Dr Huw @DrHuw Twitter profile

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Dr Huw

@DrHuw

9 months

Wow! Blocked by my own regulator on social media Interesting times…….

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Dr Huw

@DrHuw

2 months

God Bless our orthopaedic junior colleagues for making us smile on a gruelling trauma list

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Dr Huw

@DrHuw

3 months

PAs & AAs are not ‘medical professionals’ They have not been to medical school They do not have a medical degree They have not undergone postgraduate medical training or qualification by examination This gaslighting of the profession & the public has to stop

GMC

@gmcuk

3 months

🧵The updated #GoodMedicalPractice2024 uses the term ‘medical professionals’ as a collective term for doctors, physician associates (PAs) and anaesthesia associates (AAs), rather than listing out each individual role for every reference. We haven't removed doctors from the…

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Dr Huw

@DrHuw

23 days

Unless you have been to medical school & qualified as a doctor, You are not “trained in medicine” You are not “trained in the medical model” You are not “working to the equivalent of an F1-ST7” You should not be on a medical on-call rota, day or night

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Dr Huw

@DrHuw

25 days

It is high time that the @gmcuk was prohibited from providing its staff with private healthcare perks, unjustly funded by the public sector medical profession They should have to experience the same healthcare that their employer is responsible for facilitating & overseeing

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Dr Huw

@DrHuw

2 months

Almost anyone can learn to perform a medical procedure, as we are currently seeing with PAs/AAs It takes years of medical training to know when not to perform a medical procedure

Dr Matt Kneale

@drmattuk

2 months

Family of film make-up artist call for inquest after treatment by physician associate which led to death. @JanetEastham @TheDA_UK @TheBMA

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Dr Huw

@DrHuw

2 months

🧵 Medicine does not need PAs Those gaslighting Drs by claiming otherwise do so for financial, political or ulterior motives What is needed are physician’s assistants: a role to remove the many clerical jobs that are preventing medics from training & delivering healthcare

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Dr Huw

@DrHuw

3 months

A Physician’s Associate should never be advertised as equivalent to any grade of Medical Doctor To suggest or advertise this fallacy both is dangerous & misleading @BWC_NHS

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Dr Huw

@DrHuw

2 months

Am I hearing this right? @RCoANews The Hospital of St.Cross in Rugby (part of @nhsuhcw ) is using a non-medically trained anaesthesia associate on an anaesthetic on-call rota in place of a trained Anaesthetic Doctor

Janet Eastham

@JanetEastham

2 months

Whistleblowers claim that any substitution of doctors is a risk to patient safety, especially out of hours. The roster for the Hospital of St Cross in Rugby reveals that today the “on-call cover anaesthetist” shift is being filled not by an anaesthetic doctor, but by an…

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Dr Huw

@DrHuw

2 months

Anaesthesia is a specialty that should remain physician-delivered at all times I will not be part of this omnishambolic ‘Emperors New Clothes’

GMC

@gmcuk

2 months

🧵It’s vital that patients know who is caring for them. As we prepare to bring physician associates (PAs) and anaesthesia associates (AAs) into regulation, we’ve been developing our plans to make it easy for anyone using our public facing registers to tell if a registrant is a…

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Dr Huw

@DrHuw

3 months

There is a PA currently employed by @AiredaleNHSFT who has not passed any national exams Can you imagine the reaction if a medical student without regulation, registration or qualifications was quietly employed by a Trust to be a doctor?

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Dr Huw

@DrHuw

1 year

@rajvishah30

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Dr Huw

@DrHuw

2 months

To clarify: The @RCPhysicians registrar said “there can’t be a pause as PAs can’t find jobs currently….and this would lead to issues” In a time when thousands of medical doctors have been artificially prevented from entering training posts It’s clear where RCP priorities are

Phil Smith

@PhilSmithIsBack

2 months

Registrar replies says can't be a pause as #PAs can't find jobs currently as they come out and pausing this would lead to issues..... watch it tomorrow but, yes this has been said #RCPEGM

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Dr Huw

@DrHuw

2 months

*Sigh, here we go again “Everyone wanna be a doctor, but don’t nobody wanna lift no heavy-ass textbooks”

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Dr Huw

@DrHuw

3 months

The GMC’s inexplicable drive to deprioritise, deprofessionalise & dehumanise UK Drs renders its position as medical regulator both untenable & not fit for purpose A vote of no confidence in Charlie Massey & Colin Melville should be urgently proposed by medical leaders @TheBMA

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Dr Huw

@DrHuw

2 months

Clear scope of practice Highly-valued members of the team Freeing up doctors to train in & practice medicine This is the answer 👇

