platinumpizza™ @Xeon4f145d96s1 Twitter profile

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platinumpizza™

@Xeon4f145d96s1

11 months

The UK needs a hard reset

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platinumpizza™

@Xeon4f145d96s1

1 year

And so it begins.

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platinumpizza™

@Xeon4f145d96s1

1 year

This is your NHS. This is what staff are experiencing on the daily. You have highly educated, desperately in need staff on 20-odd K, and you only have to pick a random one out to find out why we are haemorrhaging them. Heart goes out to this ED nurse.

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platinumpizza™

@Xeon4f145d96s1

4 months

@LouiseAllard18 When you were a junior Jesus was still walking around in flip flops and houses were a twentieth of what they cost now. Thank you for your opinion but it’s about 80 years too late.

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platinumpizza™

@Xeon4f145d96s1

2 months

Turns out if you treat doctors like shit, less people will want to become doctors.

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platinumpizza™

@Xeon4f145d96s1

8 months

This is MP @PhilipDaviesUK . Much like the rest of the Tory party, he hates doctors. However, it seems he hates them even more than his other crony friends. The tweet below is a reply he sent to a doctor who sent him the BMA letter asking him to support the strikes.

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platinumpizza™

@Xeon4f145d96s1

1 year

😬😬😬

Dr Janaway

@drjanaway

1 year

Unpopular opinion: treat nurses with respect is not code for 'treat doctors like shit'

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platinumpizza™

@Xeon4f145d96s1

1 year

Incredible contempt for junior doctors from @royalhospital CEO Dr. Hal Spencer. “Ultimately we need to make it not too comfortable for them”. To fund it from the educational pot? These are doctors FOR FUCK SAKE. Context from OP provided in the last pic. Doctor is now in NZ.

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platinumpizza™

@Xeon4f145d96s1

2 months

Huge success story for the @UKFPO . Well done guys, you’ve smashed it out of the park. This will do bits to improve retention and morale.

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platinumpizza™

@Xeon4f145d96s1

11 months

Left without comment

platinumpizza™

@Xeon4f145d96s1

11 months

The UK needs a hard reset

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platinumpizza™

@Xeon4f145d96s1

1 month

Yesterday 6pm, the RCPEGM was leaked by an anonymous account onto YouTube. Having watched it, these are some of the most jaw-dropping moments I heard, some not even factually true. Everyone should watch it for themselves though and make up their own mind. Link at the end.

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platinumpizza™

@Xeon4f145d96s1

10 months

Holy fuck. The NHS keeps sinking to a new low day by day.

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platinumpizza™

@Xeon4f145d96s1

5 months

So can the CT apply for the locum PA shift? Why is the PA being paid more than the registrar when they can do less than an FY1? I hate it here.

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platinumpizza™

@Xeon4f145d96s1

4 months

I’m going to work extremely hard to hide my resentment and vitriol for some of the leaders of the medical profession and try and address this as simply as I can. A day 1 doctor is more skilled than a day 1 PA. As such, a doctor’s day 1 pay, should be based on this.

Clare Gerada

@ClareGerada

4 months

@Dr_BellaR And what about next 20 years.

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platinumpizza™

@Xeon4f145d96s1

2 months

The BMA scope of practice guidance already being implemented in practice and being a success! Protect yourselves and your patients.

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platinumpizza™

@Xeon4f145d96s1

2 months

It was only a matter of time, I suppose.

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platinumpizza™

@Xeon4f145d96s1

1 month

BAOMS cooked 😂

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platinumpizza™

@Xeon4f145d96s1

8 months

It's...kind of grim. Contents aside, and even if you disagree with the strikes and their motivations, - to speak to one of your constituents in this way is pretty shameful. So who is Philip Davies? What is his voting record like? How much does he make himself? Let's dissect.

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platinumpizza™

@Xeon4f145d96s1

1 year

Reposted upon reflection and have blurred out semi identifiable info. We can do better than this. Please do not name the trust if you saw my previous tweet. Have contacted the trust in question.

