Rebecca

@Roddy_Neilson @Anisocyte @medicalmodelbri @mmaryJ @pa_StephenNash Personal insults aren't evidence. Calling a regulated clinician a "cosplayer" doesn't strengthen your argument; it simply replaces debate with ridicule. If your position is evidence-based, defend it with facts, not ad hominem attacks.

@BeckyHall016 @Anisocyte @medicalmodelbri @mmaryJ @pa_StephenNash You’re cosplaying being a clinician. You wouldn’t know what was in the best interests of a patient in a month of Sundays as you have neither the training nor experience. You’re at best a Girl Guide/ Boy Scout with an expensive, but irrelevant, badge.

🚨BREAKING NEWS: PA ‘trade union ‘@UMAPsUK @pa_StephenNash was refused permission on ALL grounds to apply for a judicial review into the legal basis for implementing the Leng Review Signed on the anniversary of the @lengreview 16/07/2027. pulsetoday.co.uk/news/breaking-…

@2manypeople4me @medicalmodelbri @Melissa_S_Ryan @jamesmurray_ldn Comparing a regulated clinician to a cleaner or receptionist isn't an argument—it's an attempt to belittle people. Every role in the NHS deserves respect, and many people progress from non-clinical roles into registered professions through education and experience.

@BeckyHall016 @medicalmodelbri @Melissa_S_Ryan @jamesmurray_ldn With time, the receptionist, admin team, clinical coder, cleaner, becoome more competent and skilled. None of them think it makes them better than a consultant level Dr. This is just delusional

The Leng review was a long overdue look into the safety of new roles that should have occurred prior to their role out. Sadly it took deaths and patient harm before it happened. @jamesmurray_ldn must now uphold the review and ensure that PAs cannot see undifferentiated patients

@2manypeople4me @medicalmodelbri @Melissa_S_Ryan @jamesmurray_ldn As someone who has worked with many newly qualified GPs, they are absolutely brilliant but naturally do not know everything and often still debrief and discuss with the wider team. My point being is that time and experience a PA will become more competent and skilled.

@medicalmodelbri @BeckyHall016 @Melissa_S_Ryan @jamesmurray_ldn I am truly in shock at the attitude being demonstrated here. It really can't be an actual PA & member of UMAPs shooting themselves in the foot to this extent, can it?

@medicalmodelbri @tess1728 @pa_StephenNash Patients are triaged appropriately according to NHS pathways and practice protocols. I work within my scope under GP supervision, with immediate access to senior clinical support, and escalate whenever appropriate. Supervision isn't defined by a GP sitting in every consultation.

@BeckyHall016 @tess1728 @pa_StephenNash So you as a dependent, non -medically qualified PA see undifferentiated patients without direct supervision by a GP and only consult the GP for their opinion or call the GP in to see the patients as and when you feel like it . That isn’t ‘ supervision’ . That is quackery .

@Megsenmumdr @medicalmodelbri Respect is earned through safe practice, professionalism and integrity. Suggesting I've demanded to "practice on unsuspecting patients" misrepresents both my role and what I've actually written. Debate the policy, not a caricature of my position.

@BeckyHall016 @medicalmodelbri Respect has to be earned The way you have been posting demanding access to unsuspecting patients to practice medicine on them while denying them access to actual Doctors hasn’t earned you any in my eyes. Members of public can decide for themselves

Underqualified PA quacks diagnosing undifferentiated patients were never the right policy for patients nor the NHS . Find something else to do with your life .

@2manypeople4me @medicalmodelbri @InvCoriolis @jewett6a @mmaryJ @pa_StephenNash The debate should be driven by evidence, not anecdotes. UMAPs have relied on evidence in their legal challenge, and I'm happy for my own practice to audit anonymised outcomes. That's how patient safety should be assessed..

@BeckyHall016 @medicalmodelbri @InvCoriolis @jewett6a @mmaryJ @pa_StephenNash Can you give us some evidence that PAs are safe seeing undifferentiated pts? People would happily debate it

@medicalmodelbri @Megsenmumdr @rcgp @NHSEngland @RCPhysicians @lengreview Repeatedly reposting my image from my employer's website to single me out isn't professional discourse. Healthcare professionals should be able to disagree on policy without resorting to personal targeting or encouraging harassment.

@BeckyHall016 @Megsenmumdr Your PA course and on the job training don’t equip you with the knowledge to do these things listed on your GP practice website . @rcgp says that you can’t @NHSEngland says that you can’t @RCPhysicians says that you can’t @lengreview says that you can’t

@ClearThinker66 @Melissa_S_Ryan @jamesmurray_ldn We have the same GMC minimum CPD requirement of 50 hours/year. Personally, I far exceed that because I genuinely enjoy learning. I attend the same CPD events as my GP colleagues. Learning doesn't stop at graduation for any healthcare professional.

@BeckyHall016 @Melissa_S_Ryan @jamesmurray_ldn But how an earth do you catch up on all of those years of learning before actually seeing patients. You don’t. We have to do 50 CPD hours a year (a nurse does a fraction of that) and we are constantly learning too. You are deluded.

@Megsenmumdr @medicalmodelbri It's remarkable how confidently you can declare what I do clinically without ever working with me. Clinical competence is assessed by supervisors and employers, not anonymous accounts on social media. Debate policy by all means, but personal assumptions aren't evidence.

