National Hand Sanitiser 🦀 @NHSHandSan Twitter profile

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National Hand Sanitiser 🦀

@NHSHandSan

4 months

For the millionth fucking time, yes! Medical school: 5-6 years Foundation training: 2 years Specialty training: 3-8 years Total: 10-16 years During those 5-10 after medical school, you are a JUNIOR doctor. I'm so so fucking tired. God, I'm exhausted. Please, make it stop.

Rich

@Rich98345230676

4 months

@hasyourregtried @OhSoGamer And 15 years later you’re still a junior doctor?

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@NHSHandSan

1 month

So, the government spent £3bn the past year managing the doctors' strikes. Now, they find themselves £4.5bn short, when all that was needed to settle the dispute was £1bn. To mitigate this, they want to *checks notes* spend even less on doctors, making more strikes inevitable.

Shaun Lintern

@ShaunLintern

1 month

🚨 EXCLUSIVE: NHS chiefs across England have been told to cut spending on nurses and doctors and find services they could close as NHS faces a £4.5bn funding blackhole:

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@NHSHandSan

4 months

Nobody: The GMC:

PulseToday

@pulsetoday

4 months

From the end of this month, doctors should not accept ‘an unsolicited gift’ unless it is ‘of minimal value’, defined as gifts such as flowers, fruit, sweets or cake.

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@NHSHandSan

5 months

So, she gets flustered when asked why PAs earn more than doctors, then tries to spin it when pressed. For clarity, let's compare like-for-like, for 40 hours a week, Mon-Fri. Day 1 PA: £43,742 Day 1 Doctor: £32,398 Enough dishonesty, this will all come falling on your heads.

LBC

@LBC

5 months

'They are there to work alongside doctors not instead of doctors.' Health Secretary Victoria Atkins reiterates 'regulations' on physician associates after the death of 30-year-old Emily Chesterton.

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@NHSHandSan

5 months

I'm not sure if I quite have the clout or followers for this but I have a few thoughts I need to put out there. The NHS does not respect doctors. We have seen it time and time again, but it might be useful to go through a brief list of their antics for anyone in doubt. 🧵 1/12

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@NHSHandSan

2 months

Excellent suggestion. Scrap the PA role. Spend the PA money on employing and training more nurses. Improve nursing pay and up-skill the ones we currently have to be able to reliably do bloods, cannulas, catheters, NGs, ECGs. Free up doctors. Improve working conditions.

Dr Janaway

@drjanaway

2 months

From our PA debate today "Would the money not be better spent on nurses?"

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@NHSHandSan

2 months

A testimonial of an Opthalmologist who quit medicine. A truly infuriating read. Doctors need to start valuing themselves. The government, the NHS, and the general public sure as hell don't. You are worth a lot more than just pay restoration. The NHS does not deserve you.

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@NHSHandSan

5 months

Can anyone give me one thing a PA can do that a doctor cannot? Anyone? Please? I've been asking for months, just help me out, I beg.

Lucy Pollock

@lucypgeridoc

5 months

Our PAs do a different job, not a watered down version of a doctors job. And it’s really helpful. Thank you PAs.

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@NHSHandSan

5 months

1. CXR looks congested, querying heart failure - gives fluids 2. Unilateral swollen leg, SOB, tachycardia - PE doesn't cross her mind 3. Patient is on a nebuliser - I'm sorry, why? 4. "I work exactly like doctors do, I just have different training" What on Earth is happening???

Dr Done

@Dr_Done_

5 months

🚨Stop & watch the future of the NHS‼️ My blood is boiling: ‘I’d not heard of physician associates until about 3 years ago’ (now in Resus alone) ‘We work exactly like doctors do just different training’ & ‘The medic is confident she’s addressed the most urgent of issues’ ☠️

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@NHSHandSan

4 months

No no, this can't be right. There are no doctors' strikes at the moment so this is clearly a mistake.

BBC Health News

@bbchealth

4 months

Critical incident declared at Dudley hospital over beds

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@NHSHandSan

2 months

Well, well, well. It appears 56.65% of PAs may actually be unsuccessful med school applicants. We were repeatedly told this wasn't the case. But a FOI request has returned the following. The happenings of the past week have been extremely delectable.

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@NHSHandSan

5 months

Why are doctors' wages compared with the average worker and not with professionals of similar calibre and worth e.g. lawyers? Doctors deserve to be well-paid. Sorry if this is news. If the NHS won't pay then I'm happy for it all to be privatised and for Debz to foot the bill.

