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Anaesthetists United

@AnaesUnited

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We are a group of Anaesthetists who feel our views on AAs and workforce issues haven't been listened to. Join us

UK
Joined July 2023
Don't wanna be here? Send us removal request.
@AnaesUnited
Anaesthetists United
4 months
Royal College of Physicians in Edinburgh have nicely defined the role of PAs. Phlebotomy, performing simple procedures such as ECG recording, test ordering, and results checking. Hopefully this will be accepted by three other Colleges too.
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@AnaesUnited
Anaesthetists United
1 month
🧵 We have written an open letter to the GMC setting out how its approach to the regulation of AAs and PAs blurs their distinction from doctors and constitutes a failure to fulfil its legal duties .... 1/n
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@AnaesUnited
Anaesthetists United
7 months
6 Resolutions. 6 overwhelming majorities. Thanks to all those that voted for our resolutions - a clean sweep! We would like to extend our thanks to the College for working with us so constructively. And lets be proud that we're Anaesthetists. Anaesthetists United.
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@AnaesUnited
Anaesthetists United
7 months
Resolution 1 - Proposed expansion of Anaesthesia Associates. Voting result - resolutions is passed! The Council is advised to halt the expansion of AAs. FOR: 88.88% AGAINST: 11.12% #RCOAEGM
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@AnaesUnited
Anaesthetists United
6 months
Does regulating physican and anaesthesia associates breach the @GMCUK charitable objectives? We are writing to them to seek clarification. Co-sign the letter here:
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@AnaesUnited
Anaesthetists United
9 months
🚨 BREAKING 🚨 After exceeding the 149 signatures needed to call an EGM WITHIN THE FIRST FOUR HOURS AFTER LAUNCH, we are now close to surpassing 500 signatures - that's more than 300% of the required number!
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@AnaesUnited
Anaesthetists United
9 months
We are a group of anaesthetists, concerned about the planned expansion of Anaesthetic Associates. This will impact the quality of delivered anaesthesia, and the training of our future colleagues. Read our mission statement below ⬇️
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@AnaesUnited
Anaesthetists United
2 months
Doctors supervising Anaesthesia Associates is ‘economically unviable’, study finds, with the suggestion that the role should be ‘terminated as economically unviable'
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@AnaesUnited
Anaesthetists United
7 months
Blatant evidence AAs are working outside their scope, that senior leadership is aware and encourages this, only adhering to the rules whilst there is increased scrutiny for AAs. This is what we've been warning against. Make your voice heard. Put a stop to this. #RCoAEGM
@Dr_Done_
Dr Done
7 months
Now, I get lots of DMs But this has to be in the TOP 5 WORST❗️ ‘Unhappy vocal minority’ - how dare you raise concerns? ‘We need to be careful, but only while we’re under the microscope’ Storm analogy again when in fact a tsunami is coming 🫠 @SheffieldHosp @MajorKirsten1 ?
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@AnaesUnited
Anaesthetists United
7 months
'An introduction to the AA role' from Lancaster University. We have compiled excerpts from three talks by senior AAs. Names and other sources of identifiable information have been removed.
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@AnaesUnited
Anaesthetists United
1 month
Written with surgical precision.
@BAOMSOfficial
BAOMS
1 month
Please see below the @BAOMSOfficial Council's position statement on the role of physician associates in #OMFS #NHS #Position #physicianassociates
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@AnaesUnited
Anaesthetists United
2 months
More to the point, why did NHSEngland allow this to happen for so long, and what were the @CareQualityComm doing all this time?
@JanetEastham
Janet Eastham
2 months
🔴NEW: NHS England orders hospitals to stop using physician associates to cover doctors’ shifts after @Telegraph investigation reveals that the practice is widespread.
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@AnaesUnited
Anaesthetists United
1 month
Charity Commission has agreed to reopen enquiry into whether or not the GMC has breached its charitable objectives by taking on the regulation of anaesthesia and physician associates
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@AnaesUnited
Anaesthetists United
3 months
The current working model for Anaesthesia Associates is not financially viable. To make economic sense either the level of supervision by Doctors needs to be reduced, likely to compromise patient safety, or the AA programme itself should be terminated.
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@AnaesUnited
Anaesthetists United
4 months
£1.8m given to one College. And presumably £millions too to other Colleges; and to the GMC and Trusts, so that they will all fall into line. How much public money is going into Associates, and when will the public finally have a say in whether they want them?
