Dr Roddy Neilson @Roddy_Neilson Twitter profile

Last Seen Profiles

@elerianm

@dmacch24

@theantedwards_

@pesSlip_de_bain

@ZalozkazMoravy

@renzerotwoyuno

@DrMichaelMedina

@nucleoxiao

@LegendofTi

@centrismbased

@TrevellAnderson

@gymnastics

@rocks1883

@th0masclassic

@yarpolyanitsa

@t_bts_gi

@JS_Bui

@twentee7

@itsquickgaming

@kerncountyfire

@lysmarieetv

@jakzilla

@thesamgibbons

@pojihappy

@CanadaTalks167

@SpaRooms

@bigbooty_lay

@newschannelnine

@Coach_Stuck

@teddy_covers

@bootsub2

@ditaanovi

@om0riomori

@sammisilber

@Xeya_Tv

@Ophelia_honey

Dr Roddy Neilson

@Roddy_Neilson

2 months

Sadly, as a Glaswegian and with a juvenile and medical school influenced sense of humour that 60 years on this earth hasn’t tamed, I laughed at this. I laughed lots. Sorry.

205

562

7K

Dr Roddy Neilson

@Roddy_Neilson

7 months

My finest clinical moment. A patient attends clinic in floods of tears stating their lymphoma is back as they have a purple lump on their back. My assessment: 1. They don’t have relapsed lymphoma. 2. They shouldn’t eat wine gums in bed. I am a diagnostic god!

70

252

6K

Dr Roddy Neilson

@Roddy_Neilson

3 months

I was a commissioned officer for 30 years. I’ve served as a medical officer in Bosnia, Iraq and Afghanistan and seen what conflict is like. This is insulting bordering on crass.

243

379

3K

Dr Roddy Neilson

@Roddy_Neilson

3 months

@Johnincarlisle Dear John, It’s called a chicken fat thrombus. It occurs post mortem due to blood stasis. It’s been observed for decades. It’s not a new ‘pathology’. How would I know? I’m a haematologist who used to do post mortems in the past.

24

71

2K

Dr Roddy Neilson

@Roddy_Neilson

8 months

This may upset some people. My job as a consultant is to treat patients and to educate trainees in my specialty. It is not to give validation to unregulated, dubiously qualified individuals who believe normal training in healthcare need not apply to them.

Fatima

@Fatima13120130

8 months

As an aspiring cardiologist i didn’t take A/L on my Cardiology F1 rotation so i can make the most of the exposure on Cardiology. (Major L, I was left on the ward to do ward jobs anyway). I requested STUDY LEAVE to attend clinics. Can you appreciate why this is infuriating?

9

53

453

25

158

1K

Dr Roddy Neilson

@Roddy_Neilson

3 months

@Nomoretrust8 @Johnincarlisle They are a post mortem finding that will be there in all dead bodies if you look for it. It has nothing whatsoever to do with Covid vaccines.

16

1K

Dr Roddy Neilson

@Roddy_Neilson

7 months

This is a thread. Today I carried out an enhanced appraisal on a colleague who I rate very highly. They are clearly able, skilled and caring. No issues as regards ability to practice. I myself would be ecstatic to be treated by them and my standards are stratospherically high.

19

223

867

Dr Roddy Neilson

@Roddy_Neilson

5 months

IV fluids in someone in heart failure. A nebuliser for some reason. An interpretation of a CXR that a new medical student could have done better. Auscultation through clothing. For the pedant - examining (sic)from the wrong side of the bed. Handcart/ hell

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’ ☠️

253

337

1K

51

132

818

Dr Roddy Neilson

@Roddy_Neilson

7 months

And if my medico-political career and ambition dies a death for saying so, at least I’ll go out speaking truth to power.

10

43

674

Dr Roddy Neilson

@Roddy_Neilson

8 months

As a consultant haematologist I find this position by my professional society disturbing and I disagree with profoundly. There are many doctors who wish to pursue a career in haematology which is understaffed medically. PAs are not the answer.

BSH - Haematology

@BritSocHaem

8 months

The NHS workforce is widely acknowledged to be facing a severe shortage of staff numbers. Read the BSH statement on Physician Associates and related roles on our website here: #BSHNews #BSH

23

3

19

18

92

591

Dr Roddy Neilson

@Roddy_Neilson

7 months

Put bluntly, you don’t replace a highly educated medical or nursing based silk purse, with all the skill acquired over years; with a pig’s ear of unregulated, poorly trained individuals with attitude.

