Dr Matt Kneale @drmattuk Twitter profile

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Dr Matt Kneale

11 days

I'm taking a hiatus from everything to settle some stuff going on in my personal life. Thanks to all who have followed and supported recently. I hope to be back in a short while once things have stabilised a bit ❤️

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Dr Matt Kneale

@drmattuk

4 months

Tomorrow, a crucial piece of legislation around healthcare will be scrutinised by MPs. It will happen in a committee room, away from the main chambers, on a whisper. If it passes, it will worsen the health of the UK population. Did you know about it? No? A thread 🧵

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Dr Matt Kneale

@drmattuk

11 months

I remember one of my on call shifts, being placed on AMU overnight and seeing more than a handful of patients who didn't survive the night. Not one of them had their family present — often just a HCA or nurse holding their hand whilst they went. You should have criminal records.

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Dr Matt Kneale

@drmattuk

1 year

When my ballot paper arrives, sometime from tomorrow, I am voting for industrial action with @TheBMA . I entered medicine in 2015 with the anticipation that the career—whilst brutally hard on your emotions, intellect and social life—would allow me a comfortable life.

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Dr Matt Kneale

@drmattuk

1 year

Does this grifter have any limits to his depravity? Let the man rest in peace. You have no evidence for this. @gmcuk — you have been told repeatedly that this doctor is spreading misinformation. You had time to suspend someone for using a tube ticket, might you act on this?

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Dr Matt Kneale

@drmattuk

1 year

In 2020 I started early as a junior doctor. Graduated early due to the pandemic and straight to ward life. In summer last year, that NHS trust sent debt collectors after me. No communication, just 'we paid you £700 too much, repay now'. Paraphrased obviously. Personal win 👇 /1

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Dr Matt Kneale

@drmattuk

2 years

Today on the medical take in A&E I have been drawing up my own medications, administering them, doing urine dips + MC&S, whilst still clerking patients + arranging investigations. @theresecoffey — you have your head in the sand. We need more nurses and enough pay to retain them.

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Dr Matt Kneale

@drmattuk

4 months

This situation is the equivalent, without any degree of irony, of a paralegal being paid more than a senior associate lawyer in many aspects. It is not far removed from a flight assistant out-earning the pilot, whilst having a go flying the plane.

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Dr Matt Kneale

@drmattuk

1 year

@gregfoley2002 Rest in peace, and thank you for your efforts to fight misinformation. I'm sorry this horrible virus cost you everything.

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Dr Matt Kneale

@drmattuk

4 months

The natural rebuttal to this is that "doctors make mistakes too". We know, and we try to prevent it at all costs. The difference is that we make mistakes with the gold standard of education and training. How does removing those standards for cheaper alternatives make sense?

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Dr Matt Kneale

@drmattuk

4 months

Ah, but one further thing — they are not cheaper. A foundation doctor, who might oversee the work of a PA on a ward and prescribe for them, gets paid a salary of £28,274 pa for a 9-5 job. A first day PA would receive £35,392.

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Dr Matt Kneale

@drmattuk

1 year

Misusing his position as a cardiologist with expertise on statins, to misrepresent himself as a pharma expert. "His own research" is deeply flawed and he has an agenda. This is deeply dangerous behaviour and I'm utterly shocked @gmcuk are not acting on dangerous misinformation.

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Dr Matt Kneale

@drmattuk

4 months

...would have survived if she was referred to the hospital. Worse yet, her mother says that she didnt know she saw someone who wasn't a doctor. The title "physician associate" sounds grander than it's supervising General Practitioner.

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Dr Matt Kneale

@drmattuk

1 month

I'm relieved to hear that @gmpolice have not pursued a false and vexatious report against me, and I will now subsequently be seeking legal advice in relation to @UMAPsUK for defamation. I'm very grateful for support received both in person and online ❤️

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Dr Matt Kneale

@drmattuk

4 months

It doesn't stop there. We have had deaths associated with PAs, following missed diagnoses like blood clots in the lung or torn blood vessels from the heart. In the case of Emily Chesterton, who died from a blood clot misdiagnosed as anxiety by a PA, the coroner ruled she likely..

