Luke Mordecai (@Shr_Nottingham) header
Luke Mordecai (@Shr_Nottingham) profile picture

Luke Mordecai

@Shr_Nottingham

Consultant Anaesthetist. Views my own

 London, England
Joined September 2021
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Photo by Luke Mordecai (@Shr_Nottingham)Photo by Luke Mordecai (@Shr_Nottingham)Photo by Luke Mordecai (@Shr_Nottingham)Photo by Luke Mordecai (@Shr_Nottingham)Photo by Luke Mordecai (@Shr_Nottingham)Photo by Luke Mordecai (@Shr_Nottingham)Photo by Luke Mordecai (@Shr_Nottingham)Photo by Luke Mordecai (@Shr_Nottingham)Photo by Luke Mordecai (@Shr_Nottingham)Photo by Luke Mordecai (@Shr_Nottingham)
I’m doing some book keeping as a diversion for the next time someone tries to talk to me about basic science. An #anaesthesia 🧵 of 🧵’s regarding some of the things I think about during my day job. (Thank you to everyone that has contributed to the discussion) 1: Alfentanil
Luke Mordecai (@Shr_Nottingham) profile pictureLuke Mordecai@Shr_Nottingham6 Aug 2022
I don’t normally geek out about #anaesthesia but given the ongoing Remifentanil shortage in 🇬🇧 I thought I’d post my alfentanil TIVA recipe. IMHO it’s elegant, precise and allows for absolutely minimal anaesthetic poly pharmacy. (Very boring for non anaesthetists…..) 1….
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ITU have clearly lost their way Allowing people without a medical degree to look after the sickest patients in hospital is a total nonsense I’m just happy we’re at the naming & shaming trusts publicly stage I will be avoiding @UHSFT 🫡
TIVA Tim (@TheSnoozeDoctor) profile pictureTIVA Tim@TheSnoozeDoctorOct 13
Every medical/ICU consultant enabling this practice should be publicly named and shamed! Clearly ‘noctors’ rarely care about patient safety and outcomes, and corporate managers care only about money, but how many more people have to die before we see significant change? Terrible!
Image from TIVA Tim (@TheSnoozeDoctor)
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Doctor substitution is being championed at the highest levels yet anyone with a grain of common sense or integrity knows it’s nonsense I wonder what platitudes @theRCN or @RCEMpresident would offer these parents given their involvement in enabling this scenario?
The Telegraph (@Telegraph) profile pictureThe Telegraph
@TelegraphOct 10
Dylan Cope, nine, was discharged from hospital after being wrongly diagnosed with flu 🔗 telegraph.co.uk/news/2026/10…
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GP refers child to hospital appropriately Nurse doing a job they should never be doing, ignores referral, misses the diagnosis a third year medical student would make & inappropriately discharges child to worse possible outcome Dropping professional standards causes harm : FACT
Image from Luke Mordecai (@Shr_Nottingham)
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Thank you @JanetEastham Source: telegraph.co.uk/news/2026/10…
‘Our son died of sepsis after nurse ignored GP referral’

‘Our son died of sepsis after nurse ignored GP referral’

Dylan Cope, nine, was discharged from hospital after being wrongly diagnosed with flu

