Jen Johnston

@medicalmodelbri @gold103x @jim_crawfurd @nhsswipecard Problem is that consultants have zero influence over these rates. Truly.

@jim_crawfurd @nhsswipecard Push for better pay rates @jim_crawfurd and you’d find Drs to cover those shifts .

A total of 96 shifts were filled by ACPs in the last 12 months. These were cover for FY2 doctor shifts. Happy days

@jim_crawfurd @medicalmodelbri @nhsswipecard I understand this. Genuinely I do. It doesn’t make it right though and it should never come to this.

@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.

@JohannaBaxter So are those hereditary peers currently on the pay roll now off it?

Promise made, promise delivered. 👇

@wesstreeting @jtworr We need honesty. The NHS is broken and it’s breaking the people desperate to keep it functioning. It’s harming patients. What are you doing to change this?

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.

@parapism @hlnewey I think the vast majority of us agree with this. Those who don’t, often have a desire to appear to be something they aren’t. It’s rather sad they feel the need to distance themselves from their base profession.

@hlnewey absolutely you should have your (registered) profession in your job title. why is this even up for discussion.

Are ACPs more senior than resident doctors *and* ANPs...

@Lizardwizarde @hlnewey RCEM made a foolish mistake when they suggested any level of equivalence. They have backtracked on this but the damage has been done.

@hlnewey No. We all know working with ACPs theyre not equivalent to ST3s. They never will be. They might be able to do a few similar tasks but no theyre not ST3 level. RCEM fucked things up with this tiered nonsense.

@BelTel It’s ok. The Gvmt has allocated £35 per household to assist. 🙄

Household energy bills could jump by £332 a year in July as recent sharp increases in wholesale prices are set to feed through into Ofgem’s price cap, according to the latest forecasts. belfasttelegraph.co.uk/business/uk-wo… belfasttelegraph.co.uk/business/uk-wo…

@drnic1 @Dr_Done_ Not recognised independent practice. I don’t doubt it was on the agenda. Leng rather scuppered it, for now.

@LittlePersonDoc @Dr_Done_ Coming??? Already there it would seem?

There will be many unnecessary deaths in Alaska because of this. This is what they have planned globally, btw. They used to incentivise real doctors to go to remote places with good compensation - now they send half trained pseudodoctors.

@drokane I can see how that happens. I’ve watched the rash develop and spread in a matter of minutes. One minute the same as very other febrile, miserable wee toot. The next profoundly septic.

A colleague, a consultant physician I knew had the same with experience with his son who died.

@ExMomentum_NHS @Anisocyte @anaesthetic_spr @lascapigliata8 It’s all deliberate. Ultimately it’s very sad.

@LittlePersonDoc @Anisocyte @anaesthetic_spr @lascapigliata8 And it's not likely it's just happening simultaneously across the country just by coincidence.

“Dr Clinical Lead for Physical Health Consultant Practitioner Senior Clinical Leadership NIHR” Basically a NURSE.

@Janeajnet @kcisc @Burnt2020 @valhumphreys51 @medicalmodelbri @LittlePersonDoc @anaesthetic_spr @lascapigliata8 The GMC is an outstanding example of Conquest's Laws. The end result of which is that an organization ends up doing the opposite of the thing it was set up to do.

@NursingTimes Article behind a paywall but I agree 100%. “Nurse” should be front and centre.

‘Nurses practising at an advanced level need to have ‘nurse’ in their job title’ nursingtimes.net/workforce/nurs…

@higherutley @medicalmodelbri @rheumipainmask @sunshine222blue @anaesthetic_spr @lascapigliata8 I’d still be Jen :) However, I would make a point of clarifying their role if it wasn’t immediately clear.

@LittlePersonDoc @medicalmodelbri @rheumipainmask @sunshine222blue @anaesthetic_spr @lascapigliata8 What if you are more medically qualified than the clinician you have been allocated to see in this brave new world ?

@higherutley @medicalmodelbri @rheumipainmask @sunshine222blue @anaesthetic_spr @lascapigliata8 In the same way they introduce themselves to anyone I guess. I say “ Hi, I’m Jen, nice to meet you.” Haven’t had any issues with this.

@medicalmodelbri @rheumipainmask @LittlePersonDoc @sunshine222blue @anaesthetic_spr @lascapigliata8 So how should patients introduce themselves to their clinician. ?

@Anisocyte @sunshine222blue @anaesthetic_spr @lascapigliata8 I agree. I was referred to as the consultant before I CCTd. I was at pains to immediately correct this. I can think of no reason for professionals failing to disclose their professional role to a patient. Other than wanting pts to believe they are something they are not.

@sunshine222blue @anaesthetic_spr @lascapigliata8 If you’re not explicitly telling the patient what your role and discipline is (ie nurse, and nursing) then yes, you are misleading the patient when you know there’s a high chance they won’t deduce you’re a nurse. If I was a patient like that, I’d be furious. 1/

@Burnt2020 @sunshine222blue @anaesthetic_spr @lascapigliata8 It’s also a crime.

@sunshine222blue @anaesthetic_spr @lascapigliata8 They have a doctoral level qualification. They are not a physician. Presenting yourself to patients as a doctor when you are not medically qualified is misleading.

@sunshine222blue @anaesthetic_spr @lascapigliata8 This is for all healthcare staff. If a medical student allowed a pt to believe they were a qualified Dr I would equally call that out as inappropriate and they could end up with a F2P review.

@sunshine222blue @anaesthetic_spr @lascapigliata8 She deliberately omits her professional role knowing that patients will ask to see a Dr. This is deception. With every interaction our name and role should be provided. Pts should be under no illusions as to who is providing their care.

A damning read @wesstreeting. Imagine describing your job as “soul destroying.” What are you going to do to change this?