Mr
@long_way_round_
, dad to Henry, 🇮🇪, Consultant Paediatric Neurologist
@Leeds_Childrens
. Comic book nerd. All views are my own. RT are not endorsements.
I am a Consultant Paediatric Neurologist, there are 160 Consultants in my speciality in the UK. I am striking.
#Consultantstrike
I’m also the last year of fees being £1250 for University. I graduated with £25,000 of debt. I’ve just finished paying after 12 years.
Overnight the team of 3 doctors doing an emergency c-section will be paid 50 quid, need a neonatal SHO make it 68 and if the neonatal reg is needed let’s make it 80-90 quid. Bargain to save two lives overnight…not appropriate for 5 highly trained professionals for an hour.
This was not the career promised to me or thousands of others.
We are running our department on 50% of the doctors we should. We cannot recruit or keep them in the UK.
My colleagues and I are doing the work of two doctors but being paid 60% of what we should had we kept up.
@thefourthcraw
Standing joke from my wife is that my family treat me as if I found a toy stethoscope in the car park. Her family treat me (and have done since I was an FY2) like some kind of Prof.
I have been able to absorb this by living a modest lifestyle and not having an expensive house.
My juniors won’t and for them home ownership is like a distant dream.
They will be stuck paying loans of £100,000 until they retire.
Over my last 3 years of training and first year as a consultant my wages are down £100,000 (£60,000 take home) compared to what they should have been if we had kept up with inflation since my 3rd year of med school (2008).
Hey Paeds trainees the rest of us have your back… there had to be one exception.
And if you can’t strike because you need the money because you are (checks notes) abysmally paid for your extraordinary skills make it known!
Remarkable interview.
Thankfully not the attitude of most junior doctors.
Pleased that so many junior doctors in my dept are not striking today that my clinic has been able to be reinstated.
@GMB
@DrHilaryJones
If they’re so valuable pay them as such. Restore the wages. Attract the diaspora back to the UK with competitive wages on an international scale and restore the NHS.
@RoshanaMN
@Jeremy_Hunt
There was a moment I thought he’d be the one who would get it. His years in the wilderness he sounded like he finally knew what needed to be done…he’d learned from 2016 and made the right noises about retention/pay/pensions…
I was a bloody idiot!
@trussliz
and
@RishiSunak
really need to
#TalkToTony
.
RT this one far and wide if you want to solve the retention crisis of senior consultants(or even young ones) in the NHS.
1/ As one of the leading experts on pension taxation in NHS I've personally reached out to
@trussliz
@RishiSunak
with my thoughts on this existential threat to the NHS & solutions
If you want
#TalkToTony
I'd be happy to explain this complex issue.
Read 👇& RT if you agree
@KatPaton13
I got to theatre once in a 6 month period as an F1 - no PAs back then…we need to consider rubbish training precedes PAs (likely compounded by dilution of opportunities).
@ShaunLintern
Legetimately hits the nail on the head.
Lidl have a trainee management pathway working 40 hours that in 4 years will pay the same amount as a 'junior doctor' who has worked 12 years, does nights, working 48 hours a week? Explains the disenfranchised feeling amongst nhs staff
@UXHenry
@ShaunLintern
They are, massive amounts of trainees are leaving medicine in the UK or emigrating to New Zealand or Australia where both pay and standard of living/work life balance are better.
@AbbieTBee
First NICU run we were expected to stay for rounds post overnight…second time as an SHO we weren’t…the difference one of my registrars from the first time was a consultant…I totally credit her with the culture change…
@DrNeuroNaut
@DGlaucomflecken
We have multiple personality disorders... Some days a paediatrician... Some days a neurologist.... And no one know which one they're getting.... Or maybe thats me 😂
Agree
@DGlaucomflecken
needs to do Paediatric Neurologists.
@drcolinm
@gmcuk
@theCFOM
@AoMRC
I would recommend disengaging with this event unless reclassified. Deals a more effective blow than engaging on their terms.
@LisaArc21
@GMB
They will be done with a team of consultant obstetricians/anaesthetists and if he needed help a consultant paediatrician would attend (or Specilaity/SAS doctor). Please be reassured it they need a bit of help they’ll get it. We consultants have the juniors back on this.
@dawnhare1
Thanks for underlining my point. My juniors will have 4 times the loan and will never pay it off. Pay restoration might mean they get close to paying it in their mid 50s.
