Dr Trefor Roscoe

@PATSTONE55 @Megsenmumdr The problem about walking out is that you are then marked as self discharged against advice which means that if they have missed something they can wash there hands of you.

@Megsenmumdr GP told husband to insist on seeing a doctor next time. 'But they'll say there's a 3 month wait.' 'Never mind, insist on seeing a doctor. Must be one there.' 'But they get cross.' 'Never mind, keep insisting. Walk out if no doctor is produced.'

Why are “Clinicians” dictating letters to GPs without signing it with their job title? Had a patient letter for another 2WW clinic. Patient had a scan. Patient says the scan report wasn’t discussed & few weeks have gone by & patient waiting anxiously. Look on records 1/n

@Barbarahelen63 @kiityc @DrSteveTaylor @Parody_RCGP Surgery?

@kiityc @DrSteveTaylor @Parody_RCGP What alternative treatments are there?

We get around 100 of these a month from various specialist teams who think we are their clinical dog. Can't wait till we go private. Can't wait.

@cpeedell @thehealthb0t The other problem with his claim is that you would have to do a study over at least one generation possibly two and include significant numbers of the population, perhaps as many as 1 million subjects, to show a significant effect.

@thehealthb0t The NHS website link absolutely does not contain your lying quote! You are clearly relying on people not actually reading it. Enjoy your dangerous and potentially deadly, ill gotten grifting rewards

RFK JR - Many don’t realize, the Chickenpox Vaccine Causes shingles Epidemics “When the CDC was thinking about mandating the chickenpox vaccine for your children, they did a study. The person they hired to do that study was a scientist named Gary Goldman, who did a long-term study in California. What he found is that if you give the chickenpox vaccine, mass vaccinate, it stops chickenpox, but causes shingle epidemics later on; which is 20x deadlier. Despite those studies, we mandated for American children in this country, but in Europe they don’t. If you go to the British National Health Service website right now, you can read that it will say, “We do not recommend chickenpox vaccines because it causes shingles epidemics later on… and that’s the problem. (Check the link here: nhs.uk/vaccinations/c…) You can’t say this product is going to prevent this particular disease, but you have to look at the long-term implications.”

@crepycidon @cyb3rzlut Agreed. There was one death and half a dozen cases in Sheffield 50 years ago when I started at medical school.

@cyb3rzlut It happens every year. Usually just after students come back from home. Bringing infections with them Please don’t think this is any sort of epidemic. It is actually normal numbers. And sadly normal fatalities from it Stop believing the media.

the annoying thing about this meningitis outbreak is that a student from liverpool john moores uni died from it on jan 3rd and his parents actually sent mails to universities and student unions to raise awareness but never got any responses

@DeanEggitt @Francesanne2 And don’t forget all of the other people who had to retire early, like myself, because of the job was killing us. We had a medical school reunion a few years ago and all of the GPs had retired early apart from the few who only did minimal clinical work.

@Francesanne2 Push moral obligation onto doctors and they will work themselves to death for the good of others. Literally. Doctors in the UK have one of the highest suicide rates of any professional group.

When oil becomes scarce, the price rises. When doctors become scarce, we get shouted at and told we are lazy and should work harder.

@kcisc They can’t prescribe Botox. They’re prescribing rights are limited to within the NHS and being suitably supervised. They still need a medically qualified prescriber in their Botox clinic.

@TreforR Ha. Is anyone who isn't a doctor who has prescribing rights (all are limited, some far less than others). It's about the only place where you formally hear that these 'clinicians' are not really 'medical'. Many seem to acquire it then move directly into prescribing Botox.

'Consultant Practitioner in Emergency Medicine'

Informed consent would require the doctor to say “this non-medically qualified person could be anybody off the street. I would like him to fondle your breasts for no purpose.” this was sexual assault and in any other circumstances would be prosecuted as such.

@Anisocyte @kcisc Practising killing people?

Can anyone answer this for me? What is a trainee ACP who is occupying a space on a medical rota actually practising? They’re not qualified in AP. They’re not qualified in Medicine. They’re certainly not practising their base profession (if so, we have bigger issues) What is it?

I think I have found a question for physician assistance to answer as part of the MSc. “ describe a recent clinical case you were involved in referencing the Dunning Kruger effect and Ockham’s razor.” Those who have practicsed clinical medicine will understand this dilemma.

@BlackM1710 @kcisc How to dress a wound?

@kcisc What subject is a nurse teaching on MBChB course?

Nurse

@buist_rob @TheSnoozeDoctor @gold103x When I became a GP in 1987, my predecessor left me his “midder bag”. It contained forceps umbilical cord, scissors a suture set an ether mask and a bottle of rubbing alcohol for sterilising the equipment in an emergency. He told me he haven’t had to use it for nearly 20 years.