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platinumpizza™

@Xeon4f145d96s1

1 month

Thanks to @JanetEastham who yet again with her excellent investigative reporting has found evidence of massive scale replacement of doctors with Physician Associates, something we have been reassured time and time again isn’t happening.

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platinumpizza™

@Xeon4f145d96s1

8 months

Now from the way he has worded his tweet, one would think he cares a lot about "vulnerable patients" who the doctor is supposed to be looking after. Is it only the doctors job to look after the vulnerable in society? Not MPs? What about the vulnerable people's carers?

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platinumpizza™

@Xeon4f145d96s1

5 months

£240 for an FY1 £480 for a PA STRIKE.

BMA Thames Valley RJDC

@TVRJDC

5 months

How is this acceptable @BucksHealthcare ? Doctors are NOT worth half a Physician Associate. FY1s, this is how they value you. Look how they value your replacements. STRIKE.

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platinumpizza™

@Xeon4f145d96s1

3 months

“The…PA…found to be involved in a number of serious events, including missing a brain haemorrhage. We had one report at Aberdeen that suggested a PA has held the consultant bleep in the stroke speciality.” When will we stop screaming #elitism #bekind ?

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platinumpizza™

@Xeon4f145d96s1

29 days

“Degrees in homoeopathy, computer science, English literature and human resources are being accepted as entry qualifications” - this is why it is extremely disingenuous to include the “3 years of preceding study” to the PA course as relevant in any way.

Physician’s Associates qualify for courses with degrees including homeopathy and English literature

Telegraph investigation reveals universities offering the course accept range of first degrees with little scientific content

www.telegraph.co.uk

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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

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platinumpizza™

@Xeon4f145d96s1

1 year

Hey @LG_NHS , can you please confirm or deny this is the doing of one of your staff?

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platinumpizza™

@Xeon4f145d96s1

1 year

Viva la revolucion mfers

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platinumpizza™

@Xeon4f145d96s1

3 months

Does anyone know what is going on in Bradford?

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platinumpizza™

@Xeon4f145d96s1

8 months

Philip also has a history of wanting to remove protections for...'checks notes'...people with disabilities. Apparently, minimum wage was too good for them.

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platinumpizza™

@Xeon4f145d96s1

10 months

Dear XYZ, As an individual, I do not care. It is also not fair to us to pay us 35% less than our counterparts in 2008. I need the system to take ownership. Let me know asap.

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platinumpizza™

@Xeon4f145d96s1

11 months

Hi @NHSBeeky , could you please explain why your hospital has (rightly) extended food outlet hours during strike hours for senior colleagues yet there are zero provisions for junior doctors other than vending machines at similar times?

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platinumpizza™

@Xeon4f145d96s1

6 months

When do we say enough is enough? This can’t go on.

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platinumpizza™

@Xeon4f145d96s1

4 months

Wikipedia editors are too quick.

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platinumpizza™

@Xeon4f145d96s1

11 months

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platinumpizza™

@Xeon4f145d96s1

8 months

What a malicious was to impose an agenda from Russells Halls Hospital @DudleyGroupNHS , pretending to have doctors best interests at heart and blocking locums to retaliate against people using their employment rights.

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platinumpizza™

@Xeon4f145d96s1

8 months

Financially speaking, he has his greasy fingers in all sorts of pies. When the Parliamentary Commissioner investigated him, all he told Parliament was that the omission was not "due to a desire to conceal it...but to an oversight".

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platinumpizza™

@Xeon4f145d96s1

2 months

When they asked the panel what skills PAs brought to the MDT, they skipped the question. LOL. These people don’t deserve your respect. They are government puppets.

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platinumpizza™

@Xeon4f145d96s1

5 months

1. CHF on xray —> gives fluids? 2. unilateral swollen leg in a breathless patient —> ?DVT/ PE doesn’t even cross mind? 3. “working exactly like doctors”?

