Amy Thomson-Anderson
414 posts
Amy Thomson-Anderson
@ames_anderson
One part @lypshop mixed with one part junior doctor
Katılım Mart 2015
522 Takip Edilen87 Takipçiler
Amy Thomson-Anderson retweetledi
Cost-Benefit to NHS
Average spend on appts
GP practice £23
ARRS £35
Pharmacy First £48
UTC £85
Hubs £48
Virtual Beds £665
A&E £100-£300
£165pa for all patient care average 6 appts
Problem is misinformation about the cost of GP appts even @TheKingsFund
kingsfund.org.uk/insight-and-an…
English
Amy Thomson-Anderson retweetledi
Our NHS is broken, but not beaten.
We want your help to fix it.
Today the Prime Minister and I are launching the biggest consultation in NHS history!
Calling all patients, staff and partners - share your views and experiences for our 10 Year Plan 👇🏻
change.nhs.uk
English
@ShaunLintern @wesstreeting I am absolutely ready. 😊
English
This has been coming for a while. But now creates a huge opportunity for @wesstreeting to put his man or woman at the top of NHSE.
Who would you choose?
Dave West@Davewwest
BREAKING NHS England chair Richard Meddings has announced his resignation, after discussions with Wes Streeting. He was keen to continue in the role, but ministers want to bring in a new and trusted figure to oversee delivery of their agenda. hsj.co.uk/story.aspx?sto…
English
Português
@DrLKVaughan @RCPhysicians C’mon.. just put it on YouTube, I’m an Emergency Physician and I want to see if “fiesty” by physicianly standards comes close to an EM waiting room on a Saturday night after payday in a city with a Derby match that evening.
English
Feisty @RCPhysicians AGM tonight!
I have asked for the recording to be made available to Fellows even AFTER the meeting.
Important step toward greater transparency.
Those Fellows who did not make the meeting should WATCH!
English
English
The promoters of #PAproject have been also been the ones putting Drs through 20 yrs of competitive selection, expensive exams, audits, research, unpaid work, rotational training, & poor pay because it was considered NECESSARY to practice medicine safely.
@gmcuk
@wesstreeting
Roshana 🦴@RoshanaMN
🚨Patient Safety🚨 I’m not sure people really understand why doctors are up in arms about this government trying to substitute doctors Why we think it will affect patient care? So let me explain to you what it has taken me to train to become an NHS consultant, necessary to uphold the standards, as per our Royal Colleges: 🔴 Competitive selection to Medical school - 5 years 🔴 Competitive selection to Intercalated Degree - 1 year 🔴 Competitive selection to Academic foundation programme (first two years of training once you graduate as a doctor) - 2 years - Moved city a few times due to distances 🔴 Multiple papers published, in my own time, paid for myself 🔴 Multiple courses attended, on my own time, paid for myself 🔴 MRCS exams and study materials and courses (entrance exam for surgeons), in my own time, paid for myself 🔴 Competitive Selection to Core Surgery training (2 years, another move for most, I managed to stay in same city) 🔴 Multiple courses attended, paid for by self 🔴 Surgical portfolio kept, paid for by self 🔴 More projects, audits and published papers, in my own time 🔴 Very competitive selection to Trauma and orthopaedic speciality training - Moved city again 🔴 Rotated around 5 hospitals, majority of time have had 2 children and 4 hour commute. Childcare hours don’t fit NHS Rotas or working patterns - huge debt because of childcare 🔴 Attended countless courses, paid for by self 🔴 More papers, portfolio and audits in own time (research time we get doesn’t cover extent we have to do) 🔴 FRCS (consultancy exam) paid for by self, revised in own time 🔴 Cannot count how many times have attended extra unpaid lists just to ensure getting what is needed 19 years on. Multiples of tens of thousands of pounds later. I’m still not finished, though nearly there This is what it takes to become a consultant in the NHS, different timings for different specialties but equally gruelling. GPs highly trained generalists with similar expectations in competency Is it any wonder your doctors are incensed that doctor-substitutes are suddenly being paid more than them and being allowed to see patients LIKE A GP, after 2 years of training? There are many MDT highly trained specialists like ANPs, physios and pharmacists who are upskilled to see differentiated or skills aligned patients, they are excellent, but their scope is well defined Physician Associate however have been let loose unregulated and unscoped, to create a two tier health system. This is unsafe. The majority of ones I’ve worked with have been enthusiastic, knowledgable of local logistics, helpful and proactive. However, this does not = medical training. There are plenty of things doctors would welcome help with. Things to reduce the burden of the job. But doing the job of a doctor without the proper training is not it. Stand up for the quality of your healthcare We are @wesstreeting @Keir_Starmer
English
#TipsForNewDocs It can be stressful not understanding the system and where places/people/things are…be patient with yourself, within 2 weeks you will have gained that knowledge!
