Ali Smith @DrAliJSmith Twitter profile

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Ali Smith

@DrAliJSmith

2 months

@RCPhysicians Those of you involved in this dodgy and deliberate obfuscation of data results to push a narrative are a disgrace. I will be writing to the GMC. It is only to my great regret you are all white British and so will likely escape the consequences of your crookedness.

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Ali Smith

@DrAliJSmith

3 months

"GPs don't regularly manage chronic conditions."

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Ali Smith

@DrAliJSmith

5 months

Very curious to hear what @simontutt88 have to say about this? A paramedic (not completed ACP training either) has opened a private GP clinic and is labelling themself a "medical expert". Is this not dangerous and unsafe, with no supervision?

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Ali Smith

@DrAliJSmith

7 months

Just a reminder that GSTT Crit Care have issued no response to the exposure of known longstanding toxicity, bullying, and misuse of doctors in favour of PAs. Please let's not let this one get brushed under the carpet. @Dr_Done_ @Xeon4f145d96s1 @doctorhelgi @RCoANews @drmattuk

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Ali Smith

@DrAliJSmith

4 months

@adamgordon1978 @GeriSoc Point of order, it wasn't just the title on the office door, it was also "Cons Acute Frailty" in the twitter bio (dropping the physiotherapist) and also the below from LinkedIn ("Consultant at X Trust") for the last 6 years. So multiple locations of misleading/fraud.

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Ali Smith

@DrAliJSmith

20 days

@Dr_Done_ Vulnerable patient in a care home that needs a home visit for non-specific symptoms but not able to get out of bed. The differential list is VAST, and this PA + her disgraceful supervising GPs think this is an appropriate patient for someone with minimal medical training to see?

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Ali Smith

@DrAliJSmith

2 months

@VishwajeetP4t3l Advising doctors (BMA members) on what the limits of scope their assistants should be performing is well within the BMA's remit. PA groups are now frazzled because your ability to play doctor and do whatever you want to pts without going to medical school is now in jeopardy.

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Ali Smith

@DrAliJSmith

8 months

Imagine a pilot with a decade of training being on the ground supervising 4 planes flown by former cabin crew, now Pilot Associates after a 2 year course. Whilst one PA gets into difficulty and the pilot is helping them, another plane crashes. Who's to blame? The pilot, of course

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Ali Smith

@DrAliJSmith

7 months

Surgical colleagues may be looking on from a distance at the Anaesthesia Associate mess with growing horror. To those doctors I say if you have ever felt relieved to have a trained and experienced anaesthetist at the head of the bed during crisis moments, speak out like the below

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Ali Smith

@DrAliJSmith

7 months

@Dr_Done_ @GSTTnhs @icabbs Hi @parthaskar . Hope you're well. It has long been an open secret in the anaesthetic/ICU trainee world that GSTT crit care is extremely toxic and rife with bullying. Now that all of this is finally coming out, is there any way you can look into this with any of your hats?

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Ali Smith

@DrAliJSmith

5 months

@NatashaMDay @simontutt88 Paramedics absolutely do get supervised when working in non-pre hospital settings, ie A&E or GP. This person does not have the training or knowledge to recognise their unknown unknowns. What may seem like minor illnesses can often be very sinister or dangerous.

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Ali Smith

@DrAliJSmith

8 months

An anaes dept suggesting that a student AA, on completion of their 2 year course, will have "knowledge and skills roughly equal to Primary FRCA level". I recall 5 years MBBS + House Job + years working as a doctor + the actual FRCA to achieve that. The AA must be a genius?

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Ali Smith

@DrAliJSmith

1 month

@Matt_L_Nash You're honestly a coward. People have asked you a simple and direct question a number of times, and you know your faulty logic doesn't hold up so you refuse to answer. Instead you do as many others have done and bury your head in the sand and pretend to be a victim.

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Ali Smith

@DrAliJSmith

5 months

@ExNHSorthopod @simontutt88 It's interesting as well, because allegedly when registering with the CQC you can only choose options like "NHS GP service" or "independent consulting doctor". This person has registered as a doctor/GP. So seems like fraud and using a protected title to evade the CQC?