@BeckyHall016 @medicalmodelbri And you certainly haven’t demonstrated you have any understanding about depth & breadth of medical training let alone GP training If you did you would refuse to see & manage undifferentiated pts in GP independently You haven’t represented PAs in good light at all form ur posts

@2manypeople4me @Megsenmumdr @medicalmodelbri You say PAs could "earn respect" in an assistant role, yet many of the loudest critics argue the role shouldn't exist at all. That isn't an invitation to earn respect—it's rejection regardless of competence.

@BeckyHall016 @Megsenmumdr @medicalmodelbri PAs could earn respect in a valuable assistant role, Drs would find that very useful, as would patinets, It is not dismissing & demeaning someone to point out they lack medical qualifications and have been judged unsafe to see undiff pts by an independent review

@Megsenmumdr @medicalmodelbri Entitlement isn't standing up for your profession. Entitlement is believing only one profession deserves respect while dismissing and demeaning everyone else. I've consistently advocated for collaborative, patient-centred care.

@BeckyHall016 @medicalmodelbri You want to shut Brioche and others up because they speak the truth & raise awareness of dangerous PA practices & patient harm from it You have shown no care or concern towards your patients All about your perceived entitlement

@Megsenmumdr @medicalmodelbri I've never claimed to be better than a GP, but experience is vital. I work within my competence under supervision and fully recognise the differences in our training. Supporting the PA role isn't the same as diminishing doctors. Healthcare works best when we respect each other.

@BeckyHall016 @medicalmodelbri You are a Primary Care Rep of UMAPs You have claimed you practice medicine Implied you are better than “Newly qualified GPs” Showed no insight into your limited training & practicing medicine without adequate supervision And when it’s been pointed out you play victim

@2manypeople4me @ClearThinker66 @Melissa_S_Ryan @jamesmurray_ldn As a PA in primary care I attend many of the same CPD events, guideline updates and educational sessions as my GP colleagues. Learning doesn't stop at qualification. The difference is that I apply that knowledge within my defined scope and under appropriate supervision.

@BeckyHall016 @ClearThinker66 @Melissa_S_Ryan @jamesmurray_ldn I would be fairly sure many of them could understand it, if they went through the relevant teaching to practise safely wrt undiff pts. That is med school & PG training. Where during their career are you proposing PAs learn the content of med school & PG medical training?

@Oldboatie @medicalmodelbri @pa_StephenNash A profession is an occupation requiring specialised education, defined standards, ethical duties and accountability. PAs meet those criteria and are now GMC regulated. You may disagree with the scope of the role, but that doesn't mean it isn't a profession.

@BeckyHall016 @medicalmodelbri @pa_StephenNash Being a physicians assistant is a useful role but is not a profession, certainly not a medical one.

@ClearThinker66 @Melissa_S_Ryan @jamesmurray_ldn Are you suggesting a PA cannot understand clinical reasoning because of their title? Intelligence and critical thinking aren't conferred by a qualification alone. Every healthcare professional continues learning throughout their career.

@BeckyHall016 @Melissa_S_Ryan @jamesmurray_ldn Absolutely yes. The problem is that the 10 years experienced PA does not have the background to understand why they do things and when they should not. They do tasks under supervision.

@BlackM1710 @medicalmodelbri @mmaryJ "Depth" isn't static. Knowledge develops throughout a career. Safe practice isn't about knowing everything—it's about working within your competence, continuing to learn, and escalating when appropriate.

@BeckyHall016 @medicalmodelbri @mmaryJ You were not taught to an equivalence of deep theoretical knowledge ie that of core curriculum medicine. You are not equivalent. You have been taught protocols, not depth. And the MOST worrying point is that, as a profession, you can’t or won’t see that. And patients suffer.

@Megsenmumdr @medicalmodelbri I've been personally attacked tonight for doing my job, advocating for my patients and working collaboratively with my colleagues. Disagreement is part of healthcare. Personal abuse shouldn't be.

@BeckyHall016 @medicalmodelbri Apart from the fact that Brioche has never claimed to be a Doctor , do you think Doctors should spend all their time even if not at work “paying attention to their patients” ? And what gives you the right to decide what Brioche or Doctors should do with their time ?

@medicalmodelbri @Anisocyte @mmaryJ @pa_StephenNash @UMAPsUK Ok I'll get back to providing the best care I can for patients, working within my competence, learning every day, and supporting colleagues. The small minority who choose hostility don't represent the NHS. Working together will always achieve more than tearing each other down.

@BeckyHall016 @Anisocyte @mmaryJ @pa_StephenNash Time to log off Becky . I think you’ve done more damage tonight for @UMAPsUK and PAs in general than @pa_StephenNash ever did . You’ll regret it . Even the PAs themselves know that you’re finished . It’s over

@Anisocyte @medicalmodelbri @mmaryJ @pa_StephenNash Absolutely not, I work to the best of my ability to help the person in front of me.

@BeckyHall016 @medicalmodelbri @mmaryJ @pa_StephenNash Do you think it’s beneath you? To actually work at the level of your qualification? Do you think patients owe you the personal risk they will have to take by being left to the “medical practice” of someone neither medically qualified or trained, because you think you’re owed it?

@medicalmodelbri @ClearThinker66 @Anisocyte @mmaryJ @pa_StephenNash You're treating "practice medicine" as synonymous with "be a doctor." They're not the same concept. PAs deliver medical care within a defined scope under supervision. No one is claiming equivalence with doctors.

@ClearThinker66 @BeckyHall016 @Anisocyte @mmaryJ @pa_StephenNash It’s actually terrifying that she’s said this publicly