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Dr Matt Kneale

@drmattuk

4 months

This is despite the fact there is usually no requirement for a PA to do night shifts, weekends or out of hours work. It is despite the fact they are less trained, cannot prescribe, cannot order radiation and cannot sign death certificates.

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Dr Matt Kneale

@drmattuk

4 months

I'll do my best to reply to questions tonight, as this is a brief introduction to far larger issues. I've hit the thread limit. I'm sure my colleagues will join in. Thank you, and please do raise these concerns with your MP - NOW - and please share this.

Contact your MP

Information on how to contact your local MP

www.parliament.uk

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Dr Matt Kneale

@drmattuk

1 year

Let's be clear: Dr Malhotra lost the respect of the profession when he forfeited evidence-based medicine, proceeded to review his own academic work, and went beyond his remit to sell false truths on social media and in the media. He no longer holds an NHS consultant post.

Vigne Kozacek

@vigne_k

1 year

Let's be clear: Dr Malhotra is a respected cardiologist & advocate for evidence-based medicine. He speaks his mind & challenges the status quo, regardless of who it may upset. #MedicalCommunity #Science

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Dr Matt Kneale

@drmattuk

4 months

Statutory instruments are meant for technical pieces of legislation. They are almost always passed, in as little as 15-20 minutes. They were not intended for complex, controversial legislation like the regulation of potentially dangerous medical replacements.

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Dr Matt Kneale

@drmattuk

4 months

As a result, and an effectively unrestricted scope of practice, MAPs have been used in inappropriate roles—especially in the last few years. We have seen notable examples such as PAs involved in neurosurgery. Some of these say they are learning anatomy on the job.

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Dr Matt Kneale

@drmattuk

4 months

The question on everyone's lips in the medical profession is why these roles have been given such rapid prominence and power, despite lacking an evidence base proving their efficacy?

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Dr Matt Kneale

@drmattuk

4 months

Tomorrow morning, the statutory instrument process will see the regulation of PAs and AAs pass into law — failing a last minute U-turn from its Government majority. Some MPs are opposed, for example @KeeleyMP who was Emily's MP.

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Dr Matt Kneale

@drmattuk

4 months

A first year doctor in the NHS works under a tight framework, so much so that they cannot fully register with the GMC for another year. To become trained to expert level, you would work for at least 5 further years to be a new GP or double that for a specialist in hospital.

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Dr Matt Kneale

@drmattuk

2 years

Everyone in my trust has been granted "wellbeing hours" as a thank you for COVID-19 efforts. It equates to about 4 hours per year. When I say everyone, I mean everyone except doctors. I found out this was a thing third hand from the nursing staff in A&E. Boy do I feel valued.

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Dr Matt Kneale

@drmattuk

4 months

MAPs are not regulated. They have voluntary registers at a few Royal Colleges, but no statutory process to ensure they do not act dishonestly or recklessly to harm the public.

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Dr Matt Kneale

@drmattuk

4 months

Tomorrow is all but a certainty — I hope that this introduction is raising some eyebrows amongst the public reading it. If you have butterflies saying "this can't be right" I assure you it is, and you, your family and friends are at risk of losing professional doctors.

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Dr Matt Kneale

@drmattuk

1 year

I can't believe it's even remotely controversial to suggest the roles and responsibilities of a barista and a doctor are not on par, and do not require the same remuneration.

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Dr Matt Kneale

@drmattuk

4 months

Legal commentator David Allen Green has commented on them in depth, raising concerns about a lack of parliamentary scrutiny yet significant legal impact. They have been used for broad COVID regulations....

