TownOsteo - let’s talk - optimising health together

11/03/2026

Reflect deeply.
Iranians are punishing Epstein,
Yet we allow them to walk freely amongst us?

27/02/2026

Yes - Thank you Eddy for saying this.

25/01/2026

20/01/2026

Air-fried Mackerel cutlets on a bed of green salad 😍

14/01/2026

😢

A new patient walked through the door

Previously taken to A&E - Lhermitte’s sign

Only CT scan offered, MRI booked in a few weeks.

1. WTAF?
2. Patient not informed about their condition
3. Again - WTAF.

My case Hx took only a few mins to identify multiple red-flags.

How many more patients are we going to harm/kill? It’s sometimes not the system - It’s us!

We need to all work together for the good of patients, be honest & if we for whatever reason we can’t offer them the urgent care they need - tell them. Some will get the tests they need privately.

FFS….

(Pt gave me permission to share & knows I’m v.upset)

05/12/2025

UK Must Pivot: Our Medical & Financial Stability Now Depends on How We Manage China

Policy makers working at the intersection of healthcare, finance, and technology should treat this as essential viewing.

With Brexit concluded — and now the threat of US tariffs driving the annual cost of UK medications up by £3 billion — the message is no longer a warning shot. It is a structural reality. The recent £3 billion hit to the NHS drugs budget is a symptom of a deeper strategic misalignment. If we don’t rebalance toward China and a more multipolar supply chain, the people who depend on public systems will pay the price in health and living standards.

You don’t have to like Beijing’s politics to accept that global health, pharmaceutical, and AI supply chains remain built on Chinese capacity. Pretending otherwise is a luxury the UK can no longer afford. If we continue to align our economic strategy with US-centric pressures — while remaining overwhelmingly import-dependent for medicines, APIs, medical devices, electronics, and AI hardware — we hard-wire higher costs, weaker resilience, and declining public welfare into the system.

Nvidia’s CEO is now openly articulating the risks: you cannot replace China without severe consequences. That observation should not be dismissed as “tech commentary” — it should be treated as a national warning.

https://youtu.be/aJmHfmrRMUE?si=jmkwMShPWk6UcJif

Hashtags

NVIDIA CEO Jensen Huang warned of China's fast-paced progress on AI, saying that there was multiple tech parametres on which China had overtaken the U.S., an...

28/11/2025

God help the vulnerable, sick & average hard-up worker of the UK.

I expect the Office of National Statistics will paint a grim picture of increased deaths & chronic diseases.

But I understand your plight - The medics are the ‘canary in the coal mine’. The only profession that can swing the pendulum a little to the left & restore some justice & restbite for the average Brit.

The doctors are no longer the vanguard - But pragmatically represent the final battle line & war cry of defence to rally the masses against domestic terrorists.

It’ll cause carnage - But the governments brought this on themselves. We have plenty of ‘money’ to pay you, we just choose to funnel it to the oligarchy instead over the last 60 years. It must stop.

Fight hard little birds… You have no choice now.
Tear down this house of cards.

🙏

24/11/2025

China is redesigning healthcare from the ground up — and by 2035, the gap with the UK will be unmistakable.

China is building a workforce that scales.
The UK is defending a system that stagnates.

China’s AI surge is the pivotal difference:
• 43% CAGR in medical AI — one of the fastest globally
• $18B USD projected healthcare AI market by 2030
• National policies linking AI to service delivery, rural access, and workforce transformation
• A highly centralised medical-data ecosystem enabling high-accuracy clinical models
• Global investors backing China’s digital-health infrastructure
• AI-driven primary-care hospitals already running, including in rural villages

This isn’t replacing clinicians — it’s amplifying them.
And it’s exactly what makes China’s low-barrier, high-mobility clinical ladder scalable and safe.

🇨🇳 China: A Workforce Built for Entry, Progression and Scale

China employs large numbers of technician-level and associate-level clinicians who begin with short vocational training. They can:
✔ Diagnose common illnesses
✔ Order first-line investigations
✔ Prescribe essentials
✔ Manage acute presentations
✔ Follow chronic disease
✔ Deliver much of a UK GP’s day-to-day remit

Crucially: a technician can progress to a fully licensed doctor through national exams and supervised experience.

A formal 3-tier national ladder now defines the system:
1️⃣ AI-guided technicians for high-volume front-line care
2️⃣ Associate clinicians handling most outpatient workload
3️⃣ Doctors/consultants managing complex decisions and overseeing AI systems

A structure engineered for population-scale healthcare.

🇬🇧 Why the UK Cannot Match This

• Degree-locked entry points
• Professional resistance to task-shifting
• Regulatory bottlenecks
• AI treated as an add-on rather than a redesign mechanism

The result: persistent shortages, rising chronic illness, slower training pipelines, and structural fragility.

⚠️ By 2035, expect:
• Longer waiting lists
• Higher system costs
• More advanced disease at presentation
• Burnout
• Reduced resilience

This isn’t a technology gap.
It’s a structural design gap.

📉 Two Divergent Futures

China 2035
• Short-training entry routes
• AI-guided front-line medicine
• Associate clinicians managing most outpatient
care
• Doctors handling complex cases
• Modular, scalable training
• Upward mobility built into the system

United Kingdom 2035
• Degree-locked bottlenecks
• Incremental AI adoption
• Rigid roles
• Rising costs and waiting lists
• Workforce growing too slowly
• Structural instability

Author: Yasin Tayebjee

📚 References (available on request)
(As provided — WHO, BMJ, King’s Fund, GMC, Health Foundation, IFS, WHO Digital Health China, training pathways literature, etc.)

20/11/2025

Healthcare reform

We have to start having honest long-form conversations with the public. Something the medical unions historically are not capable of doing.

NHS has been part-privatised for decades.
It’s a business with massive ‘guaranteed’ profits, but unlike normal businesses, doesn’t really require good performance to succeed.

19/11/2025

Bangin’ 🤤🤤🤤🤤
Packed clinic - 1hr lunch.
Freshly made in 15mins! (Inc preparing the dough)

The joys of private practice & having a small kitchen at work 🙏

17/11/2025

A new patient came to clinic today, desperately struggling & hoping to be clicked & crunched better.

I sent him to A&E with a letter highlighting the emergency with key signs & symptoms.

I’m finding a significant rise in more emergency & complex cases due to the deterioration of the NHS.

Private practice will slowly meet demand - But at what cost/loss to the nation?

Housing / education / healthcare / transportation / energy / food ,

should all be socialised.

06/11/2025

Stalemate.

The government has drawn a line in the sand, built a wall - said ‘No’….

If the government U-turns now, it’ll look weak & other unions sensing blood - Will pounce.

If the Doctor’s union ends strikes - All the mass harm from previous strikes will have been for nothing. The doctors can’t loose face, nor can the government.

This statement & catastrophe was predicted, it’s arrived.

The doctors are the canary in the coal-mine.
Can they force change in UK fiscal policy?
Can they disrupt the entire trickle-down economic class-based model of the UK?

They are mighty powerful & starting to flex,
but so too is the government.