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@NHSHandSan

20 days

From Reddit. Service manager complaining about doctors asking for higher rates to cover locum shifts. "I feel slightly powerless as if I say no, what other options are there?" You've described the free market, and understand that individuals can value their time as they wish.

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@NHSHandSan

4 months

Again... Entry requirements: Very high Length + cost of study: Very high Debt: Very high Intensity of work: Very high Postgrad training: Very high Litigation risk: Very high Hours worked: Very high Societal value: Very high Global mobility: Very high

Gethin Chamberlain

@newsandpics

4 months

@idruprofen Minimum wage is £10.42. So £15.53 is just short of 50% more than that. Minimum wage workers put in the same hours, the same effort. They have to support families. Their services are almost always necessary. The lower the pay, the more essential the job. What makes you special?

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@NHSHandSan

5 months

To my doctor colleagues, a reminder: You are the reason patients access healthcare. You are the knowledge and the skill. You are not "junior". You do not deserve the pay cut or disrespect. You do not deserve to be undercut or replaced. And the NHS does not deserve you. 12/12

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@NHSHandSan

4 months

THIS JUST IN 1. Non-doctors aren't doctors. 2. Non-doctors shouldn't pretend to be doctors. 3. People should be paid according to value. 4. You can't cut peoples' pay and expect them to keep quiet. 5. You can't pay people less than their assistants and expect them to keep quiet.

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@NHSHandSan

1 month

First, the DAUK survey. Then the BMA survey. Then RCoA EGM. Then the ASiT survey. Then the RCP EGM. Now, the SRT survey. Each one brought us the same results. Each one told us doctors are hindered by PAs, not helped. This is not a vocal minority; it's a profession united.

The Society of Radiologists in Training

@_the_SRT

1 month

Thank you to everybody who participated in the SRT UK Radiology Training survey! Here are some highlights of the results, with a full report to follow soon. #RadiologyTraining

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@NHSHandSan

2 months

Nah, this ain't it.. A doctor can do an okay job at being a dishwasher with no training. A dishwasher would need certain academic pre-requisites and 5 years of training to do the job of an okay doctor. Stop devaluing your qualifications under this sickening faux humility.

Dr Philip Lee

@drphiliplee1

2 months

I remember having an argument with someone once that just because I'm a doctor it doesn't mean I can do the job of a skilled dishwasher. Every job has its own unique skill, and being trained in one thing doesn't mean you're necessarily good at something else. Case in point:

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@NHSHandSan

1 month

Isn't it funny how when it's PA day or Nurses day, every NHS trust tweets about it and rains praise upon its staff? And yet, when it's #NationalDoctorsDay ... silence. In case anybody else needed a sign that the NHS hates doctors... Here's me telling you it does.

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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@NHSHandSan

4 months

If you want me to do an unskilled job, train me for a day and set me loose. If you want a school-leaver to do my job, get them three As for their A levels, then 5 years of university, and several years working on top, and they probably still won't be able to hack it. Good day.

Gethin Chamberlain

@newsandpics

4 months

@idruprofen Minimum wage is £10.42. So £15.53 is just short of 50% more than that. Minimum wage workers put in the same hours, the same effort. They have to support families. Their services are almost always necessary. The lower the pay, the more essential the job. What makes you special?

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@NHSHandSan

2 months

PulseToday

@pulsetoday

2 months

Lord Bethell: 'I faced down drug dealers, so I know what intimidation looks like.' The peer, writing in Pulse, doubles down on criticisms of GPs following the row over physician associates

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@NHSHandSan

4 months

Time and time again, doctors tell people that their pay and conditions are unfathomably bad. Time and time again, people accuse doctors of lying because the facts are unfathomably bad. Might be time to start fathoming how bad the situation is?

Mark Denton

@MarkDen37422286

4 months

@raj_vigneshwar So, you received no overtime or incremental payment for working Christmas Day? Really? Something tells me you are being economical with the truth there.

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@NHSHandSan

4 months

You are the BMA. Doctors: Refuse to prescribe or request ionising radiation for MAPs. Direct their concerns to their supervisors. Consultants + SAS: Refuse to supervise or train them. Put doctors first. This way, we stand a chance of protecting patients and the profession.

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@NHSHandSan

2 months

This is utterly devastating, and my thoughts go out to his family. This experiment has been trialled and it's failed. Time to go back to the tried and tested model of physician-led care. Scrap the goddamn role and restore doctors' pay so they can get back to work.

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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@NHSHandSan

2 months

THIS! This is what the PA role should've been. One of these legends alone would improve the lives and training of Resident Doctors on a ward ten-fold. The NHS does not need Physician Associates. The NHS needs Doctors' Assistants.