7

63

589

Dr Roddy Neilson

@Roddy_Neilson

5 months

@LouiseAllard18 You qualified in 1991. I qualified in 1985 and would not have the temerity to post what you have given the entirely different circumstances being a junior doctor involve now compared to then. You should take a hard look at yourself.

8

16

543

Dr Roddy Neilson

@Roddy_Neilson

4 months

The irony of doctors being accused of snobbery and defensiveness over PAs by an old Harrovian, Conservative hereditary peer, with issues surrounding his role in PPE acquisition, is interesting. In any event, I doubt any medical care he might need will ever involve PAs

Lord Bethell

@JimBethell

4 months

@DrAsifQasim Are you seriously saying that PAs dont have a role? That the old set of clinical roles can keep up with the operational demands of an aging, sicker population? That you can guarantee that the existing workforce and training capacity for new staff will meet the nation's needs?…

91

3

14

9

80

451

Dr Roddy Neilson

@Roddy_Neilson

2 months

Shrödinger’s PA. The one that didn’t want to study hard to become a doctor, but yet found their training as a PA more ‘intensive’ than genuine medical training.

Lawrence

@Doc_LawrenceL

2 months

@dgraemestewart Amazingly a lot of PA propaganda will state something similar to “I didn’t want to have to study so much to be a doctor” and yet their doublethink allows them to state how intense their PA course was

5

7

86

7

114

444

Dr Roddy Neilson

@Roddy_Neilson

7 months

My appraisee is not the only doctor to feel this. As such, can we not just accept the most highly educated and trained members of the NHS are fed up with being taken for granted and thought to be easily replaced by PAs, AAs or other quasimedics.

4

41

444

Dr Roddy Neilson

@Roddy_Neilson

3 months

A PA stating they follow the same pathway as medical practitioners in haematology and ‘run outpatient clinics alongside my consultants’. When you’ve acquired an MRCP, a FRCPath and a CCT we’ll talk. Until then you appear to be an egregious self promoter with no right to be so.

ExplosiveEnema

@ExplosiveEnema2

3 months

Current President of @FPARCP asserts that PAs follow a similar pathway to Drs post graduation & that it would be appropriate for a PA to answer OOH referrals in haematology This is not in keeping with a *dependent* role It is vital that this view is repudiated by @RCPhysicians

20

68

211

27

85

424

Dr Roddy Neilson

@Roddy_Neilson

5 months

This is Nadeem Moghal the ex CEO of a private company (DMC Healthcare) that provides outsourced medical care to the NHS stating an absolute untruth about medical school training v PA training. Given this role I wonder why this might be?

Eilidh 🦀

@DrEilidhMaria

5 months

Propaganda machine goes brrrrrrr

78

41

339

15

94

411

Dr Roddy Neilson

@Roddy_Neilson

3 months

These clots were removed from a fully boosted male. They are not normal. Why is MSM not talking about this?

55

21

396

Dr Roddy Neilson

@Roddy_Neilson

8 months

I also want to be sure when I personally need medical care, the individual providing it isn’t pretending they’re medical/nursing qualified when they’re not.

6

47

379

Dr Roddy Neilson

@Roddy_Neilson

3 months

@Nomoretrust8 @Johnincarlisle Can’t say why morticians haven’t seen them but pathologists (myself in the past) included have.

4

1

381

Dr Roddy Neilson

@Roddy_Neilson

4 months

The GMC Director of Education and Standards who prefers retweeting the wittering of a Tory peer with the reverse Midas touch on PPE to engaging with the clinicians who actually employ him.

12

61

370

Dr Roddy Neilson

@Roddy_Neilson

7 months

However, this ability has come at a personal cost to them in relation to their emotional health. The current state of the NHS in Scotland is that it demands more in delivery than it gives in support. Most particularly of its senior medical staff.

2

23

375

Dr Roddy Neilson

@Roddy_Neilson

4 months

Always the stethoscope.

Disillusioned doctor

@Disillu89254799

4 months

A "Consultant Practitioner" in EM @NHSGlos A vague, non-title which puts patient safety at risk by not making clear that they are not a doctor. Utter madness. #patientsafety #scopecreep @Dr_Done_ @Xeon4f145d96s1 @DrEilidhMaria

55

62

365

27

37

360

Dr Roddy Neilson

@Roddy_Neilson

7 months

The GMC isn’t covering itself in glory over the PA issue. ‘Sure, we’ll register you and give you a number but we won’t regulate you’. Why can we not just admit PAs are not the solution but proper training and career structures for actual doctors is? Is it that difficult?

