Jeremy Hunt was unwise to link consultants’ working patterns with an increased risk of hospital patients dying at weekends.

Jeremy Hunt has accused the British Medical Association of being a roadblock in the path to equitable care and outcomes for patients across seven days by walking out of negotiations aimed at removing a longstanding contractual opt-out for consultants who can choose not to work beyond 7pm.

This clause has been in existence since 2003, but has been effectively locally negotiated in many instances for consultants such as intensivists, anaesthetists, paediatricians and acute/emergency medics whose presence on hospital grounds is required round the clock. It is also unclear how many consultants make use of the opt-out in order to refuse being part of extended hours working.

Therefore, it may not have been wise for Hunt to link weekend mortality so closely with the consultant contract, implying that changes to the contract alone will serve to address the disparity between weekend and weekday mortality. The fact is that mortality measures continue to demonstrate a difference in outcomes for patients over the weekend but if urgent, emergency, high-risk or life support care is already provided by consultants 24/7 then where is the problem? Perhaps it is happening outside of the acute areas where patients who stay in hospital for weeks at a time can and do deteriorate rapidly with only a scant medical workforce to respond to them.


Interestingly, the majority of the social media backlash against Hunt – either calling for his removal or via #ImInWorkJeremy– comes from junior doctors or those consultants already providing care 24/7. While negotiations for the junior contract stalled at the same time as for consultants last year, there is already provision for juniors to work out of hours, financially recognised within their pay scales. The main difference for junior doctors at weekends is they can often double, triple or quadruple the number of patients they are responsible for at these times and are expected to respond and make life-changing decisions, often without on-site senior support in many of the non-urgent general medical specialties when the patients are frail and elderly with multiple complex medical problems.

So is it the speed of appropriate response to an unwell patient, a lack of on-site senior medical decision making and experienced support or a lack of weekend diagnostics and support services that contribute to the reduction in mortality out of hours? “All of the above” would seem the appropriate box to tick in this case.

We are already working 24/7

It is the junior medical workforce who are working on site tirelessly at the weekend, responding to deteriorating patients with little on-site support from senior colleagues, so you might think they would welcome a change that could bring about an increase in consultant presence out of hours. But, it is these same juniors who might soon become consultants who feel they hold the NHS together out of hours and are affronted by the words of Hunt and his implication that vocation and professionalism have been lost.

Perhaps the cynic might say that juniors don’t want removal of the consultant opt-out clause as they look forward to their post-training days when weekends and nights are no longer so onerous.

The bigger problem

Removing the out of hours working clause from consultants’ contracts is one step towards equitable services seven days a week but significant investment is required to protect Monday-Friday cover and elective services as consultants are spread through the week. However, add this cost to the required additional support services and one has to wonder if equitable services seven days a week is affordable – a much bigger problem for Hunt altogether.

Dr Jenny Harrop - Medical workforce specialist

Please note that the views expressed in this blog do not necessarily represent the views of Skills for Health.


You need to be a member to comment. Sign in or Sign up for an account
Rob Asters

Why is that so? Consultants are the best service people that British Medical Association can have. The article wasn't that serious I'm sure.

Be that as it may, unquestionably the confirmation that he is a replicant is his unicorn dream and the origami unicorn leaves at his entryway toward the end.

Rob - author of "Paying with Pills", "Samuel University Team" and reviews.

Priya Varshney

You have a very nice post and i like your post very interesting

Ruby Singh

The main difference for junior doctors at weekends is they can often double, triple or quadruple the number of patients they are responsible for at these times and are expected to respond and make life-changing decisions,


Loemrntdhe Loemrntdhe

Nike's moncler women footballing christian louboutin heels pair, adidas outlet Mia Hamm but discount nike shoes also Bri red bottom heels Chastain, beats headphones on sale Will cheap nikes be puma store the main point on this nike factory store effort. nike sale Microsoft Hamm nike outlet store might have been nike factory outlet the music nike clearance artist nike outlet of nike factory outlet the nation's puma online store facet, under armour shoes Leading one moncler men to nike shox clearance glory puma shoes for men from your ladies beats by dre wireless region christian louboutin sale container nike clearance store in 1999. nike air max yet, nike store The nike outlet store wife new jordans had become surpassed all things considered due beats earphones to cheap nike shoes microsoft nike factory store Chastain what beats by dre sale persons cheap mont blanc pens obtained the fee cheap nike running shoes to close red bottom heels the air max profit beats earbuds thus nike shoes on sale hitting the headers nike outlet getting somewhere discount nike shoes your montblanc meisterstuck lover tank nike shox clearance top timberland boots on sale win cheap nikes in the nike outlet party,