Acute Care Division

@myttacd

2 months

Let us introduce our Acute Assessment Units Doctors' Assistants! They are always super busy on the ward doing bloods/cannulas/ECGs & chasing things. They also draft discharge letters ready for our medical team to approve & prescribe on! #NHS #MedTwitter #AcuteCare #MYTeam

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Dr Huw

@DrHuw

8 months

@SImonBu14712300 @doctorsp194 @r1chardf1tzg3r1 @SteveBarclay @AACE_org @ParamedicsUK @wesstreeting @TheBMA @rcgp @TheBHF @TheStrokeAssoc @RCollEM There is no such thing as “working at registrar level” Unless you’ve been to medical school, obtained your medical degree, done foundation training, then completed core training, then competitively obtained a specialty rotation while sitting 1st/2nd parts of postgrad exams

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Dr Huw

@DrHuw

2 months

Have to say I agree with this Anaesthesia should remain solely a physician-delivered specialty Priorities of the RCoA should be: - Demand a vast increase in training posts - Champion the SAS grade & CESR route - Drive IMG anaesthetic employment locally

Zak Hajat

@MedleyMelanin

2 months

Now why couldn’t the RCOA say… We have a huge pool of SAS and LAT/LAS doctors wanting to train and practice anaesthesia. Any spare training capacity must be used for that and associate roles have no place administering anesthesia.

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Dr Huw

@DrHuw

3 months

No @RCObsGyn PAs are not, and never will be, “often comparable to a ST 1-2 doctor”

Ronald MacDonald

@quackophage

4 months

The @RCObsGyn would like to tell you about the benefits of PAs within Obs & Gyn. PAs: - Work at ST1-2 level - Are a bit more expensive than an ST1-2 [sad face] but - They don't rotate (unlike those pesky jnrs)

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Dr Huw

@DrHuw

3 months

Remind me again why we are mandated to pay an annual fee to an organisation which: Proactively discriminates against doctors De-prioritises doctors in favour of non-medical staff Has an attributable mortality rate amongst those it investigates

Prof Colin R Melville

@drcolinm

3 months

Interesting debate on titles- The Medical Act (1983) almost always refers to ‘medical practitioners’ not doctors (or medical professionals). #GoodMedicalPractice2024 means AAs and PAs once in UK regulation will have to follow the same high professional standards as doctors.

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Dr Huw

@DrHuw

2 months

The Cricketing Doc™️ 🇵🇸

@Dr__Sarmy

2 months

Dear PAs, If you want to play Dr so badly, why don’t you just go to medschool & get a medical degree. It’s that simple. All of a sudden, you’ll be able to: ✅ prescribe ✅ refer ✅ request ionising radiation ✅ register with the GMC ✅ become a member of a royal college ✅ &…

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Dr Huw

@DrHuw

2 months

There are no shortcuts in medicine Despite what “medical leaders” tell us, you have to put in the hard graft, the bookwork, the lectures, the private study & the postgraduate exams Unfortunately for UK medicine & patients, 2024 is the rise of the bottom of the pyramid

Paul McCoubrie

@PMccoubrie

2 months

@drcolinm of the @gmcuk has written this in a recent blog about future education &, as a card-carrying educationalist, I disagree vehemently The last 50 yrs of educational research tells us a very clear message The single most important determinant of expertise is knowledge 1/

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Dr Huw

@DrHuw

5 months

Let’s have a closer look at this business case from @NHSEngland which the @RCoANews have been paid so handsomely for 🧵 “The AA service at XXXX” 1/7

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Dr Huw

@DrHuw

2 months

Sad to hear about an anaesthetic consultant colleague who appears to have forgotten one of the principle privileges of experience & seniority: teaching the next generation of anaesthetic doctors

Neena Jha

@DrNeenaJha

2 months

@chriscraigCCC @EwenPearson2 @drjohnhmiller @timricketts_ One of my friends is an Anaesthetic consultant in London who said she prefers to work with PAs than junior doctors for this very reason - they don’t rotate, can “mould” them into what she needs for the dept & not have to worry about wider training. I was really taken aback

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Dr Huw

@DrHuw

3 months

No, no, no

ExplosiveEnema

@ExplosiveEnema2

3 months

@Dr__Chloe @19MW98 @DrHuw I came across this in my travels Hopefully it gives you an idea...