Dr Done

@Dr_Done_

2 months

People who are actually useful and reduce our workload:

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@NHSHandSan

1 month

Let's break this down. Rowena thinks it's appropriate for doctors to give up their bank holidays, taking on more responsibility than - yes - every other member of staff on site, all whilst getting paid less than - yes - every other member of staff on site. Don't be like Rowena.

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@NHSHandSan

26 days

Letting PAs call themselves "fellow medical professionals" is giving big letting your little sibling play along with a disconnected controller energy.

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@NHSHandSan

5 months

Junior doctors have anywhere between 5 years (minimum) training and experience for the most junior of us (FY1s), to 15 years (minimum) for the most senior (ST8s). What other employer would call a highly-qualified professional with 15 years of experience "junior"? 7/12

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@NHSHandSan

2 months

There is no comparative data between doctor-related adverse events and hedgehog-related adverse events. We will therefore be deploying hedgehogs to hospitals to help with the workload. There is no evidence that hedgehog-led care is associated with increased risk. 🦔💉👍💯

Chris Subbe

@csubbe

2 months

Hard truths: 5-10% of patients seen by doctors in NHS suffer adverse events. Risks higher: emergency care, overstretched services, rural areas, people like myself (those trained abroad, working in rural or deprived areas). For PAs vs doctors ? I am not aware of comparative data.

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@NHSHandSan

3 months

It appears doctors are refusing to prescribe for PAs now. What do we do? "Not a problem, just get the pharmacists to do it 👍" Honestly, if any pharmacists come across this tweet, it's not worth jeopardising your licence over. Let their supervising consultants deal with them.

Eilidh 🦀

@DrEilidhMaria

3 months

Another day another ✨ work around ✨ and sticking the boot into JDs whilst they’re at it. (Plus indemnifying people doesn’t train them)

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@NHSHandSan

3 months

Thank you UMAPs for shedding light on this. Apparently, a year is made up of 25 hours, NOT 8,760 as scientists previously believed 🤯💯 This means medical school only takes 125 hours to complete! Sadly, this also means average life expectancy in the UK is 2,025 hours 🥹

UMAPs.org.uk

@UMAPsUK

3 months

⛔️ Rebuttal An infographic with misinformation is currently being shared on social media. We corrected it for you 😉 🚨 MAPs, share away! #PhysicianAssociate #AnaesthesiaAssociate #MAPs #UMAPs #MedicalAssociateProfessionals #🐙

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@NHSHandSan

5 months

By contrast, other NHS staff with much less experience and fewer, less-regulated qualifications are referred to using terms such as "Lead", "Advanced" and "Consultant". Our own life-long commitment to knowledge and development is the stick they beat us with. 8/12

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@NHSHandSan

3 months

A reminder to all UK doctors to start planning their exit, either from medicine or from the UK. This shit is going to take at least a decade to fix, and it's not worth wasting your lives over. Go somewhere that will appreciate you.

Mike Henley 🤨

@trentconsultant

3 months

Pay deal narrowly rejected at 51% no.

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@NHSHandSan

4 months

"We want to hear your views on the expansion of PA roles!" "... Wait... No... Not like that"

platinumpizza™

@Xeon4f145d96s1

4 months

Why has this survey been closed or deleted? I wonder if they started getting replies they weren’t expecting.

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@NHSHandSan

2 months

There is a role for physician's assistants in the NHS. This role includes doing bloods, cannulating, catheterising, taking ECGs, chasing investigations, scribing on ward round, keeping a jobs' book, and basic history-taking and examination of stable differentiated patients.

Kamran Abbasi

@KamranAbbasi

2 months

Ahead of the @RCPhysicians extraordinary general meeting, president @DrSarahClarke explains why there is a role for physician associates in the NHS @bmj_latest

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@NHSHandSan

2 months

RCP said the quiet bit out loud. They are worried about the 💰 implications of passing a vote to pause PA expansion. How much money do we reckon RCP has accepted from the government to expand these roles without their membership's consent? This is getting interesting 🍿.

Dr Matt Kneale

@drmattuk

2 months

Concerning to hear that some of the @RCPhysicians senior leadership is allegedly recommending to vote down an EGM motion without gathering elected councillors views.

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@NHSHandSan

2 months

Frankly, doesn't matter what RCP thinks. Or the GMC. Or NHSE. Or the DHSC. Or Bob the PA down the road. The doctors' union has provided guidance on the PA role's scope. All it takes now is for doctors on the ground to heed this guidance. Everyone else can cry about it.

