The NHS Whistleblower @ItsnotrightUK Twitter profile

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@sesraes

The NHS Whistleblower

@ItsnotrightUK

1 month

This is from a ED reg. It Just shows that PAs should work with us and not try to do the same job as us. #askforadoctor

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The NHS Whistleblower

@ItsnotrightUK

2 months

We received a very upset message from a SHO in a South London A&E department because the locum shifts are Open to SHO, ACP and PA’s. The SHOs get the last pick because the PAs have a lower bank rate but have a much higher salary than the SHO’s.

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The NHS Whistleblower

@ItsnotrightUK

3 months

These are people who are dead because of the political experiment to replace doctors with PA’s which does not even save any money as they are paid 20% more than a senior Register #askforadoctor

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The NHS Whistleblower

@ItsnotrightUK

2 months

GP hubs will have only one GP

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The NHS Whistleblower

@ItsnotrightUK

2 months

PA 37.5h week Vs Doctor 40h week. Spot the difference in Pay. Even with a 30% pay rise the PA will out earn the doctor.

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The NHS Whistleblower

@ItsnotrightUK

2 months

Instead of massive expansion of PA’s can we have a massive expansion of 4 year graduate entry medicine. The same students can study medicine and make fine doctors and we would have to rely less on 3rd World countries for doctors who need their own doctors for their population

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The NHS Whistleblower

@ItsnotrightUK

2 months

If you are not a medical doctor you should not be using the title in a medical setting. It causes confusion #askforadoctor

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The NHS Whistleblower

@ItsnotrightUK

5 months

We have just been told that one London A&E departments has had a recruitment freeze and are not allowed to replace doctors who leave. What the plan? Replace with PA’s? #MedTwitter @TheBMA

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The NHS Whistleblower

@ItsnotrightUK

2 months

FIO request to UCAS shows 67% of PA study applicants also applied to medical school in 2020. So the current batch of PAs are practicing medicine actually failed to get into medical school. While the ones who did are still in medical school and will be paid 30% less than a PA

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The NHS Whistleblower

@ItsnotrightUK

1 month

This 35% raise sounds like a lot but it’s asking for £15/h to £21/h. We can afford to pay a PA more than that. Any can’t we afford to pay our doctors that.

Steve Taylor

@DrSteveTaylor

1 month

When I need to call out a plumber I’m grateful to pay £40/h because I don’t have the first clue how to fix my boiler, or the skills to fix a burst pipe Doctors are asking for half of that, to fix your kids In life we get the health services we pay for

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The NHS Whistleblower

@ItsnotrightUK

3 months

@VictoriaAtkins Why is it that we can accord to pay a ACP and PA a fair wage but not the doctors who supervise them.

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The NHS Whistleblower

@ItsnotrightUK

3 months

@RCPhysicians @NHSEngland A PA has no business clerking patients in ED, seeing pts in GP or managing patients in resus. You need to define the scope of work and limit how trusts use them. They are a amazing resource but to help doctors with admin and as runners not play doctors and risk and cost lives

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The NHS Whistleblower

@ItsnotrightUK

24 days

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The NHS Whistleblower

@ItsnotrightUK

1 month

@jewett6a That’s not our problem. Let them pay what ever is needed to get somone that can do a good job. PA’s are not over paid. Doctors are underpaid.

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The NHS Whistleblower

@ItsnotrightUK

30 days

So a PA can’t prescribe but are making allegations of prescription errors. Seems Like the PA’s are out to get the poor New doctors

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The NHS Whistleblower

@ItsnotrightUK

5 months

#MedTwitter

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The NHS Whistleblower

@ItsnotrightUK

2 months

How is this acceptable. We need a vote of no confidence and they need to go

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The NHS Whistleblower

@ItsnotrightUK

5 months

Why are doctors worth less than the rest of the NHS who we all agree are underpaid #MedTwitter @TheBMA @VictoriaAtkins

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The NHS Whistleblower

@ItsnotrightUK

5 months

@LouiseAllard18 You also did not have £100k of student loans at 7%. You got free accommodation, you could buy a house with 4 times your income. You did not struggle to meet day to day expenses. You did not pay £2k to take exams, you did not pay £500 to the GMc, you did not pay for parking

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The NHS Whistleblower

@ItsnotrightUK

2 months

Spot on. PAs could be amazing if used to aid doctors instead of replace them

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The NHS Whistleblower

@ItsnotrightUK

5 months

@VictoriaAtkins @TheBMA @Doctors_Vote Victoria you argued on national TV’s that Doctors don’t deserve the same pay as a PA’s because we get additional pay for nights and weekend but so do PA’s. They out earn even a senior ST5 doctor in london. Compare hourly rates

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The NHS Whistleblower

@ItsnotrightUK

2 months

GP partners, They are Giving you ARRB funding so you train people to take your job. They are cutting your funding so you can’t afford a real doctor and when the ARRB funding is done you will have no choice but to keep them on and burn your self out supervising them

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The NHS Whistleblower

@ItsnotrightUK

4 months

@RCPhysicians Your Members need to cancel their membership and boycott all future events until the RCP starts to listen to the concerns about PAs from its members.