Why we should be worried about the use and abuse of statutory instruments

12th June 2020 In a Financial Times video yesterday I set out some particular concerns about the Coronavirus quarantine regulations, and in earlier posts on this blog I have set out the problems wi…

davidallengreen.com

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Dr Matt Kneale

@drmattuk

4 months

Physician Associates and Anaesthesia Associates are a relatively new role, which the Government is relying on to meet the aims of the Long Term Workforce Plan. Together, along with a smaller separate surgical role, they form a group called Medical Allied Professionals (MAPs).

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Dr Matt Kneale

@drmattuk

4 months

They usually undergo about 2 years of training following a previous degree, unlike doctors who do at 5-6 years (sometimes 4 years with a previous degree). There are edge cases here but this is predominantly the case.

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Dr Matt Kneale

@drmattuk

4 months

Concerns ranging from illegal prescribing, missed diagnoses including deaths, and replacing doctors on medical rotas. Why would institutions meant to protect the value of a doctor support these changes? That is a question that needs a deep dive, and some good journalism.

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Dr Matt Kneale

@drmattuk

1 year

Moral of the story? 1. Know your legal rights to your data. 2. Demand proof. 3. If you do have to repay, you are in control as to how you do it. They can't take it all in one go. 4. Involve senior management early in disputes. Escalate continuously. Here's to a happy ending!

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Dr Matt Kneale

@drmattuk

4 months

Further, doctor is regulated with the General Medical Council, meaning that a rogue doctor who acts well outside their scope of practice and causes harm could be held to account. They could be deregistered at a legal hearing, in a purpose that protects the public.

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Dr Matt Kneale

@drmattuk

4 months

A PA or AA undergoes relatively high levels of supervision for about 12-24 months, but then usually becomes autonomous. With the caveat that they must always be overseen, even if indirectly, by a senior doctor.

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Dr Matt Kneale

@drmattuk

1 year

Whoever did this has a future in NHS ward management - straight to Band 8, do not pass go, do not collect £200

Cormac Deane

@itsmybike

1 year

@ChiaraDiLeone the fridge where I work

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Dr Matt Kneale

@drmattuk

4 months

I say everyone's lips, but this is not exactly true. Multiple high level "leaders" of the medical profession have been involved in building this expert. Almost all of them refuse to acknowledge any concerns on safety — despite @TheDA_UK discovering over 680 concerns from doctors.

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Dr Matt Kneale

@drmattuk

10 months

As has become public knowledge, I'm initiating legal action against the General Medical Council due to their inaction in the face of harmful anti-vaccine rhetoric from registered doctors. It's about public safety, professionalism and integrity. Thread👇

We need your help to ensure the GMC delivers on its main obligation - to protect the public.

Donate now

goodlawproject.org

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Dr Matt Kneale

@drmattuk

1 year

My 1st FY1 on call I assisted with a cardiac arrest (we successfully brought them back), needle decompressed a tension pneumothorax before the reg put in a drain, and on top of this had responsibility for jobs for all acute medical patient that night. £14/hr? 🤣 It's an insult.

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Dr Matt Kneale

@drmattuk

1 year

Exceptional piece by @doctor_oxford today in @guardian @RishiSunak & @SteveBarclay are hiding in plain sight. They ignored our call for parliamentary recall. Make no mistake, this is a deliberate and systemic demolition of our National Health Service.

Ministers could help the patients dying in NHS hospital corridors right now – they just choose not...

Be under no illusion: the hundreds of avoidable deaths in the NHS every week are the result of political decisions, says palliative care doctor Rachel Clarke

www.theguardian.com

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Dr Matt Kneale

@drmattuk

9 months

I am astounded that @gmcuk is spending doctors' fees to defend my judicial review. A doctor that is spreading harmful COVID-19 misinformation should be well within the remit of a regulator, and yet it not only declines to investigate but will defend such action in court. 🧵

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Dr Matt Kneale

@drmattuk

7 months

There is an experiment within the NHS to reinvent what a clinician is. There is a move away from rigorous, academic and experienced doctors towards a new role, with shorter training, lesser standards and (presently) zero regulation.