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Ali Smith

@DrAliJSmith

2 months

@csubbe @DrLindaDykes If they're working as true Physician's Assistants, ie scribing, doing bloods and ward tasks, and not engaging in rampant scope creep or doctor cosplay in clinics/theatres/doing advanced procedures/seeing undiff. patients then they have nothing to worry about and should be +ve?

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Ali Smith

@DrAliJSmith

7 months

If he had done Graduate Entry Medicine, he'd be an SHO chained to the ward, having to beg for clinic time to meet portfolio requirements, and having done a total of 0 endoscopies. But because he took a shortcut he's promoted. Training in this country is a joke.

Anonymous Anaesthetist

@gaslad

7 months

‼️ Look at this... this is the future of NHS 'expert' gastroenterology care. Seen by a non-doctor, diagnosed by a non-doctor and scoped by a non-doctor ‼️

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Ali Smith

@DrAliJSmith

4 months

@JonnyGucks @doctorhelgi @parthaskar and all the others. Here's yet more evidence. This PA experiment must END now.

Claire M Dee 💙

@deeleyc6

4 months

@ASiTofficial 70.5% reported negative impact 15.5% being supervised by PAs 47% reported negative impact on patient care 88%believed trainees should be involved in defining the scope for PAs 70% did not believe PAs should have a role in surgical procedures @KeeleyMP @shaungw @ShaunLintern

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Ali Smith

@DrAliJSmith

4 months

@AnalysisDrawer Immediate restriction of scope of existing PAs to originally intended role of workload assistants - scribing, bloods, cannulas, prepping paperwork. Ward based only. No theatre or clinics. No new hiring of PAs. Reallocate funding for PAs to JCF and CESR posts.

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Ali Smith

@DrAliJSmith

4 months

@adamgordon1978 @GeriSoc I don't disagree Adam, but you must appreciate the context where new instances of misleading role/titles by allied colleagues are being exposed on a daily basis. PAs claiming to be SpRs, ED ACPs in the media as "consultant practitioners". Consequences essential to stop this.

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Ali Smith

@DrAliJSmith

4 months

Intolerable bullying from the worst kind of NHS scum. One one hand claiming there's a proper way to raise concerns, and with the same hand making immediate threats.

Catherine

@Delilah15707758

4 months

@Moham1287 @KateBurkeNHS It’s sad that some junior doctors claim to not know how to raise concerns professionally. What you advocate will not have an impact, unless your intent is to drive her to suicide. Anyway, we can discuss it next week, via proper channels.(I take it you haven’t recognised me)

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Ali Smith

@DrAliJSmith

7 months

@parthaskar @thetimes @RCPhysicians @FPARCP @UKGastroDr @trishgreenhalgh @Rezaidi @OrthopodReg @doctor_oxford @jsbamrah @BMA_JuniorDocs @SujeshBansal @UmeshSalanke @DrSelvarajah Partha, AJ and colleagues have done more for this issue in 1 week than all previous royal college "leaders" combined in many years.

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Ali Smith

@DrAliJSmith

8 months

@simontutt88 @cannula_service @Dr_Sarah_Bellum Simon I respect your experience, qualifications, and knowledge of EM. ACPs are not the same as PAs, nor even in the same universe. But equally, 6 months of ICU/Anaesthetics an an ACP does not compare to the same time spent there as a doctor, with the underpinning background.

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Ali Smith

@DrAliJSmith

2 months

@SaraTon08500527 So who should have an opinion? Newly formed private limited companies with grandiose names formed by conflict of interest crooks like Jeanne Watkins and co? Same names, same faces, same backdoor corruption, same rampant disregard for patient safety to satisfy chips on shoulders.

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Ali Smith

@DrAliJSmith

3 months

@Xeon4f145d96s1 @UKGastroDr @parthaskar @DrLKVaughan @drkeithsiau @DrAsifQasim @Roddy_Neilson @mmamas1973 @Doc_IonaCollins @TomStocks1982 @UKGastroDr hi Ajay just wanted to check if you're happy to share a rota as on-call Gastro Consultant with a PA that's roughly equivalent in knowledge to a 4th year medical student?

