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invertedcoriolis
37.5K posts
invertedcoriolis
@InvCoriolis
Expert in the Medical Model Refuse to supervise 🫸 Refuse to train 🫸 Refuse to engage 🫸 Unflatten the hierarchy @invcoriolis.bsky.social
가입일 Aralık 2023
734 팔로잉653 팔로워
invertedcoriolis 리트윗함
Particularly crazy that everyone seems able to cover a doctors shift without the training but if a doctor wants to cover a shift as a PA, ACP, nurse etc... we'd undoubtedly be refused.
Makes no sense at all
NHS Swipe Card@nhsswipecard
A total of 96 shifts were filled by ACPs in the last 12 months. These were cover for FY2 doctor shifts. Happy days
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invertedcoriolis 리트윗함
Why are “Clinicians” dictating letters to GPs without signing it with their job title?
Had a patient letter for another 2WW clinic. Patient had a scan. Patient says the scan report wasn’t discussed & few weeks have gone by & patient waiting anxiously.
Look on records 1/n
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@TheMooseOfTruth @McivorJaymey @GBNEWS He's not even a blue tick, just being a plank for the pure love of the game
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@McivorJaymey @GBNEWS Yeah Jay…
And look at this, it doesn’t even say the word “toilet” or “arse” or “shite” on. How the fuck are we meant to know what’s it’s for? It’s a fucking outrage.
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Any chance I can get an Easter Egg please M&S?
Will they ever learn 🙈
It’s like they do it on purpose to offend.
Easter is not National Chocolate Day.
Which extremists are you trying hard to not offend?
@marksandspencer @GBNEWS
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@jim_crawfurd @Melissa_S_Ryan @medicalmodelbri Whose responsibility was it to fight for more doctors before letting care degrade to current levels?
Emergency Department consultants are sitting in a hole of their own digging and patients face increased mortality and morbidity as a result.
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@Melissa_S_Ryan @medicalmodelbri I don’t disagree with you.
I’m very much in favour for fighting for more doctors.
I didn’t push for the development of the ACP role and I don’t think it should continue to be expanded.
But I don’t think existing ACPs should be sacked.
That’s my stance in one tweet.
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Ok, the department is short of an EM consultant . If it’s a choice between an ACP and a gap , would you rather have an ACP?
Let’s talk through this logically .
Cant be because at that level you need someone with MBBS because any experienced ACP can work as a Dr without MBBS
Jim Crawfurd 💙 🇺🇦@jim_crawfurd
@medicalmodelbri @nhsswipecard If it’s a choice between an ACP or a gap, which is what this FOI describes, I’d rather have an ACP. I think most people would.
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invertedcoriolis 리트윗함
@jim_crawfurd @Melissa_S_Ryan You can’t regulate quackery by making up courses to bypass MBBS post graduate EM training and exams .
Advanced practice isn’t regulated by the NMC, HCPC or GPC.
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invertedcoriolis 리트윗함
@jim_crawfurd @medicalmodelbri Now we start to build up evidence:
- for a business plan for more staffing (preferably LED posts)
- for regional BMA teams to highlight this at the LNC to keep pressure on
- for national BMA teams to make a campaign out of it
Just accepting a staffing gap isn’t good enough (4/4)
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invertedcoriolis 리트윗함
@jim_crawfurd @medicalmodelbri To exception report it as ‘lack of clinical support’. And if there are multiple gaps or it’s happened on multiple days to report patient safety concerns.
Under the new ER system, all rota gaps of all shift types must be reported by the guardian of safe working (3/n)
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invertedcoriolis 리트윗함
@jim_crawfurd @medicalmodelbri It goes but no one picks it up. The consultant pushes for escalated locum rates. The trust refuses.
The shift is either not filled or filled by non-doctor staff (possibly at higher cost).
Next step is to have every resident doctor on the floor covering the staffing gap (2/n)
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invertedcoriolis 리트윗함
@jim_crawfurd @medicalmodelbri We’ve been talking about the permanent replacement of medical staff with non-doctors and the knock on effects. But let’s talk about a single shift.