@quackophage
Ronald MacDonald
5 months
So wait, it only cost £1.8m to bring the RCoA to heel? 👀
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@AnaesUnited
Anaesthetists United
7 months
After having all six of our motions adopted by members at the EGM on Tuesday 17th October Anaesthetists United are taking a break. Full statement
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@AnaesUnited
Anaesthetists United
1 month
We’ve told the GMC it must cease referring to AAs and PAs as ‘members of the medical professions’, ‘medical professionals’, and in ‘medical practice’, as it does in Good medical practice 2024. These terms falsely imply being doctors, a type of doctor or equivalent to a doctor.
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@AnaesUnited
Anaesthetists United
2 months
The decision by the Royal College of Physicians to slow the roll-out of Physician Assistants is not yet decided; voting by Fellows is still open. Only those with FRCP can vote. Make sure that any Fellows you work with vote for all of the #RCPEGM motions
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@AnaesUnited
Anaesthetists United
6 months
The Medical Act was set up specifically so that the public could distinguish medical practitioners from those that were unqualified. Now the government is proposing to use a parliamentary loophole that completely changes what the Act delivers.
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@AnaesUnited
Anaesthetists United
1 month
In law, as in common language, there is only one medical profession: THE medical profession. “The medical professions” is a new term of the GMC’s invention: using the plural i.e. multiple medical professions implies an equivalence to THE medical profession and therefore doctors.
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@AnaesUnited
Anaesthetists United
5 months
Of course the public are confused about the naming of Physician Associates. They were originally called "Assistants". Whose idea was it to change the name, knowing it might confuse the public? It must have been somebody.
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@AnaesUnited
Anaesthetists United
8 months
The government is trying to solve the NHS workforce crisis, not by recruiting and retaining more doctors, but by training cheaper replacements. They wouldn't do this in other safety-critical industries, why in medicine? Say NO to AA expansion.
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@AnaesUnited
Anaesthetists United
4 months
Royal College of Physicians, unlike the RCoA who were very supportive, have been trying to oppose an EGM of their members. Presumably they have their ears wide shut. Call for an EGM to share with Physicianly colleagues
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@AnaesUnited
Anaesthetists United
7 months
We note that the original video has now been deleted from @LancasterUni youtube account. Our compilation is still available. We look forward to an explanation.
@AnaesUnited
Anaesthetists United
7 months
'An introduction to the AA role' from Lancaster University. We have compiled excerpts from three talks by senior AAs. Names and other sources of identifiable information have been removed.
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@AnaesUnited
Anaesthetists United
7 months
They make us rotate. Then they give away our training opportunities to permanent staff. On call commitments are weaponised against us. We're punished for our versatility, relegated to rota fodder.
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@AnaesUnited
Anaesthetists United
6 months
There was a time when the GMC proudly portrayed these lofty ideals on its own doorstep. Now they want to regulate the not-quite doctors. What a fall from grace. Fall? Or were they pushed?
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@AnaesUnited
Anaesthetists United
1 month
We have called for Good medical practice 2024 to be replaced with two partner sets of standards, Good medical practice (for doctors) and Good associate practice (for AAs and PAs). GAP will mirror the same high professional standards in GMP, save for those that cannot apply.
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@AnaesUnited
Anaesthetists United
8 months
You spoke. We listened. Will they? We have collected all the comments you sent us in support of our EGM - and they paint a very clear picture of how our concerns are resonating with people.
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@AnaesUnited
Anaesthetists United
5 months
At the EGM of the Royal College of Anaesthetists in October, 89% of the 4,421 anaesthetists voted in favour of pausing the recruitment of anaesthetic associates. Disappointing to see that @UHNM_NHS isn't reading the room.
@BBCNews
BBC News (UK)
5 months
Lives 'in hands of underqualified' anaesthetists
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@AnaesUnited
Anaesthetists United
3 months
. @JeanetteRCR claims the Royal Colleges she represents welcome the expansion of Associates. Which of the Colleges is she speaking on behalf of? Most definitely not the RCoA.
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@AnaesUnited
Anaesthetists United
1 month
The full letter can be read on our blog here Credit and thanks to @scuderia_panda who inspired and wrote the letter with support from @londonanaesth and the AU team
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@AnaesUnited
Anaesthetists United
1 month
Indeed, the GMC says “unregistered medical practice is against the law”. If it truly believes that AAs and PAs are actually in medical practice then this raises questions about its historic lack of action against AAs and PAs.
