @DrSdeG
25K Followers 4K Following Chief Clinical Officer and Co-Founder of https://t.co/xRlzuTDIUr. Portfolio GP Urgent Care, Kent. Women's Health, Obesity @AboutObesityorg. #Long Covid.
Parody RCGP @Parody_RCGP
13K Followers 5K Following The Rolo Crisps of Gravy Pancakes (RCGP). Parody. "What we do is fucking sacred"
Royal College of Gene... @rcgp
81K Followers 1K Following We are the professional home for GPs, led by GPs, maintaining the highest standards in patient care.
Dr Dave Triska @dave_dlt
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Digital and Tech GP @drgandalf52
12K Followers 4K Following Digital GP with the intellect & geeky style of a TimeLord & the magic, presence & beard of Gandalf. @[email protected] Owner eGPlearning & S1 FBUG
Partha S Kar 🇮🇳... @parthaskar
56K Followers 12K Following Type 1 Diabetes & Technology Lead @NHSEngland @NHSGIRFT Consultant Diabetes, Portsmouth IMG- From Kolkata 🇮🇳 Rest? Click link Motto: Dance lightly with life
🌟Ben Allen GP 🌟 @BenAllenGP
7K Followers 6K Following Sheffield GP, NHS leader, convener, innovator, OD, QI, large scale change. Releasing potential for joyful & effective teams. Open to challenge! Views my own
Dr Steve Taylor @DrSteveTaylor
11K Followers 3K Following GP (Ex-Partner/Trainer) - enjoying the extra time & space - Believe in the NHS (Opinions my own) - NHS Facts and Stats Facebook - DAUK GP Spokesperson #BeKind
Dr Rachel Clarke @doctor_oxford
265K Followers 4K Following Palliative care doctor 👩🏻⚕️ Author 📚 Winner 2025 Women's Prize for Non-Fiction 🫀 Founder: @hospiceukraine 🇺🇦 Rep: @AitkenAlexander 📝
Ruth Rankine 💙 @rankine
2K Followers 2K Following Director of Primary Care, NHS Confederation, Northern Ireland born and bred
Helen Bevan @HelenBevan
138K Followers 21K Following Change facilitator, strategist, speaker. Prof. of Practice in Health & Care Improvement @WarwickBSchool. Advisor @HorizonsNHS. Senior Fellow @TheIHI. Views own.
Neena Jha @DrNeenaJha
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Trisha Greenhalgh @trishgreenhalgh
165K Followers 4K Following On the other place now. @trishgreenhalgh.bsky.social
James Timpson @JamesTCobbler
187K Followers 1K Following Minister of State for Prisons, Probation and Reducing Reoffending @MoJGovUK. Ex-CEO of Timpson. DMs not monitored.
Dr Nikita Kanani (she... @NikkiKF
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Shaun Lintern @ShaunLintern
87K Followers 6K Following Health Editor at The Sunday Times. National Press Awards Health Journalist of the Year 2023. Chair of @mjauk. Public interest journalism matters #E17
Mr Benn @thebowlerhatman
58K Followers 612 Following I am a man with many hats and outfits, having adventures everywhere... I admire the bowler hatted man from 52 Festive Road.
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443 Followers 610 Following bespoke private dining chef, husband to the awesome @drcazz, adopted Cumbrian (one day I hope), vice chair @growingwell,
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1K Followers 75 Following live each day to the full, appreciate all you have. love ❤ and laughter are key to being happy 😊 if you can’t say anything nice - say nothing at all 🥰
Signed Football Shirt... @signedfshirts
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Interface Clinical Se... @InterfaceCS1
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Kathryn Patrick @drkpatrick
34 Followers 32 Following 🌼 Ethically sourced flowers with a sustainability mission.