@HillsBekki15323 Well actually in this case if she calls herself "Ms" it's equally confusing...just saying
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Empa-rer
765 posts
An SCP lol! 😜 Cramming in ALL the credentials under the sun to try and disguise that they're still not a medically qualified doctor. Get a load of all my luvverly jubberly credentials baby!! 🥳
Dr Sandeep Bansal@iDrSunny
Really interesting one here. A surgical care practitioner with a professional doctorate signs off on patient letters as ‘Dr …’ Wondering how patients would understand the difference here.
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@anaesthetic_spr Exactly, there are enough jobs for everyone. They are just freeing nurses up to do what only they can do. No evidence that they are unsafe at all.
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I still don’t understand the toxicity towards our nurse associates.
They are trained differently and can do everything a nurse can do.
They have all their nursing competencies signed off.
It’s basically senior nursing leaders being protectionist.
#SaveOurNursingAssociates
Jen Johnston@LittlePersonDoc
Now shall we refer all the PAs and ACPs who took Drs shifts to the @gmcuk or is that different? If so, how?
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@MedRegoncall1 @ULHT_News I want to know the actual scope of work of this consultant nurse. He wears a radiation badge, does he do invasive procedures involving radiations?
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☢️ This is scandalous.
At one Trust alone (Lincolnshire @ULHT_News), there are 140 Advanced Clinical Practitioners (ACPs) and 50 advanced AHPs.
⭕️ Each ACP costs the Trust approximately £160,000 to train over 3 years (including Band 7 pay as student ACP).
⭕️ This is more than the money used to train medical students, who graduate with hefty debt.
⭕️ They are literally running the heart attack and heart failure services ☠️ with no doctors mentioned.
⭕️ The cardiology consultant in charge is a nurse.
This large-scale replacement of doctors with physios, podiatrists, dieticians, and other AHPs must stop now.
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Empa-rer retweetledi
PAs in cardiology are encroaching on procedures and ward duties, with 29% performing cardiology procedures and 12.6% acting beyond their scope, leaving early-stage trainees overworked and undertrained.
This threatens the future of cardiology specialists and patient safety.
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Empa-rer retweetledi
Most people have no idea how bad the UK doctor training system really is.
It demands double the training time of other countries, pays doctors less at every stage, and then often keeps them “junior” even after they finish all their training.
Look at the numbers.
🧵⬇️
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Empa-rer retweetledi
@JaneEBall @Frank9478968518 @alisonleary1 @annemarieraffer @ShaunLintern Odd then that as you are happy for ACPs/ANPs to replace drs. Hypocrisy is high here.
Do you agree that medically qualified dr roles can only be filled by medically qualified drs?
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@mrseleanorohara Did they not cause patient distress when they were training to perform LPs on patients as a nurse? Or only doctors do?
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Being told as an almost med reg that I can't attend a nurse led LP service for teaching/supervision to "avoid causing distress to patients" is more than a little bit frustrating I'll be honest.
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The NHS should train more doctors as generalists instead of requiring them to pick a medical specialism early in their career, a think tank has said #Echobox=1761684794-1" target="_blank" rel="nofollow noopener">thetimes.com/uk/healthcare/…
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@Jamesmealey10 @DrNickDalmon I like how your comparisons are barely- competent ACPs vs inexperienced/unavailable doctors. Why not try an ACP and a doctor who has the same years of experience?
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@DrNickDalmon Hi Nick, if you took you Mum to ED with a Colles fracture would you rather she was seen by an ACP who had pulled 50 wrists or FY2 doing their first shift?
Or, an ACP who had pulled 20 wrists or SpR who, because of other priorities was not available for > 4hours?
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@Jamesmealey10 @DrNickDalmon If your mum has a MI you have an ACP or a cardiologist who just had a heart attack himself, who would you choose to start resuscitation? Oh yea I know the answer. Disingenuous to make the doctor incapacitated/unavailable in the comparisons though.
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Empa-rer retweetledi
Discussing the 'skill escalator' concept with Martin McKee (late of this parish). Mentioned in the 10YP.
This suggests that anyone entering the NHS workforce can 'progress' through different roles/grades, limited only by their 'potential'.