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Ali Smith

@DrAliJSmith

8 months

@docdai Please don't do that. Opinions like yours need to be heard - so that they can be totally refuted and exposed as wrong and harmful - but heard nonetheless.

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Ali Smith

@DrAliJSmith

7 months

@weschannell95 You are being replaced with AAs. You are deliberately being bottlenecked and AA posts are being quadrupled or more. Your training is being elongated with more service provision. You are being sent to staff unfilliable vacancies in the boonies. Stop being naive. Wake up. Fight.

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Ali Smith

@DrAliJSmith

4 months

@adamgordon1978 @GeriSoc Expanded screenshot showing second instance on LinkedIn. You can absolutely blame the trust or someone else perhaps for the sign on the door, but she is entirely responsible for her own personal LI profile and could have written "Consultant Physiotherapist" in each location.

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Ali Smith

@DrAliJSmith

3 months

@RCoANews Will the college align with the AAGBI in recommending a maximum of 1:1 supervision of AAs @doctorhelgi ?

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Ali Smith

@DrAliJSmith

3 months

@parthaskar @gmcuk This would make an excellent QIP/Audit project for some juniors! After a PA led ward round, go around a few hours later and survey the patients as to who they think they saw and what their role is. 100% should be able to say "I saw a PA and not a doctor". Else GMC referral.

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Ali Smith

@DrAliJSmith

26 days

@teaandmedals @OcoRory Those "bottom feeders" and their 6 finger adverts caused the largest shift in position of any medical royal college, ever, in history, with the first successfull EGM overturning established leadership positions and causing a domino effect throughout multiple other royal colleges.

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Ali Smith

@DrAliJSmith

7 months

@mrthomasjacques Hi Thomas. I don't know if you've seen this: . PA working in ENT, being trained to do grommets and tonsillectomies, & first on call for ENT. She wants to sit the DOHNS to prove equivalence with an MRCS Dr.

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Ali Smith

@DrAliJSmith

4 months

@Bonivorlewis @suxxamethonium @Xeon4f145d96s1 Almost as if you're just pawns in the government scheme to replace and undermine doctors? Contrary to popular strawmen, we all know PAs aren't evil cackling villains. Many are just young people that want to work like/as a doctor and ended up as PAs. But you're all very naive.

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Ali Smith

@DrAliJSmith

5 months

@NatashaMDay @simontutt88 Can you read English? I said in non-pre hospital settings. An ambulance is pre hospital medicine and bread and butter for a paramedic. General Practice is bread and butter for a doctor with 10+ years of training (as a doctor) and the MRCGP exams.

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Ali Smith

@DrAliJSmith

2 months

@VishwajeetP4t3l Very well said: "At the end of the day everyone is working hard to do what’s best for their patients." Stopping/reversing rampant PA scope creep and dangerous implementation is a big part of it. Glad you're on board.

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Ali Smith

@DrAliJSmith

8 months

Completely agree. A consultant anaesthetist can supervise more than one theatre at one time. But the anaesthetists in those theatres need to be fully trained doctors specialising in anaesthesia, with appropriate exams that builds on their broad base of training. Not assistants.

Anna Batchelor

@AnnaBatchelor

8 months

Consultants are highly paid (well were and should be again) highly trained and can use those skills across several patients. I support the @RCoANews @RCoAPresident

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Ali Smith

@DrAliJSmith

4 months

@jasonyangL @adamgordon1978 @GeriSoc What a good idea! Just like the RCP have published guidelines for PAs instructing them to introduce themselves as their role and also "I am not a doctor", maybe the Geri's soc could lead the way in doing the same with AHPs? "I'm a consultant physiotherapist, not a doctor."

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Ali Smith

@DrAliJSmith

7 months

@boomclaren @TheENTSurgeon1 @cannula_service Thank you for sharing your experience. Could you please clarify, if the PA is the operative surgeon, how exactly does this create more training opportunities for CTs and SpRs?