Chanceeth

@c_chief24

2 months

Thank you @RCPhysicians @DrSarahClarke #PhysicianAssociate

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@NHSHandSan

2 months

@Dr_Done_ Also worth noting, the registrar in question seems to be BAME. Is anyone surprised? I'm not.

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@NHSHandSan

5 months

We will not be gaslit into silence, or implored to " #BeKind " by our own regulator, just to have our pay and opportunities slashed, and to be replaced with those far less qualified. The NHS, at its core, is a profoundly toxic employer. But it needs us more than we need it. 11/12

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@NHSHandSan

3 months

You are in a board round on the Acute Medical Unit. They are discussing Doris in bed 15. The consultant says "Doris needs a High Resolution CT scan requested". A disembodied voice yells "I've already requested it". It's Yvonne, the ward clerk... Yeah, I'm calling bullshit.

Dr Heather Williams MBE

@alrightPET

3 months

@Dr_Rajiology A lot of admin staff put requests through on behalf of medics, at their request. They're not "making the referral". I think more information is needed about what actually happened here, it's just lazy and unprofessional to slag off a whole hospital to score anti-PA points.

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@NHSHandSan

24 days

It is time for doctors to wake up. Enough of this "the NHS will be great again if the government funds it properly" bullshit. The NHS exists purely to extract every ounce of value from and mentally and physically exhaust you. In medical terms, it is parasitic. 1/7

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@NHSHandSan

4 months

Doctors should have no inherent allegiance to the NHS. The NHS' founding was predicated on the condition that doctors' pay would not be slashed at the government of the day's whims. That has long been desecrated and trampled upon. If the NHS won't pay up, another system will.

John McManus

@JohnMcManusDU

4 months

@LeanneHPatrick @GaryNosam @Advclin @cannula_service "We accept, working in the NHS, that we aren't earning private salaries in order to keep the service sustainable." Speak for yourself. I'm a cog in a machine. I don't offer myself up as sacrifice for the NHS ideals. Maintaining the NHS is the role of voters and politicians

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@NHSHandSan

5 months

In 2007, the NHS banned white coats. This was spun as an infection-control policy, despite an absence of robust supporting evidence. Now 2023, and this strange rule persists. If not infection-control, then what could it be? Let's discuss... 2/12

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@NHSHandSan

4 months

The UK: "We've baked this delicious pie called capitalism. Please, help yourselves to a slice." Doctors: "Can I have a slice? 😛" The UK: "No. Not you."

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@NHSHandSan

3 months

There are 44 PAs in Leeds (thanks @iDrSunny ) 1168/44 = 27 radiology requests per PAs. Radiology requests PAs are legally not allowed to make. These are 27 discrete crimes, per PA, in one NHS trust. And this is the tip of the iceberg. This is a disease and it is systemic.

Eilidh 🦀

@DrEilidhMaria

3 months

Remember this? Leeds ‘allowed’ their physician associates to request ionising radiation. This is illegal. I was a little concerned about this and so was @chriscpritchard so we FOIed. We got pushback. They told us it was just one incident report. … which we later found lead to…

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@NHSHandSan

5 months

Now, what are we left with? Following a coordinated and measured attack on our profession by our own employer, we are left coatless, title-less, and eternally infantilised. The current PA situation is the straw that broke this camel's back... 9/12

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@NHSHandSan

2 months

If doctors raising patient safety concerns about PAs practising outside of their scope is considered bullying... What do you call vexatiously and vacuously reporting someone to the police for harassment after publicly defaming them?

Dr Matt Kneale

@drmattuk

2 months

@fascinatorfun @GrumpyOldDoc @GMCharlatan @medicalmodelbri Unfortunately when I made a professional letter before action following defamatory claims about me sent to journalists, Mr Nash of UMAPs decided to report me to Greater Manchester Police for harassment. GMP has frustrating not yet closed this case. Letter over 2 weeks old so I…

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@NHSHandSan

2 months

The bullying bar set for doctors seems incredibly low. Bullying is targeting individuals with the sole purpose of making their lives more difficult. Raising concerns about serious patient safety risks is not bullying. If you try to silence us, we'll yell louder.

Wes Streeting MP

@wesstreeting

2 months

I share concerns being raised about physician associates being used inappropriately to substitute, rather than support, doctors. I’m also concerned by the toxic political debate online that is leading to bullying of PAs. This has got to stop - on both counts.

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@NHSHandSan

2 months

The past few days have truly highlighted how compassionate and caring Lord Bethell is. Remember: Lord Bethell wants you to be happy and well... Unless you're a doctor. Or a patient.