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@AnaesUnited
Anaesthetists United
8 months
🚨 @AnaesUnited in the Sunday Telegraph 🚨 The message is getting out there! We want to maintain high quality anaesthesia that is delivered by medically qualified anaesthetists. We are deeply concerned about the proposed expansion of AA numbers.
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@AnaesUnited
Anaesthetists United
1 month
The GMC calls AAs and PAs ‘medical professional(s)’ but this contradicts established meaning among HCPs and most of the public, for whom a ‘medical professional’ is exclusively a doctor (as a member of the one medical profession). It also contradicts definitions in legislation.
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@AnaesUnited
Anaesthetists United
7 months
Resolution 2 - amend GPAS and ACSA guidelines to make it clear local opt-outs from College guidance RE supervision of AAs is not allowed. This resolution is PASSED!
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@AnaesUnited
Anaesthetists United
8 months
🚨🚨WE ARE THROUGH TO THE NEXT ROUND🚨🚨 Over 700 of you have signed the requisition to convene an EGM. That has now been submitted to the Principal Office at the College. We expect Notice of a EGM to be issued shortly. Most members can vote at the EGM. Change is coming.
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@AnaesUnited
Anaesthetists United
2 months
An overwhelming majority vote by Fellows of the RCP and a staggeringly high turnout. Hats off to those that convened #RCPEGM . We are truly #doctorsunited . Now will NHSE start to listen? Or do they need more?
@djnicholl
Cllr Dr David Nicholl
2 months
Only the third extraordinary general meeting of @RCPhysicians in its 505 year history. A landmark result #RCPEGM Thank you all FRCPs who voted
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@AnaesUnited
Anaesthetists United
26 days
The @RCoANews have published their extensive and carefully-designed independently-commissioned survey on AA's. Main findings - AAs negatively impact doctor training, and expansion is viewed negatively even by those working with them.
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@AnaesUnited
Anaesthetists United
6 months
Our letter to the GMC enquiring about whether or not regulating AAs is breaching their charitable objects has been sent, together with 1,314 signatures. More news when we have it.
@AnaesUnited
Anaesthetists United
6 months
Is the GMC undermining its own charitable objects and public confidence in the profession by integrating AAs and PAs into its register? So far 1,000 doctors and members of the public have signed our letter to find out - you can join them.
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@AnaesUnited
Anaesthetists United
2 months
Royal College of Anaesthetists writing to clinical leaders calling for a pause in the recruitment of Anaesthesia Associates. And also implementing EGM motion restricting local opt-outs on supervision. This is big news!
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@AnaesUnited
Anaesthetists United
1 month
The GMC must fulfil its core objective set in law to “promote and maintain public confidence in the medical profession”. To do this, the public, patients, staff and employers must always be clear who is and is not a lawful member of that profession i.e. a registered doctor.
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@AnaesUnited
Anaesthetists United
7 months
Thank you to everyone who attended tonight’s event - we had an unprecedented 230+ attendees, and were able to engage in polite discourse, including hearing from current AA colleagues. We will respond to the unanswered questions from the chat, and update you all soon.
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@AnaesUnited
Anaesthetists United
2 months
As the House of Lords vaguely mumble about astronaut assistants, we can instead trust the @RCoANews for putting into action the changes called for at the EGM, following concerns raised by the membership relating to patient safety
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@AnaesUnited
Anaesthetists United
1 month
In practice, this means the GMC (as multi-professional regulator) must not give the false impression that AAs or PAs are: doctors; a type of doctor going by a different name; or equivalent to a doctor.
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@AnaesUnited
Anaesthetists United
1 month
Requiring that AAs and PAs follow ‘Good medical practice’ implies they are logically: engaged in medical practice; medical practitioners; practising medicine. But these terms are used by The Medical Act, HCPs and the public to mean exclusively medical doctors or their practice.
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@AnaesUnited
Anaesthetists United
1 month
The GMC also plans to display AAs and PAs on the medical register. We have called on Council to instead use our format that makes clear at a glance the medical register is preserved for doctors and is independent from the register of AAs and PAs (as required by law).
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@AnaesUnited
Anaesthetists United
3 months
In other words, doctors, the public, the medical establishment, the press and the politicians have woken up to what is going on.