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Ali Smith

@DrAliJSmith

7 months

PAs at NNUH exposed for rampant scope creep +bullying of JDs Nigel Penfold exposes massive COI that his daughter is a PA and he's determined to push scope creep Said Daughter is a PA at NNUH With a father high up the ladder, it's no wonder bullying ongoing w/ 0 consequences

Luke

@LukeAmos__

7 months

Does that hospital ring a bell?

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Ali Smith

@DrAliJSmith

8 months

@VirtueOfNothing @dannyjnwong @RCoANews @RCoAPresident @ukmat82 @AoAA_uk Could we kindly have clarity that someone with no medical degree, a 2 year course and 0 years working as a doctor is IN NO WAY EQUIVALENT to a fully trained + specialising doctor with the Primary FRCA.

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Ali Smith

@DrAliJSmith

2 months

@VirtueOfNothing @DentonGavin must be absolutely fuming. Explicit guidance that ACCPs will never be the consultant in charge, that they shouldn't be intubating, shouldn't be supervising ICM doctors, and are a useful adjunct role and not comparable to the "gold standard" of MBBS intensivists.

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Ali Smith

@DrAliJSmith

7 months

@xxsnzz @DrGoblin3 @DrLindaDykes The anons have, without a shadow of a doubt, been the biggest contributors responsible for the massive shift in the overton window of discourse amongst the medical community in the UK. Real actual change is happening rather than endless virtue signalling. Thank you to them.

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Ali Smith

@DrAliJSmith

4 months

@parthaskar @JonnyGucks @doctorhelgi But what can we actually do Partha? Royal Colleges complicit, GMC complicit, organisations run almost overwhelmingly by NHSE/DoH yes men. Feels like we're powerless to stop this crisis.

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Ali Smith

@DrAliJSmith

8 months

Your response to finding out your department is notorious and infamously toxic with a huge bullying culture is to: - flood with fake positive reviews - question whether concerns have been raised in the correct way No sign of apology or insight. Ostrich.

JuniorDoctors

Search consultant and junior doctor jobs, 1500+ reviews and see the latest locum rates for your hospital!

juniordoctors.co.uk

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Ali Smith

@DrAliJSmith

7 months

@doctorhelgi @timricketts_ @EmergMedDr @FaisalMajid3 And WRT "important we're involved" the govt/NHSE cannot push AAs unilaterally. They are required to have supervision from consultants. If the RCoA pushed a directive/guidance tomorrow that no consultant should supervise any AAs, the idea is dead in the water. Nothing they can do.

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Ali Smith

@DrAliJSmith

7 months

@jimmy_jone388 @NHSE_WTE @LiskClifford @HEEoESEM @Dr_Done_ @Xeon4f145d96s1 @DrEilidhMaria The ENTIRE POINT they claimed was so that PAs could stay on the ward to allow doctors to go to teaching? What a surprise, that was yet another lie as they replace you one specialty, one hospital, one department at a time. NHSE are not even trying to hide it anymore.

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Ali Smith

@DrAliJSmith

26 days

@NotAdoctor0000 @MTWnhs @simontutt88 and the rest of the ACP gang. What happened to "we're not here to replace doctors" and "there's enough work for everyone"?

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Ali Smith

@DrAliJSmith

2 months

If you're still sitting there wondering if there is a conspiracy to push PAs, you're far too naive. They're openly talking about in and colluding with the GMC. They're actively planning for independent consultant PAs, regardless of what you or I or any mortality stats show.

Tom Stocks 🦀 #JoinVoteWin

@TomStocks1982

2 months

I’ve represented the BMA in a meeting with NHSE, GMC and others where the long-held plan for FOUR tiers of PA career development was discussed. The third tier seemed to me pretty much indistinguishable from consultant doctors (with a nod to ‘supervision’ - aka liability) 2/

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Ali Smith

@DrAliJSmith

7 months

@NotAdoctor0000 @RachelEasto @TheENTSurgeon1 @cannula_service What a good idea! Let the medical students and housemen sit MRCS whenever they like. Once they've passed, they can skip everything else and start operating and doing tonsillectomies and "working towards being independent in theatre". What's the problem?

