Steve Birrell
@drstevebirrell
🏴 NHS consultant liaison psychiatrist. medicolegal enthusiast. besotted daddy. gig lover. average bassist 🏴
Honoured and flattered to have been asked by @KerriBaker20 to contribute to @RCPEdin Advance programme for acute medicine. Just seeing it in its intended habitat today! Thanks for having me and hope it’s helpful 😀


At @fringebythesea2 sporting a 25y/o @IdlewildtheBand shirt. If that was whisky it’d be worth a fortune! Pls play queen of the troubled teens and Paint Nothing xx

Pretty much what I’d recommend. Above everything, be nice x #benice #TipsForNewDocs
I’m quite tired and probably a bit burnout but here’s some (mostly serious) #TipsForNewDocs 1. You might be scared doing your first prescription, that’s fine. Check the BNF as many times as you want. It’ll probably be paracetamol. If you’re unlucky, like I was, it’ll be monofer.
Statement on four-year medical degrees in England | Royal College of Physicians of Edinburgh- more leadership from excellent RCPE rcpe.ac.uk/college/statem…
We have 2 specialty doc jobs #palliativecare in @nhsfife and would love to hear from anyone who is interested apply.jobs.scot.nhs.uk/Job/JobDetail?…
Relatable
I laughed at my dad asking my mum how old he was but now I'm in my 40s with two kids of my own I totally get it.
#itvdebate should be cutting the mic at 45s rather than letting them shout over @julie_etch
#ITVdebate the mental health of the whole nation is in the toilet. What are each of the leaders going to do about that?
Monitored non-compliant as an FY1. Asked by a consultant to discuss this, and without warning was ushered into a room with all the other consultants and interrogated. Ended up being told that paying me properly would mean they couldn’t afford an extra dialysis machine
What experience in the workplace radicalized you?
“Because they were squirrels; real squirrels. And there were thousands. This isn't some kind of metaphor, Goddamn, this is real” RIP @electricalWSOP - far too soon. Thanks for the music you made yourself and the music of others you made beautiful

Delighted by this news 🥰
It is so easy in the NHS to feel hopeless, helpless, impotent, small. You are not. No-one can take away your voice without your consent. Use it. Speak up. Speak out. Together we can make waves, force change, demand better from NHS leaders who talk kindness & deliver cruelty.
This is the announcement if anyone didn’t see it 😪
Important service update.
The curtailment on @NHSPracHealth access is tragic, shortsighted, and must be a massive slap in the face to @ClareGerada and colleagues who have built this amazing service. Please take a second to sign this open letter to oppose this.
💥 NHS STAFF 💥 Please consider signing this open letter to @VictoriaAtkins & @AmandaPritchard at @NHSEngland expressing your dismay at their extraordinary decision to cut @NHSPracHealth funding for hospital staff. Please share widely 🙏 Letter here: forms.gle/YmXpi8dxSbW7UR…
Well said Prof
We should be concerned by the new stigma, the public perception that mental health is an excuse, a card people play. But we should also ask whether our previous anti-stigma messaging has contributed, however inadvertently, and how that can change. Short 🧵