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Dr Huw

@DrHuw

2 months

The views of doctors who actually work on the shop floor will always be more valid than those who have made poor politically-influenced decisions from their ivory towers

Lord Bethell

@JimBethell

2 months

@HelenRSalisbury That’s not the view of Professor Sir Steve Powis FRCP, National Medical Director, NHS England. Dr Navina Evans CBE MRCPsych, Chief Workforce, Training and Education Officer, NHS England. Professor Sheona MacLeod FRCP, Director of Education and Training, NHS England.…

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Dr Huw

@DrHuw

2 months

Always leave the draft in the inbox for 24hrs

Physician Associate Association UK (PAAUK)

@PPaauk

2 months

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Dr Huw

@DrHuw

4 months

There is NO equivalence PAs are not working “similar to a middle grade doctor” This is utter utter nonsense & a downright dangerous lie

Dr Ali G #StandWithUkraine #CeasefireInGazaNow 💔

@AlisonGeorge10

4 months

@parthaskar @RCPhysicians @NHSEmployers @NHSE_WTE @UKGastroDr @trishgreenhalgh @DrSarahClarke @DrLKVaughan @AntonEmmanuel2 @iDrSunny @doctor_oxford @RobJimFleming @OrthopodReg @RowanHarwood This is a welcome statement 🙏🏼 But whether @RCPhysicians & other royal colleges approve or not, some locum PA agencies ARE actively trying to replace Drs. @LocumPA_Ltd makes some very bold statements on its website, including that a PA could replace a salaried GP. Worth a 👀

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Dr Huw

@DrHuw

3 months

Let’s be clear about this: In no interpretation are AAs “akin” to SAS doctors: Specialty Anaesthetics Doctors to use the correct term There is no equivalence AAs are not doctors: cannot prescribe, cannot be on the on-call rota & should not be left alone with anaesthetised pts

The Cricketing Doc™️ 🇵🇸

@Dr__Sarmy

3 months

“Arguably, AAs are akin to SAS doctors...” No. They. Are. Fvcking. Not. - 1 has a medical degree 📜 - the other doesn’t 🚫 This failed #AA & #PA project cannot end soon enough. 🔗

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Dr Huw

@DrHuw

2 months

Band 7 PA advert @SheffChildrens One of the job descriptors is “administering local anaesthetic” In an unregulated role that can’t prescribe…..local anaesthetics 🤡 🌍

@medicalmodelwithabriochebun

@medicalmodelbri

2 months

🚨🚨Parents of #Sheffield 🚨🚨 @SheffChildrens @SheffieldHosp thinks that it is ok for #physicianassociates to be doing lumbar punctures , bone marrow biopsies and diagnosing your child’s complex conditions after a 2 year course ! Always ask for a doctor @MajorKirsten1

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Dr Huw

@DrHuw

2 months

Don’t gaslight us with your ‘bullying’ nonsense This is a yet another PA-related patient safety concern being raised Medical colleagues & numerous organisations have facilitated this dangerous pathway to the forced acceptance of substandard medicine in the UK

Secret Physician

@SecretPhysician

2 months

Attempted to hide identities as much as pos. Sent this and found it too damning not to share. PT presents around 3pm. A doctor doesn’t appear to be contacted for support or help, and instead a Facebook group of PAs (PAAUK) consulted instead. PT in HB sent to a&e not until 6pm.

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Dr Huw

@DrHuw

1 month

Healthcare in England: 'We want Doctors to study for yrs & jump through many loopholes to complete their training...' Also in England: 'We are introducing higher-paid staff with lower standards & duration of training to perform work that was once the domain of the Doctor'

Stephen Charleston

@nohandsup

2 months

Healthcare in England: 'We want Registered Nurses to access postgraduate-level study to enhance patient outcomes...' Also in England: 'We are introducing lower paid staff with lower standards of education to perform work that was once the domain of the Registered Nurse'

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Dr Huw

@DrHuw

7 months

@nandwics Got abdominal pain that isn’t go away? A medically-trained doctor aka a GP based in your *GP* practice can help They have been extensively trained in a wide range of medical specialties to an exceptionally high standard to diagnose, examine & refer appropriately to a specialist

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Dr Huw

@DrHuw

13 days

“It is hard to imagine a more stupid or more dangerous way of making decisions than by putting those decisions in the hands of people who pay no price for being wrong” Thomas Sowell

GMC

@gmcuk

14 days

Regulation of PAs and AAs will be a first step towards further changes to our regulation of doctors in the future. 🗞️ In this blogpost, Jen Agbanoma, our Programme Manager for Regulatory Reform, explains how these wider reforms will bring a range of benefits for patients and…

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Dr Huw

@DrHuw

1 month

Quite astonishing takes by a director of neonatology yesterday Denigrating adult airway management & medical training in its entirety in favour of a clear bias towards non-doctor-led airway procedures with no insight into why this might be a problem in the adult population