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Dr Matt Kneale

@drmattuk

1 year

At least Andrew Wakefield didn't have social media to push his MMR/Autism lies. Yet people were seriously harmed by his actions. He was struck off by @gmcuk . One cardiologist has been given a dangerous platform to lie to the masses — people are being harmed. The GMC is silent.

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Dr Matt Kneale

@drmattuk

4 months

For all those feeling hopeless about the state of British medicine after today's House of Commons discussion around MAP regulation, fear not. There are avenues and @TheDA_UK , @AnaesUnited , @OphthConvergent , @TheBMA , @Doctors_Vote are all working hard to establish these. Some…

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Dr Matt Kneale

@drmattuk

4 months

...as well as last year's Public Order Act changes.

Telling the story of how the “serious disruption” public order statutory instrument was passed

14th June 2023 Here is a story about law-making told in different ways. The law in question is a statutory instrument made under the Public Order Act 1986 – the Public Order Act 1986 (Serious…

davidallengreen.com

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Dr Matt Kneale

@drmattuk

1 year

Slightly disappointing to see @DrSarahClarke denouncing spending on locum doctors on @BBCNews . Not only that but supporting PAs as an alternative to more doctors. The answer is to pay us more to retain staff, increase med student numbers, as well as NTNs for ST training.

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Dr Matt Kneale

@drmattuk

4 months

The following piece in the @guardian paints a picture of PAs that is not fully accurate, based on our data. It is disappointing The Guardian did not seek a comment from @TheDA_UK before publication.

‘I’m not a doctor’: the role physician associates play within NHS

Plans to increase their number in England to plug workforce gaps have been criticised – but their work is valued by hospital colleagues

www.theguardian.com

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Dr Matt Kneale

@drmattuk

1 year

I'm happy that there was no further action, but it goes to show that you can never, ever trust NHS admin to say you owe them money. Fight it, always. I know several colleagues who in 2020 were subjected to the same bullying tactics and didn't have the strength to fight this.

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Dr Matt Kneale

@drmattuk

4 months

Some absolutely staggering news from the GMC today which, unfortunately, I can't yet share. I know this is like fuel to a fire at the moment, but there will be more on this soon. Let's just say, you won't be happy where your fees are going.

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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

Family of film make-up artist call for inquest after treatment by physician associate

Christopher Tucker, who made prosthetics for The Elephant Man, died from sepsis caused by a bladder infection

www.telegraph.co.uk

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Dr Matt Kneale

@drmattuk

3 months

Physician and Anaesthesia Associates seem rather unhappy with us sharing patient safety concerns. They are so concerned about their professional reputation, however, that they are starting to work on shutting down concerns by unionising.

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Dr Matt Kneale

@drmattuk

6 months

I get that the discussion around physician associates can take its toll and for some people it feels "a bit much". The thing is, they represent the biggest threat to patient safety, pay and conditions compared to any other single issue.

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Dr Matt Kneale

@drmattuk

6 months

Short and sweet. Not much more need be said. "Plan to pump 10,000 fake doctors into the NHS is insane and dangerous"

Plan to pump 10,000 fake doctors into the NHS is insane and dangerous, writes James Perkins

You might not have heard of a ‘physician associate’ - and that’s not your fault. They probably won’t tell you. A physician associate walks and talks like a doctor, but they are no replacement for one.

www.lbc.co.uk

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Dr Matt Kneale

@drmattuk

11 months

@dave43law @MartinDaubney The GB News parade came out so quick to say the Nottingham attacker had a "history of violence" - but instead it turned out he has no criminal history. Just call it what it is: racists lying to make an agenda.

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Dr Matt Kneale

@drmattuk

2 months

Received a report from a consultant (staying anonymous publicly for now) that they have been forced off social media by their employer due to public comments made about patient safety and MAPs. @LordPhilofBrum - Is this the sort of patient safety culture you envisaged?