Lord Bethell

@JimBethell

2 months

When AA/PAs say they feel shamed and bullied by a campaign of intimidation, this distasteful thread is the sort of thing they mean. 👇 Anyone could do something similar for any profession. But I hope they do not because life depends on collaboration and teamwork so we should act…

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@NHSHandSan

4 months

OMG WAIT, WHAT? Doctors are striking for... PAY???? Despicable and completely news to me!! Why are they hiding behind some vague slogan like "Full Pay Restoration" then????!?!?!?! Disgusting. I, personally, am appalled.

Kate Andrews

@KateAndrs

4 months

WhatsApp messages sent this week by the BMA to junior doctors make crystal clear what the real intentions of these strikes are. The real reason junior doctors are striking 👇

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@NHSHandSan

5 months

The white coat has been the symbol and attire of physicians for much of modern history. Prior to the ban, it was our identity and the way patients identified us. Then, we were encouraged to go by our first names, none of that pretentious "Dr Hand Sanitiser" stuff... 3/12

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@NHSHandSan

20 days

Doctors, don't stop demanding your worth. Even the rates asked for here are derisory for your level of skill and expertise. Perhaps this can help:

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@NHSHandSan

1 month

Several NHS trusts are trying to lower locum rates simultaneously. Doctors, it is clear that these organisations do not value you. It is possible they may even despise you. Show them what your years of rigorous training are worth. Call their bluff. Tell them to shove it.

South Thames Regional JDC #BMABallotReady

@STRJDC

1 month

When doctors are already feeling undervalued and underappreciated with massive real-terms pay cuts, @RoyalSurrey County Hospital has decided to further slash bank staff wages by up to 27%. We urge the Trust to rethink this decision and start valuing their essential staff.

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@NHSHandSan

5 months

I wonder why some consultants are so hellbent on devaluing UK medicine. Theory is already massively watered down with soft-skills taught over it. Now they want to shorten medical school further and fully open it up to individuals lacking in the necessary academic rigour. 1/5

Dr Richard Pile

@DrRichardPile

5 months

I’m putting it out there: I don’t believe it takes 5 years to get a medical degree. And I do believe that you can learn on the job if you already have a clinical role. Doctors should be honest with themselves. Was every minute of your degree spent in learning/working? Was…

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@NHSHandSan

4 months

The Gov, despite opposition from doctors, is pressing ahead with regulating PAs & AAs. And this week, the GMC has: 1. Pushed on with regulation of MAPs despite concerns. 2. Will charge MAPs, who are paid more than doctors, less fees than doctors. 3. Told us what gifts to accept.

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@NHSHandSan

4 months

Is it weird that I got a bit emotional seeing the white coat? Can we bring it back, please?

Iona Collins.DOCTOR.

@Doc_IonaCollins

4 months

Junior doc night cover (with net pay for this shift going to the @bma strike fund).

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@NHSHandSan

1 month

Seems like the safest option by far is not to employ PAs, then? Saves your patients from potential harm, saves you from risk of litigation, and wards off any malicious police reports by certain PAs. UMAPs keep scoring some delectable own-goals and I'm here for it.

PulseToday

@pulsetoday

1 month

PA union warns of legal action against GP practices using BMA guidance #PAs #MAPs #BMA

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@NHSHandSan

4 months

Went from 0% to 13% pay increase in under a year, with the government saying they won't negotiate further at every checkpoint. Strikes have cost the government over £2 billion so far. Cost of full pay restoration would've been £1 billion. Them's the facts I'm afraid.

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@NHSHandSan

5 months

I am a 'junior doctor'. As far as junior doctors go, I am very very junior. I have just 5 years of medical school under my belt, and 3 years of further training as a doctor. Prior to this, a straight A student. This terminology is insidious and deliberate... 6/12

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@NHSHandSan

4 months

1. The consultants have not "settled". They are voting on a shit deal they will hopefully reject. 2. The nurses rejected their pay deal. 3. "Junior" doctors are not demanding 35% in one-go but a commitment over several years. 4. If they're so important, maybe pay them?

BBC Question Time

@bbcquestiontime

4 months

“They should come to the table and stop these strikes which are having a huge negative impact on waitlists” The Conservatives’ Bim Afolami defends the government's record on NHS waiting lists, suggesting junior doctor strikes are to blame #bbcqt

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@NHSHandSan

5 months

The NHS can no longer count on the docility and subservience of doctors. We've woken up to the institutional abuse and indoctrination we'd been subjected to till now, year on year, with the same organisations meant to advocate for us betraying us at every turn. 10/12

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@NHSHandSan

2 months

You can't make this shit up. Lumping neutral and positive together vs negative? What the fuck happened to academic rigour and minimising bias? Or are statistics and data interpretation something the RCP only likes to examine its members on and not abide by itself?

