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NHS under severe strain as RCP warns doctors are being asked to “perform the impossible”: 🚨59% of consultants report vacancies 🚨83% say rota gaps harm patient care 🚨59% treated patients in corridors Corridor care unsafe; urgent workforce & social care action needed
A PA job in Resp today. At a centre that deals with complex resp conditions including ILD. Training to work on the ward and run clinics Maybe go on the on call rota? How is a PA ment to be able to do all this and be supervised. More Dr replacement jobs.nhs.uk/candidate/joba…
This is clearly pushed by the RCN and NMC, and and possibly what Leng references when she said Doctors need to get back in the saddle re senior positions in the NHS, because these have largely become noctor groups who promote themselves at the expense of sense & safety 2/
The consultants in my current ivory tower had a recent poll on who pays or rather doesn't or is about to bin off @RCoANews It didn't look good for "the college" although concern was expressed in who looked after training/education if/when they went bankrupt
The end result is enabled by all 3 but for different reasons I almost don’t resent the DH scrambling in the face of cost escalation but the colleges need to remember who pays for their existence and I can’t for the life of me understand doctors cannibalising our own profession
It's source is this genius diagram of ambition over commonsense and reality. A lie told repeatedly....... etc etc.
@wesstreeting My wife no longer uses X, but as a resident doctor would like to respond to your offer. She’s sent an email to your parliamentary address, but just in case social media is a more reliable way for you to read responses, she’s asked me to post it here as well.
Actually, there would be capacity for an extra 428 core anaesthetic training posts if you ended the PAA experiment The priority for the @RCoANews should always be to medically-qualified anaesthetic doctors We should not even be having this conversation
➡️Hospitals across the UK report capacity for an additional 178 core anaesthetic training posts each year, if government funding were made available. ➡️Read the Key Interim Findings from our 2025 Census 👉 rcoa.ac.uk/anaesthetic-wo…
My ENT experience: ✅ Anatomy preclinical + clinical teaching + ENT exams in medical school ✅ 3 Months ENT SHO job ✅ 12 years GP mx ENT patients daily ….& at times STILL feel uncertain after otoscope exam Pharmacists do a 2 HOUR WEBINAR & manage undiff ENT patients?! HOW?
Pharmacists earn £15 for managing an ear infection after doing a 2 hour webinar. Yet ENT consultants aren’t able to see these same patients in General practice as it would be considered not appropriate. I would be smiling too if I managed to get more of that wonga secured!
From my interactions on here. The most shocking thing is people just don't know about doctor replacement. They don't understand the alphabet soup of practitioners and sometimes think they have seen a doctor when they haven't This is a travesty However, @wesstreeting can fix it
During the H&SC committee 14/7/25 Streeting framed medicine as dominated by a privileged enclave from which others, like him, are excluded. While claiming to want more docs from diverse backgrounds, he revealed an apparent class based resentment of the current doctor workforce.
As a GP, I am not allowed to receive a pen or post-it note pad from a pharmaceutical company rep Govt banned them in case I was influenced to prescribe medications This should also be banned Influence being bought in Govt Patients should influence not the healthy & wealthy
Our public sector does not hire people based on whether they are the best, and does not fire people based on whether their projects fail. And we wonder why the public sector is an underperforming, overspending, inefficient, ineffective, bloated mess?!?
This @RCoANews president is a closed shop appointment and members have no influence. For example if a candidate had previous AA sympathy #justsayin Note @RCoANews has a membership who rebelled and forced EGM Makes me warm inside to be part of this ❤️
Board. The President and the CEO also have considerable executive powers. Councils are a form of show. They are ADVISORY. There are polite shows that the Exec does what Council wants. But they are NOT bound by Council decisions. In some Colleges, like the RCS and RCoA, this /
Pediatric care involves unique risks from rapid physiological changes, where physicians' deeper diagnostic training excels over ANPs' scope. Evidence shows ANPs improve access and satisfaction but mixed outcomes in substituting for doctors, especially acutely—higher referral…
Anyone who’s wondering why doctors are anonymous, sneak a peek here.
Indirectly threatening with GMC referral anyone who challenges the replacement of doctors. Typical ladder-pulling dinosaur behaviour.
Take the advice Martin. Poor judgement by you on many fronts. Public discourse should be respectful, balanced and of course professional. It’s what the @gmcuk rightly expects of us. If we can’t do that then we should and indeed WILL be held accountable Kind regards
The question is why? ACPs are either better than doctors, cheaper than doctors or the department is unable to recruit doctors Which is it?
A shameless EM consultant is proud of replacing his doctors with ACPs.
Great thread. Dear @UMAPs here is a very succinct (inadvertent) demonstration of the importance of learning the basics of pathophysiology in order to work from first principles in treating patients. Sure F1s don't use this reasoning every day, but they've got the basics & by 1/
ICU/ED/OR #Hemodynamics: IKYK that: i) blood pressure (BP) is the driving force for organ perfusion, but ii) hypotension does not always lead to hypoperfusion One of my favorite reviews (PMID: 34392972) tries to reconcile the paradox and expand on the topic:
The speaker overlooks valid safety concerns: 👉Supervision is to ensure safety, not control 👉Surgery cancellations reveal unsafe over-reliance 👉Patient safety and consent must be prioritised over system efficiency She said it herself, "I don't have a medical degree"
This is Gemma Halewood-Muse -Q&A session with Prof Leng She is PAA programme director at Aston uni UMAPs acting President of the PAA network She wants to continue to work as an anaesthetist without the medical degree and formal medical training youtu.be/OoLOi1YmNzc?si…
youtube.com
YouTube
Prof Gillian Leng : Q&A part 2 : GACOPA 5th Conference
Notably there’s nothing about patient safety or quality of care in her rant. Patients aren’t slabs on a conveyor belt, and anaesthetists aren’t technicians. The entire diatribe is self-absorbed navel-gazing and I’m very glad attitudes like these have been exposed to the public.
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