paedsdocinthehouse

2.1K posts

paedsdocinthehouse

paedsdocinthehouse

@Paedsdoc1

Katılım Kasım 2021
128 Takip Edilen39 Takipçiler
paedsdocinthehouse retweetledi
Louella Vaughan
Louella Vaughan@DrLKVaughan·
For me, this paper exposes the rotten core of the workforce substitution project. Millions of pounds and hours of manpower have been wasted writing nice frameworks and sitting on national committees for employers to IGNORE THEM. Because there is NO regulation. 9/
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@medicalmodelwithabriochebun
@medicalmodelwithabriochebun@medicalmodelbri·
‘PAs do full GP scope ideal for deprived areas’ Dangerous nonsense from @UMAPsUK 2 years Mickey Mouse course vs GPs 10+ years Deploying undertrained PAs to the sickest patients isn’t access, it’s Russian roulette. Deprived areas need Drs, not noctors @jamesmurray_ldn
@medicalmodelwithabriochebun tweet media
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Balazs (🦋cannulaservice.hibalazs.net)
Real hubris from UMAPs of the "safety risks associated with implementing the recommended restrictions to PA scope of work" that doesn't seem to acknowledge the clear safety risks associated with allowing PAs to see undifferentiated patients. PAs don't solve a lack of doctors.
Louella Vaughan@DrLKVaughan

Another cracker of a document from UMAPs. This time on the 'impact' on the EDs of the Leng Review on the deployment of PAs. Another masterclass in data misrepresentation (aka chicanery). Let's have a look. 🧵 umaps.org.uk/the-reality-of…

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Louella Vaughan
Louella Vaughan@DrLKVaughan·
Another cracker of a document from UMAPs. This time on the 'impact' on the EDs of the Leng Review on the deployment of PAs. Another masterclass in data misrepresentation (aka chicanery). Let's have a look. 🧵 umaps.org.uk/the-reality-of…
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Louella Vaughan
Louella Vaughan@DrLKVaughan·
The inference is that PAs are superior to doctors - faster and better. Alternative explanation are that PAs are being deployed to see the 'easy' pts, in which case doctors would see the same number (or more). Or the PAs are cutting corners and the doctors are not. 🤔 6/
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ExplosiveEnema
ExplosiveEnema@ExplosiveEnema2·
PAs teaching PAs how to assess paediatric patients in primary care Hosted by CMAPs This teaching is GMC approved and will go towards a PAs evidence of CPD Standards? Who needs them? RCGP are clear PAs should not be in GP, and certainly not seeing paediatric patients
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Jen Johnston
Jen Johnston@LittlePersonDoc·
@DrJoFranklin @RCPCHtweets I have raised internally. Will do so again at the upcoming conference. This is not acceptable. There can be no justification for it.
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Ollie Burton
Ollie Burton@ollieburtonmed·
Brief thread about this to try and get the framing right. Predicted this ages ago, was told I was wrong, and that seems to be because people will obstinately refuse to listen when it comes to something that happens in their own department and they like the people involved.
Dr Asif Qasim MA PhD FRCP@DrAsifQasim

Substitution of doctors with nurses and AHPs - badged as ST3 equivalent after a Masters and no exams - is a pillar of the NHS 10 year plan It’s an experiment on the public by @NHSEngland without ethical approval or informed consent by @CMO_England Are the Royal Colleges and @AoMRC complicit? They can’t say they haven’t been warned

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Ollie Burton
Ollie Burton@ollieburtonmed·
@DrJoFranklin @medicalmodelbri @mancunianmedic @DeniseC48200342 @dieracg I would expect the President or seniors in any Royal College to be able to tell me, very easily, exactly what their quals/CCT standards are required for and what people without those quals should *not* be allowed to do - otherwise what's the point?
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Mike
Mike@Mike88881221·
The unsafe use of ACPs is widespread in some trusts. @BWC_NHS: “Advanced Practitioners are trained and employed to work at the same level and role as their medical colleagues. There is no difference in role and thus can work in the same role to support medical rota” @theRCN
Mike tweet media
Dr Melissa Ryan 🦀@Melissa_S_Ryan

Resident doctors told us that advanced practitioners were used on their rotas. Our data shows this is the case, appearing to be in breach of NHS guidelines in England. NHSE says APs “should not replace the roles of doctors”, yet here we are. theguardian.com/society/2026/a…