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Dr Matt Kneale

@drmattuk

2 months

In the spirit of PAs who now do only 4 weeks of university days per year, with the rest distance learning, I'm going to become a pilot through my home studies on Microsoft Flight Sim. Very excited to fly an Airbus A380 near you soon!

“Raj” Anandarajah | Rajiology

@Dr_Rajiology

2 months

@JimBethell I want to thank Lord Bethel After his spirited speech to the Lords, I have found my calling I am retraining as an #AstronautAssociate Medicine might be going down, but I’m going up, up and away friends

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Dr Matt Kneale

@drmattuk

9 months

Speaking of the NHS's abhorrent treatment of whistleblowers, Usha Prasad — a cardiologist turned whistleblower at Epsom & At Helier — is now facing a cost order to repay the Trust's £180,000 costs!

Usha Prasad: Whistleblower Consultant cardiologist faces record £180,000 cost claim from NHS health...

Dr Usha Prasad It is a fact that among the tens of thousands of employment tribunals held every year claimants do not have to pay their employers costs in 99.95 per cent of all cases. Therefore it …

davidhencke.com

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Dr Matt Kneale

@drmattuk

1 year

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Dr Matt Kneale

@drmattuk

4 months

@carolvorders @CarolineLucas @LBC @BBCNews @BBCNewsnight @JanetEastham @BMA_JuniorDocs @MarinaPurkiss @Emmajourno @NickTriggle @AnaesUnited @iDrSunny @trishgreenhalgh @djnicholl @DrEilidhMaria @DrAsifQasim @mmamas1973 @BylineTimes @Dr_BellaR @Janmacd @Channel4News @doctor_oxford

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Dr Matt Kneale

@drmattuk

10 months

@RupertMyers @IsabelOakeshott And yet right wing rags and their commenters (hi Isabel) love to stir this story up over and over. The question is why? Handed your phone over yet, Boris?

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Dr Matt Kneale

@drmattuk

1 year

P.s. I won't name the trust but obviously you know if you worked with me between March 2020-August 2020. If this affected you and you were bullied into repayment, please message me and we'll fight it.

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Dr Matt Kneale

@drmattuk

8 months

@Dr_Done_ @carolvorders Sorry to tag you again but this is why doctors are leaving in droves. Not just having our working conditions eroded at every level, but huge numbers of staff with less training/responsibility going into huge value posts. Postgrad PA Vs consultant neurosurgeon...

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Dr Matt Kneale

@drmattuk

5 months

Rates are being cut locally to less than F1 locum rates, shifts being left unfilled, the cost of living is increasing at alarming rates with nursery fees, utilities, rent etc on the rise. I am in debt, I have no savings. No, really. I'm still not working the strike dates.

Junior Doctors

@BMA_JuniorDocs

5 months

📢 STRIKE DATES ANNOUNCEMENT📢 Junior doctors in England to take further #PayRestoration industrial action. The first strike action will take place from 7am on 20 December to 7am on 23 December. The second will take place from 7am on 3 January until 7am on 9 January.

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Dr Matt Kneale

@drmattuk

11 months

@Randall87454048 We should always be open to hearing good quality evidence - that is science. The science, however, shows that long COVID is a bad thing and that the risk of it increases with every infection. You're not mad. We don't know much about long term effects.

Long COVID: major findings, mechanisms and recommendations

Nature Reviews Microbiology - Long COVID is an often debilitating illness of severe symptoms that can develop during or following COVID-19. In this Review, Davis, McCorkell, Vogel and Topol explore...

www.nature.com

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Dr Matt Kneale

@drmattuk

1 year

One of the dumbest things I've seen from a medical management POV. We don't keep patients because we enjoy their company, it's because their health or social support is not at a safe enough level for discharge. This is dangerous and needs immediate backtracking. Which trust?