English
#TipsForNewDocs Breaks - It can be tempting to power through when you have a long list of jobs. Take a break away from the computer and off the ward, you will be more productive when you return.
English
#TipsForNewDocs Analgesia - Most patients will need at least paracetamol for fever or pain. Prescribe this PRN when clerking to save yourself and colleagues from having to do this later!
English
#TipsForNewDocs Delegate - Many members of the team can take blood, cannulate, use PGD for paracetamol etc. Just ask if there is anyone else that can help as that list of jobs is often too long for 1 person.
English
#TipsForNewDocs Communication is key - On-call will be made easier if you can tell the person asking for something the timeframe you expect to do it in. It will prevent relentless bleeps asking if you have done the job yet!
English
Amy Thomson-Anderson retweetledi
This has the potential to be an absolutely incredible appointment.
I need to sit down.
UK Prime Minister@10DowningStreet
James Timpson OBE @JamesTCobbler has been appointed Minister of State (Minister for Prisons, Parole and Probation) in the Ministry of Justice @MoJGovUK.
English
Amy Thomson-Anderson retweetledi
Amy Thomson-Anderson retweetledi
Oh my, this is is brilliant from @RobLaurensonD4P
🚨 Strike action has cost the govt £3bn
🚨 Full pay restoration would have only cost £1.3bn
🚨 Re 35% demand - a physician’s assistant is paid 35% more than a fully qualified doctor 🤬🤬🤬
English
Amy Thomson-Anderson retweetledi
IMPORTANT way to throw sand into Tory engine
Make a request for them to give you all information which they hold on you , they must do it in 30 days
6,000+ requests placed through @goodlawproject since the election was announced
Get the numbers up 👍🏼
goodlawproject.org/stop-targeting…
English
Amy Thomson-Anderson retweetledi
I debated whether we should start charging patients for care in today’s @thetimes with @matthewsyed, who believes the NHS is “a vast, monolithic, expanding institution sucking ever more funds into its vortex” & doctors its second worst issue.
No paywall!
thetimes.co.uk/article/2b394e…
English
Amy Thomson-Anderson retweetledi
Thank you @guardian for giving this topic a platform & allowing me to contribute
Remember the government’s pledge to deliver 6000 more GPs by 2024?
They lied.
They used £1.4bn to fund GP replacements by non doctors instead.
Struggling to see a GP now? Trust me, it’s about to get a lot worse….
theguardian.com/society/articl…
English
@parthaskar @RCPhysicians @mmamas1973 @DrAsifQasim @ShivaniM_KC @DrLKVaughan @UKGastroDr @trishgreenhalgh @doctor_oxford @ShrillaB @OrthopodReg @RoshanaMN Wow. Thank-you for speaking up about this issue and for dealing with the nonsense that comes with it. I hope you’re ok.
English
11 'complaints'-all from PA colleagues to @RCPhysicians
Reviewed by RCP
Decision:
"No current grounds to proceed with investigating these complaints further"
An excerpt from one of them
My concern is about safety based on lack of scope/regulation etc
Don't make it personal.
English
free access, bmj
why the fuss about PAs?
bmj.com/content/385/bm…
English