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Dr Huw

@DrHuw

1 month

Once regulation occurs & more robust scope of practice is in place, many PA & AA jobs will become economically unviable The NHS simply cannot afford Band 7+ salaries on spruced-up supernumerary roles

Dr Ali G #StandWithUkraine #CeasefireInGazaNow 💔

@AlisonGeorge10

1 month

& this is where it gets really interesting… “All work undertaken by PAs must be supervised & debriefed w/ their supervising GP.” ❗️ALL WORK ie EVERY PATIENT CONSULTATION❗️ Which makes PA’s role in 1° care extremely costly & takes GPs away from seeing patients themselves. 3/

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Dr Huw

@DrHuw

14 days

OK Wes: Minimise mandatory training Scrap corporate wellbeing Scrap corporate DEI Scrap unevidenced IPC Scrap PAs/AAs Modernise IT Increase funding for postgrad medical training & SAS Drs Stop infantilising adults Oh, & scrap the GMC for a new proper regulator

Wes Streeting MP

@wesstreeting

14 days

Singapore General Hospital has a programme called Get Rid Of Stupid Stuff. I want to hear from NHS staff about the stupid stuff that wastes your time, patients’ time, and taxpayers’ pounds. Let me know how you think we can deliver a better NHS here 👇

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Dr Huw

@DrHuw

2 months

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Dr Huw

@DrHuw

5 months

In my experience, I have found FY2’s to be quite the opposite: inquisitive, professional & highly motivated This is despite a toxic NHS culture from the #bekind mob (which, sadly, includes numerous medical colleagues) that seeks to consistently infantilise & demotivate them

Suzanne Fletcher

@SuzFletch72

5 months

@iDrSunny @DrEilidhMaria @MallinsonT In my experience, I have found, without exception, the FY2's to be the most unsafe. And not just on one occasion. Having said that, we ALL make mistakes. Show me one doctor that hasn't. I find this a witch hunt snd it sticks in my throat. Not just for PA's

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Dr Huw

@DrHuw

19 days

Once again, we are at the point where no one can provide an answer to the question of what unique skills PAs bring to the medical MDT

Iona Collins.DOCTOR.

@Doc_IonaCollins

19 days

A fitness to practise tribunal (MPTS) determines that a PA's history should be repeated by a doctor and a PA's examination should be repeated by a doctor too. DAUK's report in Pulse explains more 👇

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Dr Huw

@DrHuw

7 months

I’d imagine the London School of Anaesthesia are going to be very interested in what is going on at @GSTTnhs ICU all of a sudden

Dr Done

@Dr_Done_

7 months

I have opened the floodgates of @GSTTnhs and it’s a disgrace - they should lose their trainees. @RCoANews @CQCProf @icabbs

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Dr Huw

@DrHuw

4 months

The results of the EGM you were forced to hold by us, your fee-paying members (& that of numerous other surveys) show that the majority of anaesthetists do not want to train or supervise AAs. Period.

Royal College of Anaesthetists

@RCoANews

4 months

Our position on the supervision of anaesthesia associates is 2:1 We don't support 3:1

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Dr Huw

@DrHuw

12 days

No, @Beaumont_Dublin neurosurgery department PAs are not, and never will be, “trained and educated similarly to doctors”

THEneurosurgerySpRoncall 🇿🇦🍉🦀

@neurosurgerySpR

12 days

Oh FFS and so it begins! I thought neurosurgery would be immune from this 💩! Arguably the brightest and most competitive of medics compared to a 2 year degree wielding PA! Sit the FRCS and then il accept ‘similar diagnostic and therapeutic reasoning’ @Beaumont_Dublin

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Dr Huw

@DrHuw

7 months

For all those who think this is not happening, read this advert & know that this is happening here & now There is no equivalence to a Consultant Radiologist This is not safe & not a workforce solution @RCRadiologists - do you support this?

Dr Done

@Dr_Done_

7 months

What is a radiologist?

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Dr Huw

@DrHuw

2 months

Disagree - safety concerns by qualified medics were ignored, decried & deprioritised Those medics were accused of bullying & told to #bekind (= #besilent ) This is just history repeating itself

radical optimism

@dr_shibley

2 months

@jabberwock951 @caroll_ste87889 @LordPhilofBrum I don’t think Lucy Letby is any way relevant to a discussion concerning physician associates.

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Dr Huw

@DrHuw

2 months

Similar to underpaying our junior medical colleagues to do a whole bunch of ward admin roles instead of learning medicine If only there was a……

Shaun Lintern

@ShaunLintern

2 months

I spoke recently to a consultant who was spending a large part of their week writing letters and dealing with admin as they had no support staff. Not a great use of their time. NHS knows the cost of everything and value of nothing.