Simon Fleming 🛠

@OrthopodReg

1 year

Really?! REALLY?! #JuniorDoctorsStrike #JuniorDoctors #medtwitter #Infantilisation #fullpayrestoration

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Dr Matt Kneale

@drmattuk

3 months

We've secured an important step forward. Thanks to public support, the GMC has been forced to reconsider its flawed decision not to investigate Dr. Aseem Malhotra's concerning statements about COVID vaccines.

GMC

@gmcuk

3 months

(1/2) A judicial review, brought by Dr Matt Kneale and the Good Law Project, will no longer take place. This was agreed on by all parties. After Dr Kneale asked us to carry out a review of our decision to close concerns he raised about Dr Malhotra, we identified an error for…

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Dr Matt Kneale

@drmattuk

8 months

@mercer_felicity @carolvorders She lives rent free in your head, Felicity. Spend more time focusing on your husband's terrible policy choices and less time worrying about someone calling out corruption 👍

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Dr Matt Kneale

@drmattuk

2 months

If you were outraged by the PA/AA issues so far, you're not going to like what's coming. We have barely scratched the surface on wrongdoing; unfortunately it takes time to get these things to a workable, releasable position.

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Dr Matt Kneale

@drmattuk

4 months

Today's the day UK medicine will be put on life support. In a short while, the House of Lords will most likely follow suit and withdraw care altogether. Most doctors have been palliated and stifled by mistreatment for years. Most of my colleagues are quitting or moving abroad.

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Dr Matt Kneale

@drmattuk

11 months

Nice to see a former doctor all smiles outside the office which has decimated the lives of NHS staff over the last decade. @RishiSunak @10DowningStreet — When you're ready for an honest opinion, more than happy to drop by.

Ali Abdaal

@AliAbdaal

11 months

Cheeky hangout at number 10 - couldn't believe it when I got the invite 🤯

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Dr Matt Kneale

@drmattuk

1 month

@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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Dr Matt Kneale

@drmattuk

1 year

I immediately refuted the claim. I went nuclear demanding proof of overpayment. Radio silence. I then sent a Subject Access Request to the trust, demanding all payslips, timesheets and personal data held for that period. They have to retain this data for 7 years. /3

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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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Dr Matt Kneale

@drmattuk

4 months

@drcmday @mouseter_chef @Femi_Sorry @Xeon4f145d96s1 @DrAmirKhanGP @goldstone_tony @GoodLawProject @JolyonMaugham @RosieisaHolt @HelenRSalisbury @davidhencke @VirtueOfNothing @keepnhspublic @parthaskar @DrLindaDykes @DrLKVaughan @ShaunLintern @GMB @mancunianmedic @maitlis @GBNEWS @itvnews @SkyNews @PaulaMc007 @teekayoki @ObaBabsOsibodu @drphiliplee1 @PeterStefanovi2 @quackophage @r1chardf1tzg3r1 @RoshanaMN @dr_shibley @dgraemestewart @drokane @DrSteveTaylor @PPJSucharitkul @lizzie_toberty @TheDA_UK @theJeremyVine @WB_UK @drmeenalviz …

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Dr Matt Kneale

@drmattuk

4 months

@drcmday @mouseter_chef @Femi_Sorry @Xeon4f145d96s1 @DrAmirKhanGP @goldstone_tony @GoodLawProject @JolyonMaugham @RosieisaHolt @HelenRSalisbury @davidhencke @VirtueOfNothing @keepnhspublic @parthaskar @DrLindaDykes @DrLKVaughan @ShaunLintern @GMB @mancunianmedic @maitlis

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@drmattuk

10 months

One of the bigger issues, for me, is this: "At no point during the appointment at the GP surgery was Emily made aware that the person who had diagnosed her was not a doctor." Why was this not made abundantly clear?

Anonymous Anaesthetist

@gaslad

10 months

The cost of cheapening our health service by rolling out under qualified PAs and AHPs to play doctor. Always demand to see a doctor. RIP.