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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platinumpizza™

@Xeon4f145d96s1

8 months

Now, Philip, as most have you have gathered by now, is a bit like a malicious cancer that just takes and takes and takes but doesn't actually give anything positive back. There are plenty of examples of him arguing against bills which promote equality and human rights,

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platinumpizza™

@Xeon4f145d96s1

17 days

@DrNeenaJha It’s also important to note that the 4-6 years of education they are currently undergoing is the *very* start of their overall education. The first in a very long road. Meanwhile the 2 years PA receive is all they get, with no accredited or standardised post graduation education.

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platinumpizza™

@Xeon4f145d96s1

4 months

This doctor was fired from his job, where he has spent not an insignificant number of years, after he made a post about not having access to *water*. @BernardGloster does your staff deserve drinking water? Do they need anonymous accounts so they can post about not having water?

Martin Schranz

@martinpschranz

4 months

I was suspended without notice and without valid reason from @hospital_kerry soon after this post. Right before Christmas. Told to pack my stuff and marched out of the hospital by security. After 30 years unblemished service to the National Health Service. I informed…

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platinumpizza™

@Xeon4f145d96s1

8 months

All whilst doctors have to pay for their own indemnity, parking, registration, exams, courses whilst subsiding the national cult, without being able to expense it off.

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platinumpizza™

@Xeon4f145d96s1

4 months

To PAs sharing on their social media letters/ cards from patients addressing them as doctors before praise - it’s not the flex you think it is. You’re *literally* highlighting our point. I won’t attach any screenshots but I’ve seen this a number of times now.

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platinumpizza™

@Xeon4f145d96s1

1 month

Oh deary me.

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@Xeon4f145d96s1

3 months

Coming to an ED near you could be a patient referred by a PA from primary care to a PA student in ED seeing the patient and then discussing with a PA. Is this the healthcare service the public wants? Not seeing somebody with a medical degree through an episode of illness?

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platinumpizza™

@Xeon4f145d96s1

8 months

What would happen if I sent an email to “all managers” showing them any number of daily mail articles hating on managers even more than they hate on doctors 😳

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platinumpizza™

@Xeon4f145d96s1

10 months

I think Rishi Sunak underestimates the iron resolve doctors have this time around. I don’t think the profession has ever been more united.

Rishi Sunak

@RishiSunak

10 months

@Conservatives 3️⃣ Today’s offer is final. There will be no more talks on pay. This country will not be bullied into higher taxes or higher borrowing to fund unrealistic pay demands, risking higher inflation.

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platinumpizza™

@Xeon4f145d96s1

7 months

Well well well It would seem that all the concerns the SHOs have are actually well-founded… Those rotas look particularly comfortable…come in 4 days a week…do half a day of ward work… I thought PAs were supposed to stay on the wards liberating the FY1/ SHO to go theatres?

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platinumpizza™

@Xeon4f145d96s1

4 months

@gmcuk I am bereft of words that an institution with one singular purpose worth 100s of millions of pounds is stopped from making a mistake of unfathomable scale because of an online ruckus. This should have been shot down at the very first godforsaken meeting where it was suggested.

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@Xeon4f145d96s1

5 months

@RotherhamNHS_FT Trainee Consultant? This is why I’m opposed to non-doctors using consultant in hospital. It’s a slippery slope and some come and start taking the absolute piss. Imagine an IMT1 said trainee consultant. They’d be ridiculed until the end of time.

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platinumpizza™

@Xeon4f145d96s1

11 months

Patient accuses doctor of documenting a physical exam that never happened. Doctor maintains innocence - has documented the exam. @gmcuk finds doctors FtP impaired because the patient could recall the situation better than the doctor, who had to rely on notes. @BAPIOUK

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platinumpizza™

@Xeon4f145d96s1

4 months

Excellent interview even though it seemed like the anchor was questioning on a line of bad faith.

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platinumpizza™

@Xeon4f145d96s1

3 months

Thanks to @MedReddit for this infographic!

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platinumpizza™

@Xeon4f145d96s1

2 months

“Why are you [doctors] writing guidance for PAs”? Because the FPA, your own faculty, has said doctors determine scope for PAs.