@quackophage
Ronald MacDonald
3 months
6. That was in July. Of course, by October 2023, the GMC were busy updating their Risk Log, realising that they couldn't just sweep these concerns under the carpet quite yet.
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@AnaesUnited
Anaesthetists United
1 month
Good associate practice will include additional standards because current guidance from the GMC and FPARCP is inadequate for the unique challenge of regulating AAs and PAs. These will be drafted based around the principles shown below.
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@AnaesUnited
Anaesthetists United
6 months
We congratulate the BMA for coming out with a clear statement. The growth of Associate roles, combined with their ever-creeping scope, has been poorly planned and implemented. It is time to take stock and assess whether it is safe to proceed
@TheBMA
The BMA
6 months
We are clear: until there is clarity and material assurances about the role of MAPs, they should not be recruited in the NHS. Read the full press statement following a vote of our UK Council.
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@AnaesUnited
Anaesthetists United
7 months
We have noticed a small change in the last few days in the College’s position on role enhancement for AAs. It seems as though there is still support for scope creep under the guise of ‘local governance’. We do not support this. See Resolution 2.
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@AnaesUnited
Anaesthetists United
1 month
Alongside the registers search function must sit brief explanations of the registers (like the current website). This must make clear that the register of associates has its own entry and qualification requirements, and AAs and PAs are not doctors, a type of doctor or equivalent.
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@AnaesUnited
Anaesthetists United
1 month
Alongside the registers search function must sit brief explanations of the registers (like the current website). This must make clear that the register of associates has its own entry and qualification requirements, and AAs and PAs are not doctors, a type of doctor or equivalent.
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@AnaesUnited
Anaesthetists United
7 months
Resolution 4 - Rotational training, consider the personal cost to trainees, minimise short term placements (1 year minimum) except specialist areas. This resolution is PASSED. #RCoAEGM
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@AnaesUnited
Anaesthetists United
2 months
Royal College of GPs is the latest body to issue updated red lines for PAs: supervision must be by a fully qualified willing GP and properly funded; public understanding of the role must be improved; GMC not the best regulator. We are now #DoctorsUnited .
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@AnaesUnited
Anaesthetists United
7 months
“Just two years to be anything,... They can give anaesthetics, they can do operations, they look after psychiatric patients, they can be GPs, they can treat your heart. It’s not what I personally would want as a patient.”
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@AnaesUnited
Anaesthetists United
3 months
Clear positive action on one of our @RCoANews EGM Motions, as College reaffirms that trainees should get priority for training opportunities and provides clear instructions for what to do if this isn't happening.
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@AnaesUnited
Anaesthetists United
7 months
Epidural anaesthesia is a common form of pain relief in labour. While it is very safe in experienced hands, complications can occur. Similarly, most LSCS are uneventful. Both of these procedures have serious risks. Labour ward is not the place for AAs.
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@AnaesUnited
Anaesthetists United
9 months
They promised no regional blocks. Now they are running the upper limb lists. They promised no neuraxials. Now they are on their curriculum. We don't think this is right. What do you think?
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@AnaesUnited
Anaesthetists United
7 months
We are proud that anaesthetists have taken the lead. We've revealed to the country what is happening; the pendulum is swinging.
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@AnaesUnited
Anaesthetists United
7 months
Our ophthalmology colleagues have formed a group against PA introduction in their specialty. Anger at Colleges is spreading through all specialties and doctors have had enough of being undermined, undercut, and overlooked. We fully support @OphthConvergent . Who will be next?
@OphthConvergent
Ophthalmologists Convergent
7 months
Calling all UK Twitter ophthalmologists: we believe the recently announced RCOphth PA "pilot" is poorly planned and without merit. But we need your help to make our voices heard. Please read this reddit post and get in touch if you're willing to help.
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@AnaesUnited
Anaesthetists United
8 months
Do you want to be a Consultant Anaesthetist or a Consultant AA supervisor? Say no to AA expansion. Read our mission statement and support our call for an Extraordinary General Meeting ⬇️
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@AnaesUnited
Anaesthetists United
8 months
Front page story in @thetimes today should prompt discussion, at a national level, of the proposed expansion of Anaesthesia Associates set out in the NHS Workforce Plan. The overriding priority should be training more Anaesthetists to cover the predicted shortfall of 11,000.