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Ali Smith

@DrAliJSmith

2 months

@parthaskar @RCPhysicians @doctor_oxford @trishgreenhalgh @mmamas1973 @ShivaniM_KC @AntonEmmanuel2 @RoshanaMN @OrthopodReg @Rezaidi @DrLKVaughan @RowanHarwood Last night demonstrated how deep the rot goes at the RCP. There must be a VONC and new leadership immediately. All of the seething anger must not be allowed to go to waste. Take advice from @AnaesUnited and lawyers to get this done.

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Ali Smith

@DrAliJSmith

7 months

@docpreneurr @Dr_Done_ @dr Hi Raghu. I was working on ICUs and had responsibility for patients likely before you were born. My understanding of the ground reality is fine, and I totally agree with @Dr_Done_ . Standards must not be diluted for the sake of appeasing ministers, or for MBEs.

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Ali Smith

@DrAliJSmith

5 months

@sleepcentric @parthaskar @MintoMartian @ollieburtonmed @Dr_BellaR @AbbieTBee @Andrew_Jordan_ @TimDHWoo @Tom_the_Knowles @juliaisobela My dear I'm afraid you're not caucasian enough to be this blasé about the GMC.

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Ali Smith

@DrAliJSmith

7 months

@nigelpenfold @jeannie_watkins Disgraceful.

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Ali Smith

@DrAliJSmith

7 months

@RCSnews @TMitchellFRCS You're an ENT surgeon. Fantastic. Can you provide some reassurance on this? I do not believe it is safe for a PA with no MBBS to be operating on patients, nor should they be allowed anywhere near exams to reinforce delusions of equivalence. @RoshanaMN @parthaskar

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Ali Smith

@DrAliJSmith

4 months

@rosieICM @JonnyGucks @doctorhelgi @parthaskar @RCPEdin I tagged Jonny purely on the basis that I regularly see his tweets saying "well actually...we need evidence of X". So I wanted to make sure he didn't miss the thing he was asking for. As for College Council strategies, I have faith in < a handful of people. Most are useless.

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Ali Smith

@DrAliJSmith

7 months

@JoOgidi Hi Ogidi. What do you think of this? Curious about your views, and that of @Bonivorlewis since your president has decided to disappear from Twitter.

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Ali Smith

@DrAliJSmith

3 months

The amount of these Lords and Ladies calling them "Anaesthetist Associates" is making me sick. if you can't even get the name right after 100 briefings, how are patients supposed to know any better? The NHS is finished.

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Ali Smith

@DrAliJSmith

7 months

@Dr_Done_ @itvnews The police should be informed.

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Ali Smith

@DrAliJSmith

7 months

@DrEilidhMaria @Dr_Done_ @Xeon4f145d96s1 @doctorhelgi @RCoANews @drmattuk I would suggest that if anyone has any experience of this, they anonymously get in contact with any of the usual whistleblowing outlets (pizza, Dr Done, Partha Kar etc).

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Ali Smith

@DrAliJSmith

7 months

@RachelEasto @TheENTSurgeon1 @cannula_service They help in many ways...how? This is very vague. Once more, could you please clarify, if the PA is the operative surgeon, how exactly does this create more training opportunities for CTs and SpRs?

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Ali Smith

@DrAliJSmith

7 months

@Jesssmit92 Ok well if you don't find it fun, then maybe you can sit on the wards and do all the discharge summaries and TTOs and let the doctors do the bits they want to do (and will find more enjoyable and rewarding and useful as training).

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Ali Smith

@DrAliJSmith

7 months

@parthaskar @RCPhysicians @FPARCP @UKGastroDr @AntonEmmanuel2 @mmamas1973 @OrthopodReg @RoshanaMN @doctor_oxford @trishgreenhalgh @Trisha_the_doc @Richard_GP @BMA_James_Steen Excellent work Partha and colleagues. I have some optimism for the first time in a long time, looking forward to what's next.

