Proud father to two lions, T1DM warrior, and passionate patient advocate. Cricket enthusiast. Sharing my views one tweet at a time. ๐ Opinions are my own
First they tried to stop regulation from happening
Now theyโre trying to push โguidanceโ that has no evidence base or legal basis
All attempts at trying to abolish the role completely
Just a reminder:
This is not about patient safety
This is not in the interest of the NHS
BMA โguidanceโ essentially states PAs are not competent at seeing patients, can only take observations and bloods.
Yet they have been practising for 20+ years.
But theyโre stealing your jobs? Able to cover Registrar shifts? Loved by consultants?
Something doesnโt add upโฆ
@SaraTon08500527
Itโs sad to see people such as Eilidh, Partha and other doctors essentially condoning the systemic bullying of PAs, just because they oppose the roleโฆ Just take a look at the comments itโs mind blowing how theyโve managed to twist such a simple thing for their narrative.
So the RCGP states the GMC should not regulate MAPS.
The 23 other medical royal colleges disagree.
HoL passed the statutory instrument.
GMC will be the regulator. It will not be changed.
This position by the RCGP means nothing. Much like the BMA โguidance documentโ.
๐คท๐พโโ๏ธ
Our health services need to be modernised, and optimised to meet the needs and demands of all patients, and NOT just the employees.
Doctors need to understand this fact.
The BMA are only here to protect their own best interests, and not that of patients.
There has been a role for PAs in the NHS for the last 20 years, and there will continue to be a role for PAs.
This role will not be unilaterally dictated by the BMA, for their own biased agenda and interests.
@LouiseScot51918
@OReillyGem
Thereโs an obvious smear campaign against PAs. They have been providing excellent care for patients for over 20 years, happy to also hear your experience was good!
โIt is time for [
@VictoriaAtkins
] to launch an independent investigation to uncover the full extent of what is essentially a patient safety scandal.โ
@DrPhilBanfield
responds to Telegraph reporting on instances of PAs replacing doctors on medical rotas:
Gone are the days where it was just a doctor, a nurse, and a teenager as a part time secretary.
As healthcare advances, so do the demands placed upon it. Future of healthcare necessitates a multidisciplinary approach to address patient accessibility and diverse needs effectively
Questions of: why werenโt PAs regulated 20 years ago? - gets us nowhere.
It should be:
How can we ensure that they are regulated, scope of practice is established, and safety concerns are addressed now?
How can we better integrate this workforce to use to full potential?
We cannot let these radical champagne socialists take over.
We can all see whatโs really been happening.
Excellent article highlighting the toxicity of the BMA. ๐ ๐
@Dr_Done_
I've worked at GOSH, and I think you should take this tweet down.
The bit that's blacked out, before the word SHO? That's not someone's name, it's the number of the on-call phone that's held by either the SHO or the PA. There is nothing inappropriate going on here.
I agree with Ajay here.
Sometimes the right person for a job/role isnโt always a doctor. Other people can bring invaluable skill sets and experience.
@Dr_Done_
Donโt agree about the CEO. It is an operational/ management role, so needs to be someone appropriately qualified (as it is now). The VP & PRCP roles are all physicians.
Let me be absolutely clear.
I will gladly receive care from an anaesthesia associate, or any clinician for that matter, as long as they are competent, know their skills and limitations, and can do their job.
@cannula_service
@gmcuk
I trust in the expertise and training of anaesthesia associates. They play a crucial role in healthcare, and I'm confident in their ability to provide safe and effective care. Using emotive language to incite fear isn't helpful; let's focus on promoting understanding and trust.
Trying to smear an entire profession and label them incompetent and a risk to patients.
Be honest
@TheBMA
as to what your motivations are to suddenly turn on your colleagues.
We cannot let these radical champagne socialists take over.
We can all see whatโs really been happening.
Excellent article highlighting the toxicity of the BMA. ๐ ๐
@parthaskar
@SecretPhysician
@SaraTon08500527
You may not see it, but there is a clear orchestrated, targeted harassment of PAs being done by certain drs on here, mostly anonymous, we should be calling this out where we see it, rather than giving these people a platform because they use โwhistleblowingโ as an excuse.
@Dr_Done_
More Dr Done lies.
The document is still up, in fact I encourage everyone to read it. It shows that the PA had nothing to do with this doctor being struck off.
That dr was negligent and a risk to patients.
Looks like Iโve upset quite a few people by simply asking questions, seeking clarity, and expressing my opinions
Letโs clarify
No it shouldnโt have happened
Going forward?
