Ian

@irrespolong @jotalbotbowen @PhilSmithIsBack @medicalmodelbri @doctor_oxford I was offered a Physicians' Associate for my team to 'See & Treat patients in A&E' so my Doctors could get on with Discharge Summaries! I refused the offer. Shame, because there was so much mundane work a PA could do to enable my Doctors to see patients in A&E.

And this has been worsened by the attached graph. It's nothing to do with lack of effort by NHS staff but lack of the investment needed in infrastructure; beds, kit, theatres & support staff.

The government used 1000 additional specialty training posts "as leverage and has stymied the pipeline of future consultants and GPs. This approach not only penalises doctors but ultimately harms patients." @DrLukeCraddock on the resident doctor strike bmj.com/content/393/bm…

@wesstreeting Meanwhile, project 'replace doctors with untrained pretend doctors' continues x.com/dirtybird12345…

A political choice, which I believe to be intentional. Just a member of the public but see their game play. @UKLabour is axing Drs jobs, they're paying £25-75m a year to fund substitute Drs, PAs/ACPs/ANPs. They're lowering the bar, funding an unregulated, underqualified workforce

They woke up after the pandemic having asked nicely for pay rises to be told that the claps should have been enough The Govt didn’t listen so they went on strike The Tories finally gave them some & when Wes got in, he promised a ‘journey’ back to pay restoration But it stopped

Junior doctors in this country are paid less per hour than the people who deliver their shopping. This is not a metaphor and it's not hyperbole; it's the actual hourly rate after a five-year degree, mounting debt, and the kind of training the rest of the world still sends its students here to receive. They are striking this week and the government's response has been to threaten to cut a thousand training places if they don't fold inside forty-eight hours. Think about what kind of person becomes a doctor in Britain in 2026. They know the pay. They know the hours. They know the system is short-staffed in ways that will haunt their entire careers. They do it anyway, because they are (like people going in teaching in 2026) the most precious and sainted kinds of lunatics, and because something in them still believes the work matters. That instinct is one of the most precious minearls this country owns. Naturally, government's instinct, as is its instinct whenever it encounters value, is to systematically beat and starve it to death. When the last of those people give up and go to Sydney or Toronto or just leave medicine altogether, the loss will not be visible for years. It will become evident later, in waiting lists nobody can clear, in cancers caught too late, in the slow disappearance of the assumption that if something terrible happens to your child there will be someone competent and present to help. You cannot rely on that saving grace any longer. We are eating the seed corn of British medicine, and the bill will be paid by people who don't even know yet that they are going to need it.

Clearly shows that consultants need to get better pay and if the resident doctors pay was put on the graph, that would show it is much lower. They are striking for a reason and public need to understand that.

@trentconsultant Mike @trentconsultant you are so correct to o nm put in all this work. Even those of us who proving difficult to persuade can not ignore this or misinterpret it. Some scales will be hitting the floor from done eyes. Now Forward Together. Well done 👍

The NHS is cannibalising its own doctors; pay erosion, moral injury, and political contempt: the Government are scapegoating doctors as the public enemy. Whilst allowing PAs and ACPs to reign havoc on unsuspecting patients. ✍️ via @MetroOpinion: metro.co.uk/2026/04/07/str…

This is a national crisis. There are insufficient posts in the system to train the specialists the NHS needs. Ultimately the patients of the future will suffer as a result. To use the much needed increase in specialist training posts as a negotiating tool is wrong.

This is why doctors are out on strike. The Government want to replace your family doctor with a PA. They're even paying them more than some doctors. @wesstreeting has been sitting on the Leng report for months. How many more patients will come to harm before he acts?

Streeting’s focus on pay misses the real issue: a crumbling NHS where doctors are overworked and undervalued. Rejecting the offer doesn’t mean they don’t want a solution; it’s a cry for systemic change, not just short-term fixes. independent.co.uk/voices/wes-str…

True, it’s high time the public know that they don’t have money for doctors, but the money magically appears when needed to train lesser qualified people. Their starting pay is also more than the starting pay of doctors. Big questions for the public to ask @wesstreeting.

So our Drs are greedy. Strange Streeting's never mentioned this anomaly when he's disrespecting Drs. Jim Mackey announces, the NHS won't be relying on resident Drs so much. Our NHS is being sabotaged, and we the taxpayer, are footing the bill for this substandard care.

We’re not even managing this before industrial action. To try to continue with routine work is not sensible.

Rhetoric vs reality.

Same old nonsense. The BMA was calling for a national health service from as early as the 1920’s. What it didn’t like was a government controlled monopoly which would suppress pay and conditions…

Quite amusing that in threatening resident doctors the DHSC is telling on itself that it had promised them nothing anyway 🤣

Labour will not train new doctors - presumably to replace them with unqualified staff. •Since 2008 MPs pay has increased by 60% from £61k to £99k •Since 2008 doctors pay has increased by 37% from £28k to £39k. Allowing for inflation a pay cut of 30%