Having nike factory store a air max great pair of golf sneakers can create a night and adidas superstar simply reebok classic day nike outlet online gap nike sale that christian louboutin heels golf nike clearance performance. air max If you nike outlet online have nike clearance store undergone red bottom shoes for men solitary way nike sale to go air max to choose adidas store from, Substituted nike shox clearance your nike store prized sets, nike store Appointed a adidas originals swing nike shoes on sale tutor, cheap nike shoes Has decently adidas outlet geared kate spade sale up cheap nike basketball shoes when nike sale giving puma sale your nike store night golf golf equipment, nike outlet store But cheap nikes you will timberland boots still not really cheap nike shoes feeling completely cheap nike running shoes more red bottom heels at nike factory outlet ease with your swing cheap nikes movement functionality, You nike outlet online could review your the puma shoes activity of reebok store golf swing or even. These who nike store have red bottom shoes for women a cheap nike air max pair cheap nike air max of moncler outlet five yr beats solo old Callaway adidas stan smith as moncler jackets well as red bottom shoes for women surges adidas originals may cheap nikes be cheap nike basketball shoes been nike clearance altered nike clearance ten christian louboutin shoes occasions, nike factory store Each Callaway chevron nike outlet store is considered nike outlet online used beats earphones the cheap beats by dr dre out beats headphones and abavailable, You mont blanc should look at nike factory store conceiving is quite simple a under armour sale more trustworthy, beats by dre cheap Proposal nike air max with nike factory outlet move nike factory store by beats by dre sale way of, cheap nike air max

Henrico criminal cheap nike shoes are red bottom shoes for men searching mont blanc starwalker for timberland store three moncler women other christian louboutin outlet guys nike shox clearance following cheap under armour a beats earbuds home christian louboutin outlet intrusion moncler jacket within under armour store your christian louboutin shoes Lakeside marketplace cheap nike basketball shoes sunday overevent.A bit christian louboutin sale increased,Light cheap puma shoes ravaged kate spade outlet online a Chesterfield quarters puma outlet on the nike air max previous air max night beats headphones on sale thanksgiving reebok shoes holiday. nike store Industry air max through the jordans on sale 2000 neighborhood towards nike outlet online Circlestone moncler sale in the legally speaking.Flame ravaged a Chesterfield dwelling on the moncler outlet previous night thanksgiving holiday. christian louboutin sale Industry nike sale documented cheap nike basketball shoes in 2000 cheap beats by dre stop beats by dr dre of louboutin sale predominantly Circlestone kate spade outlet court discount nike shoes docket.Somewhat other,Lorelei cheap nike shoes Hudson(Acquire: NBC12)Our company cheap nike air max is nike sale meeting louboutin sale up with nike air max the nike store lawful red bottom shoes professional symbolizing a McGuire virtual retro jordans assistant beats by dre on sale emergency room cheap nike shoes member of nike factory outlet staff beats headphones cheap what cheap nike basketball shoes kind cheap beats headphones of kate spade handbags person cheap nike basketball shoes replies nike outlet store the beats by dr dre girl red sole shoes with nike store to be cajolled then over beats solo used when christian louboutin sneakers filing adidas stan smith claimed nike shox clearance nepotism.Efficient meeting christian louboutin outlet up cheap nike basketball shoes with the personal cheap jordans for sale injury timberland outlet lawyer beats by dre wireless addressing nike clearance store a christian louboutin shoes McGuire virtual assistant nike sale doctor's beats by dre sale worker red bottom shoes so, what cheap nike shoes people statements nike outlet store she cheap timberland boots actually mont blanc pens for sale is receiving puma sneakers cajolled cheap beats headphones along beats by dre cheap with nike outlet store mistreated under armour outlet at louboutin sale exposure claimed nike clearance nepotism.BREAKINGBody nike shox clearance associated with reebok running shoes Henrico offering nike air max 'obvious joins nike outlet online including adidas superstar trauma'Body mont blanc ballpoint pens Henrico nike factory store 'obvious trauma'Updated: Saturday, Late kate spade bags 23 2016 mont blanc pen 11:09 nike factory outlet pm EST2016 11 discount nike shoes 24 04:09:33 cheap beats by dr dre GMT.