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Ali Smith

@DrAliJSmith

26 days

How odd. Blocked for asking a simple question?

Ali Smith

@DrAliJSmith

26 days

@NotAdoctor0000 @MTWnhs @simontutt88 and the rest of the ACP gang. What happened to "we're not here to replace doctors" and "there's enough work for everyone"?

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Ali Smith

@DrAliJSmith

5 months

@ericandern2 @BMA_JuniorDocs @PHU_NHS Not even close, when the global market rate is several hundreds per hour.

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Ali Smith

@DrAliJSmith

5 months

@Microbedoc2 @NatashaMDay @simontutt88 Isn't it amazing that all these things take a doctor 10+ years of training and the MRCGP exams to be "in scope" and comfortable to practice independently. But this paramedic qual in 2018 already feels confident? If she were a medic, she'd be a 5th year medical student. Dangerous.

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Ali Smith

@DrAliJSmith

8 months

@Xeon4f145d96s1 I'm so proud of what you and the others have achieved over the last few months. The entirety of MedTwitter has shifted and you're on the cusp of real genuine progress. Well done, all of you.

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Ali Smith

@DrAliJSmith

8 months

This is an analogy about a consultant anaesthetist supervising 4 theatres with AAs in them, just in case your mental faculties are not the sharpest.

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Ali Smith

@DrAliJSmith

7 months

@Dr_Done_ @SheffieldHosp @MajorKirsten1 Your criminal staff actively flouting all semblance of safe patient care, they're gleefully sailing their nasty little pirate ship called HMS AA. And they're stupid enough to put it in writing as well. @MajorKirsten1 I suggest you respond promptly before the media get wind.

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Ali Smith

@DrAliJSmith

7 months

@Bonivorlewis @Doc_IonaCollins Do you have some personal issue with doctors wanting to maintain the highest levels of care and safety for their patients?

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Ali Smith

@DrAliJSmith

7 months

@RachelEasto @TheENTSurgeon1 @cannula_service Rachel, thank you for sharing your experience. Could you please clarify, if the PA is the operative surgeon, how exactly does this create more training opportunities for CTs and SpRs? Why does the PA claim she wants to sit the DO-HNS exam?

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Ali Smith

@DrAliJSmith

7 months

@Mike_TheBizGuy @JeanDoyle211515 @untoublesome @THEJamesWhale I'll spell it simply for you, since you're clearly simple. If pay good, doctors stay If pay bad, doctors leave to somewhere where pay good If no doctors, quality of care bad If many doctors, quality of care good So pay doctors better -> better quality of care. Make sense?

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Ali Smith

@DrAliJSmith

7 months

We need urgent and rock solid confirmation from the @RCSnews that this is an absolute nonsense, farcical, and will never be possible. Could you help point in the direction of senior ENT colleagues with decision making power at the RCS to ensure this never goes further?

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Ali Smith

@DrAliJSmith

1 month

@traineENT Because the doctor will be rotating away in 6-12 months and all that training will be "wasted", and they'll have to train someone else that comes in. How awful! Better to train an unqualified noctor that'll stay there permanently and provide a service.

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Ali Smith

@DrAliJSmith

5 months

@Ambo_Matt @ExNHSorthopod @simontutt88 "Annoyingly the CQC expects people setting up private GP clinics to be experienced doctors, and I wasn't one, so I just broke the law and committed fraud instead."

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Ali Smith

@DrAliJSmith

7 months

@jamessumnerNHS @claudia_dose @Xeon4f145d96s1 @LivHospitals Claudia, make sure you keep everything in writing please my dear. It won't be the first time that because something gets raised on social media the trust management come down on them like a ton of bricks with bullying, vexatious concerns about performance etc due to speaking up.

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Ali Smith

@DrAliJSmith

8 months

@Dr_Done_ @Nickhulme61 @ColchesterNHS Oh look what a surprise, it's @ESNEFT again. @Nickhulme61 is also the CEO of NNUH, the same place where the Urology department had the recent scandal exposed of toxic culture, bullying, rampant patient safety issues with PAs and one of their consultants has appeared in the press.