Letโs investigate properly and learn from this
Regulate the profession to hold people accountable
๐๐พ
Speaking personally, the GMC is paid for by doctors, for doctors
I believe
@The_HCPC
is ideally placed to regulate non-doctor allied health professionals
It would also be less confusing for the public
@BMA_GP
Our policy is very clear on this, from GPC England in September โ23
Well said.
The us vs them rhetoric needs to stop.
At the end of the day everyone is working hard to do whatโs best for their patients.
Colleagues should be looking after each-other, not starting petty arguments on who has to work more.
The
#NHS
is not an easy place to work.
If you work in ED, you do out of hours. You don't want to work out of hours, that is not the place for you.
Tomorrow, I start my fourth set of nights this year so far, having done 7 day shifts in the same time (and I work part time and only part of that in ED at the moment)
@LBC
@IainDale
Whatโs happened to PAs is absolutely appalling. They have been systemically targeted and bullied by the BMA and itโs online army of trolls for over a year. They are being used as scapegoats. Thank you Iain Dale for highlighting this.
@DrNeilStone
This isnโt even scratching the surface of the abuse PAs and students have received. There has been fatal outcomes as a result. Itโs truly heartbreaking.
@DrEilidhMaria
I think thereโs a difference between debating something and active bullying and harassment- which as you know, is rampant in the NHS. We should work to improve the culture, for all healthcare professionals within the NHS, and treat each-other with respect.
@SandipP64097927
Sure, if thatโs what your service needs you can just hire a doctors assistant at band 3, theyโre fantastic. Donโt need a PA with 5 years of university education to type on a keyboard for you.
Just look at the comments ๐คฆโโ๏ธ
PAs are unable to express their views, the moment they speak up thereโs an immediate pile on, instigated by people like Matt Kneale.
Actually 0 interest in debate, only shutting down conversation and pushing a narrative with nasty bullying tactics
@hkg294
Why on earth are you disappointed?
The EGM is for fellows to discuss and vote. There were sensible discussions.
Certain individuals with their own political interests pushed for this EGM, it should not have happened in the first place.
โConcerns of patient safetyโ
This is targeted and orchestrated bullying of individual PAs.
Letโs stop ignoring whatโs happening .
@ExNHSorthopod
youโre a disgusting racist bully. You should be ashamed
I never wouldโve imagined so many people to take issue with such a basic request to be kind. This is about treating people with the respect that they deserve, and being civil. Are we really here trying to discredit the feelings of these people, and twist the narrative?
@DrEilidhMaria
I think thereโs a difference between debating something and active bullying and harassment- which as you know, is rampant in the NHS. We should work to improve the culture, for all healthcare professionals within the NHS, and treat each-other with respect.
@pandamonidad
@doctor_katie
@The_HCPC
@BMA_GP
This is from the BMA themselves.
They know the HCPC is not fit to regulate MAPS, yet they call for GMC regulation to be halted. This would result in PAs being left unregulated.
This is absolutely not in the best interest of patient safety.
@EwenPearson2
@UKGastroDr
I absolutely understand where youโre coming from, but letโs not forget civility also saves lives. We need a shift in culture within the NHS, the racism, sexism, bullying, harassment appears to be never ending.
The answer is not to refuse kindness.
@parthaskar
@SecretPhysician
@SaraTon08500527
Work on regulation and scope is ongoing, and of course itโs important for the safety of patients.
Youโd be surprised to find that we agree on quite a few things, but I do not appreciate my concerns regarding staff well-being being twisted and diminished.
@SaraTon08500527
Itโs outrageous how heโs attempting to flip the narrative completely ignoring the genuine concerns raised regarding the systemic bullying
@Azeem_Majeed
@dr_shibley
There has been an orchestrated pile on towards PAs for a year now, all driven off Twitter and silenced. No reasonable debate is happening.
The culture is toxic, and itโs not being addressed.
Many inaccurate, simply false, and even inappropriate comments made in this article.
Creating public outrage by vilifying PAs is not the correct strategy for improving patient safety, developing and regulating these roles.
PAs that have worked in NHS for over 20 years.
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 ๐๐พ
@theveindoc
You canโt expect to pile on a group of people for over a year, bullying and harassing, and expect no backlash. As highlighted in the HoL debate: The BMA are playing with fire here.
Besides, Sara is not a PA. The majority of PAs are trying to engage sensibly and professionally
@ExplosiveEnema2
@rcgp
And 20 years later, multiple organisations come forward and clarify that PAs must not be utilised to replace doctors. Work is being done on regulating and setting standards.
Donโt understand how bringing up historic documents is in any way helpful, rather than creating hysteria
@parthaskar
@DrEilidhMaria
We should look at the results as it is. Over 400 NHS staff, are saying that they have been harassed and bullied, to the extent of it effecting their mental health.
