Jen Johnston

@Rehiana1980 @drokane The only people who have a problem with this are those keen to misrepresent themselves.

@drokane 100% No one should have a problem with this. I always introduced myself and my title. I really can't understand where the etiquette has gone.

If you see a healthcare worker in the NHS ask to take a photo of their ID not just their badge so you know who you’ve seen and their profession. No one should have a problem with this. It is good practice and transparency and part of good care. My mum has seen 3 people recently and I have no idea who they were or their profession or level of training.

@SocialistHB @vcg239 @anaesthetic_spr @DrJoFranklin @Molly2323232323 @ERunswickBMA @DrLKVaughan @NurseSayNO @strike_map @parthaskar @RCPhysicians 🙈 Wishing you every success with the RCN position.

@vcg239 @anaesthetic_spr @DrJoFranklin @Molly2323232323 @ERunswickBMA @DrLKVaughan @NurseSayNO @strike_map @parthaskar @RCPhysicians There’s no honour in the title. It’s a certain type that apply for them!

An important meeting on Monday. Speaking to RCN delegates, nurses - including those in safe and longstanding advanced practice roles - also oppose doctor substitution. They want a workforce plan that values each profession for our skills, and that discusses the areas of overlap.

NHS becoming an ungovernable mess. Squandered most precious asset: GP & associated infrastructure. Unique ‘honest broker’ gatekeeper function. What sets us aside from - for instance - USA system. Trend is shift everything towards hospitals with ED increasingly new front door.

The attempts of the @RCPhysicians to cling on to the vestiges of what they once supported is quite ...amazing The requirements to be... Certificate in Geriatric Medicine Knowledge-Based Assessment Lead includes being a PA for 7 years. I predict this is a degree anyone can do and be equated to specialist training in near future too. @GeriSoc - are you saying a Consultant of 3 years experience and a PA of 7 years experience are at par? Cos that's....something Link: bgs.org.uk/vacancy-certif…

@medicalmodelbri @Mary_Tom11 Practising medicine. Without a license. Doing that thing that the GMC was created to prevent. Hey ho.

‘It is important to highlight however, that whilst not a doctor, an AA is expected to deliver the same standard of care as that which would be expected from an Anaesthetist. ‘

@DrOKaneAgain @GeriSoc This is absolutely shocking.

Is geriatrics still a medical specialty @GeriSoc? A diploma open to consultants of 3 years standing, advanced practitioners & physicians assistants. Are these supposed to be equivalent? You don’t have much respect for your trainees. bgs.org.uk/vacancy-certif… #DoctorReplacement

@DigitalGerry @JatinderHayre_ @FT @Cartermill65675 Do you believe that a nurse consultant acting in place of an emergency medicine consultant is appropriate?

@DigitalGerry @JatinderHayre_ @FT @Cartermill65675 It’s a bit of a hop, skip and a jump from a nurse doing an ECG and bloods to being the emergency physician in charge with no medical degree and no formal examinations in emergency medicine. Yet practising it. Which is what an ACP survey recently identified is happening.

The NHS workforce debate is built on a lie. Britain has one of the lowest doctor-to-patient ratios in the developed world; yet instead of mass expansion of doctors, the state chose a cheaper experiment: Physician Associate and ACP quackery. 1/3 ft.com/content/f7e019… via @ft

@parthaskar @Janeajnet @iDrSunny @DrLKVaughan @DrAsifQasim @DrSelvarajah @COPDdoc @respirologist @DrSteveTaylor @hasyourregtried @Mumtaz_Patel_1 @doctor_oxford Your question will go unanswered as per the norm. You are of course correct. If anyone can be a Dr now then close med schools. Bin formal PG training. In my humble opinion some people should be in prison for what has been enabled.

