2 out of every 3 frontline NHS staff don’t have access to a staff room

We think it’s completely unacceptable for staff to work such long shifts, on their feet, without appropriate rest facilities

Please RT if you agree

📣Three of our endoscopy specialists head off to Zambia’s capital Lusaka tomorrow to carry out endoscopy skills courses as well as a ‘train the trainer course’ to support doctors & nurses yo set up their own training programmes💫 Dave Nylander BSG
newcastle-hospitals.nhs.uk/news/newcastle…

Nadir Dr Felicity Williams Brit Liver Nurses LiverAHPs Sital Shah 💙 BHPG Mandy Smith Birmingham HPB & Liver Transplant Unit Completely agree - with HCV dying out, I do worry about how you incentivise pharmacists to take this career - hopefully MASLD, HBV and PBC will do the job #fgdebate

Neeraj Bhala British Liver Trust BASL BSG EASLnews AASLD APASL News 100% - MUP is a must, further salt, sugar and junk food tax critical. Social prescribing, drug and alcohol services all need more funding - in an ideal world money would go from this taxation back into this #fgdebate

Stuart Mcpherson UK_CLIF is aiming to do this and support sites in areas which historically have not been involved in research. Patients are central and integrated within our work - keep your eye out for our James Lind Alliance priority setting work coming imminently Gautam Mehta #fgdebate

Clinical academic in UK is rather hard path to follow.

😳Prolong training
💵Financial loss
⬇️poor academic job security
🔥constant pressure

#LiverTwitter

Investment in clinical academia needed to deliver medical expansion | Medical Schools Council medschools.ac.uk/news/investmen…

More emphasis on liver disease, especially acute decompensation, earlier in training -should lead to more engagement with care from trainees and potentially more budding hepatologists! #fgdebate

Neeraj Bhala British Liver Trust BASL BSG EASLnews AASLD APASL News And consequently is the 2nd largest cause of working lives lost - the financial implications of this are not to be underestimated. #FGDebate

Oliver Tavabie Ashwin Dhanda Johnny cash I think depends on access to specialist radiology, path, IR, even hbp surgery. All of which gives access to the more complex hepatology, which is needed in training

Stuart Mcpherson 100% This also requires a collaborative approach. We need to develop a pipeline from bench to bedside and actually the UK is well placed for this. Infrastructure required across the UK, but we need an aligned strategy (and preferably a platform) to achieve this #fgdebate

'Gratitude to all who joined us today! Your insights are invaluable. Special thanks to our expert panellists Stuart Mcpherson, Gemma Wells, Oliver Tavabie, and our gracious host Mohsen Subhani.

Let's keep the conversation going!'

#LiverTwitter #FGDebate BASL education feed BSG Trainees EASLnews

Oliver Tavabie Stuart Mcpherson Frontline Gastro ToRcH-UK EASLnews BASL education feed AASLD Debbie Shawcross The prioritisation in UK training is invariably G(I)M, unless we get a handle on service at front door, adequate training opportunities are inherently challenging. #FGFebate

Stuart Mcpherson Oliver Tavabie Frontline Gastro ToRcH-UK EASLnews BASL education feed AASLD Debbie Shawcross Are we likely to see a rise in dedicated post-CCT fellowships in hepatology, should these have dual placements including tertiary and DGHs? Fostering stronger links between settings. #FGDebate

The interesting part of the SLTC paper was the lack of impact of location on HCC patients. This is because of the robust cancer pathways for this group. We need to treat decompensation like cancer and have infrastructure to give mdt input early #fgdebate

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I love this paper - got me interested in this area. It is not UK specific - Goldberg et al showed this in the states. Will national organ allocation impact this? Hopefully. Is it enough no #fgdebate

jamanetwork.com/journals/jama/…

This was so sad. Yes we need it to integrate with tech. Yes bits need updating (currently in progress). But this is culture. We need buy in which requires us to advocate and our patients needing to know what good care is to demand it British Liver Trust #fgdebate

Paul Brennan Stuart Mcpherson Frontline Gastro ToRcH-UK EASLnews BASL education feed AASLD Debbie Shawcross Probably - the big but is we that there are a lot of consultant vacancies in gastroenterology. Do a fellowship or get a consultant role now? We should provide adequate training opportunities for our trainees #fgdebate

Need some new treatmentsfor liver disease as well. no new treatment for a long time. More research funding needed. #FGDebate

Yes agreed post CCT fellowships will become a must in hepatology I think as 4 years is not enough to get a broad training in hepatology especially with other commitments like endoscopy #FGDebate

Welcome to #FGDebate on regional variation in decompensated cirrhosis care

Our host is M Subhani, and the panel of experts include Dr O Tavabie, Dr G Wells, & Prof S McPherson. Thanks for joining

Paper link: bit.ly/3wUUeZK
Oliver Tavabie Stuart Mcpherson Gemma Wells Mohsen Subhani