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@NHSHandSan

4 months

Doctors are on a separate pay spine and have seen greater pay cuts compared to other NHS staff. Doctors are advocating for themselves to reverse this. I acknowledge other NHS staff's pay is abysmal, and if they choose to advocate for themselves I will support them.

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@NHSHandSan

5 months

@UKGastroDr Dr Verma, we are very proud of you. The strength of character you showed over the past few months of changing course when you really needed to is commendable. Thank you.

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@NHSHandSan

3 months

I stepped out of the car in the hospital grounds to check on something today and in my distraction, left the keys inside. A PA managed to sneak into my car and drive away. I will hereby be referring myself to the GMC for gross negligence.

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@NHSHandSan

5 months

@PharmacistExpat @IncogAssociate @Dr_Done_ Dear pharmacists, We love you. All doctors x

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@NHSHandSan

20 days

Why shouldn't the doctors build the desks they're working on? Why shouldn't they develop their own computers and programme their own clinical software? Why shouldn't they dilute their own drugs and do the meds rounds? Why shouldn't doctors serve patients their dinner?

Jessica

@jessica_annie97

21 days

@DrEilidhMaria Just because I’m intrigued. Why can’t doctors clinell the room they’ve utilised all day?

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@NHSHandSan

4 months

The year is 2030. I arrive home exhausted and dripping with the glory of a hard day's work. I polish my stethoscope and give my ultrasound probe a big juicy kiss. I place both on the nightstand of my boudoir, in between my Prof Melville and Dr Clare Gerada shrines.

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@NHSHandSan

21 days

The fact the GMC has begun responding to this sort of discourse on here shows us how afraid they are of the power of a united medical workforce. With enough solidarity, their position, too, will change. The GMC cannot exist without doctors on-side.

GMC

@gmcuk

22 days

@ExplosiveEnema2 @medicalmodelbri @drcolinm Hello. This Council paper is from 2015 - before the regulation of physician associates (PAs) had been consulted on by DHSC in 2017 and before we were asked to regulate PAs and anaesthesia associates (AAs) in 2019. We have no role in the ambitions for growth of these professions…

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@NHSHandSan

5 months

The NHS introduced seemingly innocuous yellow badges with "Hello, my name is (first name)" that all staff were encouraged to wear to be nice and approachable. Much of it under the guise of "flattening the hierarchy". NHSE posted a tweet this week exemplifying this. 4/12

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@NHSHandSan

3 months

That moment when you get fact-checked by X 🥴

UMAPs.org.uk

@UMAPsUK

3 months

⛔️ Rebuttal An infographic with misinformation is currently being shared on social media. We corrected it for you 😉 🚨 MAPs, share away! #PhysicianAssociate #AnaesthesiaAssociate #MAPs #UMAPs #MedicalAssociateProfessionals #🐙

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@NHSHandSan

2 months

In other news, "junior doctors" will be becoming "resident doctors" very soon. Nothing junior about a five-year masters-level degree and years of postgraduate experience on top. Nothing junior about being responsible for people's lives and the MDT's personal liability sponge.

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@NHSHandSan

4 months

The hypocrisy from some exalted members of the nursing community is eye-opening. Doctors concerned about scope creep: Elitist misogynistic incel Andrew Tate spawn. Nurses concerned about scope creep: Legit. #NHSHatesDoctors

Partha S Kar 🇮🇳🇬🇧🏏🎥

@parthaskar

4 months

I see concerns from nursing leadership regards Nurse Associates, their deployment and working outside scope That is not about ‘being precious’ - and based- appropriately -on concerns re patient safety In other news? The medic community has exactly the same concerns The same.

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@NHSHandSan

3 months

Why just 18,000 doctors? None of these doctors have said this to my face as a PA so it must be false. There are over 300,000 doctors in the UK, why didn't you ask the other 280,000 what they thought???

The Cricketing Doc™️ 🇵🇸

@Dr__Sarmy

3 months

“Just over half of 18,000 doctors surveyed by the British Medical Association (BMA) said working alongside those staff increased what they had to do rather than freeing up their time.” What a stupid stupid idea this whole scheme has been. Just imagine if this wasted time, effort…

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@NHSHandSan

3 months

Doctors jump through countless more hoops, have higher educational standards, longer training, get paid less, have more responsibility, work longer hours, and are shafted every 6 months for "training". Is it supremacy to point this out, or is it tyranny to try and shut it down?

Tom Woodcock

@thomaswoodcock

3 months

Medicine Supremacist 👇Grieves me to see such vitriol poisoning our once noble profession from the inside. There is an important conversation to be had about optimal team building but there are Doctors shouting it down.