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The NHS Whistleblower

@ItsnotrightUK

5 months

@ByDonkeys I have to confess I also profited from the pandemic. I took a few extra shifts in the ICU in my free time and took home almost £310 for 10h in PPE and risking my life.

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The NHS Whistleblower

@ItsnotrightUK

2 months

@Xeon4f145d96s1 @DrInsurgent Has this been referred to the GMC? This is highly dishonest to have withheld this information

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The NHS Whistleblower

@ItsnotrightUK

2 months

52% of new doctors in the UK are IMG’s. Of those only 17% plan to stay in the uk after they complete training. IMG’s are a mobile workforce and have moved here for a better life. If you don’t treat them well they will CCT & Flee. The a loss of 43% of your upcoming constituents

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The NHS Whistleblower

@ItsnotrightUK

1 month

Here is a good audit. Let’s call the last 500 patients that where seen in ED by PA’s and ask if they where aware they where not seen by a doctor #askforadoctor

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The NHS Whistleblower

@ItsnotrightUK

1 month

@iDrSunny @MHRAgovuk @CareQualityComm Oh good god. This is so dangerous. You can’t change someone’s medication if you are not prescriber.

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The NHS Whistleblower

@ItsnotrightUK

21 days

The expansion of PA’s/ MAP’s pose the greatest danger to public health since the introduction of smoking and processed foods into our society. The Royal colleges should be advocating for the public not the PA’s.

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The NHS Whistleblower

@ItsnotrightUK

2 months

@TomStocks1982 In one ED in south london they have cut the number of SHO’s on the rota and replaced them with PA’s. They have SHOs doing unpaid shadowing for months because they can’t find a job.l And PA’s can pick up the same shifts as a SHO.

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The NHS Whistleblower

@ItsnotrightUK

16 days

@Xeon4f145d96s1 This is what the uk has come to. Our lives are in the hands of people like this.

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The NHS Whistleblower

@ItsnotrightUK

1 month

@STRJDC @RoyalSurrey All the doctors need to get together and not take a single. It’s been done before. Luton and Bedford cut the rates 10%. Doctors would not take any bank shifts and got the rate up 30%

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The NHS Whistleblower

@ItsnotrightUK

3 months

@SaraTon08500527 Very different use in other countries. They are doctors assistants helping with for example admin tasked. In the uk they want to play doctor and practice medicine.

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The NHS Whistleblower

@ItsnotrightUK

2 months

@iDrSunny The interesting thing is the progression for PAs to band 8 and 9 will be through leadership and management, so it will not be long before they are in a position of power to promote their own self interest at the cost of patient safety.

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The NHS Whistleblower

@ItsnotrightUK

1 month

I do not know if I am wrong, but I feel asking a doctor to scribe for you is grossly insulting, this is the ideal job for a PA.

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The NHS Whistleblower

@ItsnotrightUK

1 month

@medicalmodelbri Wow. So they engineer a massive wait to see a GPs by not training enough so you are forced to see a PA. Bravo, PA’s are part of the problem, not part of the solution.

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The NHS Whistleblower

@ItsnotrightUK

3 months

@AlexPanton1 Have you seen the stats of near misses involving PA’s vs Doctor in Scotland ? I do not understand why anyone would advocate for someone to practice medicine without going to medical school and further training afterwards? PA should = physician assistant. Not Fake doctor

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The NHS Whistleblower

@ItsnotrightUK

2 months

@sonofhippocrate They are and they are hidden and never investigated

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The NHS Whistleblower

@ItsnotrightUK

4 months

@MichelSouris3 @FullFact @BMA_James_Steen He is not a doctor, but he understands our profession, he knows all of the challenges we have, he understands our contract inside and out. He clearly has a far better grasp of the issues then our own minister of health. I don’t know what we pay him but it should be more

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The NHS Whistleblower

@ItsnotrightUK

3 months

@natalieben Just 3 of the know deaths but I have seen so many unsafe decisions made by PAs I’m powerless to stop it and bullied into keeping silent.