11

66

355

Dr Roddy Neilson

@Roddy_Neilson

6 months

Words that don’t mean what they say if you work in the NHS as a doctor: Kindness Resilience Flexibility Any others?

103

33

356

Dr Roddy Neilson

@Roddy_Neilson

7 months

The Medical Practitioner Tribunal Service is used by the GMC to hear complaints against doctors. Notice anything unusual? Proportionality?

42

56

321

Dr Roddy Neilson

@Roddy_Neilson

2 months

PAs using Facebook to diagnose patients. Well I say diagnose, it appears to be the blind following the blind.

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.

159

458

1K

10

79

320

Dr Roddy Neilson

@Roddy_Neilson

3 months

Dear @gmcuk , Are you absolutely confident; with the BMA, several Royal Colleges, other doctors’ organisations and individual clinicians expressing deep and growing concern over them; yous stance on PAs is correct?

Janet Eastham

@JanetEastham

4 months

🔴NEW: Physician associates accused of‘illegally’ prescribing at dozens of NHS trusts and missing life-threatening diagnoses, dossier claims. @TheDA_UK ’s survey of 600+ medics comes as @TheBMA says “still time” to stop “dangerous” PA regulation 🧵

88

1K

2K

13

74

318

Dr Roddy Neilson

@Roddy_Neilson

2 months

@KathyConWom @TheConWom Hi there! Haematologist here. You’re talking nonsense.

12

20

311

Dr Roddy Neilson

@Roddy_Neilson

5 months

PAs have neither the training nor ability to provide patient care. Being ‘resilient’ when you diminish the quality of medical care to patients is nothing of which to be proud.

Chanceeth

@c_chief24

5 months

Imagine the resilience you've got to have to be a Physician Associate right now. Stay strong 💪🏽 #physicianassociate #BeKind @FPARCP @gmcuk @RCPhysicians

1

27

123

11

37

306

Dr Roddy Neilson

@Roddy_Neilson

17 days

The chance of me or any other doctor ever being jealous of a PA is nil. The chance of a PA having any insight into how poorly trained, arrogant, personally unaccountable and dangerous to patients they are? Nil as well. The PA experiment in the UK needs to stop.

20

56

303

Dr Roddy Neilson

@Roddy_Neilson

1 month

@e_mmarussell And your knowledge of medicine , paediatrics and endocrinology is what, exactly?

6

12

299

Dr Roddy Neilson

@Roddy_Neilson

14 days

It took me 12 years from graduation plus two sets of PG exams to become a consultant. 7 years ‘experience’ on top of an unaccredited degree does not a specialist make…

helloworldbbd

@helloworldbbd

15 days

PA refers to themself as :

26

42

195

8

43

295

Dr Roddy Neilson

@Roddy_Neilson

4 months

@JimBethell @DrAsifQasim The irony of doctors being accused of snobbery and defensiveness over PAs by an old Harrovian, Conservative hereditary peer, with issues surrounding his role in PPE acquisition, is interesting. In any event, I bet any medical care he might need won’t ever involve PAs.

5

43

291

Dr Roddy Neilson

@Roddy_Neilson

7 months

I spent 5 years at medical school and a further 12 years in postgraduate training to become eligible to be a consultant. Apparently this was a waste of time.

Donal

@GrumpyOldDoc

7 months

@Xeon4f145d96s1 @Dr_XYZ @mmamas1973 @RoshanaMN @parthaskar @r1chardf1tzg3r1 @Roddy_Neilson "Foundations in Surgical Skills & Anatomy" for PAs - two weeks Foundation training for medics - two years, then many years core training and specialty training Who do you want operating on your family?

1

18

112

10

51

284

Dr Roddy Neilson

@Roddy_Neilson

5 months

Dear Colin, Why exactly are you and the GMC tone deaf on the concerns of doctors over PAs? It’s now moved from being patronising to downright insulting.

Prof Colin R Melville

@drcolinm

5 months

To be clear - the below message is incorrect and constitutes deliberate misinformation - I did not say Consultant Physician Associates are planned - and indeed it would not be for the regulator to make such a decision.

64

12

60

4

41

276

Dr Roddy Neilson

@Roddy_Neilson

3 months

Twitter/X is fascinating. Me - I’m a doctor, an ex army officer, vaccine advocate and a PA critic. X-land - You’re not a real doctor, a useless reservist, shill of big Pharma and ‘not kind’.