@rosieICM
Rosie Baruah
8 months
Remarkably balanced article in @thetimes today about @AnaesUnited and its pushback against the NHS Workforce Plan…
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@AnaesUnited
Anaesthetists United
4 months
Did you know that on Thursday the govt is to legislate for Regulation of Anaesthesia Associates without even defining what they can and cannot do? Did you know that they're using a parliamentary wheeze to avoid any awkward questions? Does your MP know?
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@AnaesUnited
Anaesthetists United
7 months
Resolutions 3 - Ratify as a professional standard that an AA could be involved in care, that AAs are not registered medical practitioners, and who responsible consultant is. This resolution is PASSED.
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@AnaesUnited
Anaesthetists United
4 months
The Charity Commission have decided that in carrying out activities relating to non-doctors the GMC are not committing any wrongdoing. We have appealed this decision. Our grounds for appeal are stated here.
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@AnaesUnited
Anaesthetists United
7 months
AU in the Telegraph again! Following the revelations from the Lancaster Uni video earlier this week, the story has been picked up by a national newspaper. Our message is getting out there - Trusts 'bending rules' for AAs is not safe!
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@AnaesUnited
Anaesthetists United
1 month
The GMC rightly expects doctors to“put matters right, if possible” and we have urged it to do the same in the interests of patients and the public. This must be done in time for when regulation starts, before the seeds of confusion and conflation are sown.
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@AnaesUnited
Anaesthetists United
2 months
Now that everyone is fully in agreement that PAs must not replace doctors the public need reassurance that this will happen in a prompt and timely manner. @NHSEmployers @NHSEngland @AmandaPritchard @CareQualityComm
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@AnaesUnited
Anaesthetists United
7 months
We have seen the letter from the Association of Anaesthesia Associates, which invites recipients to oppose our motions. Our comments and thoughts are posted on our website
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@AnaesUnited
Anaesthetists United
3 months
Regulation of Anaesthesia (and Physician) Associates? This is a novel form of regulation that doesn't define what Associates can and cannot do, and doesn't even say who will determine what they can and cannot do. Regulation without actually regulating.
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@AnaesUnited
Anaesthetists United
7 months
Proxy voting for the EGM ends tomorrow. Six motions. Six opportunities to change Anaesthesia in the UK. Vote FOR all of them. #RCoAEGM
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@AnaesUnited
Anaesthetists United
7 months
Resolution 5 - Council should make enquiries relating to ANRO disaster, consider whether there is still confidence in ANRO. This resolution is PASSED. #RCoAEGM
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@AnaesUnited
Anaesthetists United
2 months
Who sets the specific Scopes of Practice for dentists, dental nurses, hygienists and others? The General Dental Council. Who sets the Scopes of Practice for doctors and associates? Ooh, ah, not sure really. The person that writes the rota?
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@AnaesUnited
Anaesthetists United
18 days
Plan by @swasFT to introduce pre-hospital anaesthesia air-ambulance teams without a doctor on board. Is this appropriate? We want to start this discussion now.
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@AnaesUnited
Anaesthetists United
7 months
We would like to know as a matter of urgency: - Are AA trainees not normally supervised 1:1? - Are anaesthetic trainees being made to supervise AAs? - Are plans not being discussed with named consultant?
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@AnaesUnited
Anaesthetists United
7 months
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@AnaesUnited
Anaesthetists United
3 months
Now that the legislation has been delayed perhaps they'll look a bit more closely at what "regulation" actually means. Because at the moment it's just a list of names with no specific role nor control over what they do.
@TheDA_UK
Doctors’ Association UK 💙
3 months
1/ We are delighted to share that the House of Lords will now hear the debate on PA/AA regulation in the main chamber, following DAUK's call for motions of regret. This crucial discussion ensures the legislation undergoes thorough scrutiny.
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@AnaesUnited
Anaesthetists United
9 months
Introducing two of our core members: @LondonAnaesth and @dannyjnwong . Our senior members have been instrumental in formulating our motions for an EGM, liaising with the @RCoANews along the way.
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@AnaesUnited
Anaesthetists United
4 months
Excellent position statement from Association of Anaesthetists emphasising significant concerns about the roll-out of the Anaesthesia Associate project, and calling for close supervision, a pause in current extended roles and centralised agreement on scope of practice.