IncogPA

@IncogAssociate

2 months

You do not represent us. Why are you writing guidance for PAs. You have consistently belittled, undermined, disrespected, and advocated for the eradication of our profession. Now, you draft guidance for us, still diminishing our role by referring to us as assistants. Grow⬆️

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platinumpizza™

@Xeon4f145d96s1

8 months

All in all, it's pretty clear that Philip is the kind of person who not only wants himself to do well, and doesn't just want others to not do well, but rather both. Abolishing minimum wage and emotionally blackmailing doctors who earn in a month 1/4 his "gifts" is questionable.

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@Xeon4f145d96s1

3 months

I love seeing PA propaganda like this. It gives us an insight into their hubris. Every doctor that graduates is competent for safe service provision. Knowing how to print something doesn’t make you safe, not prescribing propranolol to the “anxiety” patient makes you safe.

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@Xeon4f145d96s1

1 month

As we all knew and expected, the vocal “minority” is actually the vocal majority and the silent “majority” is actually an atom in an ocean. Very pleased to see #RCPEGM motions have passed, despite the leadership’s efforts to influence the vote.

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platinumpizza™

@Xeon4f145d96s1

8 months

What is it with treating FY1s/2s like children? Despicable tone and approach from @HillingdonNHSFT . Have some respect for your doctors. They aren’t children, they’re some of the most highly educated people in the building. Also usually crap teaching = poor attendance.

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@Xeon4f145d96s1

3 months

Sent to me from a radiologist a few days ago. We’ve all seen the importance of not investigating diagnosis like PE or DVT appropriately. What we’ve not really discussed is the importance of not over testing or unnecessarily exposing a patient to radiation.

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platinumpizza™

@Xeon4f145d96s1

7 months

I would like to become an AA. Astronaut associate. I also want a seat on NASA council. I can’t fly a rocket, plane or helicopter. I don’t know any physics, engineering or rocket science. No background in biochemistry or botanics. I also want 30% more pay than an astronaut.

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platinumpizza™

@Xeon4f145d96s1

4 months

Hmmm.

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@Xeon4f145d96s1

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platinumpizza™

@Xeon4f145d96s1

8 months

Of course, this wouldn't be the first or only time Philip would gain financial benefit during his positions of influence. Enjoying £4,720, which would be double what a junior doctor took home in 2016, at the time, on top of his £75,000 salary.

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platinumpizza™

@Xeon4f145d96s1

8 months

What is going on in Yorkshire ED? Surely this is not the best move when there are patients waiting over 48 hours… In any case, if they are not allowing you to leave…you don’t need pizza…you need the police. @BMA_James_Steen one for you? Police?

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platinumpizza™

@Xeon4f145d96s1

5 months

IMT ratio is now 4:1. There are no locum posts. Either short or long term. What are FY2s supposed to do?

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@Xeon4f145d96s1

3 months

There’s not ample work for the 170 Urology applicants who didn’t get an NTN though. Why is it always Urology?

St George's Urology

@GeorgesUrology

3 months

4/4 There's ample work and training opportunities for everyone while keeping patient safety at the heart of what we do. Ours is a success story that we encourage everyone to embrace and emulate. @StGeorgesTrust @ASiTofficial @SWLNHS @BAUSurology @FPARCP @NHSEngland

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platinumpizza™

@Xeon4f145d96s1

6 months

I’m not left speechless very often but I don’t know what to say…

Jan Hansel

@VirtueOfNothing

6 months

👀

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@Xeon4f145d96s1

25 days

It seems @MFTnhs has truly gone off the rails. This letter signed by @CaraCarahendry as the PA lead attempts to threaten and bully a doctor for having sent the following WhatsApp message raising awareness of a PA breaching NHSE’s own guidance. Apologise now and fix this.

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platinumpizza™

@Xeon4f145d96s1

5 months

Very disturbing letter sent from the GMMC. Thanks to r/doctorsUK.