Started med school in 2005
Consultant starting 69,000
Equivalent to 131000 today.
I’m not asking for anything near that, just better than where it is (and not the insulting ‘offer’ made this week).
“You knew what you were agreeing to”
I applied to medical school in 2010
2010 consultant starting pay = £74,504
What it should be = £109,538
What it is = £88,364
I wonder why we are striking 🤔
@GMB
@ranvir01
That’s 👏 not 👏 how 👏 it 👏 works.
The juniors have been open to offers from August. None have been made.
The consultants have delayed their ballot to strike for 1 month. No offers have been made.
Barclay is a disingenuous fool!
@mevparekh
We have the Gr8tx. Much better to get a random certificate for going an extra mile! Emphasises good culture and practice a little more carrot, little less stick.
@LordPhilofBrum
This is very poor form twisting words and insinuating Jenna is a bully. What you have done is bullying.
We agree person should be abused - but this is doctors included.
Right now you are the guilty party here. You need to take some personal responsibility and apologise.
I’m hoping
@RCPCHtweets
comes out with a similar statement.
@NeenaModi1
supported us last time, it made me proud to be as a junior trainee to be a paediatrician. As a consultant I expect to see the college retain its backbone and support our trainees.
Many of our members are eligible to vote in the BMA ballot of junior doctors.
While matters relating to terms & conditions of service are not within our remit, we want the voices of our members to be heard & understood.
Joint statement w/
@FICMNews
@MeaklimA
@Kamali_Thompson
Feel that!
2013 Don't do paediatrics, you'd not be good at it...
2017 You're not the right person to be a Paediatric Neurologist...
Look where we are now!
(ps you were always going to be great, knew that in med school!)
@trentconsultant
@KayBurley
@KayBurley
What do you make of the fact they have said this week that they’ve rigged this? (Basically ignoring the DDRB charter). If this was independent wages would not have dropped, no retention crisis, no strikes. Why are they not being held to account (paid by taxpayers)?
@JackieHaworth
I don’t know I could have done that.
There’s no rush to consultancy. Take the scenic route. Hopefully we can get this mess fixed for when you get here!
@goldstone_tony
@mdstbarts
If more CEOs said this nationally, really drove this home, their would be action taken. Hopefully you’re the first of many
@mdstbarts
, sadly I think not as many are brave enough to do so .
@MajorTruscott
Patient care is a great part of the job. Do you get out of bed and do your job for reduced rates? If so can I pop to your place of work and get 40% off services please? (Sorry for being facetious but I hope this underlines my point that it is in the end a job).
This is one of the most uncomfortable reads as a doctor(never mind as a paediatrician). Please read this, it’s beautifully written but incredibly harrowing. Learn from it. Listen to parents. Never ignore the numbers. And ask colleagues for opinions.
I’ve been thinking about this piece for a year. There’s so much more I could say. The only thing that matters is that Martha should be alive today…
‘We had such trust, we feel such fools’: how shocking hospital mistakes led to our daughter’s death
@noodles_nood
Think about paediatrics (I'll try and recruit everyone). Great supervision, programme shortening, you can do lots of different things from community to icu depending on inclination. Rotas can be a bit rubbish ooh as a Reg but the support makes up for it.
Even think about an FY3.
@EmergencyBod
I have this very bottle in my office…one floor above the quaternary paediatric liver consultants office…because who doesn’t like to watch the world burn 🔥
@Medic_Russell
I had a Surgical Registrar tell me on my last day as a neonatal ST3 that only registrars could refer to him. The next day when he rang me as the paediatric registrar for advice I asked did he really want my advice, he did apologise in fairness 😂
@katiehodgie
It’s not unusual and you’re not alone. My ST1 in paeds was so bad I wanted to leave…stuck with it and had great training and now I have the best consultant job ever.
@UniofNewcastle
@UniofNewcastle
you have a responsibility to report to the examiners NHS employer given their inappropriate conduct in issuing a yellow card as it falls far short of the recognition of equality and diversity as set out in the gmc development of undergrad trainers guideline.
Hi there
@DHSCgovuk
how good of you to put this out I was on 65k at 12 years post grad. For 48 hours a week (plus more unpaid). At 26 quid an hour (inc OOH). As the most senior doctor in the hospital at night. Giving advice on a regional level….
🙈🙈
#owngoal
@drlauracrosby
If you ever feel guilty about ringing for help don't...