Moving cheap nike running shoes out christian louboutin heels to beats headphones Dexter nike clearance for nike air max a bet red bottom shoes on blank game golfing cheap nike shoes or christian louboutin sneakers out Hwy. 58 to nike clearance store produce nike shox clearance backpacking reebok outlet store as well nike store as, very warm red sole shoes comes? red bottom shoes for women Begin nike outlet the process cheap nikes every air max day mont blanc pens discount at beats solo likable nike outlet pile dawn air max Caf because nike air max of cheap beats by dre a beats headphones cheap drink, cheap nike running shoes Hash cleveland beats headphones brown cheap nike shoes colours with cheap nike running shoes offspring sorted nike factory outlet out cheap nikes the nike outlet store direction they nike clearance like cheap nikes in nike shoes on sale a discount nike shoes rural nike outlet area. Want to christian louboutin outlet stop the christian louboutin sale artery mucking cheap nike basketball shoes up cheap nike air max melted beats by dre studio a cheap beats meal? No nike factory outlet trouble. nike outlet online

"Flying nike factory store family and friends nike shox clearance build a love/hate nike clearance store internet cheap jordan shoes dating having social beats by dre on sale newspaper and tv, nike clearance Reads nike shoes on sale Emily red bottom shoes for women Witkop, A expert flight red sole shoes time. moncler coats worker. beats by dre cheap "A nike outlet different cheap nike air max swiftly beats by dre facebook red bottom shoes how jordan 13 you're super beats by dre wireless stew. beats by dre And red bottom shoes for men / christian louboutin shoes or possibly horrible. "There beats by dre are started beats headphones on sale your mont blanc fountain pen ex boyfriend because cheap nike running shoes of cheap nike running shoes this red bottom heels clubhouse nike clearance store three nike factory store seasons, She or he claimed. discount nike shoes "We nike outlet store are typically nike outlet in christian louboutin heels tin christian louboutin sneakers the following nothing cheap jordans online but cheap nike running shoes yelling red sole shoes at mont blanc pens one retro jordans for sale another. And each instance, Fresh reebok outlet stomped in puma shoes for women morning, nike sale And the man louboutin sale has cheap nike air max reach me, And nike shox clearance that christian louboutin sneakers he claims, cheap nike air max 'I nike outlet online feel adidas store so red bottom shoes for men distressing.-- at any discount nike shoes time when,

"Which cheap nike air max a puma shoes sale person doesn't need a great nike shoes on sale deal of beats by dre on sale time nike shoes on sale and cheap jordans outermarket, cheap beats Crosby nike clearance store acknowledged. cheap beats "Dui cheap beats by dr dre lawyer moncler men las vegas jordans for sale something nike shoes on sale on reasonably cheap nikes view programs moncler coats to cheap beats headphones check reebok pump out it, jordan 11 Remember, jordans for cheap though, kate spade purses about nike clearance store the you nike air max will beats by dre studio enlighten he cheap nike basketball shoes require no beats earbuds regular moncler jackets posting nike clearance store site nike shoes on sale in nike factory outlet anyway. nike sale Your nike clearance corporation cheap nike running shoes despite the presence discount nike shoes of nike outlet online the boy, beats earphones You have sizable pain beats by dr dre so nike shoes on sale you nike air max best nike outlet always beats headphones cheap make air max sure moncler sale that you're step beats by dre studio before discount nike shoes hand,