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Dr Huw

@DrHuw

1 month

The same Tom Gray who is Learning Facilitator for the Physician Associate studies course at the University of East Anglia? 🙄

Ronald MacDonald

@quackophage

1 month

Tom Gray, consultant gynae: "... I think a PA could work at almost any grade within medical training, right up to senior registrar level if they're appropriately trained ..." (timestamp: 15:59)

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Dr Huw

@DrHuw

5 months

My ‘private messages’ are exactly that & absolutely nothing to do with the GMC

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Dr Huw

@DrHuw

2 months

Strong statement from @BAOMSOfficial The tide is turning Those who have profited financially or otherwise from #ProjectPA will continue to fight but they are losing this war

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Dr Huw

@DrHuw

8 months

@NHSDDICB PAs are not “medically trained” as they haven’t been to medical school This is both misleading & deceptive to the general public Please delete this post

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Dr Huw

@DrHuw

1 month

When the world’s most famous children’s TV show appreciates & recognised Doctors more than the NHS Thank you @sesamestreet #TheNHShatesDoctors

Sesame Street

@sesamestreet

1 month

Happy National Doctor's Day! Thank you for keeping us healthy and cared for. We love you! 💛💚 #NationalDoctorsDay

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Dr Huw

@DrHuw

2 months

We keep being gaslit by “medical leaders” that doctors are not being replaced on medical rotas by PAs Another excellent article by @JanetEastham continues to uncover further deception & unsafe practice at NHS Trusts

Janet Eastham

@JanetEastham

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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Dr Huw

@DrHuw

17 days

There is not, and can never be, any equivalence between Medical Students & Student PAs It is confusing, misleading & factually incorrect to compare the two Student PAs are not “our future medical pioneers”

Constance

@Constan71417872

18 days

@medicalmodelbri When our own colleagues treat them the same

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@DrHuw

1 month

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Dr Huw

@DrHuw

2 months

Spot on from @Samantha_nhn “You don’t have a right to practice medicine” “Doctors that disagree with your ability to practice medicine are not bullying and abusing you”

Samantha

@Samantha_nhn

2 months

It genuinely astounds me how physician assistants position themselves as an oppressed minority group. You don't have a right to practice medicine. Doctors that disagree with your ability to practice medicine are not bullying and abusing you.

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Dr Huw

@DrHuw

2 months

The lack of senior leadership voices speaking out against the culture of bullying of doctors-in-training is simply deafening

Andrew Munday #Protect Nurse

@Advclin

2 months

The lack of senior leadership voice speaking out against the culture of bullying of PAs is simply deafening.

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Dr Huw

@DrHuw

12 days

AAs should be nowhere near a spine or a ‘Difficult airway’

Association of Anaesthesia Associates

@AoAA_uk

13 days

Our annual conference is this year in the historic city of Norwich! 👉3rd and 4th October 👉Exceptional value 👉 @RCoANews CPD points 👉Dinner/social event 🍽️🕺💃 👉Workshops day 1 👉Conference day 2 👉Great for all who work in anaesthesia 👇

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Dr Huw

@DrHuw

26 days

UK medicine is an utter shambles It has been under-funded, under-resourced & stripped of professionalism & standards to the detriment of both patient safety & the training of future healthcare professionals

David Urwin

@DavidUrwin94

26 days

An example of how UK healthcare is viewed from abroad. Our primary care system is seen as an example of how not to run a service. A sad state of affairs.

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@DrHuw

7 months

Some of my recent ‘unexpected anaesthetic issues’ have come from what I deemed ‘low-risk’ patients Nearly 20yrs of anaesthetic experience (+HO/SHO & 6yrs MBBS) enabled them to be identified & managed safely We must protect the future of the profession & the safety of our pts

Anna Batchelor

@AnnaBatchelor

7 months

@DrLKVaughan Interesting thoughts and insights. I would happily have eg a hernia repair performed by a PA who does that all day everyday. And a GA from an AA having been pre assessed as low risk. Less happy with diagnosis in unselected all comers

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@DrHuw

1 month

They’re saying the quiet parts out loud It kills them that Doctors have finally discovered their backbone, have some decent leadership & are fighting back to reverse the nonsense of previous years

Vishwajeet Patel

@VishwajeetP4t3l

1 month

We cannot let these radical champagne socialists take over. We can all see what’s really been happening. Excellent article highlighting the toxicity of the BMA. 👏 👏

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Dr Huw

@DrHuw

3 months

Scrap @UKANRO Scrap the MSRA Return to regional & face-to-face for CT1 & ST4 Prioritise medically-qualified doctors over AAs in all areas of anaesthetic practice These should be the @RCoANews ’ priorities to secure the future of the specialty Actions speak louder than words

jon chambers

@drjonchambers1

3 months

This is remains the massive hole in the Workforce Plan that needs urgent clarity. With over 3000 applicants wanting to join anaesthetic training, and an urgent need within the NHS for anaesthetic doctors, where is the plan for expansion of training posts? I will keep searching..