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The NHS Whistleblower

@ItsnotrightUK

4 months

@_VivekTrivedi @TTOTrainee @VictoriaAtkins @TheBMA @RobLaurensonD4P Vivek. Why not consider call a strike on all shifts between the hours of 7 pm to 7 am for a month. Most night shifts are 12h long and we only Lose 6h of pay plus no one wants to do nights also. Yes they will get Locum’s but consultants will also step down.

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The NHS Whistleblower

@ItsnotrightUK

2 months

@causeTsaidso This is the problem. The pay is so low that they have to do extra shifts on top of the 48h week they already work. While a PA/acp earns upto 50% more and works a 37.5h week.

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The NHS Whistleblower

@ItsnotrightUK

15 days

#AskForADoctor

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The NHS Whistleblower

@ItsnotrightUK

2 months

@Dr_Done_ @NHSGrampian So Locum consultant is one thing but putting the PA on the consultants rota because she is the wife of a consultant is simply wrong.

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The NHS Whistleblower

@ItsnotrightUK

2 months

It’s now time for a mass resignation of the old guard of the RCP. Your paying members do not support your views. Like Boris and his friends it’s time to jump before we push you.

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The NHS Whistleblower

@ItsnotrightUK

2 months

Ex Pa now med Student Adam Skeen, it’s not the fault of the PA’s that they believe the are Doctors but the fault of the schools who mislead them.

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The NHS Whistleblower

@ItsnotrightUK

1 month

@VincentVanGrump @dpatto1 @parthaskar @FPARCP @gmcuk @DrAsifQasim @mmamas1973 @trishgreenhalgh @DrLKVaughan @UKGastroDr @RowanHarwood @NHSE_WTE @doctor_oxford @RoshanaMN @OrthopodReg Why do PAs not have to wear a uniform like the rest of agenda for change?

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The NHS Whistleblower

@ItsnotrightUK

1 month

@medicalmodelbri There is an A&E PA, who has never had any Derm background and is marketing herself as a skin specialist now to propagate her aesthetics business

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The NHS Whistleblower

@ItsnotrightUK

1 month

@wesstreeting A PA is paid 30% to 100% more per hour than a Doctor who has £100k of student debt. You don’t agree it worth paying £1b to bring doctors wages up to what is still an unfair pay. 30% pay rise sounds like a lot but when you only make £15/h that’s only an extra £5/h.

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The NHS Whistleblower

@ItsnotrightUK

4 months

@Doc_IonaCollins Imperial NHS trust should take note also. They do the same

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The NHS Whistleblower

@ItsnotrightUK

3 months

@DivyaTalwar1 the BBC should expose this scandal just as you did in maternity care. The public have the right to fair and equitable healthcare. Doctors should not be just for the rich and PAs for the rest of us. #askforadoctor

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The NHS Whistleblower

@ItsnotrightUK

2 months

@AliJaneMoore Honestly if you look at the course content it’s not far off what they should be doing. They should not expect to be allowed to endanger innocent lives just because they want more job satisfaction and responsibility without the training

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The NHS Whistleblower

@ItsnotrightUK

5 months

@Dr_Done_ @ConstableNicko This is what we should have PA’s for. Why is it the doctors job to do useless admin tasks like this.

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The NHS Whistleblower

@ItsnotrightUK

2 months

@Xeon4f145d96s1 Who will supervise all the PA when we loose our young consultants? Let me guess a consultant PA

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The NHS Whistleblower

@ItsnotrightUK

2 months

@OReillyGem I can tell you they are not isolated. Doctors including my self are afraid to report the incidents that happen. They are being used as doctors and endangering your and your families lives.

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The NHS Whistleblower

@ItsnotrightUK

28 days

@ClareGerada @DrAsifQasim I supervise them and work with them daily. They bring nothing more to the table than a SHO. Why can’t I just have a SHO instead of a PA? If I was allowed to use the PA as an assistant they would be an asset to the team.

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The NHS Whistleblower

@ItsnotrightUK

2 months

@LukeAmos__ I believe they get a fair pay for the work they do and the qualifications they have. It’s us doctors getting shafted and should be paid more.

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The NHS Whistleblower

@ItsnotrightUK

2 months

I am all for PA’s. I think they are a fantastic part of the MDT and can help the residents doctors. But we need a nationally defined scope of practice Which should not include clerking, seeings, diagnosing treating patient, operating, invasive procedures.