It has been touted as a partial
1/
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@prospectivetACP @Microbedoc2 @drvk_voice It is a fact that they don't sit tough exams. MAPs can make their own training pathway and assessments more rigorous and respectable but they won't. Why would you want your life harder if you can open the textbook during your exams right? Just don't claim any equivalence to Drs.
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@Microbedoc2 @drvk_voice That’s absolutely fine….but then don’t go around crying and throwing up saying but they don’t sit tough exams!!!
GIF
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It’s astonishing that merely asserting a fundamental truth - that non-doctors are not equivalent to doctors - can provoke such existential distress among consultant-level doctors, as though dissenting were an act of rebellion in North Korea.
Catherine Williams@cathjw
@docib @LittlePersonDoc @KreedKafer @RCEMpresident @gmcuk Hell, I barely feel safe commenting, and am a consultant of far too many years standing, and a TPD with a vested interest in supporting resident doctors/EM consultants of the future. I await my GMC referral 😉😬
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Wait for resp to do chest drains, won't intubate but fast bleeping ITU for it, d-dimer and trop for everyone at the ED door, ask for specialist advice before discharging anyone. What are these if not glorified triage? Highlighting an uncomfortable fact doesn't make it an insult.
Martin Mariappan@MartinMariappan
Not nameless here David, Of course it is people like you who would hollow out a great specialty like Emergency medicine to be a glorified triage service run by underqualified personnel who just know how to request a scan and then refer. The level of delusion to think this is going away with future generations of medics.
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Empa-rer retweetledi
Want value for your Tax money? @wesstreeting doesn’t listen to GPs
GP appt £23
Urgent treatment centre £85, Community Hub appt £48, Pharmacy First £48, ARRS staff £35, Virtual ward 4 day admission £665
@NHSEngland cut GP funding yet pay for alternatives 🤷🏻♂️
Dr Steve Taylor@DrSteveTaylor
I spoke to @SkyNews this morning Raising expectations without any support GP online access is a good thing but it needs extra GPs & resources The 8am rush may reduce but there are no more appts or Hp time to offer, in fact less as a online forms are dealt with Safety vital
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@DrHuw @DavidMulvey5 @RCoANews @wesstreeting I totally agree with you, just stating what I think the way our govt is thinking....
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@kindnotruth @DavidMulvey5 @RCoANews @wesstreeting PAAs are a false economy though - extremely limited in what they can do, compared to many resident anaesthetic doctors, can’t be on-call, no solo lists, many sub-spec areas off limits, limited non-clinical commitments etc: all for Band 7 & above?? Very poor use of tax-payer money
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Empa-rer retweetledi
The specialty training competition ratios released today are especially grim reading.
How can we spend 7 years educating & training doctors only to leave them jobless because they’re competing with the entire world?
We are simultaneously failing doctors and the taxpayer.
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@DavidMulvey5 @DrHuw @RCoANews @wesstreeting Because they can pay for more people on the rota for 70-80k each, not people on 100k +. Looks good on staffing level instantly, cost cutting in the longer term. Quality of care more difficult to measure and not their concern.
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@DrHuw @RCoANews @wesstreeting Why does NHS need PAAs when there are abundant Drs available for training in anaesthesia? Continuing to recruit PAAs is an admission of a policy to dumb down the speciality.
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Empa-rer retweetledi
Primary Care Training Hubs
Promoting the training & development of additional roles in General Practice, except GPs & Practice Nurses
So no prioritisation for tackling GP /GPN unemployment & underemployment? Where is the accountability? @wesstreeting
hee.nhs.uk/our-work/prima…
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Refuse to prescribe for the PA? Your GMC number is now just a tool for the MAPs, says your supervisor - the lead ANP that you are directly accountable to. Go back and write up whatever controlled drugs they demand.
The NHS Whistleblower@ItsnotrightUK
First the fake doctors are” working alongside” doctors replacing doctors. Now the doctors are working FOR the fake doctors
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"The NHS has no money to employ doctors"
@medicalmodelwithabriochebun@medicalmodelbri
Why is @SheffieldHosp paying £60-80k for a physician assistant to work in haematology? An assistant. @SheffieldStar @Anisocyte #vhid=vt%3D20/docid%3DxgScbdEhKZ7u6C7xAAAAAA%3D%3D&vssid=jobs-detail-viewer" target="_blank" rel="nofollow noopener">google.co.uk/search?client=…
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