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@DrHuw

1 month

Can anyone answer the question of what unique skills PAs bring to the medical MDT that don’t exist amongst the highly qualified & trained professionals already there? Can anyone answer the question of what unique skills AAs bring to the anaesthetic workforce at all?

Partha S Kar 🇮🇳🇬🇧🏏🎥

@parthaskar

1 month

As someone in national policy? I am yet to understand what a PA will contribute to an MDT in a #Diabetes setting that existing members already aren't What will a PA provide beyond a nurse colleague, pharmacist, dietitian, podiatrist, public health expert etc? What is the role?

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Dr Huw

@DrHuw

5 months

“In the future, AAs could potentially support the Labour Ward service” Genuinely speechless that this sentence has been even suggested. LW can be one of the most remote clinically-challenging environments for experienced anaesthetic drs Just, no 🤦‍♂️ 7/7

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Dr Huw

@DrHuw

2 months

Keep going - you’re nearly there

Vishwajeet Patel

@VishwajeetP4t3l

2 months

@SandipP64097927 Sure, if that’s what your service needs you can just hire a doctors assistant at band 3, they’re fantastic. Don’t need a PA with 5 years of university education to type on a keyboard for you.

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Dr Huw

@DrHuw

10 months

@NHSE_WTE ‘Consultant’ is exceptionally misleading for the patients Why not ‘Senior Advanced Clinical Practitioner’ rather than deprofessionalise medics who have worked for years to achieve Consultant status?

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Dr Huw

@DrHuw

5 months

So many of my anaesthetic colleagues were unable to secure training places whilst the @RCoANews were asleep at the wheel Or were they?

Ronald MacDonald

@quackophage

5 months

So wait, it only cost £1.8m to bring the RCoA to heel? 👀

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Dr Huw

@DrHuw

3 months

What could possibly go wrong? 🤦‍♂️ @GDC_UK @TheBDA

BBC News (UK)

@BBCNews

3 months

NHS dentists: Exam could be scrapped for overseas applicants in England

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Dr Huw

@DrHuw

2 months

More top-level gaslighting from an ‘anonymous’ PCN Clinical Director

Opinion: Targeting physician associates is unethical

PCNs and practices were looking forward to guidance on the supervision of physician associates (PAs) in primary care and it has arrived from a curious source, the BMA, the trade union for UK doctors.

www.pulsetoday.co.uk

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Dr Huw

@DrHuw

3 months

“Train people well enough so they can leave, treat them well enough so they don’t want to” Richard Branson Medicine does neither for our younger colleagues @parthaskar eloquently explains why it needs to change

Partha Kar: We’ve failed our Generation Next of doctors

Have no doubt about it: the next generation of senior doctors, who we currently label as juniors, have found their voice. It’s one for debate whether the term “junior” itself is derogatory and the...

www.bmj.com

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Dr Huw

@DrHuw

4 months

This is not bullying, a pile-on or targeted harassment This is the future of the surgical profession voicing their real concerns about the impact of PAs on their training The @RCSnews @RCSEd @gmcuk & @NHSEngland would do well to start listening to those that pay their fees

ASiT

@ASiTofficial

4 months

📢 New #ASiT Report on Physician Associate Impact on Surgical Training and Patient Care 🏥👩‍⚕️ 🔍 Largest ever ASiT survey: 1,978 doctors across all surgical specialties in the UK. 🤝 Focus: Physician Associates (PAs) impact on surgical training and patient care 📈 73.8% worked…

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Dr Huw

@DrHuw

5 months

The only 2:1 model in place should be a senior anaesthetist supervising 2 anaesthetists-in-training A partially-supervised non-medically qualified AA should not be looking after anaesthetised pts This is fundamental & vital to maintain patient safety 2/7

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Dr Huw

@DrHuw

29 days

Neither an AA nor a trainee AA should ever be near a fibreoptic scope Or a laryngoscope for that matter

Analise Harrison

@Lizardwizarde

29 days

@dannyjnwong When senior trainees are competing with trainee AAs for awake fibro optics somethings gone terribly wrong

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Dr Huw

@DrHuw

6 months

One by one the different specialties of medicine are acting to halt the expansion & scope-creep of unregulated non-medically-trained healthcare providers This is not ‘bullying’ or ‘pile-ons’ by drs, this about pt safety & protecting the future of our profession

Katie Bramall-Stainer

@doctor_katie

6 months

GPC England passed this emergency motion in all parts today: “That GPC England fully endorses the recent statement by UEMO expressing concern over the increasing trend of "Physician Assistants/Associates" (PAs) being used to substitute GPs in English General Practice, & (1/11)

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Dr Huw

@DrHuw

1 month

Hear hear! Should also bring back HO, SHO & SpR It’s almost like it was a nomenclature system that worked until the tinkering medical educationalists broke it Like they did with all other aspects of medical training

jon chambers

@drjonchambers1

1 month

@VirtueOfNothing Time to revert to registrar.

