Haven't replied on twitter yet (I have a GC account on a separate device with a different email that I can't always access).
For healthcare professionals, social media guidance combined with "don't bring the profession into disrepute" codes of conduct, means open and honest posting (which would inevitably be reported by monitors) would likely be not just job ending, but career ending.
Look at the vitriol thrown at Suzanne Moore. Most health care workers don't have the resources to say fuckit.
We work in a truly Orwellian system.