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The NHS Whistleblower

@ItsnotrightUK

1 month

@Megsenmumdr @medicalmodelbri @IncogAssociate wow so you don’t wanna do the hard work and graft, but you want to practice medicine and endanger lives.

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The NHS Whistleblower

@ItsnotrightUK

5 months

@NHSEngland Patients should always know who is treating them and when this is – and is not – a doctor. Email your local MP here

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The NHS Whistleblower

@ItsnotrightUK

5 months

@LouiseAllard18 When you graduate and worked as a house officer it was also acceptable to make “coloured” people sit at the back of the bus and segregated them in SA. It Does not mean it was right.

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The NHS Whistleblower

@ItsnotrightUK

2 months

@iDrSunny This should be investigated by the GMC

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The NHS Whistleblower

@ItsnotrightUK

16 days

@Dr_Done_ @gmcuk Right now, the GMC does not regulate PAs so the Gmc has no place making any comment on these issues. But when they do, a retrospective rain of fire should be coming down on the PAs who have illegally prescribe medication and radiation.

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The NHS Whistleblower

@ItsnotrightUK

2 months

@BMA_James_Steen @BBCNews same with me. The BBC has lost the plot.

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The NHS Whistleblower

@ItsnotrightUK

2 months

@MiloKostusiak

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The NHS Whistleblower

@ItsnotrightUK

3 months

@VictoriaAtkins Sorry typo. *Afford. A F2 is more qualified and provides as much if not more services than a PA. Why should they be paid less?

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The NHS Whistleblower

@ItsnotrightUK

16 days

@Dr_Done_ We have right to be seen by a doctor not some bloody kid in her PJs at home. What a joke the system has become.

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The NHS Whistleblower

@ItsnotrightUK

2 months

Is this what supervision is in GP land? PA goes to a Facebook group for advice on an extremely unwell patient, which they don’t even seem to understand is unwell. #askforadoctor

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The NHS Whistleblower

@ItsnotrightUK

2 months

@LordPhilofBrum The issue is the NHS trusts have used them in an unsafe way but many individual PA’s want to practice medicine without actually doing the required training to become a doctor. They are buying their own propaganda and believe they have done medical school in 2 years,

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The NHS Whistleblower

@ItsnotrightUK

2 months

#askforadoctor PA is more expensive than us, has less training and can’t prescribe

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The NHS Whistleblower

@ItsnotrightUK

2 months

They would be fantastic for DC letters, reviewing bloods, scribing, chasing CTs and all the non clinical admin tasks the resident doctors have to sacrifice training time to do. Let doctors do the doctoring and take the admin load away. We would need half the number of doctors

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The NHS Whistleblower

@ItsnotrightUK

1 month

@thatsnotmine125 But if you go to the ED with the abdominal pain as a pensioner and get seen by a PA and sent home because they simply do not know what they do not know it’s a different story. And I have seen first hand what gets missed and how it’s covered up.

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The NHS Whistleblower

@ItsnotrightUK

2 months

#AskForADoctor

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The NHS Whistleblower

@ItsnotrightUK

30 days

@theRCN Look what happened to doctors. A new pay spine willl not help. All you need to do is bump a nurse to band 6 and a band 6 to 7. I don’t see her a PA is 2 bands above a nurse.

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The NHS Whistleblower

@ItsnotrightUK

16 days

@iDrSunny Which practice does she work for? Has this breach of confidentiality been reported yet.

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The NHS Whistleblower

@ItsnotrightUK

3 months

@VictoriaAtkins Explain to my why it’s ok to pay a physicians assistant significantly more than a real doctor. We supervise them and prescribe for them but they are paid 20% more than us. They are not over paid we are underpaid. £20 per hour for a doctor is not a unfair demand.

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The NHS Whistleblower

@ItsnotrightUK

5 months

@cogent_pixie @timricketts_ I think here is the issue. They sold you the dream of practising medicine and being a doctor in everything but name without having cost and time sacrifice of the education. Because there is no defined scope of practice you guys are left with dangerous levels of responsibility

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The NHS Whistleblower

@ItsnotrightUK

8 months

@ShaunLintern There is a huge problem here. Many but not all hospitals have Employed very junior doctors as RMOs to look after the wards. Some even employ doctors without any UK experience on very poor salaries.