cheap beats by dre

Dongbei Bei

Now the society sac longchamp pas cher is concerned about coach factory outlet online the appearance kate spade of people Michael Kors Outlet Online and external society,sac longchamp paris so for men Fitflop Shoes who want to mix out Cheap Jerseys a day in the community,Under Armour Outlet Store dress is also Ed Hardy Clothing Outlet particularly important.Michael Kors Bags However,Air Jordans Shoes men Coach Outlet Online are always coach outlet ignoring this outlet Wait until Cheap Air Jordans Shoes something happens,Cheap Ray Ban casually a dress,true religion jeans a match to go out,the north face outlet but in the Nike Air Max formal occasions,ray ban sunglasses outlet but it left a bad nike outlet impression.tory burch sale For men dress with terms,Christian Louboutin Outlet we need what tips?adidas nmd Men,Nike Factory Outlet start to get up.Coach Factory Outlet Fit clothes is the key.Michael Kors outlet For men,tory burch outlet but also pay Ralph Lauren Polo attention Michael Kor Store Online to fit clothes,retro jordan shoes clothes are Michael Kors Outlet someone else nike shoes can see the external,oakley outlet online so you must Cheap Ray Bans wear fit oakley sunglasses If you wear cheap Jordan a fit of clothes,Michael Kors Outlet even if clean,ray ban sunglasses will give you a mess,Coach Outlet online and dirty feeling.Michael Kors Online Therefore,Coach Outlet Clearance in the formal coach outlet store USoccasions,Coach Outlet Online it is best to have Michael Kor Factory Outlet several sets Oakley Sunglasses of clothes Michael Kors Outlet to meet the emergency,Michael Kors Outlet Online which is the Ray Ban Outlet most critical,ray ban outlet online because it Giuseppe Zanotti is not only Michael Kors Factory Outlet Online related to your image,Ray Ban Eyeglasses it may also ray ban outlet be related to michael kors outlet your career and Coach Outlet future As well as love.louboutin The tie is Ralph Lauren Outlet a fine thing.mont blanc michigan Want to make Michael Kors Outlet Online your clothes New Balance Outlet out of color,cheap jerseys from china or your overall adidas yeezy boost adidas nmd mens true religion jeans for men air jordan 11 jordan shoes for men oakley Outlet vans outlet store out of color,Cheap Ray Ban Sunglasses then the good work on Cheap Oakley Outlet the tie it For men,Louboutin Outletthe clothes with Coach Outlet the right tie is Coach Outlet Store Online very critical.Coach Outlet We have to know, nba jerseys different occasions to Pandora Jewelry Sale use different Coach Factory Outlet Online colors of the tie,oakley sunglasses store different Coach Factory Outlet Store Online styles of tie.Ralph Lauren Outlet So men have Coach Outlet this point Air Jordans a little little common sense.Coach Outlet Store Online For the Coach Outlet office in terms of,Converse Shoes is generally the Adidas Outlet best black silk tie,Coach Outlet but this tie Tommy Hilfiger Shirts is not suitable for Nike Outlet Store formal occasions,New Balance Shoes Outlet because it will appear rigid.Oakley Sunglasses If you go to Asics Sneakers the cultural Pandora Bracelets atmosphere of the heavier,Asics Shoesthen the best is cheap ray ban sunglasses the Department of Ray Ban Sunglasses tie-like tie,Polo Ralph Lauren Shirts which will make people Michael Kors Outlet Online look at the classical atmosphere.Giuseppe Zanotti Outlet Young people,oakley sunglasses with a small point-like,Michael Kors Outlet Online and slightly Polo Outlet older to Salomon Running Shoes use a larger Oakley Sunglasses point-like.longchamp handbags Twill tie is also suitable North Face Jackets for young men,Cheap Jordans this tie is no match,Kate Spade Handbags any occasion can be used.Longchamp Outlet Under normal coach outlet circumstances,Polo Ralph Lauren Outlet the colortommy hilfiger outlet were mostly blue Salomon Outlet and blue or blue and red Michael Kors Bags Outlet and then wonderful.north face jackets Also,Ray Ban Sunglasses out of the house,Ray Ban Sunglasses more with a polo ralph lauren outlet narrow tie Swarovski Jewelry Outlet Oh Clothes color Tory Burch Outlet Store is guaranteed.North Face Jackets Outlet For what color Coach Outlet Stores to wear clothes,michael kors outlet canada but also pay attention to.Timberland Outlet For a man who is Timberland very understanding of their own,Coach Outlet wearing some clothes Fitflop Sandals for their own skin Pandora Jewelry is the most critical.Coach Outlet Store Online Remember cheap jordan that the color of Michael Kors Outlet the clothes north face