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Ali Smith

@DrAliJSmith

1 month

@Matt_L_Nash @cannula_service @DrHuw @cmwilliams99 @Matt_ParaACP @Dr_Done_ @VirtueOfNothing @FICMNews Why are you repeatedly failing to answer this very simple question. What is the point of medical school, and becoming a doctor, & years of the dr exclusive rotations and exams and hurdles, if anyone from any BG can learn to be a consultant-level clinician without them?

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Ali Smith

@DrAliJSmith

7 months

@EduMed_UK @AnnonMedic36970 @LukeAmos__ @nigelpenfold Has she done nothing wrong? I understand that PAs in urology at this trust were recently exposed for a long term history of bullying of JDs, and dangerous and flagrant scope creep incl surgical procedures. Now we discover a likely reason, fearless of consequences due to daddy.

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Ali Smith

@DrAliJSmith

7 months

@RCSnews @TMitchellFRCS @RoshanaMN @parthaskar @parthaskar apologies even if it doesn't seem relevant at first glance, whilst this PA is claiming to be a surgeon, she states that her fellow PAs have ambitions to sit PACES. Again, as farcical as an AA taking the FRCA. Could you please reassure from RCP POV on this nonsense.

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Ali Smith

@DrAliJSmith

8 months

@ukmat82 Thanks Matt. I'm slightly concerned by the "if" in your tweet though. Senior AAs are openly admitting some serious probity issues, and confirming the worries about "bending rules". A statement strongly condemning this and promising swift action is not optional. The UK is watching

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Ali Smith

@DrAliJSmith

8 months

@Dr_Done_ @Nickhulme61 @ColchesterNHS @JanetEastham here's another example based on your excellent recent article on AAs "bending the rules". This one is even more egregious, Anaesthesia Assistants working in the hospital's dedicated emergency theatre (CEPOD) where the sickest and highest risk patients are sent.

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Ali Smith

@DrAliJSmith

5 months

@Aidan_Baron @simontutt88 Minor Injuries Unit including: RA/IBD flare up and period delay? Wow a rheumatologist, gastroenterologist, and endocrinologist all rolled up into one. Able to comfortably titrate steroids/DMARDS, and identify complex causes of ?pituitary dysfunction. A genius.

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Ali Smith

@DrAliJSmith

2 months

@UKGastroDr @RCPhysicians @FPARCP The royal colleges are mostly corrupt and complicit in the teardown and destruction of the profession. Filled with ladder pullers and MBE chasers with only a few exceptions. They cannot be trusted to do anything without overwhelming force applied eg RCoA.

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Ali Smith

@DrAliJSmith

8 months

As I have said for decades, the college does not have your best interest at heart. You cannot simultaneously "want to steer the direction of travel" & also allow trusts to deploy AAs as they see fit as a matter of "local governance". They are contradictory. Stop this immediately.

Anaesthetists United

@AnaesUnited

8 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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Ali Smith

@DrAliJSmith

7 months

@ronansetron You are being replaced with AAs. You are deliberately being bottlenecked and AA posts are being quadrupled or more. Your training is being elongated with more service provision. You are being sent to staff unfilliable vacancies in the boonies. Stop being naive. Wake up. Fight.

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Ali Smith

@DrAliJSmith

6 months

@iDrSunny @ExplosiveEnema Does the PA doing subdural evacuations just want to help? What about the bullies at GSTT crit care pretending to be senior registrar's? Or the haematology PA pretending to be a medic to lead an arrest. Yes depts also to blame but they should know better and say sorry not my role.

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Ali Smith

@DrAliJSmith

7 months

@Jesssmit92 I haven't had a consultant supervisor in over 3 decades dear.

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Ali Smith

@DrAliJSmith

4 months

@ClareGerada @Dr_BellaR Don't get excited, you're one of the biggest problems.