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Dr Huw

@DrHuw

5 months

If the Director of Standards at the @gmcuk can’t explain the Standards, then we have a problem A very very big problem

Prof Colin R Melville

@drcolinm

5 months

I’ve tried very hard to explain this and clearly not succeeded. With thanks to @HealthRegLawyer for her helpful input. I will take this away and work out how to explain this better but I think colleagues are confusing our powers to set standards for ALL registrants - GMP 1/

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Dr Huw

@DrHuw

7 months

@fessdoc @HelenRSalisbury @ENT_UK Theatre-based ENT procedures & acute presentation of ENT problems should only be performed by a medically-qualified & adequately trained ENT surgeon Can’t believe I’m saying this in 2023 It’s like the emperor’s new clothes What is wrong with people?

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Dr Huw

@DrHuw

1 month

@DrNeilStone For sure, there are a minority of accounts that are unacceptably abusive which is plain wrong There are a many more accounts, both anonymous & named, who are highlighting genuine safety concerns over the PA/AA role & scope of practice This is not vicious disinformation

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Dr Huw

@DrHuw

3 months

One-third of the holy triad of NHS grift is IPC A non-evidence-based practice of hypocritical ‘rules’ designed to keep the workers in line Exhibit A 👇

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Dr Huw

@DrHuw

5 months

If I am anaesthetising a major complex case, I want another anaesthetist with me, not someone who has no medical degree Again, these cases are vital learning for anaesthetists in training 4/7

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Dr Huw

@DrHuw

7 months

It has become the disgraceful norm for our junior Dr colleagues to be deliberately treated poorly by the govt, NHSE & Colleges we pay fees to What saddens me the most is the realisation that this behaviour also includes a small but powerful group of our Consultant colleagues

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Dr Huw

@DrHuw

3 months

Royal Berks now vying with quite a few other Trusts for top spot in PA shenanigans

Dr Sandeep Bansal

@iDrSunny

3 months

I’m a bit baffled by this. A PA role in Urology. ‘To support consultant leave or sickness…’ Is this actually saying for them to be consultant cover?

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Dr Huw

@DrHuw

4 months

@DanielSokol9 @gmcuk The medical profession has lost all confidence in the GMC They have repeatedly shown themselves to be an organisation not fit-for-purpose They should be defunded from the mandatory annual tax that is forced upon all doctors

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Dr Huw

@DrHuw

2 months

It is concurrently about the deliberate deprioritising of the medical profession and the very real threat to patient safety Cut the act

Vishwajeet Patel

@VishwajeetP4t3l

2 months

It’s not about patient safety. Cut the act.

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Dr Huw

@DrHuw

1 month

PA reps should not be anywhere near the Junior Doctor Forum, end of.

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Dr Huw

@DrHuw

6 months

When will the GMC show ‘respect and courtesy’ to its mandatory fee-paying medical members?

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Dr Huw

@DrHuw

5 months

In my opinion, good sedation techniques can be harder to administer than GA, even for experienced anaesthetists How can AAs provide a sedation service when a) they can’t even prescribe & b) their pharmacology & physiology knowledge will be inferior/less extensive than a Dr? 5/7

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Dr Huw

@DrHuw

29 days

Why are a PA & AA on the @gmcuk GMP advisory forum?

Balazs

@cannula_service

29 days

Of the 12 "experts" guiding the GMC, there are 4 doctors. There is also a PA & an AA. If they make up such a tiny amount of HCPs why do they have such influential positions? Esp since GMC still don't actually regulate associates Conflicts of interest?

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Dr Huw

@DrHuw

3 months

These slides have the @RCPhysicians logo attached to them Does the @RCPhysicians endorse their content?

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Dr Huw

@DrHuw

2 months

The next vote for Members of the @RCPhysicians should be a Vote of No Confidence in the current ‘Leadership’

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Dr Huw

@DrHuw

5 months

Pray for Colchester anaesthetists

BBC Health News

@bbchealth

5 months

Colchester Hospital surgical robot used in all colorectal surgeries

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Dr Huw

@DrHuw

4 months

Royal Colleges need a strong reminder of who pays their fees & where their priorities should be focussed Well done @RCRadiologists - time for the others to fall into line @RCoANews @RCPhysicians @RCSnews @rcgp @RCObsGyn 👀 Maybe @AoMRC could set an example?