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Dr Matt Kneale

@drmattuk

9 months

It's a job. Pay me for my work please.

Claire Davies

@clairedocdavies

9 months

Is medicine a job or a calling? #MedTwitter #TeamGP

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Dr Matt Kneale

@drmattuk

5 months

"Yes, frequently under-supervised, especially on night shifts, reviewing CXRs, vague about their roles, asking F1s and SHOs to prescribe and request radiation for them. We were encouraged by a senior in the department not to question their decisions because "they know their…

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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Dr Matt Kneale

@drmattuk

1 year

I've decided to step down from the next junior doctor strike - I can't bring myself to support a militant left wing organisation that prioritises better pay over the bigger picture. What kind of organisation puts wellbeing ahead of discharge summaries? Shameful. (P.s. 1/4 🦀)

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Dr Matt Kneale

@drmattuk

4 months

1/ On the 20th November 2023, fellows of the @RCPhysicians requested an Extra-Ordinary General Meeting to address this urgent matter, in line with Bye-Law 4.3(2). This requires the College to organise an EGM within 8 weeks of the request.

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Dr Matt Kneale

@drmattuk

1 month

In October, I asked @djnicholl for assistance with MAPs and the RCP. We had a meeting where we were told a number of things later that are demonstrably untrue by senior leadership. Full praise to all the FRCP signatories to bring a historic result at the EGM - all 5 motions ✅

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Dr Matt Kneale

@drmattuk

2 months

Well, shutting down those who disagree with it without response is interesting. Thanks Gem—1st for regurgitating myths, secondly for failing to recognise limitations on the report, and thirdly for blocking without engaging. We now know not to go to BBC News with information.

Dr Matt Kneale

@drmattuk

2 months

Gemma, this is really disappointing. Unfortunately @TheDA_UK didn't hear from you but we could have shared significant evidence that these are not isolated incidents, and are in fact the tip of the iceberg. Much of this feels like you are regurgitating as fact the fiction that's…

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Dr Matt Kneale

@drmattuk

1 year

No. The file returns from the SAR. Everything as expected, except one timesheet is missing. For the one month I knew I had worked significant overtime, and for the month they said I had been overpaid for. Interesting... /5

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Dr Matt Kneale

@drmattuk

1 year

I tell them all this but they ignore my emails for 6 months. Increasingly frustratedly toned emails follow to no avail. Last week, 6 months later, I was sick of it. Strong email sent to the medical director, head of HR and finance - is this behaviour in keeping w/ trust values?

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Dr Matt Kneale

@drmattuk

2 months

I've issued a formal letter before legal action in relation to this defamatory "press release" from @UMAPsUK . I expect a retraction sent to any journalist it was sent to, alongside a public apology on their website.

Dr Matt Kneale

@drmattuk

2 months

Ladies and gentleman, your future MAPs union. @UMAPsUK sent this as a professional press release. No, really. Some notes: - I don't have a website? - My "locum wallet lining" has seen me earn less than I earned as a salaried FY1!

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Dr Matt Kneale

@drmattuk

1 year

Waiting for this all the while I'm being cc'd left, right and centre into email chains between debt collectors and trust credit controllers. I am invisible and a piece of meat to them. Since 2020, I've had a child and am *not* financially stable. Do they care? Do they ask? /4

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Dr Matt Kneale

@drmattuk

6 months

Hahahahaha Oh. Hahahahaha Thanks for the donation to the strike fund 😁

Lee Anderson MP

@LeeAndersonMP_

6 months

On the 6th October 2023 I shared a link on X to a Mail Online article entitled ‘Militant union leader at the heart of doctors strikes is a Labour activist who boasted of charging the NHS for a strike cover shift. I accept that my words were misleading as the subject in question…

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Dr Matt Kneale

@drmattuk

4 months

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

Shivam Sharma 🦀 #TellThemAgain

@DocShivSharma

4 months

Physician Associates now assessing final year medical students. Is this a sign of declining educational standards in medicine? What impact will it have on the quality of doctors we produce?