16

17

268

Dr Roddy Neilson

@Roddy_Neilson

2 months

@IncogAssociate Whilst we’re at it:

3

30

259

Dr Roddy Neilson

@Roddy_Neilson

2 months

Can somebody tell me why so many pulchritudinous Asiatic young ladies find my posts on UK medical practice so fascinating that they wish to be my friend? I’ve asked my online Nigerian Prince friend who’s managing my finances but he’s not got back to me.

24

9

253

Dr Roddy Neilson

@Roddy_Neilson

5 months

One wonders what the GMC will say about the products of Aston Medical School having been assessed by non regulated individuals with less training than those they are assessing. @drcolinm

Dr Matt Kneale

@drmattuk

5 months

Not often the PA debacle leaves me speechless. Is it against the new #BeKind Medical Practice guidelines to suggest this is fucking ridiculous?

14

46

313

21

63

249

Dr Roddy Neilson

@Roddy_Neilson

10 months

In 1995 I as the very senior SR and a brand new SR in haematology argued vehemently about the management of a patient. Lots of growling, dislike and crossness was generated. Our 26th wedding anniversary was last May.

Dr Nathan Spence

@drnathanspence

10 months

Two med regs reviewing a complex patient together - it’s great being able to chat through ideas and bounce off one another. Satisfying ++

9

1

96

5

11

249

Dr Roddy Neilson

@Roddy_Neilson

4 months

Hi Effie, Like most of my medical colleagues we are of above average intelligence otherwise we wouldn’t have got to where we are. We don’t earn a ‘fortune’ and I, as a consultant, drive an electric Audi, not a Porsche, which I can’t really afford but like.

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

295

75

378

8

17

244

Dr Roddy Neilson

@Roddy_Neilson

4 months

The GMC is no longer fit for purpose. It’s tone deaf to the medical profession and poorly led. It is, in fact, the Post Office Scandal of the 21st century in embryo.

Ronald MacDonald

@quackophage

4 months

Clare Barton, Assistant Director of the GMC, explaining that the GMC wants new legislation because the Medical Act apparently hasn't been updated since 1983... ...I take it we just ignore the reams of amendments then?

13

23

66

7

46

239

Dr Roddy Neilson

@Roddy_Neilson

2 months

I have yet to meet a PA that has aided patient flow, released a doctor’s time or provided continuity.

4

39

237

Dr Roddy Neilson

@Roddy_Neilson

4 months

There’s deaf and then there’s GMC deaf.

Prof Colin R Melville

@drcolinm

4 months

We’re in Belfast for the last of our UK education round tables. - #GoodMedicalPractice2024 - Transforming medical education - Fairer training cultures - Update on AAs and PAs #MedEd #MedTwitter

24

5

26

6

31

235

Dr Roddy Neilson

@Roddy_Neilson

3 months

I think a first step in regaining trust in the GMC is if Colin, Charlie et al resigned.

Dr Ali G #StandWithUkraine #CeasefireInGazaNow 💔

@AlisonGeorge10

3 months

Excuse my bluntness @drcolinm but like so many of my colleagues, I’ve reached a bit of an impasse. The disrespectfulness & utter contempt shown to 🇬🇧 Drs by ‘the powers that be’ has been off the scale. Most of us stopped trusting @NHSEngland & @DHSCgovuk some time ago…. 1/4

7

56

321

6

33

225

Dr Roddy Neilson

@Roddy_Neilson

7 months

Not just PAs but senior PAs! Ones that can provide advice to actual doctors! We are truly through the looking glass now. This needs to be stopped right now.

6

48

229

Dr Roddy Neilson

@Roddy_Neilson

3 months

@r_hirschman @Johnincarlisle Dear John, @Johnincarlisle It’s called a chicken fat thrombus. It occurs post mortem due to blood stasis. It’s been observed for decades. It’s not a new ‘pathology’. FYI I’m a haematologist who used to do PMs in the past when a histopathology trainee. Stop misleading people.

31

27

230

Dr Roddy Neilson

@Roddy_Neilson

2 months

@IncogAssociate @makepumps666 @TheSooperCynic When I was a non consultant but a doctor I introduced myself thus. “Hello, I’m Dr Neilson, the (insert grade here). That’s called honesty. When a PA introduces themselves as, ‘a medical specialist’ or ‘one of the medical team’ that’s disingenuous.