I've seen more of the bosses ring each other for help or advice or to chat through a tricky case at the weekend... Its just more apparent as a senior registrar than the early years...
@Tom_the_Knowles
Counsultbeebies. I mean titles such as house officers, registrar, senior registrar commanded a degree of respect and lost people knew what they meant.
@DrRJWebb
@DrEilidhMaria
My wife is a doctors assistant - band 3 - sounds like her job (most importantly chases the F1s for lunch and advises them consultants are able to practice medicine and finish 6 hour weekend ward rounds unsupervised).
@DrSeanMon
Agree that holding hands up and admitting error is always the bravest step.
For me the take away message is again that sepsis kills and families should not fear highlighting concerns.
@MattGraham90
@nhsbourbon
@implus789
Really I must have been thoroughly confused that I was a qualified doctor and often the only doctor and most senior doctor in the hospital or ED during foundation training.
Foundation doctors are doctors. Also the over £20 point is well into training…
@BellaRoscetti
I had a Paediatric Neurologist tell me I did a good history and differential on the first week of St2 and I'm a consultant paediatric neurologist on Monday. Its funny how a little positive feedback can change your whole life.
@Doctor_Erin_
It will get easier...I think everyone has a wobble in the first month...
Also sometimes you'll cry in the good way (OK, not good but like normal... Like nice patient you've looked after dies... vending machine swallow yours money on nights (pre card days))
@BizSportCSR
Barry what will your reply be when the consultants are balloted next month and strike if there is nothing forthcoming?
Dean is a fully qualified doctor.
Please revisit your bias. Listen to the replies and consider the new information given to you.
@thegradmedic
Our PA made my training better, she teaches the juniors procedures allowing me to have had clinic time or specialist experiences. They’re an asset!
@scoffa_7
@SkyNews
‘Junior’ is a poor title. It is any doctor who is not a consultant or SAS doctor.
It can be a day one graduate or a battle hardened 12 year post graduation middle grade. A more appropriate title is Non Consultant Hospital Doctor.
@LittlePersonDoc
@Xeon4f145d96s1
Agree (although accidentally clicked the wrong poll point). The paeds surgical registrar refused to take a referral from me on the last day of ST3 I took great pleasure on the first day of ST4 when he asked a favour to tell him get a consultant. 😂
In the end this is that
@Pret
(a profit making company) has prioritised pay appropriately to retain their valued staff members whilst
@SteveBarclay
has refused to meet without his silly preconditions.
#JuniorDoctorsStrike
@Harrii_W
@zoeblofeld
@DrNickTwit
@dr_shai
Carrying a paeds reg bleep in a teaching hospital with a separate neonatal team and getting the neonatal emergency bleep…that’s the one that had me move quicker than I’ve ever moved!
@MedCrisis
Physio therapy room (on my base ward)
A couch in he corridor outside the consultants offices
Resus (the very old days in ED when it went dead at 4am for an hour or two)
@Long_way_round_
@oli_m_sims
Ran arrests in: teenage mutant ninja turtles, Winnie the pooh, Olaf, captain America (actually a lot in CA) scrubs. Broken bad news in so much more. People don’t care what you wear as long as you’re good at it.
#paedsrocks
After speaking to the students at
@HessleHigh
on Tuesday. This young student has set himself a great challenge. What a wonderful young man. Go Robbie! Thank you
@BellaRoscetti
I managed to have all but three of the buttons rip off when I ran out of the door and caught myself on the handle (cause I'm a clumsy bollocks).... I felt sorry for the poor medical student who had to run and grab me a scrub top...
@BMA_James_Steen
I wonder if
@NNUH
management are going to issue the apology today or wait until tomorrow. Personally think
@EOE_Foundation
need to check in on trainees asap - they are a privilege and not a right!
@MunchkinDr
Everyone who works with her (trainees and consultants) feels the same. I’m sure there’s other fantastic people out there doing the same within teams but it feels like there’s a real lack of balance.
Video Challenge
#BPNA2021
: Thanks to Professor Manju Kurian and the stellar, expert Paediatric Neurology panel for talking us through semiology and diagnostic approaches with an immensely experienced eye. A highly valuable educational experience!
@BPNA_org
@BellaRoscetti
Why the hell do people do this?
Its wonderful seeing your students and juniors take that tid bit you passed to them apply it. Even better when you see it being used years down the line!
Definitely the right thing to do when faced with that!