Here’s what needs to happen:
The consultant flags the staffing issue up the chain. They ask for the shift to go to locum 1/n)
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@rut85826 @DocEmUK @ExMomentum_NHS This would probably be a category 2 ambulance response - average response time in Eng was 29m in Feb 2026. But they then need to convey to hospital as well and get triaged/seen in ED. Definitely a slipping standard of care.
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@DocEmUK @ExMomentum_NHS It’s a terrible thing if they don’t come out immediately for an unwell baby. I found the Scottish ambulance service generally very good especially with children. Things just seem to be going downhill.
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The systematic undermining of general practice has consequences that you can't even imagine.
When #1 was 2 weeks old, he developed a fever, was grey and floppy with a bulging fontanelle. I called the GP OOH and he was seen within half an hour of my call. IM benzylpenicillin and a week in hospital. That OOH GP saved his life, no question. He has just been offered a place to do an MSc in mathematical and theoretical physics at Oxford - unbelievably competitive. Do I think today's 111 would have achieved the same? Not a chance.
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invertedcoriolis 리트윗함
Your solution:
Force GPs to deal with unlimited numbers of patients every day.
Reduce waiting lists by allowing hospitals to reject GP referrals.
Share confidential GP records with private companies.
I’ve never known a health secretary show such hostility to General Practice.
Wes Streeting@wesstreeting
Last night @jtworr sat and peddled the idea that our NHS is broken beyond repair. His solution? A system that would leave patients paying through the nose for even the most basic appointments. My solution? Rebuilding the NHS, so that it's always there for us when we need it.
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invertedcoriolis 리트윗함
invertedcoriolis 리트윗함
Bear in mind - a fully qualified doctor would have been ineligible for this post
Increasingly, actually, doctors are becoming ineligible for doctor jobs (you must be ‘lesser trained’ for inclusion purposes)
Daily Mail@DailyMail
Dietician who bluffed her way into senior NHS job is struck off after colleagues discovered she didn't know where the intestines were, what a gallbladder did or how to calculate BMI trib.al/HUPhbBq
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invertedcoriolis 리트윗함
Emergency Medicine is rapidly becoming Emergency Triage Care in the UK
Its College, ‘leaders’ & Consultant Enablers have stood by & proactively facilitated the deprofessionalising of their specialty with overt doctor replacement
For absolute shame on you all
NHS Swipe Card@nhsswipecard
A total of 96 shifts were filled by ACPs in the last 12 months. These were cover for FY2 doctor shifts. Happy days
English
invertedcoriolis 리트윗함
Non-doctors are doing doctors jobs.
Imagine if nursing associates did the job role of nurses. Would @nmcnews care then?
Do patients really matter to them?
NHS Swipe Card@nhsswipecard
A total of 96 shifts were filled by ACPs in the last 12 months. These were cover for FY2 doctor shifts. Happy days
English
invertedcoriolis 리트윗함
A total of 96 shifts were filled by ACPs in the last 12 months. These were cover
for FY2 doctor shifts.
Happy days
English
invertedcoriolis 리트윗함
Well at least there's no pretence this time. No gaslighting, it's just there plain as day, non doctors covering doctor shifts.
NHS Swipe Card@nhsswipecard
A total of 96 shifts were filled by ACPs in the last 12 months. These were cover for FY2 doctor shifts. Happy days
English
invertedcoriolis 리트윗함
PA who calls the degree 'Medicine' works for the GMC to assess and investigate concerns about healthcare practitioners.
Not themselves a registered PA either.
kc isc@kcisc
Nope
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invertedcoriolis 리트윗함
Honestly so sick of this crap
The GMC needs abolished ASAP
A PA is investigating doctors at the GMC. They no longer are on X and have successfully avoided criticism for months. We continue to pay extortionate fees to them like good little rats. This has to change.
kc isc@kcisc
PA who calls the degree 'Medicine' works for the GMC to assess and investigate concerns about healthcare practitioners. Not themselves a registered PA either.
English
invertedcoriolis 리트윗함
A PA graduate who describes their qualification as “Medicine” is now employed by the GMC to investigate doctors’ fitness to practise.
They are not themselves registered with the regulator they serve.
You genuinely could not make this up.
kc isc@kcisc
PA who calls the degree 'Medicine' works for the GMC to assess and investigate concerns about healthcare practitioners. Not themselves a registered PA either.
English