1

15

227

Dr Roddy Neilson

@Roddy_Neilson

4 months

If PAs in your radiology have revolutionised your day-to-day practice it must have been pretty poor beforehand.

Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

4 months

We now switch to a consultant perspective. What sort of consultant? Unspecified, could be the consultant ward clerk. "Having an IR PA has revolutionised our day-to-day practice." Really? Are these words you wish to be remembered by? It sounds ridiculous.

3

43

5

28

219

Dr Roddy Neilson

@Roddy_Neilson

2 months

If you want an example of a post that is both patronising and tone deaf to what the reality of medicine is currently, this is an excellent one. #ladderpuller

Ben Mearns

@BenMearns

2 months

I am looking forward to sharing all of the amazing positive stories I have about our PAs here at @sashnhs at the @RCPhysicians EGM this week. I know many of you are feeling low, but please remember how awesome you are and such a valued part of our #oneteam . #Medicineisbrilliant

106

22

124

4

30

216

Dr Roddy Neilson

@Roddy_Neilson

8 days

Professional discrimination? No it’s not. Stop making things up.

St George's, University of London

@StGeorgesUni

9 days

We have recently seen discussions across social media about upcoming graduation ceremonies for our Medicine and Physician Associate programmes. Read our full statement in response to these discussions here:

139

29

91

4

32

217

Dr Roddy Neilson

@Roddy_Neilson

5 months

Does anybody in the GMC possess any moral courage whatsoever? Discuss.

23

15

212

Dr Roddy Neilson

@Roddy_Neilson

2 months

In my medical career I’ve never encountered a ‘health minister’ (sic) quite as tone deaf to doctors as my Lord Bethell of Romford.

National Hand Sanitiser 🦀

@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.

4

31

134

7

47

209

Dr Roddy Neilson

@Roddy_Neilson

7 months

It’s very simple. If you are a consultant you train those less senior and experienced so they can become senior in their turn. It’s part of the deal. If you rely on PAs it potentially calls into question your integrity on this.

Reddical Medge

@ReddicalMedge

7 months

@UKGastroDr What is starting to become apparent to me is that many consultants view the idea of PAs 'freeing up doctors from simpler work' to mean specifically 'freeing up me, the consultant, from the type of work I'd normally have to train an SHO or SpR to do every 6 months'.

7

21

201

5

27

208

Dr Roddy Neilson

@Roddy_Neilson

3 months

@Andy56205649 @Johnincarlisle

3

2

202

Dr Roddy Neilson

@Roddy_Neilson

7 months

@drcolinm @DrLKVaughan From your own X profile you work for the regulator that’s enabled this anger and hold honorary and visiting professorships at two universities that offer PA degrees. As such, you’re not exactly neutral.

5

24

203

Dr Roddy Neilson

@Roddy_Neilson

4 months

Remember to ask if the person treating you is actually properly medically qualified.

Dr Sandeep Bansal

@iDrSunny

4 months

Bad news for this country and what people can expect from the NHS going forward.

5

38

183

12

60

203

Dr Roddy Neilson

@Roddy_Neilson

2 months

It is time, surely, that Jim ‘WhatsApp’ Bethell resigned.

Lord Bethell

@JimBethell

2 months

"It is time the doctors faced into the problem of this toxic workplace culture and started holding colleagues accountable for their professionalism." My comments in @pulsetoday on workplace bullying by doctors in the NHS.

0

15

37

10

30

203

Dr Roddy Neilson

@Roddy_Neilson

7 months

Why? It’s not as if there aren’t enough medical graduates, the ones that have trained for years rather than months, that could do the job better, more quickly and with less supervision.

6

30

191

Dr Roddy Neilson

@Roddy_Neilson

2 months

Good luck with that. The days of getting to play at doctors are coming to an end.

IncogPA

@IncogAssociate

2 months

'Each PA should have a named consultant or GP, who agrees on the scope of practice for that individual PA.' Not just any Tom, Dick and Harry. Certainly not anti PA BMA members.

32

5

23

6

19

190

Dr Roddy Neilson

@Roddy_Neilson

5 months

Ever get the impression it’s being made up as it goes along? All doctors are regulated by the GMC, not just those in training. If a registered (sic) PA is in breach of GMP what will the GMC do exactly? @drcolinm

Prof Colin R Melville

@drcolinm

5 months

@Molly2323232323 @Xeon4f145d96s1 @VincentVanGrump @ukmat82 @GMC OK, what it says is we wont regulate any post qualification training for AAs and PAs. Like Consultants, SAS and LE doctors - they're not in training either. But all registrants will follow the same professional standards set out in Good Medical Practice.