telegraph.co.uk
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The anonymous contributor list to the latest PA document is so entirely on brand for a project mired in conflicts & opaque “evidence” since day 1 How can anyone in healthcare leadership bang the transparency drum whilst thinking this is ok? As appalling as it is unsurprising
Image from Luke Mordecai (@Shr_Nottingham)
Image from Luke Mordecai (@Shr_Nottingham)
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Just checking I heard you right @KemiBadenoch ?! You want to SLASH welfare Increase defence spending Abolish IHT
Image from Luke Mordecai (@Shr_Nottingham)
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Anyone that defends this level of welfare spending is the problem No nuance, no ifs & buts, this has become an exercise in shameless taking and there will soon be an exodus of very mobile, high rate tax payers that have had enough Then what…… ?
Image from Luke Mordecai (@Shr_Nottingham)
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No-one reads my football tweets but it’s clear to anyone with a 6 year old’s numeracy City have been cooking the books for donkeys The fact they’ve been caught red handed whilst ownership remain obnoxiously defiant is a case study in our post accountability era Bury them 💀
City Xtra (@City_Xtra) profile pictureCity Xtra
@City_XtraSep 29
BREAKING: Manchester City statement. ⤵️ Manchester City FC is both disappointed and surprised by the opinion of the Premier League Commission, that has been published today. The Club is innocent of the accusations made by the Premier League and a comprehensive body of irrefutable evidence exists in support of all of its positions, relating to this case. The Club will therefore be relentless, and where necessary proactive, in any and all appropriate regulatory and legal forums.  The Premier League process remains ongoing, with significant elements uncompleted. Manchester City FC will now pursue the appeal avenues open to it, on the basis that the opinion contains clear material errors, of law, principle and fact, and is unsafe.  The Club has diligently respected due process for eight years on the basis that the Premier League Board and Executive would behave as an independent, impartial and fair-minded regulator, free from partisan influence.   The Club is obviously restricted in what it can say further until all future proceedings are complete. mancity.com/news/club/manche…
Club Statement

Club Statement

Manchester City FC is both disappointed and surprised by the opinion of the Premier League Commission, that has been published today.

mancity.com
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Today I learnt that saying only people with a medical degree should work on doctors’ rotas is an extreme, polarising view 👀 Which is weird because I always thought that should be blatant common sense… …or else what’s the point of medschool? 🤷‍♂️
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If someone doesn’t understand the difference between evidence of absence & absence of evidence…… I have very little interest in anything else they have to say It’s evolved into an excellent screening question
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If you substitute those with the longest & most rigorous training in healthcare it will result in harm There is literally no other logical outcome and it will soon be evidentially undeniable too I wonder if there will be any accountability ? 🤷‍♂️
Janet Eastham (@JanetEastham) profile pictureJanet Eastham
@JanetEasthamSep 22
🚨 EXCL: Patients are being harmed and dying because the NHS is replacing doctors with 'advanced practitioners', medics have warned. GIFT LINK ⬇️ telegraph.co.uk/gift/ca90b76…
Image from Janet Eastham (@JanetEastham)
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Two things can be true at the same time Welfare payments are as necessary as they are also totally out of control atm Unless someone addresses this the UK is going both economically & socially bankrupt We’re about to see the Overton window shift very quickly on this!
Image from Luke Mordecai (@Shr_Nottingham)
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If I’d sent this about nursing I’d expect widespread rebuke & a meeting without ☕️ Dean QN, who I thought was sensible, has the hump because he’s been saying silly things & subsequently winning silly prizes As a side note, I’m always partial to peoples’ tweets after midnight 🌝
Image from Luke Mordecai (@Shr_Nottingham)
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And I would normally quote tweet but I’m blocked because obviously I’m a “disgusting” anonymous troll 🤷‍♂️ So please feel free to tag him in
Image from Luke Mordecai (@Shr_Nottingham)
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So a 20 year old can be in the “second highest ranking position in local authority” without any relevant qualifications or life experience whilst weirdly bragging he couldn’t even get hired to flip burgers? Tax payers deserve so much better
LBC (@LBC) profile pictureLBC
@LBCSep 10
'I handle a £100 million budget for a London council, but I can't get a job at McDonald's.' Deputy Mayor of Hackney Dylan Law explains how tough the job market is for young workers, and he thinks he's living proof.
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Negligence claims rising over roughly the same time period doctor substitution has massively increased, especially in ED’s Clearly this isn’t evidence but it’s logical to suggest that neglecting appropriate qualifications causes harm Any journalists want to join the dots?
Image from Luke Mordecai (@Shr_Nottingham)
Image from Luke Mordecai (@Shr_Nottingham)
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Diagnosing new undifferentiated patients is the nucleus of medical education It requires completion of a highly competitive & academic course followed by years of rigorously examined postgraduate training It’s staggering the false equivalence claims some are trying to peddle
charlotte mcardle RN (@charlottemcardl) profile picturecharlotte mcardle RN@charlottemcardlSep 4
Replying to @WorthWords @rheumipainmask
Well we agree on that. There is a difference in the roles and the training. Seeing new undifferentiated patients requires different competencies which is why ANPs train for longer at MSc and with mentorship and supervision in the areas they will practice in.
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During Covid my colleagues & I had our lives upended not only having to watch all ages die but also instantly change our schedules to 12hr day, 12 hr night, day off on repeat for months. Many of us with young families. A lot of people need to grow up or HCP’s need more respect!
Carla Denyer (@carla_denyer) profile pictureCarla Denyer
@carla_denyerAug 30
Some words on my return to Parliament this week, including a huge thanks to my constituents for their understanding & compassion while I've been working on my recovery from burnout. I've been blown away by your kindness 🫶 Looking forward to getting back into things. Onwards 💚
Zack Polanski and Carla Denyer hugging

