
Alex Gorton (alexgorton at bluesky)
526 posts

Alex Gorton (alexgorton at bluesky)
@lex978
Forensic Physician, Emergency Medicine SASG & Medical Examiner. Passionate about medical education & developing high quality care.



🏴☠️ I’m not having a pop at nurses, but this nurse in particular is displaying the same delusions of grandeur as some Physician Assistants and has no clue about her scope of practice. ⭕️ She has no doctor or medical consultant to discuss cases with, only a NURSE consultant or a PARAMEDIC. ⭕️ She is managing unresponsive patients alone without even being an Advanced Nurse Practitioner, and is only a forensic nurse 💀. Do you think your professional registration with the NMC as a nurse covers such a big liability with no doctor around? ⭕️ She thinks ST3 doctors (registrars with MRCX qualification) are “three weeks old” compared to nurses.☠️ I have to admit, this is an advanced level of quackery and an unprecedented display of boastful behaviour from a nurse.











1. Alder Hay employed a PA in a role and had no safety concerns. The Legal team wanted to safeguard against any potential miscarriage of justice. Therefore removed the PA from their role. They specifically stated the PA had no concerns about their role just that they weren't sure on the legality. This again is where the law needed to catch up with new situations and until that happened the safest thing was to stop. Post regulation the legal question could be posed about Pas supporting consultants and the law can decide. 2. PAs cannot prescribe and can only suggest pending verification. Anyone who does this needs to be referred via the misconduct policy of their employers. If the IT systems of trusts means that there is an issue with PAs and Doctors accidentally logging into each others accounts through shared computers and Rxing is an issue it needs to be stopped immediately and trusts need to stop letting their IT profiles be lax. Equally to safe guard this it's relatively straight forward for a pa profile to be setup that stops it and only allows verification from doctors. 3. vexatious means they were done to cause vexation. The police reports I've submitted this year were justified and whilst the people involved were deemed to have stayed just inside the lines it took time to deduce that. At no time have I been warned or cautioned for the reports submitted for wasting police times. Ergo, your accusation is, once again, meritless. 4. Your inability to grasp reality on this is unfortunate and a testament to the fact your morale compass is off.



In less than a month we will bring physician associates (PAs) and anaesthesia associates (AAs) into regulation – a milestone that will help strengthen patient safety and public trust in these professions. You can read our latest letter updating system leaders on progress on our website: gmc-uk.org/news/news-arch… Within it, we shared that: - We’re contacting PAs and AAs on the relevant voluntary registers to let them know the fee they’ll pay when they register with us. We expect the fee to be £320, subject to approval by our Council next month. More information can be found on our website: gmc-uk.org/pa-and-aa-regu… - We’ve been engaging directly with PAs and AAs to help them understand the standards they’ll need to meet when they gain registration with us. - Our future public facing registers will make it easy to identify whether an individual is a doctor, PA, or AA with clear and prominent labelling. - We’re preparing to publish our report on the outcome of our consultation on the proposed rules, standards and guidance for regulating PAs and AAs in December before regulation begins.