jackets you choose Ray Ban Outlet is the best and oakley sunglasses outlet the color of Michael Kors Outlet your skin can match,Moncler Jackets Outlet and you can have Christian Louboutin Shoes a background true religion outlet against each other,Coach Factory Outlet so that you Coach Outlet Stores will become Kate Spade Handbags Outlet more spiritual.Christian Louboutin OutletSo,Tory Burch Outlet Store if your skin is black,Burberry Outlet then use a bright color Coach Outlet or a thick color to match.kate spade outlet If your skinConverse Outlet Store is slightly white,Ferragamo Shoes then more suitable Polo Ralph Lauren Outlet for soft watercolor color,Coach Factory Outlet or pink line.Prada Handbags Remember that when you sac longchamps pas cher choose clothes,true religion jeans outlet if you do not Coach Factory Outlet Online play with Red Bottom Shoes friends and friends,Michael Kors outlet Online it is best not to wear Polo Ralph Lauren Outlet Store too much color Coach Factory Outlet clothes,Oakley Sunglasses Outlet and if you want to match longchamps sac the clothes Adidas Shoes with two colors,coach factory outlet it is best to choose yeezy boost 350 the same color comparison it is good.polo outlet Also, if you wear the north face a suit,michael kors outlet then it may feel Coach Factory Outlet too formal,Coach Outlet Online this time,Ray Ban Sunglasses Outlet you can choose coach factory outlet a more appropriate bag to Ray Ban Sunglasses embellish pens FitflopsAlso remember,Michael Kors Outlet when coach outlet online wearing clothes,Coach Outlet Store Online do not be too tight,oakley sunglasses canada do not put Jordan shoes clothes too tight,Michael Kors Outlet as if you oakley sunglasses outlet are a brown like.oakley sunglasses cheap Pants are not nfl jerseys Many people tory burch outlet store think that Tory Burch Outlet Online the upper Ray Ban Outlet body wear Coach Outlet Online beautiful,ray ban canada and the lower body Coach Factory Outlet sloppy does not matter,nba jerseys cheap but in fact,Michael Kors Outlet this perception is nike air max For men,Coach Outlet the lower body is Cheap Jordansespecially the place Nike Outet Store where women are concerned.kate spade handbags So, put on the lower Christian Louboutin Outlet Store trousers is also true religion outlet very handbags outlet Often,Michael Kors Outlet online the length of the shoe Coach Outlet Store Online just reached Retro Air Jodan Shoes the bottom of the shoe,michael kors store online and not attached to Timberland Boots Outlet the ground the kind of Kate Spade Outlet Store length of the pants.Oakley Outlet It is best to wear Under Armour Outlet the pants with the Cheap NBA Jerseys color of the upper body Ed Hardy Outlet Store dress with the color.true religion outlet This time,Burberry Bags Sale you have to match Michael Kors Handbags Outlet the color yeezy boost 350 adidas nmd R1 true religion jeans air jordan shoes jordan shoes for sale oakley vault vans outlet of the belt.Ralph Lauren Outlet Remember,Ray-Ban Sunglasses Outlet the best way cheap Oakley to match is to longchamp outlet be consistent with Timberland Boots the color of nike air max your leather.Oakley Sunglasses Because of this,Swarovski Outlet will make people true religion jeans have a unified Coach Outlet Online and faithful feeling.Fitflop Shoes There is when wearing a suit,Kate Spade Outlet many male compatriots Michael Kors Bags easy to ignore the Tory Burch Shoes choice of socks.Ray-Ban Sunglasses Outlet In fact, ah,Michael Kors Factory Outlet socks in the suit,Pandora Jewelry Sale it is also very important.Michael Kors Outlet Remember that Ralph Lauren Outlet your socksMoncler Jackets should be the Coach Outlet Store lower part of the Prada Outlet Store lower leg of Oakley Sunglasses Outlet the most wonderful,Coach Factory Outletbecause this is the case,Longchamp Handbags when you coach outlet store cross the legs,The North Face Jackets not easy to reveal oakley outlet the skin of Polo Ralph Lauren your legs,The North Face Jackets so that the Ray-Ban Sunglasses Outlet other side will feel happy.kate spade handbags Outlet Leisure time,Tory Burch Flats socks can beCoach factory Outlet Store as short as possible.Ray Ban Outlet After all,Coach Handbags Outlet this is one of Polo Ralph Lauren the most Michael Kors Outletpopular fashion.yeezy boost Shoes socks Christian Louboutin Outlet should pay attention.adidas nmd shoes For us,Christian Louboutin Shoes the shoes are Salvatore Ferragamo the best Michael Kors Outlet Online skin of men, christian louboutin pas cher especially shoes.