50

5

10

7

34

186

Dr Roddy Neilson

@Roddy_Neilson

4 months

I qualified in 1985. I endorse everything Peter says.

Peter English #FBPE

@petermbenglish

4 months

When I graduated in 1984, and became a junior doctor, I had to pay my GMC membership, professional indemnity insurance, and for ongoing professional exams and Royal College membership. Just as junior doctors do now. BUT… 1/

90

2K

5K

9

20

170

Dr Roddy Neilson

@Roddy_Neilson

6 months

The public consultation wasn’t that public and the majority of responders were PAs&AAs. Accordingly, mibbe you should do it again more fully this time? No?

GMC

@gmcuk

6 months

There are ongoing conversations around the future regulation of PAs & AAs. We recognise there are strong feelings about some issues. In this thread we address some of the key points we’ve heard. (1/8)

44

47

134

2

43

176

Dr Roddy Neilson

@Roddy_Neilson

5 months

Dear GMC, You have stated that legislation to allow regulation/registration of PAs would be completed by the end of 2023 with registration starting in 2024. There has, in fact, been no legislation listed for the 23/24 parliamentary session at all.

Parliamentary Bills - UK Parliament

Bills are proposals for new laws. If they pass every stage of scrutiny in the House of Commons and House of Lords, and receive Royal Assent they become Acts of Parliament, and Law.

bills.parliament.uk

7

54

172

Dr Roddy Neilson

@Roddy_Neilson

3 months

It gets worse. We must all be nice all the time even when faced with incompetence.

25

27

174

Dr Roddy Neilson

@Roddy_Neilson

5 months

Dear GMC, On the basis that shutting the stable door after the horse has bolted is your preferred modus operandi re scope and regulation of PA practice, care to comment on this?

Ronald MacDonald

@quackophage

5 months

Can someone at @NHSHighland please explain why PAs are now supervising doctors at Raigmore Hospital? Is this a joke? Job advert posted 14/12/23.

57

147

508

7

31

172

Dr Roddy Neilson

@Roddy_Neilson

3 months

Working without PAs is like working without an accordion. You don’t have to worry about noisy baggage.

Tom Stocks 🦀 #JoinVoteWin

@TomStocks1982

3 months

Doctors to government: “Physician Associates are making our jobs harder.” Government to doctors: “no, they’re making your jobs easier.” Theres a word for that.

11

220

582

10

33

170

Dr Roddy Neilson

@Roddy_Neilson

4 months

Harsh - but utterly true.

Assistant to the Physician Assistant’s Assistant🦀

@GMCharlatan

4 months

Just a reminder that #oneteam and #bekind were used to shut up doctors and enable someone to continue to murder babies. When doctors speak up, listen to them.

0

40

220

1

22

168

Dr Roddy Neilson

@Roddy_Neilson

3 months

It keeps getting worse

Mamas A. Mamas

@mmamas1973

3 months

A PA performed an invasive procedure on a patient with a bladder infection and the patient died 48 hrs later from sepsis ➡️The c̴o̴v̴e̴r̴u̴p̴ review team report authors involved the PA who did the procedure.😳 How could this have any hope of being independent? That's why in…

32

509

1K

3

31

164

Dr Roddy Neilson

@Roddy_Neilson

3 months

@ClareGerada @Cleverclog67596 @ExplosiveEnema2 @rcgp You’re floundering Clare. You have an opportunity to make this all better but you won’t take it.

0

2

167

Dr Roddy Neilson

@Roddy_Neilson

3 months

@mehercle It’s not. It’s everything to do with self promotion. He’s wearing that uniform as a prop and posturing for publicity. He is taking the piss out of those who serve, who have served and who have died for their country. He’d never serve. To me, who has, this is grotesque.

12

6

165

Dr Roddy Neilson

@Roddy_Neilson

6 months

What’s the point of peer review, MDT meetings or M&M review when a PA with less experience and training in medicine than anybody else can just get on with it? Utterly appalling.

ExplosiveEnema

@ExplosiveEnema

6 months

An early slideshow from a former President of @FPARCP Suggests that ~94% of patients seen by PAs require *no* supervision, and that they are autonomous decision makers Tired and feeling like a broken record... 😮‍💨

40

45

221

12

37

162

Dr Roddy Neilson

@Roddy_Neilson

7 months

This is not safe.