The Royal College of Radiologists

@RCRadiologists

4 months

Trainees are our future. We must prioritise training opportunities for specialist trainees and ensure trainers have time to supervise them. The training of other healthcare workers cannot compromise the training of current/future doctors. Full statement:

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Dr Huw

@DrHuw

1 month

“Well if I am assisting Doctors on a ward round & the plan is for a medication to be suspended, I will let the Doctor who I am working with know as it is their role & responsibility to action it.” Corrected this to make it professionally & legally more accurate

Stefania

@glambystefania

1 month

@DrEilidhMaria @jabberwock951 @Molly2323232323 @MichaelC7389 @lugolson Well if I do a ward round and the plan is for a medication to be suspended I will have to action it, that task gets redirected to the doctor working with me and it is still my responsibility to make sure it has been done. So if my wording was wrong but this is how it works.

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Dr Huw

@DrHuw

4 months

How can the @FPARCP justify a consistent 100% pass rate in multiple institutions with respect to examination standards and statistical validity?

ExplosiveEnema

@ExplosiveEnema

4 months

There is a lot of talk about the PA National Exam So here are 6 of the top performing Unis for the written PANE, all achieving a 100% pass rate! Amazing! Nothing strange about that at all…

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Dr Huw

@DrHuw

2 months

If Trusts continue to locally opt-out from the @RCoANews ’ position on AA supervision, will you be removing departmental ACSA accreditation?

Royal College of Anaesthetists

@RCoANews

2 months

Following our Board of Trustees’ meeting last week, we have written to the Clinical Leaders in Anaesthesia Network regarding EGM resolutions 1 and 2. We have published the letter on our website:

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Dr Huw

@DrHuw

15 days

There is no (and will never be) equivalence between PAs & ACPs ACPs bring unique skills & experience to the medical MDT with yrs & yrs of regulated practice behind them PAs: 🤷🏻‍♂️ More 🤡 🌍 nonsense from HMS Sheffield

@medicalmodelwithabriochebun

@medicalmodelbri

16 days

HMS Sheffield Job ad for PA or ACP Check out the Organisational structure 🚩Working autonomously 🚩Lumbar punctures 🚩Bone marrow biopsies 🚩Assisting in theatres 🚩Reports to : LEAD ACP or LEAD PA Is this safe ? @parthaskar @TheBMA

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Dr Huw

@DrHuw

3 months

Economically, the AA programme makes no sense whatsoever: paying staff Band 7b-ish to be virtually supernumerary is bonkers Increasing AA autonomy simply won’t happen Yet another omnishambles from the NHS Ivory Towers, facilitated by our own ladder-pulling colleagues for 💰 💰

Anaesthetists United

@AnaesUnited

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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Dr Huw

@DrHuw

1 month

Thank you @TheBMA for supporting Doctors The @gmcuk , @NHSEngland , @DHSCgovuk , @AoMRC , @NHSuk Trusts & our very own Royal Colleges have been very public & prolific in their social media promotion of PAs & AAs How many will promote & celebrate #NationalDoctorsDay today?

The BMA

@TheBMA

1 month

Today we celebrate the professionalism and dedication of all doctors working across the UK. Share your thoughts and pictures below. #NationalDoctorsDay

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Dr Huw

@DrHuw

26 days

It is highly misleading & confusing for the public to refer to PAs & AAs as “medical professionals” They are not & never will be PAs & AAs should not “be held to the same high standards as Doctors” as this implies equivalence, which there can never be For utter shame GMC

Prof Colin R Melville

@drcolinm

26 days

“Our professional standards directly tackle issues around working within competence and being honest about experience, qualifications, and current role.” BMJ 2024;385:q790

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Dr Huw

@DrHuw

2 months

Some bar-hitting home truths by @DrSdeG “Many senior doctors were directly involved or complicit in the whole PA debacle.” “They won’t want to be proved wrong”

Stephanie deGiorgio

@DrSdeG

2 months

Many senior doctors were directly involved or complicit in the whole PA debacle. They won't want to be proved wrong. Many drs have facilitated creating completely unsuitable roles both in primary and secondary care for PAs This didn't happen TO us, it happened BECAUSE of us 1/

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Dr Huw

@DrHuw

13 days

@HSJEditor @theRCN The BMA also forgot to mention the Border Force officers at Heathrow too Alastair 🤷🏻‍♂️

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