@TheSnoozeDoctor @gold103x I, like many many others of my generation and older, was delivered by my mothers GP who, back then, may or may not have had formal postgraduate training in obstetrics.

There should be no student PAA programmes and no recruitment into that role while the bottleneck in specialty training posts exists. Expanding these posts while doctors cannot progress is indefensible workforce planning. 1/

@Latheal @Dr_Done_ There are a limited number of people male, on duty, and spoken to by this Nurse. If she’d spoken to somebody she would recorded it in the notes. Even if she didn’t record in the notes still only a very few people who this could’ve been. She is lying.

@Dr_Done_ Again? This was 2022

🚨🚨🚨 It’s happened again Negligence by UNQUALIFIED ‘clinicians’ and attempted scapegoating of DOCTORS This boy’s death was preventable, and instead of taking responsibility the nurse practitioner is blaming an unidentified Registrar Never accept the examination of a noctor!

@Azeem_Majeed @DrSteveTaylor @NHSEngland Well they do have a very good example to encourage them to do this. General practice is no longer financially viable and is surviving on Goodwill and hardship. £Billions have been saved despite lives being lost. Nobody stopped them doing that.

@DrSteveTaylor @NHSEngland The government is unwilling to make the necessary decisions about community pharmacies. The current business model - based on dispensing prescriptions – is no longer financially viable. Hence, the government is giving them extra work instead of rationalising the pharmacy sector.

260,000 Pharmacy First appointments 👏🏼👏🏼👏🏼 40 million GP practice appointments in the East Midlands Pharmacy First appointments cost twice as much as a GP practice appointment @NHSEngland expanding access 🤔

@Fiandever @Megsenmumdr @medicalmodelbri @theRCN These two things cannot be simultaneously true 1. MBBS & MRCP + 5yrs PG training is required to deliver 1° med care 2. A portfolio course with 30cred non-medical clinical content is enough So either you’re unqualified for the role, or doctors are overqualified Which is it? 2/2

@nhsswipecard It’s an offense under the computer misuse act which is arrestable offense punishable by imprisonment or a fine of up to £5000

When a paramedic uses GP login credentials/signatures to prescribe medications, isn’t this identity theft? The NHS Counter Fraud Authority should do something about HCPs masquerading as doctors in primary care.

@drnic1 @anaesthetic_spr Certainly has committed offences under the medicines act, the medical registration legislation, possibly the computer misuse act, fraud as obtaining pecuniary advantage by misrepresentation, at least one of these is arrestable offense.

@anaesthetic_spr Struck off... ❓ Jail time - falsifying records, impersonating a doctor, endangering lives....

This paramedic was struck off for illegally prescribing medications and counterfeiting GP signatures while working in general practice (at two centres). Why would GPs employ a paramedic who cannot prescribe instead of unemployed doctors?

@BoyGeekDrone @ShaunLintern DIE. Or suffer the consequences of treatable morbidity much longer than they do now. This will reduce productivity as many people who could work will not be able to as we are already seeing. They & family will spend their savings mortgage their homes.

@ShaunLintern What will people do when there's no one willing to work in healthcare ?

1.4 million NHS workers will receive a 3.3% pay rise from April - more than the 2.5% budgeted for. With no new cash, further cuts will be needed from somewhere. With a £1bn extra drugs bill and costs of ICB redundancies, how much of £29bn extra for NHS will be spent on patients?

@rallybird2 @MedRegoncall1 Dr. Harold Shipman was actually a very good GP for the vast majority of his patients. He just had to kill over 200 of them.

📛 To all Advanced Practitioners boasting about providing “safe care” compared to doctors. This nurse (ANP) was investigated by the NMC for several instances of misconduct in GP land, as she was playing the GP role. ⭕️ The GP trusted her to see a patient at home, and she delegated the task to a healthcare assistant, putting patient safety at risk. ⭕️ Not listening to her supervising doctors when asked to do home visits on multiple occasions. ⭕️ Not recognising cancer red flags and falsifying medical records. ⭕️ Neglecting elderly patients at risk of aspiration pneumonia ☠️ This is the quality of clinicians we’ve got in primary care.

@MedRegoncall1 You don’t have to redact the name of the person. That information is in the public domain. Redacting it helps these people hide because they are not subject to public scrutiny.

I’m not having a pop at nurses when I say they should stick to their lane. The GP asked you to perform a clinical assessment, and you decided you knew better and overruled this. This is why a flat hierarchy is dangerous in healthcare settings. You kept inflating their egos until they started putting patient safety at risk.