The NHS is setting out measures to improve the working lives of postgraduate doctors.
These include improving payroll accuracy, reducing admin burden and enhancing choice and flexibility with rotas.
@mlkytee
I’m sorry but there are no skills/tasks that are beneath you
I’m a consultant, I do ECGs, I take swabs to ensure the sample is taken from exactly what I want, I dipped urine, I weighed patients
Do the basics well before you do the complex poorly
@AndrewJD
Maybe we should start judging people on their competence and qualification instead of what they wear and this system wouldn’t be in the mess it’s in?
Not only does this practice employ 9 unregulated PAs to see vulnerable patients. They also accuse the public of having “too high expectations from the NHS” for asking to see a doctor. This has gone too far. Leave a review and let them know.
No one is failing exams. A training bottleneck has been created by increasing pseudo SHO level workforce through PAs, increasing training applications without an increase in spots means more doctors will be rejected from training.
Politely disagree. PAs have knowingly taken on a role far beyond their safe scope in exchange for the opportunity to role play their unfulfilled childhood aspirations at the expense of patients and legitimately qualified doctors.
There are 2 sets of victims here.
Patients and PAs.
Patients for obvious reasons.
PAs who have been lied to by the government and their “leaders” and encouraged to incorporate these lies into their identities.
It is not for patients to facilitate the dreams PAs were sold. 1/3
The PA project in the UK is nothing like the US. Patient safety is being compromised to fuel government agendas and embezzle public funds to create a two tier healthcare system. Doctors are being replaced and made redundant.
Man the UK peeps are being downright mean about PAs. Do some of them realize how unbecoming it is to see the volatile comments from providers? Fill me in
@DrNeilStone
Yes because an anecdotal story with a sample size of 1 can be accurately extrapolated to judge what’s clearly a nationwide issue that’s impacting your colleagues and patients.
Once again, I really enjoy working with our PAs in Acute Medicine. I see no evidence that they’re replacing doctors at our trust or detrimentally impacting our training.
Deeply unimpressed by the GMC, who seem incapable of getting involved without setting everything on fire.
@uwa_ie
Either allow ARRS funding to include GPs or stop the pointless threads. PAs with no scope are replacing experienced GPs. Safety is being compromised whilst doctors are becoming unemployed. We won’t forget those who created this calamity.
@Lola1982827
@ExplosiveEnema2
@KhyjaMccalla
Correct! They shouldn’t exist period. The fact you can say they’ve operated for this long without scope but do not see a safety concern in that is what’s most worrying. This circus has been exposed now and people are seeing the mess it is. We aren’t going anywhere.
@Lola1982827
@ExplosiveEnema2
@KhyjaMccalla
Anyone knowingly working beyond their scope and compromising patient safety is to blame themselves. No one is holding them at gun point to work these roles. Stop the PA sympathy stories.
@JoOgidi
@parthaskar
@DrEilidhMaria
@NHSEngland
A consultant can step down because he’s qualified to replace the Reg - they’ve both completed full medical training. You have no right to be on the rota to cover anyone with your 2 year pancake diploma, regardless of how desperate the trust is.
The problem is precisely PAs seeing undifferentiated patients in GP. Secondly the government actively paying practices to employ PAs instead of GPs. Thirdly it’s people like you who lack the IQ to comprehend the above.
About PAs: this is vey basic beginner-lever divide and rule stuff & it's disappointing to see some drs fall for it so hard & so quickly. The problem isn't PAs seeing undifferentiated pts in GP, the problem is the defunding of primary care, making supervision of PAs harder.
@svha_abdl
@MFTnhs
@MFTnhs
absolutely disgraceful gaslighting of your staff who have raised genuine patient safety concerns. You have no right to tell doctors to ignore
@TheBMA
guidance. Textbook NHS manipulation.
Being a doctor is weird as you are held to infinitely high standards by everyone but also expected to play down that your job is high responsibility & intellectually tiring at times & have to act like any old rando could do your easy job so people don't think you're "superior"
@Welshvalleysub
@ItsnotrightUK
@RCPhysicians
@NHSEngland
Please save the PAs are being exploited sympathy story. They know fully well they are working beyond their scope and are more than happy to role play doctor without any of the work. No one is holding them at gun point to do these roles.
@drkeithsiau
It’s nothing personal, just more disappointing when it’s from those you least expect. I hope you can reflect on this and make systemic changes going forward to benefit your trainees who have sacrificed most of their life to get there.
This is the - you do not have the valid training/qualification to care for sick patients and so you will not be putting our patients at risk for your fragile egos. It’s not a club, it’s medical school but yes you still seem unable to join it.
This is:
Scapegoating
Elitism
Protectionism
This has NOTHING to do with patient safety.
This is:
You do not have 'Dr' in front of your name so you can not care for patients. You can not join our club.
You can't sit with us.
Punching down. Nothing to be proud of.
#RCPEGM
We don’t because patients know exactly what we are. Your whole profession is based on facade and obscuration of titles to confuse patients so yes you do have to say what you’re not.
@JoOgidi
0 condemning of the massive breaches of patient safety that have been documented but trying to defend your sinking ship. Then you wonder why the MDT laughs at you
Someone is dying in resus and instead of showing compassion you use it as an opportunity to gain more attention from your followers. The worst of humanity.