I appreciate there are genuine concerns around the role, and this should be addressed. But bullying is not the way
@rheumipainmask
@parthaskar
@SecretPhysician
@SaraTon08500527
We can talk about patient safety.
Letโs not change the subject from the fact that a survey is highlighting that a significant percentage of an NHS workforce group are having an impact on mental health due to systemic bullying
ยฃ1582
The monthly take home salary for a UK Doctor after 5 years of training and 4 years of working.
Pathetic.
The UK government should be so ashamed.
Patient safety has never been the point of any of this. These people are running an orchestrated political campaign, smearing and bullying their colleagues for their own selfish goals and agendas.
@PhilipBrayshaw
@KirkwoodDW
@mancunianmedic
I think people have been charmed into thinking this is simply about frustration sometimes being a little over the line. When in fact, it's orchestrated abuse and harassment that originated. The whole DV movement originated on reddit with a user named "smoothlikesharkdick"...
@caroll_ste87889
This is such an outrageous take. Almost makes me want to laugh. Having a read through all the replies, really just goes to show you how misinformed and misled people have been from all the social media rhetoric. Dangerous really.
She needs to delete her post. This sort of misinformation that sheโs spreading is harming patientsโฆ sharing posts from the same person that was telling parents not to take their sick kids to a childrenโs hospital!!!!!!
@rheumipainmask
@parthaskar
@SecretPhysician
@SaraTon08500527
I think the vast majority do, they are also in it for the patients, and have been providing care in this country for 20 years.
I think itโs disingenuous to ignore the bullying theyโve been facing, and again spin the narrative by bringing up false concerns of patient safety
@SaraTon08500527
@PhilipBrayshaw
@KirkwoodDW
@mancunianmedic
He is hoping doctors can be liberated from the NHS. It's the foundation of FPR it seems. He's the founder, from what is being said, of Doctor's Vote, who have taken over a chunk of the BMA. So is it FPR whether through govt pay restoration or end of NHS?
@cmwilliams99
@caroll_ste87889
@KhyjaMccalla
@JoshuaSoane
@medicalmodelbri
Quite a few papers out there, and guidance on FPA site,I suspect you know how to use pubmed and do a literature search, the information is freely available on the role, but I assume youโre only interested in harassing PAs on here and berating their role?
@Microbedoc2
@gmcuk
They are medical associate professionals.
They provide medical care as dependent practitioners.
According to the consensus survey, the profession did actually consent to regulation of MAPS.
@ishpoo43
@dx_mighty
Some PAs come from bioscience backgrounds, which would put them at band 6 in the NHS if they were to become clinical scientists after graduation. Even higher pay if they go private pharma etc. Band 7 is appropriate for these people who also have two year MSc on top.
@Dr_BellaR
With all due respect I think you might be mistaken. The introduction of the American PAs over 20 years ago in the Uk were not meant to be mere assistants in the literal sense. If you look up old documents on scope you can also confirm this.
@caroll_ste87889
@gmcuk
@RCPhysicians
This is genuinely concerning. Obvious push of a one sided narrative, with wishywashy data being used as concrete evidence by MPs to further an agenda.
@guardian
even responsible for using this data in its articles on PAs.
Proper debate, data, and evidence is needed.
@UKGastroDr
I agree that fostering a culture where people feel empowered to speak up is crucial, but it's equally important to maintain kindness and professionalism. We can create an environment where open discussion thrives alongside compassion and respect
@parthaskar
@SecretPhysician
@SaraTon08500527
Of course we are all entitled to our views
I see that you are an advocate for IMGs and promote the wellbeing of doctors. But my takeaway from our conversation yesterday was you dismissing genuine harassment of another healthcare profession, and steering the discussion away.
@UKGastroDr
Well youโre obviously concerned enough to raise it as an issue, but Iโm not sure posting on social media is helping to rectify the problem. A simple solution would be to drop an email informing them of the error, or highlight to an FPA ambassador. Given that you work at the RCP?
@adje__
@KhanK02759319
No, itโs an opportunity for people to go and do their own reading on the role, perhaps even discuss with colleagues that employ PAsโฆ but I suspect these people are firmly set in their bias and donโt genuinely want an answer to their question
@JanetEastham
Only 22 prescriptions over 7 months. Theyโve had PAs in this trust for years and years, and theyโre incredibly experienced and valuable to the teams. Seems like a genuine IT blunder, rather than intentional.
I thought I smelled something fishy with that David Canworth fella.
Perhaps all of you sharing the posts and further perpetuating misinformation can now come out and clarify your errors.