Dr Helen Salisbury

@HelenRSalisbury

7 months

As a GP I refer a patient on a 2 week wait pathway with suspected cancer to an ENT specialist - and it is triaged by a physician associate (not a doctor, 2 year training course) How have we come to this? How can this possibly be safe? @Doc_IonaCollins @TomStocks1982

46

349

915

6

28

158

Dr Roddy Neilson

@Roddy_Neilson

2 months

To all members of RCPL who are disappointed/ fed up with them, may I introduce:

6

28

158

Dr Roddy Neilson

@Roddy_Neilson

6 months

On a lighter note, as opposed to posts about PAs, I am now mortgage free for the first time since 1988! The ‘dead hand’ has been lifted!!!

10

0

156

Dr Roddy Neilson

@Roddy_Neilson

7 months

If you want to know why junior doctors are leaving the NHS it’s for reasons like this, pay and the inappropriate use and employment of PAs. It needs to change and Medical Royal Colleges need to lead this change.

platinumpizza™

@Xeon4f145d96s1

7 months

The reason trusts act like this towards doctors is because they rotate. If you rotate you don’t deserve to have your basic needs met. These amenities are only for permanent staff. At least, that’s the case at @LivHospitals Surely there’s an easier solution here @jamessumnerNHS

71

126

719

5

39

156

Dr Roddy Neilson

@Roddy_Neilson

7 months

Just to put this into context I worked as a medico-legal adviser to the MDDUS for 5 years . There was a disproportionate number of non UK medical graduates referred to the GMC, for less severe issues and with harsher outcomes than UK ones.

Dr Roddy Neilson

@Roddy_Neilson

7 months

The Medical Practitioner Tribunal Service is used by the GMC to hear complaints against doctors. Notice anything unusual? Proportionality?

42

56

321

10

38

155

Dr Roddy Neilson

@Roddy_Neilson

6 months

Horse Guards earlier today. Dressed up like the retired RAMC Officer I am prior to the Remembrance Service at the Cenotaph.

9

1

158

Dr Roddy Neilson

@Roddy_Neilson

3 months

It should be pointed out that the educational resources that were subsequently put in place to allow nurses and pharmacists to prescribe was considerably more than a 2 year PA degree (sic).

8

18

155

Dr Roddy Neilson

@Roddy_Neilson

3 months

Yet you will allow patients to be treated by barely educated PAs. The parable of the mote and the beam comes to mind.

Victoria Atkins

@VictoriaAtkins

3 months

I will not tolerate extremism, discrimination or hate speech in our NHS. It is damaging when incidents arise of individuals employed within the NHS espousing racist or extremist views.

37

9

34

4

40

154

Dr Roddy Neilson

@Roddy_Neilson

3 months

When I was a wee boy I played doctors too! Then I did the whole proper medical training thing. This lot don’t even know what they are being taught is nonsense. Examining a clothed patient’s abdomen? Not taking a pulse properly? Here’s your new medical kit. For shame Keele.

9

45

153

Dr Roddy Neilson

@Roddy_Neilson

11 days

If any politician from whatever party, or any journalist whatsoever, states, ‘We paid for your training’ to doctors: 1. The bulk of current medical graduates paid fees to study medicine in the UK. 2. Stop abusing very intelligent and dedicated people. Thank you.

5

24

157

Dr Roddy Neilson

@Roddy_Neilson

5 months

Colin appears to have a bad attack of cognitive dissonance. @drcolinm

Prof Colin R Melville

@drcolinm

5 months

@Molly2323232323 @ukmat82 @GMC Really. No regulation? What makes you say that?

12

2

4

8

28

153

Dr Roddy Neilson

@Roddy_Neilson

3 months

Spot on.

Claudia Webbe MP

@ClaudiaWebbe

3 months

Medical associates are working beyond their competence. Backdoor changes will further confuse the public, put patients in danger and only benefit big business and profits. Our NHS needs more actual doctors, not less. My latest 👇🏾

32

342

806

1

45

152

Dr Roddy Neilson

@Roddy_Neilson

2 months

This. So very much this.

Mrs C

@chriscraigCCC

3 months

@stmarnockZ The most privileged thing a Consultant can do (apart from providing good care to patients),is to train the next generation of doctors. If that’s every 4,6 or 12 months repeatedly, then that’s what you do. Training a PA once then sitting back not giving a shit is frankly appalling

23

78

493

4

29

147

Dr Roddy Neilson

@Roddy_Neilson

7 months

“Highly skilled at diagnosing conditions and can perform physical examinations if needed.” I don’t think so but after 38 years as a doctor what would I know?