@Assoc_Anaes
Association of Anaesthetists
4 months
Over the past year, there have been many developments in how both Government and the profession view the role of Anaesthesia Associates. Read our position on Anaesthesia Associates 👉
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@AnaesUnited
Anaesthetists United
7 months
How much money has @NHSEngland spent subsidising and oiling the growth of AAs while we are paying our own way? Hardly fair, is it?
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@AnaesUnited
Anaesthetists United
6 months
Patients and the general public, as well as their doctors, would like the reassurance that the GMC are adhering to their charitable objectives regulating medical practitioners. We encourage everyone and all to sign our letter.
@AnaesUnited
Anaesthetists United
6 months
Does regulating physican and anaesthesia associates breach the @GMCUK charitable objectives? We are writing to them to seek clarification. Co-sign the letter here:
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@AnaesUnited
Anaesthetists United
7 months
The #RCoAEGM is underway! Vote FOR all the resolutions.
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@AnaesUnited
Anaesthetists United
6 months
Is the GMC undermining its own charitable objects and public confidence in the profession by integrating AAs and PAs into its register? So far 1,000 doctors and members of the public have signed our letter to find out - you can join them.
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@AnaesUnited
Anaesthetists United
9 months
Rotational training hinders work life balance, allows AAs to form and maintain working relationships contributing to scope creep, increases doctors cost of living, and affects doctors mental health. Doctors are disadvantaged, this has to change.
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@AnaesUnited
Anaesthetists United
7 months
It's a game of two halves. The first half went our way with OVERWHELMING majorities. Now let's bring it home. #RCoAEGM
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@AnaesUnited
Anaesthetists United
7 months
They were proposed for carrying out simple tasks. The original nomenclature was clearer and easier for patients to understand. Physician's Assistants (Anaesthesia).
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@AnaesUnited
Anaesthetists United
2 months
@RCPhysicians seem at a loss to know how to call for a pause in the expansion of Associates. Here is how the RCoA did it. You can copy their letter or you can write it yourselves. But it is possible. #RCPEGM #motion5
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@AnaesUnited
Anaesthetists United
4 months
It seems contradictory for @NHS_WTE to claim that regulation will 'clarify the scope of the role of Associates' ; the GMC think its a job for someone else to do and not them. Must be even more confusing for those poor MPs to work out who is doing what
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@NHSE_WTE
NHS England Workforce, Training and Education
5 months
"I welcome the start of the legislative process to regulate physician and anaesthetist associates through the #GMC . This will clarify the scope of the role of physician associates and doctors so we can move forward and work together to care for patients.
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@AnaesUnited
Anaesthetists United
7 months
This email from @Assoc_Anaes is greatly appreciated. We are pleased to see that our concerns regarding AA expansion and scope are shared by the representative group for UK anaesthetists. We eagerly await the #RCoAEGM next week.
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@AnaesUnited
Anaesthetists United
9 months
🚨🚨 IMPORTANT NEWS 🚨🚨 @RCoANews has just sent the AA survey to members. Every member should have just received this in their inboxes. Now is your chance to tell the College exactly what you think regarding the proposed expansion of AAs. Remember this survey is anonymous!
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@AnaesUnited
Anaesthetists United
7 months
Resolution 6 - Council is advised to set up a group to explore possibility of regional recruitment. This resolution is PASSED! #RCoAEGM
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@AnaesUnited
Anaesthetists United
6 months
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@AnaesUnited
Anaesthetists United
7 months
The problem with surprises is you don't know when you're going to get a bad one.
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@AnaesUnited
Anaesthetists United
8 months
You have trained for longer, but they are better paid. Say NO to AA expansion ⬇️
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@AnaesUnited
Anaesthetists United
9 months
We are Anaesthetists United. Here is our mission statement: Read more, and sign to show your support below ⬇️:
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@AnaesUnited
Anaesthetists United
5 months
Ensuring effective and appropriate supervision of MAPs, that MAPs are shaped within an acceptable scope of practice, and that they work within established guidelines are all very important. Breaches of this must be reported directly to the CQC
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@AnaesUnited
Anaesthetists United
3 months
"We must make sure we show our support and solidarity for the hundreds of thousands of doctors nurses and midwives who are being constantly undermined, undercut and replaced".
@ClaudiaWebbe
Claudia Webbe MP
3 months
Medical associates are working beyond their competence. Backdoor changes will further confuse the public, put patients in danger and only benefit big business and profits. Our NHS needs more actual doctors, not less. My latest 👇🏾
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