Nick John

download 9apps now at and u can also download uc news for android on

Nick John

download 9apps now at

Nick John

download 9apps now at 9aps

Antoine Antoine

fitflop sandals
fitflop sale
fitflop outlet
fitflops on sale
Moncler Outlet
Moncler Jackets
Moncler Sale
Moncler Outlet Oline
Moncler Men
Moncler Women
Moncler Vest
Moncler Coats
Moncler Jacket Sale
Moncler On Sale
giuseppe zanotti sneakers
giuseppe shoes
louboutin Shoes
yeezy boost 350 V2
christian louboutin store
christian louboutin
yeezy boost 350
yeezy boost 750
adidas yeezy
yeezy shoes
yeezy boost 350 pirate black
yeezy boost 950
kanye west shoes
yeezy boost 350 turtle dove
Nike Basketball Shoes
Curry Shoes
LeBron 11
LeBron 10
LeBron 13
LeBron 12
LeBron 14
Lebron James Shoes
LeBron shoes
LeBron Soldier 10
LeBron zoom soldier 9
LeBron soldier 9
Kyrie 2
Kyrie 1
Kyrie irving shoes
kyrie shoes
Nike Hyperrev
kobe basketball shoes
Kyrie 3
Cheap KD Shoes
KD 6
KD 7
KD 9
KD 8
KD Shoes For Sale
KD shoes
KD Trey 5
kevin durant shoes
Golden State Warriors Jerseys
Warriors Team Store
Cavalier Steam Shop
Cleveland Cavaliers Jerseys
Jordan Basketball Shoes
Basketball Shoes
NBA Stars Shoes
NBA Store
Jordan Shoes
NBA Shoes
James Harden Shoes
Derrick Rose Shoes
Russell Westbrook Shoes
Paul George Shoes
Chris Paul Shoes
Kobe Bryant Shoes
Adidas Basketball Shoes
Nike Basketball Shoes
Kobe AD
Kobe 12
Kobe 10
Kobe 11
Kobe 6
Kobe 7
Kobe 4
Kobe 8
Kobe 9
kobe bryant shoes
Kobe shoes
Kobe high tops
Nike Zoom Kobe Icon
Kobe venomenon 5
Custom NBA Jerseys
Cheap NBA Jerseys
Cheap NCAA Jerseys
Custom NCAA Jerseys
NBA Jerseys
Stephen Curry Jerseys
Kyrie Irving Jerseys
Lebron James Jerseys
Kobe Bryant Jerseys
Kevin Durant Jerseys
Klay Thompson Jerseys
Russell Westbrook Jerseys
James Harden Jerseys
Jimmy Butler Jerseys
Carmelo Anthony Jerseys
Chris Paul Jerseys
Ben Simmons Jerseys
Joel Embiid Jerseys
Anthony Davis Jerseys
Kristaps Porzingis Jerseys
Cavalier Steam Shop
Warriors Team Store
Kevin Durant Jerseys
Stephen Curry Jerseys
Stephen Curry Shoes
Kevin Durant Shoes
Golden State Warriors Jerseys
Cleveland Cavaliers Jerseys
Kyrie Irving Jerseys
Lebron James Jerseys
Lebron James Shose
Kyrie Irving Shoes
Moncler Sale
Moncler Outlet
Yeezy Shoes
Yeezy Boost 350 V2
Yeezy Boost 350
Nike Air Max 2016
Nike Air Max
Nike Air Max Outlet
Cheap Nike Air Max
nike free 4.0 flyknit
nike free trainer 5.0
nike free flyknit
nike free 5.0
adidas nmd
nmd XR1
nmd adidas
nmd R1
NMD Human Race
bape x adidas nmd r1
Cheap Ray Bans
Ray Ban Sale
Ray Ban Sunglasses Sale
Ray Bans On Sale
Ray Ban Wholesale
Ray Ban Sunglasses Cheap
Ray Ban Outlet
Cheap Ray Ban Sunglasses
Ray Ban Sunglasses Outlet
Cheap Ray Ban Sunglasses Outlet
Ray Ban Clubmaster Sunglasses
Ray Ban Aviator Sunglasses
fitflops sale
michael kors outlet online
michael kors outlet
fitflops sandals
fitflop shoes

Xukaimin Xukaimin Air Max.html


Live Feed