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@Xeon4f145d96s1

7 months

You should be very ashamed of yourself @NCAlliance_NHS

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platinumpizza™

@Xeon4f145d96s1

13 days

So I’ve been sent some more screenshots of the same person. Apparently PA courses are “just as competitive as getting into medicine”? Described as “doing med school in 2 years!”? Needless to say we can probably half the length of regular medical school?

platinumpizza™

@Xeon4f145d96s1

13 days

How would *you* summarise the PA role?

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@Xeon4f145d96s1

1 month

no-one could use a manual machine. do yo know how mind bogglingly insane that is? deskilling has real life implications for patients.

Michele Paduano

@MichelePaduano

1 month

Horrific. 56-year-old - 5hrs in ED without a blood pressure reading or repeat observations @uhbtrust . By the time bloods are taken and return 10hrs later.,Tracey Farndon, is dead! Blood pressure machines couldn’t pick up low bp and no-one could use a manual machine!

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@Xeon4f145d96s1

10 days

Interns doing burr holes across the pond and HOs doing chest drains across the other side of the world and some of y’all are criticising someone asking if it truly is the best use of time to formally assess final years on their capability to stick a test strip into a pot of piss.

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@Xeon4f145d96s1

2 months

I said I would send out an FOI to find out more information and would share when I heard back. (As apparently it’s my job to chase illegal prescriptions and not the CQC’s). Thank you @JanetEastham for investing this properly and thoroughly. A short🧵.

platinumpizza™

@Xeon4f145d96s1

3 months

Does anyone know what is going on in Bradford?

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@Xeon4f145d96s1

14 days

Rota coordinators should coordinate the rotas themselves instead of outsourcing the singular responsibility of their job to trainees.

Sam Ghali, M.D.

@EM_RESUS

16 days

What’s your unpopular medical opinion that would land you in this position? Drop it in this thread

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@Xeon4f145d96s1

2 months

How can PAs reduce the locum bill (incurred by hiring locum doctors) if they are also not “replacing” doctors? @UMAPsUK please clarify for us?

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@Xeon4f145d96s1

2 months

12,000 people applying for 4,000 GP spots. Did I or did I not say this was going to become untenable? When everybody and their donkey can apply for thirty specialties, those with an actual interest in the specialty are going to get shafted.

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@Xeon4f145d96s1

3 months

Small online vocal minority doesn’t seem that small anymore. Certainly is getting more and more vocal day by day. Inspirational from this amazing lady.

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@Xeon4f145d96s1

24 days

Incredible that the GMC can reply to someone flagging a random unverified anonymous account spewing bile but have absolutely no comment on PAs illegally irradiating or dosing patients with controlled drugs - all verified.

GMC

@gmcuk

25 days

@Niamh_F_Kielb Hi Niamh, thanks for raising this with us. This is an offensive post - we’re sorry you’ve had to read it and hope you’re ok. We’ve tried to report this post to Twitter, due to its offensive content. We’re unable to do this at the moment, as the original post doesn’t appear to be…

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@Xeon4f145d96s1

8 months

And you'd be forgiven for thinking it was only he who enjoyed his rather chummy relationship with the gambling industry, but his wife also had to have her share.

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@Xeon4f145d96s1

6 months

Why are podiatrists seeing undifferentiated paediatric respiratory cases in primary care? Is it elitist to say a podiatrist should perhaps stick to feet and leave complex paediatric respiratory presentations to staff who’ve underwent training in making these diagnoses?

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@Xeon4f145d96s1

8 months

More recently, he has received gifts worth up to £11,830.60, in addition to lifetime access also worth up to £1000 per year.

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@Xeon4f145d96s1

5 months

An absolute embodiment of the very best of the medical profession. RIP Dr. Hammam Mahmoud Alloh

Hammam Mahmoud Alloh

@drhammamalloh

12 years

finishing med school is one of the nicest things that ever happened to me :)

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@Xeon4f145d96s1

5 months

It’s sort of obvious isn’t it, the “N” in ANP doesn’t stand for doctor?

