Rota monkey #555

In the words of Dr Ronnie Coleman MBenCH PR(Ess) 'Everybody wanna be a doctor but don't nobody wanna read no heavy ass textbooks' - Reddit

Non-medical “consultants” supervising resident doctors is a fucking disgrace. TPDs should not be standing for this

It's wild that paramedics, nurses, and physios have been openly bragging for years about replacing Doctors Then when it's called out they play the victim card The real victims are the patients

@Cartermill65675 @Dr_Done_ >no evidence base for a lot of what they do >immediately fucked off during Covid to hide in offices >therapy Alpaka can come to ITU but fuck me for wearing a watch you can clinell wipe They do fuck all apart from steal a wage. Back under the bridge for you troll

@Dr_Done_ Yes you are right preventing infections for the most vulnerable people is such a shit thing to do. Sack them all. What a dope

Infection control nurses are the worst people on earth

@RCollEM Outing myself here, but I am a member. I am embarrassed, ashamed of my college and outraged at the complete lack of backbone shown by RCEM. Disgraceful behaviour

We are pausing activity on this account but you can still find us on other social media platforms to find updates on QIPs, Press Releases or College News linktr.ee/rcollem

@KlausRB @uk8qnzl @KashCheema26 Where on earth are you pulling that from? We don’t get bank holiday pay, there isn’t a weekend salary allowance. It’s basic rate, plus banding for unsocial hours 🙄

He wasn’t on £16ph on a Sunday, don’t lie. He would have received the standard unsocial hours uplift of 37% on bhp. This is along with the salary allowance of an extra 3% to 15% depending on how many weekends he works over the year. He may also be receiving on-call allowance as well.

I just finished a Med reg on call shift. My FY1 colleague, by the time I got there, had already delivered life saving treatment at 8pm a sunday. Don't ever try and tell me that my FY1 colleague is worth £16 an hour. Don't ever tell me they're not worth £22/hr. Strike hard.

@NurseStandard RCN missing the point as per. This isn’t Drs vs Nurses. Classic divide and conquer tactics from the government. Nurses should absolutely be getting a more robust pay rise.

The RCN has labelled nursing staff's 3.6% pay award for 2025-26 as ‘grotesque’, saying it is wrong to again favour doctors for higher wage rises. What do you think?

US match day: So excited to be starting specialty training! 🌞🌈 UK NHS: lol whoops, probably still your fault tho see you next year

I gave my best years to medicine. Missed birthdays, bedtime stories, first steps, last moments. Swallowed the lie of our ‘indispensability.’ The truth? Medicine will take everything if you let it. And it will never love you back. Don’t regret it like me.

Latest ACP research in the EMJ is useful if anyone needs an emetic

@ItsnotrightUK @medicalmodelbri Speechless yet again. Tier 3 ST3 has 5 or 6 years at medical school, 2 years as FY , and then ST1 and ST2 where they will have done 6 months medicine, 6 months ED, 6 months of ITU and 6 months Anaesthetics and likely passed 2 out of 3 MRCEM exams.

@_janey_j @SueJRogerson @maggie2019moo People dying stop eating and drinking. It’s not about not feeding them. Which EOL drugs are you referring to? There are palliative guidelines for symptoms certainly, but it’s hardly the case that as soon as a patient is palliative they get pumped full of morphine and left to die

@justpaydrs @SueJRogerson @maggie2019moo Withholding drink and food, EOL drugs to hasten a “good death” you’re full of it mate. There is indeed a death pathway that they use.

My poor dad taken into hospital again with a chest infection - A bitch NHS Dr told me she’s putting a DNR on him after telling me she wanted to intubate and ventilate him. She was warned not to do that, give him the anti biotics and treat him. She said the consultant will make the decision tomorrow. How fucking dare they. 😡Scared to leave my dad alone as these scumbags simply cannot be trusted. Praying my dad makes it through this 😢🙏🏼

@SueJRogerson @maggie2019moo @_janey_j In my near decade of experience working as a doctor I would disagree with your statement entirely. No such thing as a “death pathway”

@justpaydrs @maggie2019moo @_janey_j It shouldn't degrade it, but in practice it does. Once they put DNR on they use it as an excuse to remove treatment and put on a death pathway.

@maggie2019moo @_janey_j Yes it can. The decision to offer CPR; intubation and ventilation is a medical one. Setting a ceiling of treatment does not degrade the quality of a care a patient will receive. Hope you never need care from “evil bastards”

@_janey_j A DNR cannot be put in place unless the patient or their next of kin has consented. They can however do a shit job of treating him in the hopes that he doesn’t survive. Stay and protect him from these evil bastards. God bless and good luck ❤️🙏🏻

I have been sent excerpt of case notes of a “Left Frontal Bolt External Ventricular Drainage” Done by a PA Supervised by a PA Assisted by a Registrar Using Consent Form 4 (As documented) Who do I send this to investigate on safety grounds? @CareQualityComm @NHSEngland @gmcuk

@tsoburol @rcgp @KamilaRCGP Then send them to medical school. End of story. “Via different paths” of lesser education.

@rcgp @KamilaRCGP In my whole time in medicine I have never seen a group of people demonised quite like PA’s have been. It’s simply embarrassing. The healthcare landscape is broad & talented people in that landscape have come via different paths. Embrace their talents & energies…

Confirming our position that there is no role for Physician Associates in general practice – our Chair @KamilaRCGP submits letter to the Leng Review. rcgp.org.uk/getmedia/273f7… #LengReview

@Resuspiece Dm if you want more details

What on earth? Do they not realise how crazy this sounds? AA covering emergency theatres, VASCULAR service for a large proportion of Scotland?

🔴 This is the anti-doctor NHS at its finest. They are spending millions of pounds on services such as Pharmacy First, putting patient safety and pharmacists' registration at risk. ⭕️ What you see as “simple medical conditions” might be manifestations of underlying serious health issues: • Earache (mastoiditis/brain abscess) • UTI (bladder/prostate cancer/PID) • Infected insect bite (Lyme disease ☠️) ⭕️ Why not let pharmacists focus on what they were trained to do, and allow GPs to get on with their jobs by increasing funding? They seem to promote any role to increase competition in primary care. This is mainly to humble salaried GPs and force them to accept shambolic rates.

@gloshospitals has been operating an SDEC lumbar puncture service since early this year. Alarmingly, a single PA has conducted at least 54 LPs without any oversight from a GMC-registered doctor. The Standard Operating Procedure lacks any requirement for direct supervision.

Some of you are really not ready to have the discussion that although the replacement of doctors with PAs is important; it’s not the whole story It’s been happening and is being promoted to happen by RCEM. Tiered rotas are replacement.