ALT Zack Polanski and Carla Denyer hugging

Zack Polanski and Carla Denyer up Cabot Tower in Bristol, looking at the view

ALT Zack Polanski and Carla Denyer up Cabot Tower in Bristol, looking at the view

I want to say a huge thank you to all my constituents for their understanding and compassion while I have been working on my recovery from burnout. Thank you especially to those who sent me supportive messages during my time away, sharing your own stories of burnout and recovery, and words of advice. I have been blown away by your kindness. I recognise that I have been enormously fortunate to have been able to take this time, and that many people faced with the same situation would not be so lucky. No one should be penalised for being too unwell to work, and no one should have to jeopardise recovery because of job insecurity. This is something I am determined to change. As anyone who’s ever had serious health issues can tell you, recovery isn’t linear, but I am making good progress, so I will be heading back to Parliament this week on a phased return.

ALT I want to say a huge thank you to all my constituents for their understanding and compassion while I have been working on my recovery from burnout. Thank you especially to those who sent me supportive messages during my time away, sharing your own stories of burnout and recovery, and words of advice. I have been blown away by your kindness. I recognise that I have been enormously fortunate to have been able to take this time, and that many people faced with the same situation would not be so lucky. No one should be penalised for being too unwell to work, and no one should have to jeopardise recovery because of job insecurity. This is something I am determined to change. As anyone who’s ever had serious health issues can tell you, recovery isn’t linear, but I am making good progress, so I will be heading back to Parliament this week on a phased return.

I’m really looking forward to getting back into things and working alongside my amazing colleagues and inspiring constituents to make a positive impact together. And so it was great timing that Zack visited Bristol again this weekend (appearing at Forwards Festival yesterday), and we were able to catch up over coffee this morning. In a world where the UK government’s response to wildfires and droughts ravaging our communities is to temporarily ban disposable BBQs (whilst still considering expanding oil and gas production in the North Sea 🤯), the need for us Green politicians has never been clearer. There is much to do. Onwards and upwards 💚 Carla Denyer

ALT I’m really looking forward to getting back into things and working alongside my amazing colleagues and inspiring constituents to make a positive impact together. And so it was great timing that Zack visited Bristol again this weekend (appearing at Forwards Festival yesterday), and we were able to catch up over coffee this morning. In a world where the UK government’s response to wildfires and droughts ravaging our communities is to temporarily ban disposable BBQs (whilst still considering expanding oil and gas production in the North Sea 🤯), the need for us Green politicians has never been clearer. There is much to do. Onwards and upwards 💚 Carla Denyer

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There’s only one reason why any Brit would go to medical school in Bulgaria and it certainly isn’t superior equipment in their hospitals 🙄
Jay (@_jaylawrence) profile pictureJay
@_jaylawrenceAug 31
Replying to @MerrynSW
I have two clients who went to med school in Bulgaria because the equipment in their university hospitals was far superior to what we have in the NHS. There’s also a cap on the number of medical school places in Britain. Interestingly, they’re both privately educated, very smart kids from HNW families, and chose to study abroad instead of here. I searched to see whether there was any data supporting a broader point, and 70% of doctors joining the UK workforce with Bulgarian medical degrees in 2023 were actually British nationals. That feels like a pretty obvious failure of UK medical training capacity.
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Curious about the further education sector now that everyone’s finally waking up to the fact a pointless degree from a second rate University does zero for job prospects but does leave you with £50k of extremely high interest debt Going to be a lot less Unis in 10 years!
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