"96 shifts were filled by Advanced Care Practitioners in 12 months- cover for FY2 shifts" Riddle me this- educationists in healthcare If an ACP knowledge and education is at the level of an FY2 doctor? Why do you have medical school places -and simply not encourage other professions to become ACP? And if good enough for FY2- why not all other posts- including Consultant? Or was this just an attempt to tackle locums- and tempt other professions with a different payscale- given AfC rates are so poor? Half baked plans helps neither ACPs or Doctors. Why not define clearly requirements for rotas- rather than this nonsense which creates more divisive rhetoric. I repeat- we are led in the workforce sector by clowns. @DHSCgovuk @NHSEngland @NHSE_WTE

@_BH_6582 @marion_mcnaught @medicalmodelbri @gold103x Of this I have no doubt.

@marion_mcnaught @LittlePersonDoc @medicalmodelbri @gold103x In the UK MIdwives are essentially 'independent' with little Medical/Obstetric oversight. This is why the UK has so many Maternity scandals every couple of years. Similar will happen when NPs take over general practice - NHS will suppress patient harm data.

The nurses seem to be awfully quiet on this . Could ONE nurse explain HOW Adele is not a GP substitute ? She sees patients from start to finish, no GP input . Isn’t this modern day QUACKERY? #protectnurse #nurse #nursing #RCN26 #ACP #advancedpractice #maxinurse

@skynetbuffering @medicalmodelbri @gold103x I’ll bet they can’t. I’m sure they phone for a GP appt and get allocated an ANP or a FCP or a PA and haven’t a scoobie doo about what any of them are.

@LittlePersonDoc @medicalmodelbri @gold103x Presumably the patients can choose between a medial and nursing appointment? 🤔

@marion_mcnaught @medicalmodelbri @gold103x Their own leadership who in some instances have limited recent clinical experience.

@LittlePersonDoc @medicalmodelbri @gold103x Yes and sadly they are the ones who seem to be disparaged by their own leadership- for not seeing themselves as equivalent to drs.

@marion_mcnaught @medicalmodelbri @gold103x There are many excellent ANPs who don’t believe this and have no desire to be autonomous Dr replacements. There are those who believe otherwise and and you have a very valid point. I wonder how confident those ANPs would be when the buck truly stops with them?

@LittlePersonDoc @medicalmodelbri @gold103x Looks like we are approaching the time when actual GPs leave the NHS- and let these advanced nurses absorb the risk totally for their autonomous practice

@Nickelaxa7p @SaulStaniforth She says something about heroin whilst looking at the MP speaking.

@LittlePersonDoc @SaulStaniforth One substance abuse at a time; sort out MPs obvious daily problem with alcohol and then do Cocaine abuse in the HoC next time. By the way, either of those substances in any normal workplace would be gross misconduct and dismissal without appeal.

MP's groaning and jeering as Hannah Spencer points out her constituents have to pay the full price for a pint whereas MP's get their alcohol subsidised #PMQs

@Nickelaxa7p @SaulStaniforth What did she say about heroin?

@SaulStaniforth Pochin's response tells you so much about right wing women who think they're in the boys club.

@SaulStaniforth @zx_sci_john What did the lady behind say about taking heroin?

@human_frozen_ @Jean_Jeannie1 @medicalmodelbri @gold103x @protectnurse @alisonleary1 @rcgp @doctor_katie @DrSteveTaylor @DrNeenaJha @dave_dlt Sadly I strongly suspect that you are correct.

@LittlePersonDoc @Jean_Jeannie1 @medicalmodelbri @gold103x @protectnurse @alisonleary1 @rcgp @doctor_katie @DrSteveTaylor @DrNeenaJha @dave_dlt Current mission of Gmcuk +its puppeteers in gov. +overseas - WHAT THEY DO - is to dismantle history, exam, tests, further management, forcing 1000s to die, to pressure the UK's wealthy to enlist with private insurance the US way which artificially lowers our life expectancy.

Adele Parsons VP of the ANP forum at @theRCN doesn’t want to remain silent on the issue of scope creep and claims that ANP represents a ‘distinct level of practice’ Why then , is she working as a GP substitute? ( see video below ⬇️) youtu.be/ZWm5irt2HMQ?si…

@AliJaneMoore @benn_elisbenn This is replicated in trusts across the country and nobody cares. Little things matter though. It’s part of why more and more drs are choosing to leave the NHS.

Some times the NHS is just an awful employer.