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@NHSHandSan

24 days

Only nurses can do what nurses do. Only physios can do what physios do. Only pharmacists can do what pharmacists do. Anyone can do what doctors do with a medical model crash-course "degree" from Mickey Mouse University. Fuck the NHS, man.

ExplosiveEnema

@ExplosiveEnema2

24 days

Non-Nurses cant provide the same level of care as Nurses Non-Physios cant provide the same level of care as Physios Non-Pharmacists cant provide the same level of care as Pharmacists Non-Doctors cant provide the same level of care as Doctors

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@NHSHandSan

5 months

Nhishanth, Ian, and Jenny. Three consultant doctors with decades of experience and jaw-dropping qualifications under their belt. Introduced as just first names by their employer to anyone with an internet connection. Is this respect? 5/12

NHS England

@NHSEngland

5 months

Physician associates support the wider clinical team, reduce workload pressure and enhance patient experience. The NHS Long Term Workforce Plan sets out how to build the right staffing and skills mix for the future, including expanding roles like these.

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@NHSHandSan

4 months

Just a friendly reminder that in 1858, @TheBMA brought the @gmcuk into this world. And the same way it has, it can take it out. With your help.

Jan Hansel

@VirtueOfNothing

4 months

So we heard today at the select committee debate @gmcuk will be charging £221 per annum for PA/AA registration. Why do I as a doctor have to pay £433? I would much rather pay £221 as well, and come to think of it, I just might cancel my direct debit right now. 🙂

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@NHSHandSan

3 months

Water is wet.

PulseToday

@pulsetoday

3 months

ARRS staff not reducing workloads due to lack of skills, warns report #ARRS #GPworkload

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@NHSHandSan

2 months

Ultimately, it is your decision as a doctor whether you agree to supervise a PA/AA or not. The BMA's stance is clear, and it is there to protect you. Feel free to ignore it, but understand you put everything you've worked for at risk when you do.

Dr Done

@Dr_Done_

2 months

⚠️ For those working with PAs MPTS case published 2017 where a ST3 Junior Doctor was suspended for failure to adequately supervise a physician assistant’. The PA was known as ‘Dr G’. There may have been other issues too - irrelevant. Read the following:

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@NHSHandSan

13 days

I think this is GMC speak for "we are trying to make doctors less like doctors and more like PAs, so they can't leave the country, and so that we can replace them with people who only have a fraction of their knowledge and expertise."

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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@NHSHandSan

4 months

Just for clarity, if this is valid, a CT1/ST1 would require a back payment of about £20,000 base pay for F1/F2 alone to achieve pay parity with a PA during those two years.

Tom Stocks 🦀 #JoinVoteWin

@TomStocks1982

4 months

Except in your cunning plan to replace doctors with Physician Assistants on higher pay, you forgot one thing. The requirement in law for equal pay, for at least equal value work - with 6 years of back payment. Better check those protected characteristics there, chief… 🤡

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@NHSHandSan

4 months

This is the way. Me thinks doctors should also get a new regulator. If the organisations meant to protect the profession are soliciting it, then we must cast them aside and do without them. Attending doctors Resident doctors Intern doctors British Medical Council (BMC)

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@NHSHandSan

15 days

This man is saying what he believes will resonate with many of his supporters. They would sooner shackle you to your exploitative employer than pay you fairly. Your only advocates are yourselves and your union. So, when they repeatedly disrespect you, you strike or you leave.

Nigel Farage

@Nigel_Farage

15 days

More than 15,000 NHS doctors left Britain last year. It can cost up to £400,000 to train them. It’s only fair on the taxpayer that new doctors and nurses should stay here for a given period of time.

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@NHSHandSan

4 months

When people without a medical background are able to grasp the issues so succinctly, it almost seems many of our arguments are just common sense. Why the incessant push to obfuscate by the GMC and the government, then? Could they have a vested interest in blurring the lines?

@iamnotapixel

4 months

@ABarotchi1 @GMCharlatan @FrancesBoott @iDrSunny @ExplosiveEnema They aren’t going to say “hello, I’m Paul, I’m your Physician Assistant” are they, because every patient will say “oh, I wanted to see a proper doctor”. It’s human nature.

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@NHSHandSan

5 months

- How many doctors does it take to change a lightbulb? Three: One to prescribe the new one, one to change it, and one to document. - How many PAs does it take to change a lightbulb? Just one: They can do anything a doctor can in a third of the time e.g. med school.