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Ali Smith

@DrAliJSmith

7 months

Public opinion is irrelevant. They lack the IQ to understand even simple links between poor pay and conditions, lack of staff, and long waiting times. Continue striking hard and win.

yasmin sealy

@sealy77

7 months

@untoublesome @THEJamesWhale Why do you think doctors are thinking about patients? They are not. They have let so many people down. I have an 11-year-old grandson waiting to see a heart specialist. He has been waiting for months sorry if you thought I was rude, I am just angry

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Ali Smith

@DrAliJSmith

2 months

@mouseter_chef Cherry picked dodgy reporting

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Ali Smith

@DrAliJSmith

1 month

@LeanneHPatrick @jabberwock951 @cmwilliams99 You won't be looking to the most successful grassroots trade union group in recent decades? Looks like your union will be stuck complaining about rubbish sub-inflationary pay rises then.

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Ali Smith

@DrAliJSmith

7 months

@doctorhelgi @timricketts_ @EmergMedDr @FaisalMajid3 Why not make training competency based rather than time based, like paediatrics? Why should exceptional trainees not be allowed to progress faster if they can get everything signed off extensively and pass exams early?

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Ali Smith

@DrAliJSmith

1 month

"Dark times lie ahead of us and there will be a time when we must choose between what is easy and what is right". Even Dumbledore understood this, so why couldn't you?

Keith Siau

@drkeithsiau

1 month

@hlnewey @ExplosiveEnema2 @RCHTWeCare @FPARCP @BritSocGastro @UKGastroDr @parthaskar @DrAsifQasim @DrLKVaughan @DrSteveTaylor @AlisonGeorge10 @Dr_Done_ @Doctors_Vote This person had been doing and training endoscopy for at a very high level before I joined. I’m sorry I found him competent and couldn’t hold him back simply because of his PA status.

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Ali Smith

@DrAliJSmith

4 months

@docib You're trying to be funny, but with the current state of things it's actually a very valid idea. Seeing as any Tom Dick and Harry is signing off their letters with Mr X [alphabet soup qualifications not including MBBS] Consultant [AHP role omitted]

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Ali Smith

@DrAliJSmith

4 months

@adamgordon1978 @GeriSoc Sure. More work must be done with regulatory bodies (NMC/HCPC) and the police to pursue these cases of fraud with genuine sanctions and prosecutions in the most egregious cases. Only then will people think twice before pretending to be what they're not. GEM is open for the rest.

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Ali Smith

@DrAliJSmith

7 months

@RCSnews @TMitchellFRCS @RoshanaMN @parthaskar Further context below. We really do not want to return to the days of barbers as surgeons. PAs may have a role, not as surgeons, but as originally planned - physician's assistant that can mop up the ward work allowing surgical doctors to go to theatre/clinic and learn.

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Ali Smith

@DrAliJSmith

5 months

@KeeleyMP @gmcuk It gets worse @KeeleyMP . The next step in the plan is already here. They're going to let all these PAs and co that never had a chance of getting into medical school on merit become "doctors" via the a newly created course just for them. Highly dangerous.

derangedmedanon

@derangedmedanon

5 months

Aaaand don't say we didn't tell you. Plymouth medical apprenticeships will be a shortcut (< 48 months, band 6 pay) to MBBS!!

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Ali Smith

@DrAliJSmith

2 months

@UKGastroDr Given the levels of corruption and skullduggery we've seen so far, is there anything stopping the RCP crooks from rigging the result of the vote?

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Ali Smith

@DrAliJSmith

7 months

@dx_mighty @doctor_dru_ Well known at GSTT.

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Ali Smith

@DrAliJSmith

7 months

@SnotSurgeon @TheENTSurgeon1 @fessdoc @ENT_UK @HelenCocks5 Trainee is a fully qualified doctor, that has gone through medical school, foundation years, and postgraduate surgical training including the MRCS. They have all, with 0 exceptions, achieved the same quality assurance benchmarks. PAs have none of the above. World of difference.

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Ali Smith

@DrAliJSmith

5 months

@Xeon4f145d96s1 The NHS is a jobs program for the otherwise unemployable.

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