London
Joined April 2011
‘My main goal is that I wanted to practice medicine, and I don’t think you need to become a Doctor for that’ @medicalmodelbri @parthaskar @Xeon4f145d96s1 @Dr_Done_ @Doc_IonaCollins @DrNeenaJha @LittlePersonDoc
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If people haven't seen, the author Q&A response to the 'SCP performing lap choles' case series is out. doi.org/10.1308/rcsann.2024.… As a very junior aspiring surgeon, the answers raise as many further questions as they solve.
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The other key element to all of this is those that sought some version of 'a role like a doctor, without all the bad stuff that doctors have to go through - geographical instability, long training etc' - we need to be introspective about this as doctors
"Physician associates have a role to play in a modern NHS" says @wesstreeting but adds "legitimate concerns over substitution and safety have been ignored by previous Govt leading to a toxic online debate". He says he is taking concerns raised seriously #lab24
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Early start for the Leeds to Nottingham train. This service connects the West Yorkshire, South Yorkshire and East Midlands conurbations which have a combined population of £6.3m and 3 core cities along a 70 mile corridor. The journey time is around two hours. Ave speed: 36mph 🧵
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Article via @AdeleWatersRx in @bmj_latest Illustrating the nightmare @NHSE_WTE are walking themselves into re training Where are the trainers? An unsustainable unplanned model from leadership concerned Views from @mancunianmedic @Cooper00Nicola et al bmj.com/content/386/bmj.q155…
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A revolt over patient safety and declining expertise is tearing the medical establishment apart. 🖊️ @pwhitakerwriter newstatesman.com/long-reads/…
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All credit to u/sildenafil_PRN on Reddit reddit.com/r/doctorsUK/comme… Well worth a read, @gmcuk communications with government prior to HoL PA debate, including identifying any 'supportive peers'.
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We're calling for a halt to recruitment of PAs in general practice following our consultation with over 5,000 GPs, until they are regulated & practices are in a position to implement our forthcoming guidance on scope of practice, induction & supervision. rcgp.org.uk/representing-you…
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We are calling for @NHSEngland to review its projections for growth in the physician associate workforce until issues of regulation, standards and national scope of practice are addressed. Read our full updated statement to the Long Term Workforce Plan: ow.ly/QhwJ50S9tcr
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🚨PLEASE READ🚨: Earlier today, a video recording of a @gmcuk seminar ("Frontline perspectives on integrating PAs and AAs into multidisciplinary teams") was shared onto Reddit. With @AnaesUnited cooking something big, a more strategic time to share the video was planned. (1/15)
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Let's look at the evidence that informed the LTWP. Case study of MAPs commissioned by HEE. Claims to be 'first large-scale qualitative study of impact undertaken at a national level'. Large scale = THIRTY-SIX participants. 4 AAs, 7 PAs, 25 'employers'. Outcomes: 👇👇👇 1/
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My favourite graph in the fantastic FT piece on how levelling up money is far too small, hasn't arrived yet, and even where it has, often hasn't got spent is this one,... showing that Richmondshire (Rishi Sunak is an MP) has done best* from levelling up in Yorkshire.
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NHS workforce plan relies on 'significant' substitution of qualified GPs, NAO warns buff.ly/3IPjuDw #longtermworkforceplan #NHSworkforceplan #NHSworkforce
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Emphatic In spite of data shenanigans (which may have influenced some votes) It’s time for a pause It’s time for scope It’s time to look at rotas Much kudos to many who have kept raising the issue at personal risk and battling national orgs You know who you are #RCPEGM
A reminder as to why a pause is needed in the roll out of #PhysicianAssociates In contrary to view of @NHSEngland @NHSE_WTE & @RCPhysicians senior leadership In a democracy? There has to be differing views What will Fellows agree with? We shall see bmj.com/content/384/bmj.q634
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Nothing in this fills me with any confidence that the problems outlined at the beginning will be fixed by the proposed changes. I read this as making medical education faster, cheaper and less rigorous. The public deserves better than this. Fin
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Tim Lloyd retweeted
Med students/new F1s are being shafted again See the below email confirming 99 have been put in a ‘placeholder group’ in East of England due to no places Meanwhile HEE is pushing trusts to recruit PAs to a foundation program - guess where? THIS IS INCENTIVISED REPLACEMENT ☠️
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There isn’t a single country in the world that spends more on public services than the UK without taxing the average worker more heavily:
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Thank you to @DrInsurgent for sharing with us Prof. Watkins’ erratum and declaration of conflict of interest, a whole ten years and infinitesimal social media reminders later. We thank Prof Watkins for her candour. The house is starting to come apart.
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Not satisfied with totally ransacking medicine, the same folks are toddling off to advise "reforming" vetinary care now. Couldn't make it up. This has to be satire. Article from 06/03/24 in Vet Times:
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Tim Lloyd retweeted
"Patients must know who is treating them and the skills and abilities that clinician has." Today, we have published new guidance on the scope of responsibilities for Medical Associate Professionals (MAPs). Read more here: bma.org.uk/bma-media-centre/…
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