@Dr_Rajiology
Literally the first rule of medical ethics - do no harm. The way this circus is being pushed despite safety concerns shows the underlying motives surpass any ethical considerations.
Let me get this straight - no one other than GPs should be seeing undifferentiated patients in general practice but certainly not someone who has done a Bsc in sunflower studies followed by a 2 year pancake diploma.
@Bonivorlewis
It’s not a personal insult or a pile on to point out you offer nothing unique to the MDT and currently pose a massive risk to patient safety whilst impeding training of more qualified members of the team. It’s the harsh reality of your job.
How can you try and play this as doctors being insecure? If you with your 2 year clearance course feel this confident in your clinical abilities, imagine what someone who is actually competent feels?
@medicalmodelbri
@parthaskar
Maybe not. But you cannot deny their value to multidisciplinary practice. The PAs are educated. Have a first degree in a science plus a two year intensive course in medicine. Show some respect!
@IVfacts
@ExplosiveEnema2
@KhyjaMccalla
Well I hate to tell you this for the last 21 years they never had a scope so according to you they shouldn't exist period. Stop. the nonsense. You guys care about
#1
and that your own arses and saying its about patient safety when they have existed for how long? Get real.
@DoctorDemetris
@Dr_DeanS
Stop justifying this mess. They have no role carrying anything on behalf of a doctor. This is exactly how scope creep operates and it’s people like you who have been complicit in patient safety being compromised.
@KhyjaMccalla
Who would’ve thought impeding the training of those more qualified and compromising patient safety would make you unpopular in the medical profession?
@bbc_ability
@OReillyGem
An embarrassing excuse for a journalist. No credible research or evidence. Ignoring patient safety concerns raised by 1000s of doctors. Tory puppet - you’re everything that’s wrong with the current culture towards the NHS.
Well as
@drkeithsiau
says:
"Doctors in general should remain professional on social media as the content we post stays on record and could have consequences."
But why then has
@drkeithsiau
deleted his own content?
Sorry were they expecting a gold medal for compromising safety and working beyond scope? It’s the poor patients receiving substandard healthcare who have been failed by the system.
@medicalmodelbri
@Dr_Done_
@queenofswords6
@KhyjaMccalla
Reading the room & from conversations I’ve had with PAs, as a body of clinicians, they would welcome more scrutiny, standards & oversight.
As a profession, they have been failed badly by the system & also been the targets & victims of relentless, inexcusable abuse on X.
@Jonathansegal85
@UKGastroDr
Maybe if he spent less time gaslighting and doubling down on his questionable practice in a position of leadership instead of threatening juniors who raise valid concerns then he wouldn’t find himself in this position.
@TheSalariedPA
If you think more doctors are happy with PAs than not then I’m genuinely concerned for your lack of insight. I’ve never seen a more useless and hated profession, almost as bad as the politicians who created you.
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.
@hayleymagill
There is no “making it work” when patient safety is the price is pay. We are not prepared to simply accept something that goes against medical ethics and “move on”
@ParisSorrell
@DrEilidhMaria
Maybe it’s the realisation that they’re working beyond their scope, harming patients that trust them and people can finally see them for the BS they are that’s harming their MH.
The system is designed that way to keep medics de skilled and completely dependent on a toxic corporate structure who knows you have no other option but to be exploited.
the saddest realisation, when sitting down to figure out a non-medical side-hustle +/- exit strategy, is that I’ve put 10 years of my life into this, and all my other skills & passions have fallen by the wayside and atrophied beyond recognition.
@TheSalariedPA
@Dr_Done_
@toast36742904
@EDPractitioner
The fact that you can make a statement this ridiculous and genuinely have no insight shows the danger your patients face due to your false confidence. Entry requirement for medschool makes complete sense when you guys open your mouth.
@DonnchadhaD
The trial itself is an expansion of scope? Opening doors to a slippery slope of dilution in workforce quality. We can appreciate one’s experience without feeling the need to endlessly increase scope.
@profjimspeaks
You’ve done nothing more than compromise patient safety and destroy the integrity of the NHS by integrating unregulated individuals with no scope. An absolute disgrace to the medical profession with blood on your hands.
The NHS is run down, its doctors have been run down. The UK faces a GP exodus. Low pay, conditions, role substitution. We must make sure Australia doesn't take the wrong lessons from their mistakes.
Great to speak to Lexi Hamilton-Smith for an upcoming ABC story with
@kamingock
.
@medicalmodelbri
@rcgp
Knowing a little bit of everything does not make you a generalist. It makes you an incompetent dangerous clown with no insight .
@trishacurran23
@medicalmodelbri
@parthaskar
They bring absolutely nothing to the MDT. Bunch of medschool rejects stealing a living impersonating doctors and endangering patients. They exemplify everything wrong with the NHS. Cheap unwanted fix.
No one. Yet you operate in a system that thrives off the infantilisation of grown adults in order to perpetuate a culture of micromanagement and toxicity designed to condition you to not question authority or expect any respect for your accolades.
@ElshadKarbasi
The most toxic circus going. The fact a group of “educated” individuals cannot see they’re getting exploited beyond belief shows a shocking lack of insight. The reason we are in the mess we in.