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George Reid
George Reid@dieracg·
“Advanced practitioners are trained [...] to work in the same role as their medical colleagues." But how can this be the case if they don't have the same training and education? They can't. It is simply and transparently false. It is a lie, and this is industrial gaslighting.
Dr Melissa Ryan 🦀@Melissa_S_Ryan

Resident doctors told us that advanced practitioners were used on their rotas. Our data shows this is the case, appearing to be in breach of NHS guidelines in England. NHSE says APs “should not replace the roles of doctors”, yet here we are. theguardian.com/society/2026/a…

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Jonathan
Jonathan@jabberwock951·
Ideological obsession with 'de-medicalising' childbirth is leading midwifery leaders to take more and more risks. First it's low-risk home birth. Then those with risk factors. Then VBAC at home. It's reckless and it has to be reigned in.
Catherine Roy@catherineroyuk

Extract of Gemma Lomas' statement at inquest. "The fact that it all happened in our home, a place where we should feel safe, has also made the trauma so much worse." #amp-readmore-target" target="_blank" rel="nofollow noopener">mylondon.news/news/north-lon…

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Jonathan
Jonathan@jabberwock951·
@Cartermill65675 Disease and death are also totally normal processes. For the majority of human history infant mortality has been around 30%. Thanks to medical care it's currently more like 0.4%. Why would we return to the past?
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Jen Johnston
Jen Johnston@LittlePersonDoc·
@DHSCgovuk What’s the point when there are no jobs at the other end?
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Jonathan
Jonathan@jabberwock951·
DARVO is a very common tactic in the NHS. Most people who've tried to raise concerns will tell you, as soon as you do issues with your performance or attitude will mysteriously arise. Sometimes the fact you HAVE a concern will be all the evidence needed that you're a problem.
Artur Nadolny@ArturNadol7566

NHS FIRED THE DOCTOR ASKING WHY BABIES WERE DYING Martyn Pitman @MartynPitman spent over 20 years as a consultant obstetrician. He was good at his job. Colleagues respected him. An actress whose life he saved showed up to protest outside his tribunal. Then his hospital merged. Standards dropped. He started raising concerns about maternity safety at Hampshire Hospitals NHS Foundation Trust @HHFTnhs. Repeatedly. Formally. The trust's response was not to investigate the concerns. It was to investigate him. His communication style was described as critical and upsetting. Two years suspended. Then sacked. Grounds: breakdown of relationships. Here is the part they presumably hoped you would not notice. The trust hired lawyers Bevan Brittan four months before Pitman even filed an Employment Tribunal claim. Someone was planning ahead. The total bill for legal fees and external reviews to fire one senior obstetrician came to nearly £650,000. Public money. A trust already in financial special measures with a £27.7 million deficit. Pitman asked for an independent inquiry into his treatment. He was met with silence. When one was eventually set up, the terms were quietly changed to protect the Chief Medical Officer from scrutiny. The independent investigator appointed to review his case turned out to be a former lawyer from Capsticks. Capsticks specialise in, and this is their actual branding, difficult doctors. He lost the tribunal. The judge accepted virtually all of his whistleblowing claims as legitimate. Then decided he had suffered no detriment for making them. The CQC subsequently confirmed what Pitman had been saying all along. Maternity services at Hampshire Hospitals were unsafe. Babies were at risk. The doctor who told them first lost his career. The managers who ignored him kept theirs. If you raise a safety concern in the NHS and the trust does not want to hear it, it will not be addressed. It will be repackaged as a conduct problem and handed to a law firm with a specialism in getting rid of you. Sources: @ITVMeridian | Westminster Confidential @davidhencke | Alexander's Excavations @minhalexander | Employment Tribunal Judgment 1404274/2021 | Patient Safety Learning @PSLearning | Protect @WhistleblowersUK |

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Jonathan
Jonathan@jabberwock951·
Words cannot describe how much it fucking sucks to be stuck on a 13 hour night shift with no hot food or even anywhere to refrigerate or heat your own. Trusts need to start taking responsibility for the garbage they call staff facilities.
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Catherine Roy
Catherine Roy@catherineroyuk·
Between 2012 and 2023, Leeds maternity had the lowest rates of caesarean sections in the country. In the same period, its rate of stillbirths and newborn baby deaths became the worst nationally. thetimes.com/article/f3af99… 5/
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