paedsdocinthehouse
2.1K posts





"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

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…




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



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…

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…

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…



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 |


