MHG

A very proud moment in my mission to improve choice & experience for women having hysteroscopy. Today we delivered the first hysteroscopy under sedation at @SpireManchester an achievement I understand is a first across @spirehealthcare in the UK. Thanks @DrAndrewHeck & the team!

@jim_crawfurd @medicalmodelbri @nhsswipecard If I'm about to board a plane and the pilot is sick, I would not appreciate a senior pilot giving me a non-pilot and saying it's better than a gap. I would not get on the plane. How do we safeguard patients from this effect who are after emergent care?

@jim_crawfurd @medicalmodelbri @nhsswipecard By ‘people’ do you mean other ED staff & management? There needs to be an open and honest discussion with the public who on the whole have no idea this is going on & would likely find it unacceptable unsafe deceptive not informed consent Poor value & area variable for tax/NI £

@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.

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

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.

As I reflected on the Covid Enquiry with @NickFerrariLBC on @LBC I was reminded of the loss We need to take healthcare/NHS away from Politicians The politicians need to be told what is necessary & it’s their job to make it possible with funding The opposite is happening

@PhilipSteart @anaesthetic_spr Ah thank you Big change Little harm to be done from there one would hope

@MHG1910 @anaesthetic_spr eternalwall.org.uk/news/8709/a-ne…

The CEO of the Royal College of Nursing should be a medical doctor, not a nurse. Discuss.

Advice and Guidance - Patient Ping Pong Dear Cardiologist The nurse sat 3 doors down the corridor requests rapid heart rate control. Please advise us and the nurse, or see the patient yourself. Kindly - Yours GP

@DrSteveTaylor @wesstreeting The aim is to manipulate waiting list figures but ALSO to set up/ normalise a system to cater for a planned primary care service staffed by non doctor roles who will need this support when actual GPs who don’t need this support are no longer employed in primary care

Advice and Guidance is going to move NHS waiting lists to the community ‘From Hospital to Community’ that’s what @wesstreeting meant It doesn’t reduce referrals the data proves this there are more A&Gs but no fewer referrals It will remove patient choice & undervalues GPs

@kcisc @alisonleary1 @alisonleary1 Are you able to shed more light on this rather worrying post please?

@MHG1910 You should perhaps ask @alisonleary1 She's blocked many on here. Maybe you'll have more luck.

In the Nursing and Midwifery Council's own words - Advanced Practice poses a risk to the public, and they will only be *beginning* to develop standards of proficiency in 2027. Meanwhile, they on the same rotas as doctors.

@medicalmodelbri Huge concerns around the PA role, most importantly patient safety risk, confirmed by the Leng Review So sending any PA ,let alone an inexperienced one, out to patients who are often the most unwell/complex is a very poor service & unfair to pts and a recipe for disaster

‼️Barnsley pts at serious risk of harm‼️ New advert for a home visiting PA 🚩diagnosing undifferentiated patients 🚩 baby checks 🚩 diabetes management 🚩COPD 🚩asthma 🚩anticoagulation

@DrLKVaughan @jim_crawfurd @TheBreakster @medicalmodelbri It's unfathomable that there isn't a period of 'back to school' for a good theoretical grounding proven by exam BEFORE starting pt contact As worrying- countless examples (see @kciisc) of tACPs taking years 5/7/12 - to complete/pass Msc but working as ACP Does anyone fail?

@jim_crawfurd @TheBreakster @medicalmodelbri quality control. What troubles me the most of the misuse of the tACP role. One day working as a qualified and regulated HCP. The next, seeing undifferentiated pts without so much as an introductory lecture or regulatory safeguards. This is legitimately insane. 3/

Oh wow

@kcisc This person is not obtaining informed consent from patients & encouraging others to do likewise. Huge red flag PAs always have to be supervised by a named senior Dr No way round it Patients have the right to know who is supervising, delegating & responsible for their care/safety

@MikeWhi29270353 @kcisc @AngliaRuskin But not even ‘doing’ anything just observing/ being in the vicinity of qualified people or just being in a clinical setting, it’s bizarre Very ‘main character syndrome’ repeatedly seen suggesting the role attracts a certain sort of person & patients are not their main focus

@kcisc @AngliaRuskin "Look at me doing this !" Is that taught in their courses ?

PA students need to stop this. @AngliaRuskin

@kcisc Note also the borrowing of terminology associated with Dr training inc ‘rotations’ to feign gravitas & legitimacy 13+ specialties in 7 months= just days in each Hardly touched the surface of anything Shows just how shallow & therefore dangerous the PA training/role is

Ah, Princess Alexandra Hospital... again.

A good summary of the issues surrounding physician’s associates in the NHS. My concern (always) is the NHS trying to cut corners/ do things on the cheap rarely ends well for patients. Medicine is a complex, risky field & years of training are needed. 🙏 thetimes.com/article/edad92…

@valhumphreys51 @parthaskar Really well captured Val. That theme of patients being kept in the dark while processes happen in the background is so key and exactly what's so concerning. Politicians and regulators doing dodgy deals while kept firmly safe and insulated from any consequences.

I made a short response to @parthaskar ‘s piece in the BMJ: bmj.com/content/392/bm…

@valhumphreys51 @parthaskar Excellent response, thank you.