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Dr Matt Kneale

@drmattuk

7 months

@mikegalsworthy She's taken something. I'm not sure what, but something...

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Dr Matt Kneale

@drmattuk

2 months

Deterioration in the mental health of PAs and AAs is regrettable, and employers should ensure all MAPs are offered support as required. It does not, however, undermine legitimate concerns around patient safety and these incidents must continue to be investigated at pace.

UMAPs.org.uk

@UMAPsUK

2 months

It is imperative that stakeholders and those involved in the campaign against MAPs, take onboard the findings of this study and change their approach.

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Dr Matt Kneale

@drmattuk

2 months

DAUK's survey has also identified 24 other Trusts who have reportedly allowed prescribing by Physician or Anaesthesia Associates — we are investigating these and will report in due course.

platinumpizza™

@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🧵.

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Dr Matt Kneale

@drmattuk

6 months

We are to believe that PAs are here to support us - and not replace us - when this is the stuff being pushed out by supporters and NHSE/HEE?

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Dr Matt Kneale

@drmattuk

4 months

I feel deaths arising from misunderstanding the role of a PA and their lack of medical education need to stop. I feel that paying a physician's assistant (not a typo) more than the doctor they're supposed to help is awful workforce planning. I feel that Royal Colleges need to…

Clare Gerada

@ClareGerada

4 months

@dobbyjog @Dr_BellaR Not the answer to my comment. I think it’s really really unfair for one profession to pick on another. I feel It has to stop. It’s demeaning to us all.

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Dr Matt Kneale

@drmattuk

1 year

He accepts he abused his position to spout utterly unproven theories about vaccines. @gmcuk - when will you act on this? What level of harm do you need to see before it meets your threshold? I'll remind you that you deemed a falss promise of a laptop as sufficient for action.

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Dr Matt Kneale

@drmattuk

1 year

They had my phone number for 2 years, no attempt at communication was made directly by the Trust. Fair is fair, though, and if I have been overpaid I know I have no choice but to repay it. That's odd, though. I actually thought I was underpaid but never chased it at the time /2

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Dr Matt Kneale

@drmattuk

2 months

Very good to see @rcgp 's strengthened position on Physician Associates - they must be additional to, not substitutes for, GPs. Training/resources should prioritise addressing the GP shortage. Concerns over GMC regulating PAs to avoid patient confusion. Proper supervision must be…

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Dr Matt Kneale

@drmattuk

1 year

If it quacks like a 🦆... @gmcuk any intention of acting on this? And the rest?

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Dr Matt Kneale

@drmattuk

4 months

This is a total car crash interview. With respect it doesn't sound like you have a clue as to their role or scope of practice. @VictoriaAtkins DAUK are happy to sit with you at any stage and share with you our data and concerns. I know DHSC has a direct line to us—please use it.

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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Dr Matt Kneale

@drmattuk

1 year

I receive an almost instant response from the medical director, and subsequently the head of HR. They are immediately looking into it. A few days ago, I received this. Common sense has prevailed but not for a lack of pushing. /6

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Dr Matt Kneale

@drmattuk

2 months

Credit where credit is due, this is phenomenal work and really makes sensible scope crystal clear for MAPs and supervisors. @Melissa_S_Ryan I understand we owe you a great deal of thanks for getting this over the line, well done!

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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Dr Matt Kneale

@drmattuk

2 months

It's been a revealing few hours for the issues around PA/AA. And yet, up to 24 trusts allowing illegal prescribing is still not the most outrageous example of harm. When will this experiment stop?

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Dr Matt Kneale

@drmattuk

2 months

Ladies and gentleman, your future MAPs union. @UMAPsUK sent this as a professional press release. No, really. Some notes: - I don't have a website? - My "locum wallet lining" has seen me earn less than I earned as a salaried FY1!

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