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@NHSHandSan

4 months

I really hate it when my lifestyle choice to drive a piece of shit 2014 Fiesta is ridiculed publicly like that. Should've just bought the goddamn Porsche instead.

Effie Deans

@Effiedeans

4 months

Junior doctors are the modern equivalent of aristocrats. They rarely have above average intelligence, but worked hard at school & now earn a fortune more than those who pay their wages. After buying their Porsche Cayenne they spend the rest of their life bossing us around

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@NHSHandSan

11 days

This is terrifyingly similar to the arguments used in certain scenarios to keep people trapped in abusive relationships.

Rattled Doc

@rahttled_doc

11 days

Dulce et decorum est pro patria mori

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@NHSHandSan

4 months

@iDrSunny I think for many there's now a particular sense of humiliation to working for the NHS. There is such profound, systemic devaluation of doctors that means anyone with a shred of self-respect has considered leaving at least once, if not on a daily basis.

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@NHSHandSan

5 months

@howtofinance1 @BMA_JuniorDocs Let's break this down: To be a doctor, we go to university for 5-6 years, then we are "Junior Doctors" for another 5-10 years AT least where we are often the most senior doctors in the whole hospital, then we are consultants. You're thinking of medical students.

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@NHSHandSan

4 months

Seeing as it's the New Year, let's check in with the so-called vocal minority, shall we? @AnaesUnited called an EGM with the @RCoANews in October 2023: 88.94% voted to halt the expansion of Anaesthetic Associate roles. 1/8

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@NHSHandSan

13 days

The BMA have also omitted to highlight the current rail strikes, as well as the doctors' strikes in Nigeria. In fact, I can't remember them commenting on the airport staff strikes. Rookie behaviour from the BMA.

Alastair McLellan

@HSJEditor

13 days

This clarification from the BMA says so much about the power relations within NHS staffing - tells the Torygraph off for missing out GPs and SAS doctors, but itself omits to mention the 500,00 @theRCN members who are also still officially 'in dispute' with the Gov.

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@NHSHandSan

5 months

What on earth is a "trainee doctor"? Oh, those fully qualified doctors with between 5 and 15 years of experience on average?

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@NHSHandSan

3 months

I think I've said "there's no way this could get any worse" to myself about a thousand times by now. But it can. And it has. And it will. Unless we stop this fucking clown show now. Again. Refuse to prescribe, Refuse to request imaging. Refuse to supervise.

Eilidh 🦀

@DrEilidhMaria

3 months

If you care about the future of the NHS you best buckle in. I’m a doctor. I’ve been trying to tell you all that NHS/gov intend to use physician associates with two year degrees to replace doctors. Well I found proof in official NHS documents. A 🧵 (it gets worse)

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@NHSHandSan

4 months

@ExplosiveEnema2 @RCPhysicians Meanwhile, CSTs who can't become orthopaedic registrars due to artificial bottlenecks:

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@NHSHandSan

2 months

Gemma has blocked Dr MacDonald, too. I wonder what she's so afraid of when it comes to being asked justify her stance on #ProjectPA . Gemma, I know you haven't told anyone yet, but will you tell me if I'm really really nice about it? 🥹

Ronald MacDonald

@quackophage

2 months

Not a great look, @OReillyGem . Appreciate it’s upsetting to be told a package you’ve put together has some issues & easy for me to suggest not taking the criticism personally, but you’ve unwittingly waded straight into a very tense debate and lives are literally on the line.

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@NHSHandSan

5 months

@Hinesh_ @A_Kazie Great thread, but you left out the bit where they rebranded and became "Pilot Associates" overnight 😍.

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@NHSHandSan

2 months

I AM SHOCKED!!!! If you work more hours in the week, including antisocial hours, YOU GET PAID MORE. WHAT. THE. FUCK.

whatsinaname??

@thatsnotmine125

2 months

In discussions recently about doctors wages, several have suggested only basic wage should be referenced. But if you work and earn some regular enhancements (unsocial hours, bonus, commission) averages of these should be taken when quoting average salary. It can make a big change

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@NHSHandSan

2 months

The GMC, RCP, NHSE: "We will not be setting scope for PAs." The BMA: "Hold my mandate"

The BMA

@TheBMA

2 months

"Patients must know who is treating them and the skills and abilities that clinician has." Today, we have published new guidance on the scope of responsibilities for Medical Associate Professionals (MAPs). Read more here:

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@NHSHandSan

2 months

Ugh not the nitty gritty again.

Samantha

@Samantha_nhn

2 months

57% of physician assistants did not know that somatic cells contain the same DNA. More than 10% did not know that genes are found inside cells and that genes are part of DNA.

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