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The NHS Whistleblower

@ItsnotrightUK

4 months

@dr_shibley I once got attacked on the streets by “insert Race” now I had all people of “that race”. Each person is an individual and you can’t just group everyone into the same bin because you had a bad experience. You also need to ask your self if you should be supervising any juniors

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The NHS Whistleblower

@ItsnotrightUK

1 month

@NotAdoctor0000 @theRCN To be fair agenda for change (the Pay scale nurses are on) pay has not dropped as much as doctors. For example a ACP at band 8b was not far off the starting pay for a consultant doctor.

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The NHS Whistleblower

@ItsnotrightUK

2 months

How can we have a situation where you take a pay up to switch from being a doctors assistant to a real doctor??

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The NHS Whistleblower

@ItsnotrightUK

5 months

@jubileepar @dx_mighty To be quite fair. Most the PA’s I have worked with have either failed to get into medical school or are using it as a stepping stone into medical school.

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The NHS Whistleblower

@ItsnotrightUK

1 month

@IncogAssociate Yes it’s all about risk. Dr ‘s will make mistakes. That’s the nature of healthcare, but the probability of a Dr making a mistake is lower than a PA making the same mistake by virtue of the education and training a Dr has had. It’s simple really.

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The NHS Whistleblower

@ItsnotrightUK

27 days

@MedRegoncall1 This needs escalating to the GP surgery. Then a formal complaint to the Gmc about the gp. The more complaints doctors get for the actions of their PAs, the less likely they are to want to endanger patient lives.

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The NHS Whistleblower

@ItsnotrightUK

1 month

@BMA_James_Steen James. You don’t understand we are under huge pressure to prescribe for them. Many ED doctors are on visas and will not want to step out of line. Most IMGs don’t even know about your guidelines. Please Consider sending out a SMS to all Resident doctors to make them aware.

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The NHS Whistleblower

@ItsnotrightUK

5 months

@VictoriaAtkins I wish you should see what has happened on the ground. People both young and hold are dying because they are putting PA’s in a dangerous position, both in primary care and within the hospital, especially A&E.

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The NHS Whistleblower

@ItsnotrightUK

2 months

First PA’s. Now taking doctors without the need to take and licensing exams. Just wow.

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The NHS Whistleblower

@ItsnotrightUK

4 months

@ClareGerada @MSH446 Patients are not “work” they are people who deserve a fully trained GP

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The NHS Whistleblower

@ItsnotrightUK

4 months

@VictoriaAtkins Nothing to stop you talking to us now and making a fair offer and we will call off the strike. We are paid less than a physician assistant. There is no way to defend that. Yes we get a supplement for doing extra hours or nights and weekends, but so do they and it’s not much.

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The NHS Whistleblower

@ItsnotrightUK

5 months

@Dr_Done_ @theveindoc what do you think? So one year out of PA school in Resus. Giving fluids to a CCF pt, did not think about a PE and given random nebs.

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The NHS Whistleblower

@ItsnotrightUK

2 months

When a PA kills a person the supervising GP / Consultant should face Gross negligence manslaughter charges and face 2 years in prison. That would actually help fix the system

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The NHS Whistleblower

@ItsnotrightUK

2 months

@teacherphoenix SHO is a doctor who is 2 to 4 years post med school. PA is a physician associate which is a new ish role the government is using to replace doctors who have 2 years trining but are paid more than doctors who have 6 or more years working as a doctor after 5/6 years med school.

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The NHS Whistleblower

@ItsnotrightUK

2 months

@BBCPolitics Are demand is still to be paid less than a physician assistant if we can afford to pay them why can’t you pay us? Is it because most of the doctors are now foreign? Cheap labour it seems.

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The NHS Whistleblower

@ItsnotrightUK

2 months

@c_chief24 what is a Senior PA? Who defines a senior PA Vs a Junior PA? Honest question because I did not know there were different levels of PA.

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The NHS Whistleblower

@ItsnotrightUK

4 months

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The NHS Whistleblower

@ItsnotrightUK

2 months

@martinmckee @jfnephlolz @FutureHealthJ @RCPhysicians Well done Sir. One of the few with any integrity left.

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The NHS Whistleblower

@ItsnotrightUK

4 months

@VirtueOfNothing @gmcuk So they are paid more than most doctors but pay half the fees?

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The NHS Whistleblower

@ItsnotrightUK

2 months

@Dr_Done_

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The NHS Whistleblower

@ItsnotrightUK

2 months

@Oldboatie @locat66 Doctor locum shifts in A&E

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The NHS Whistleblower

@ItsnotrightUK

2 months

@Alison6123 Or like all the other stuff move into a management role. We don’t make a new nurse band 7 because they would stay at band 5 if they remain a ward nurse.

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