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Lung Disease and Social Justice: COPD as a Manifestation of Structural Violence atsjournals.org/doi/full/10.… @atscommunity @asthmalunguk @ATSBlueEditor /n
Deadline to feed back to @RCPhysicians and reject this deeply flawed and unsafe guidance on physicians' assistants practice has been extended to 2nd November.
Pleased to see that the @rcphysicians is inviting feedback (by 15th October) to guide its response to the deeply flawed draft clinical protocol to allow physician assistants to see undifferentiated patients. Link below
Nick Hopkinson retweeted
Allowing physician assistants to see undifferentiated patients would be irresponsible and poorly evidenced, says @TheBMA's Tom Dolphin
He warns that vague guidelines on supervision fail to address the safety concerns that have been repeatedly raised
bmj.com/content/395/bmj-2026…
Nick Hopkinson retweeted
The @lengreview clinical protocols for physician assistants, & the inadequate consultation scope, must be vigorously challenged by the Royal Colleges (including @RCPhysicians & @rcgp), as they are by @TheBMA. It's potentially dangerous if PAs see & treat undifferentiated patients
Allowing physician assistants to see undifferentiated patients would be irresponsible and poorly evidenced, says @TheBMA's Tom Dolphin
He warns that vague guidelines on supervision fail to address the safety concerns that have been repeatedly raised
bmj.com/content/395/bmj-2026…
Nick Hopkinson retweeted
Good to see clarity from @RCRadiologists in their PA response principles
Pleased to see that the @rcphysicians is inviting feedback (by 15th October) to guide its response to the deeply flawed draft clinical protocol to allow physician assistants to see undifferentiated patients. Link below
YES!
Replying to @parthaskar @RCPhysicians @lengreview @DrLKVaughan @DrAsifQasim @respirologist @COPDdoc @doctor_oxford @Rezaidi @drpratikc @ShivaniM_KC @DrJoFranklin @DrSteveTaylor
I’m not MRCP. But my comment is that assistants carrying out tasks given by doctors (and not seeing undifferentiated patients) don’t need more protocols.
Influenza continues to cause significant mortality and morbidity. Seasonal influenza vaccines reduce the severity of disease and prevent hospitalizations and death, especially among individuals at high risk. jamanetwork.com/journals/jam… #RespEd
The Government is consulting on restricting the promotion of vapes, tobacco and other nicotine products. If you support this, please follow this link to respond and ensure they take action: ash.org.uk/campaigns/the-tob…
Genocide.
At least four children have been reported killed and many others injured in the Gaza Strip over the past five days.
Attacks have also destroyed a warehouse containing nutrition supplies and severely damaged a UNICEF-supported water facility, further undermining access to the essential services that children and families rely on.
Details: unicef.link/4ceC7jf
Nick Hopkinson retweeted
Has your NHS organisation changed how it uses physician associates since the Leng Review?
If you have direct knowledge of local practice, tell DAUK. Responses can be named or unnamed.
pasurvey.dauk.org
Please share.
As Hopkinson put it: “The question for pro-pollution campaigners is ‘why do you hate children?’” theguardian.com/environment/…
There is an absolute wealth of evidence that air pollution is a major cause of ill health and premature death across the planet.
theguardian.com/environment/…
Nick Hopkinson retweeted
A recent study analyzing 10 years of data from Kashi, China, found that short-term exposure to #airpollution like PM2.5, PM10, nitrogen dioxide and carbon monoxide is significantly associated with increased 🏥 hospitalizations for #COPD chronic obstructive pulmonary disease.
The risk was highest four days after exposure, and researchers identified particularly vulnerable groups, including younger adults, farmers, smokers, and patients with a history of severe 🫁 flare-ups, especially during cooler seasons.
While these findings highlight the critical need for targeted public #health interventions and sandstorm control in desert-affected regions, they also underscore the importance of personal protective measures for at-risk individuals, as even common urban pollutants can exacerbate respiratory conditions.
dovepress.com/article/downlo…
Nick Hopkinson retweeted
Surprising but perhaps timely to see senior clinicians asking about the definition of a doctor. The @WHO is clear that this includes attending medical school and being licensed to practice medicine.
So for an HCP to be ST3 equivalent they need to have attended medical school and have postgraduate medical training
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