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@Xeon4f145d96s1

8 months

This is the type of person who’ll end up using their PhD, in primary care practice (no idea what that is), to paint themselves as some sort of medical practitioner. Don’t say we didn’t warn you.

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@Xeon4f145d96s1

4 months

“consultant practitioner in EM” even I would think that means a medical consultant doctor. and I’m pretty in tune with things. patients have absolutely 0 chance. will RCEM address this?

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

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@Xeon4f145d96s1

6 months

I’m sorry, but in what way can a BMA badge make patients uncomfortable? There seems to be a very weird culture of “customer is always right” in the NHS. Patients are in hospital for medical care, not holidays. Their “comfort” does not trump the staff’s freedom of expression.

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@Xeon4f145d96s1

2 months

Imagine getting community noted because you decided to pipe up about the foundation programme without knowing anything…

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@Xeon4f145d96s1

11 months

Hi @DrCharlesL why did you go on @TalkTV to speak out against junior doctors on strike whilst your private GP practice @doctorcall is charging patients £236/hr for a consultation? Is it simply the contempt you have for JDs? Do you think they are worth £14.79/hr?

Dr Charles Levinson

@DrCharlesL

11 months

The 8am desperate rush to get a GP appointment is not good enough for the UK in 2023. A national push to get a decent booking system implemented for all must be possible for an organisation the size of the NHS? Doctorcall managed it for our visiting doctor service.

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@Xeon4f145d96s1

4 months

“Cons Acute Frailty” - dropping both the physiotherapist and practitioner part of the title and then using a Dr title in your handle is nothing but misleading, intentional or unintentional. Showed this to my 5-a-side friends who all thought this was a medical doctor.

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@Xeon4f145d96s1

3 months

RCGP: “and I took that personally”

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367

platinumpizza™

@Xeon4f145d96s1

8 months

GPs to kindly discontinue GP due to no longer being needed

59

60

365

platinumpizza™

@Xeon4f145d96s1

1 month

I would have resigned too if I presented this data in any other way but… What a disgrace. A farce of the highest magnitude.

7

61

357

platinumpizza™

@Xeon4f145d96s1

10 months

The mother of a patient who passed away after a missed PE by a PA, even after an inquest, thought that PAs were some variation of a doctor in training. Even after an inquest. Name changes are needed ASAP.

Mr Bon Ivor

@Bonivorlewis

10 months

@gaslad Maybe you should stick to those issues rather than pettiness such as changing the title of another profession.

3

1

6

9

55

353

platinumpizza™

@Xeon4f145d96s1

3 months

Imagine getting community noted…

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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24

117

10

41

357

platinumpizza™

@Xeon4f145d96s1

5 months

ANP reports female doctor because of an online disagreement. A tale as old as time itself, perhaps older yet. Scientists have long asked if anything came before the Big Bang. I can now safely report some nurses bullying female doctors seems to fall fairly into that category.

22

37

356

platinumpizza™

@Xeon4f145d96s1

7 months

Most normal NHS changing room

24

26

355

platinumpizza™

@Xeon4f145d96s1

8 months

Shared to me…curious to hear if this is happening in other practices? What is the point of regulation if practices are simply providing loopholes? Is the saving in term of salary so much that it justifies blindly giving out your number to be used as deemed fit by the PA?

52

73

358

platinumpizza™

@Xeon4f145d96s1

26 days

If you want to be a part-time GP, part-time surgeon then being a PA is the right option for you. If a doctor wanted to do both they’d have to be in training for two decades. 17, 520 hours to become a PA. 175, 200 hours to train as a surgeon and a GP. Who would you want?

34

87

356

platinumpizza™

@Xeon4f145d96s1

7 months

I thought the whole point of PAs was that they’d stick around on wards liberating doctors to go meet their training needs? 2 year top-up course and you get to do all this. If you’re a doctor, good luck with the competition ratios and the exams and portfolio and rotation.

39

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351