2

22

148

Dr Roddy Neilson

@Roddy_Neilson

5 months

Why not extend the course from four years to five and award a MBChB? Oh that’s right, the educational requirements for PA entry are less!

Iona Collins.DOCTOR.

@Doc_IonaCollins

5 months

4 yrs training, with half done with medical students, equipping the qualified professional to make decisions about patient management as generalist medical practitioners. Explain to me how this isn't a doctor.

26

24

115

5

18

147

Dr Roddy Neilson

@Roddy_Neilson

6 months

Guess who’s not qualified, registered and regulated enough to change a dressing…

ExplosiveEnema

@ExplosiveEnema

6 months

"PAs aren't here to replace Drs" Yet here is one covering the renal SHO on-call 🤷‍♀️

34

104

365

4

24

142

Dr Roddy Neilson

@Roddy_Neilson

4 months

Everington (Sir Professor whatever) is another ladder puller. So lofty he has other people to share his thoughts (sic) for him.

NHS England Workforce, Training and Education

@NHSE_WTE

5 months

On behalf of Professor Sir Sam Everington, we share his thoughts on the process towards the regulation of physician and anaesthetist associates

49

8

37

11

19

138

Dr Roddy Neilson

@Roddy_Neilson

2 months

@theveindoc But yet it is BMA members who will be asked to train and supervise these individuals. Good luck with that, I, for one, won’t.

5

1

138

Dr Roddy Neilson

@Roddy_Neilson

5 months

Took this out for a Boxing Day drive today. My 1971 MGB GT. All I can say is you know modern cars are large when you are loomed over by a modern Mini.

17

3

138

Dr Roddy Neilson

@Roddy_Neilson

4 months

I had an identical conversation with a PA socially, intially without revealing what I do. When I did they metaphorically sha* themselves and non metaphorically ran away.

TraumaDude Esq

@OrthoBanter

4 months

I met a PA recently - on a more social level - it was a fucking disaster. In the time I spoke with them I was told 1. Getting into PA training is more demanding than medicine 2. PA training just like medicine but condensed 3. No one cares about doctors

14

21

154

5

12

136

Dr Roddy Neilson

@Roddy_Neilson

3 months

Excellent news.

Doctors’ Association UK 💙

@TheDA_UK

3 months

1/ We are delighted to share that the House of Lords will now hear the debate on PA/AA regulation in the main chamber, following DAUK's call for motions of regret. This crucial discussion ensures the legislation undergoes thorough scrutiny.

13

193

582

0

24

137

Dr Roddy Neilson

@Roddy_Neilson

6 months

Oh look!

3

37

135

Dr Roddy Neilson

@Roddy_Neilson

1 month

I’ve got a Master’s Degree in Military History (I actually do btw). Please can I go to PA College?

invertedcoriolis

@InvCoriolis

1 month

🚨🚨🚨Homeopathy, English Lit, Anthropology, Banking, Geography, Zoology ➡️ 2 year course ➡️ "GMC registered medical model professional"🚨🚨🚨 These are NOT substitutes for medical school and a PA can NEVER be a substitute for a doctor.

2

9

29

22

14

131

Dr Roddy Neilson

@Roddy_Neilson

6 months

This is now getting ridiculous. Treat actual doctors like dirt, but have a jolly, happy smiley process for individuals with no registration, regulation and minimal training.

Richard Marks - London Anaesthetist

@LondonAnaesth

6 months

Recruitment for doctors-in-training - impersonal, centralised, anonymous, miserable. Recruitments for Associates-in-training - parley with our mateys and see to it they land the job. Why the inconsistency @NHSE_WTE ?

11

36

165

2

27

132

Dr Roddy Neilson

@Roddy_Neilson

1 month

But #bekind @gmcuk @drcolinm - over to you. You sold the jerseys, tell us how you’re going to deal with this.

medical modelling clay

@anarchomed

1 month

Is this Joseph Ormerod of Locum PA? Interesting.

26

47

167

4

28

129

Dr Roddy Neilson

@Roddy_Neilson

8 months

@BritSocHaem This is the point at which any respect I have for the BSH disappears. I’ve been a member of it for over thirty years and my wife served as Secretary. Promoting the poorly trained and unregulated rather than actual doctors to treat haematology patients is dreadful.

1

20

128