Arun Baksi
@ArunBaksi
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Consultant Physician; passionate about the #NHS . Email me at baksi @baksi .co.uk to find out about our campaign #OurNHSOurConcern
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Joined October 2013
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Institutional racism and the General Medical Council
Letter in
@thetimes
by
@ParagSinghal09
@Doctors4NHS
@irfan_akhtar_
@hinajshahid
@muslimdoctors
& me.
It follows the landmark case that the GMC racially discriminated against Omer Karim (
@okarimurol
)
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Yes. This experiment on the public to use PAs in the health system, without a protocol, without Ethic permission, without patient consent and without independent monitor, is also a criminal offence.
Who advised Parliament on this?
To have ANY doctor out of a job whilst we have PAs in the system is CRIMINAL
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Dear
@wesstreeting
This is a patient talking.
The current use of PAs in Trusts all over the country will inevitably lead to significant harm and deaths.
A national scandal is just a question of time but many would have paid for this with their lives.
@iDrSunny
@DrInsurgent
I'll keep repeating this - we patients DO NOT want PAs delivering any aspect of our healthcare. The few good eggs can't magically dissolve the enormous safety issues that the role itself poses for us. Please get rid and
#EndthePAExperiment
🙏🏽
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The media has a moral obligation to inform the public the truth about PAs. I simply do not understand their reluctance/ Are they waiting for another scandal before they wake up?
@mjauk
@thetimes
@TheTelegraph__
@DailyMirror
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This system of using PAs is a massive experiment conducted on patients without a protocol, without Ethics permission, without consent of patients and without independent monitor.
This must be the only example of daily assaults on unsuspecting patients.
I ask for evidence and proof of why the system needs PAs after a PA professor said they are needed.
I get called a bully.
Anyone considered the bullying *read assault* that patients are facing for the system not having asked these questions before?
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Hello
@bbchealth
it is time you started to tell the truth about the risks of being seen by PAs when they should have been seen by a doctor. By remaining quiet on this important subject, you are failing to discharge a public service.
There are no jobs for GPs either because the government has forced PAs into surgeries.
Having unemployed highly trained GPs while patients struggle to access GP appointments is a national scandal.
@wesstreeting
all patients deserve GPs.
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If the medics do not revolt, it is time for the public to start screaming and force the government of take urgent action against this sheer madness.
@mdcomms
@CampaignNhs
@SueyQP
@MerseyPensioner
@carolvorders
@MarinaPurkiss
☢️Hi
@BWC_NHS
again,
This mum is deeply concerned that you’re planning to employ a Physician Assistant who will be practising on her son with complex cardiac condition called Tetralogy of Fallot ☠️
⭕️Parents are expecting the highest quality of care to be provided and it’s
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This defies understanding. Non-GP doctors are not allowed to work in primary care because they not trained as GPs. But, why are PAs, without GP training, being allowed to function as GPs?
One is forced to wonder of the sanity of
@NHSEngland
@NHSE_WTE
Thank you for the response
@rcgp
. Can you please urgently clarify:
1) Why all non-GP doctors, irrespective of their seniority, are not permitted to see undifferentiated patients in 1° care (with/without supervision) as it’s deemed unsafe without undergoing GP specialty training
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The media has a moral duty to inform the public of the daily lie that PAs are not doctors. What are they waiting for, another infected blood transfusion or another PO scandal?
@mjauk
@thetimes
@TheTelegraph__
@Daillymirror
@vicderbyshire
The ‘PAs aren’t replacing doctors’ brigade need to stop & reflect on the damage they are causing to the profession.
PAs are absolutely being used to substitute doctors.
Replacing the pilots with cabin crew is a false economy that will harm patient safety & increase costs
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Time for a vote of no confidence in
@NHSEngland
How 4000 PAs make a massive negative impact on doctors and their training. 👇🏽
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The PA idea was an experiment of the public, without a protocol, without Ethics permission, without patient consent, without independent monitor, devised and promoted by people who had lost their moral compass.
One day, I hope they will be prosecuted.
Good news, but sadly should have been done YEARS ago.
How the disastrous
#PAproject
ever went ahead without patient safety oversight is criminal.
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I must repeat again:
Time to STOP complaining
Do SOMETHING now
Vote of no confidence in the
@gmcuk
Support the
@BMA
on this
Encourage your other medical organisations to do so instead of continuing to honour the culprits
GMC trying to hide the results of a PA consultation until after they begin the regulate quacks
Yes, the same GMC that demands transparency, candour, and literal sainthood from every doctor they regulate
Hypocrites, frauds, liars.
#DEFUNDTHEGMC
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It is a pity you do not mention that
@NHSEngland
refuses to pay for a GP but would pay for a PA to be used instead? Was that an oversight?
@iDrSunny
@BMA_GP
@selvaraghavan
@djnicholl
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This is disgraceful. I must ask what were the consultants doing during this time? Was
@NHSEngland
blissfully ignorant about this practice?
@TheDA_UK
@BIDAUK
@RameshMehta15
@ParagSinghal09
@AmitSinhaOrtho
@appne_official
@APPSUK
THIS is enough to make anyone's brains explode 🤯 An all sirens flashing red alert alarm ‼️PA student who only did 2 weeks in Paeds quasi-training, gifted an NHS post specialising in dealing with Paeds liver issues. Would you accept a cosplay clown to treat your children??!!!
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It is time for ACTION.
The
@BMA
should lead a public vote of no confidence in NHSE and GMC.
Important to involve the public.
Start with calling a meeting of interested groups to agree on strategy.
@DrPhilBanfield
This person is not a Physician, she is a Physician Associate
She has completed a 2 year PA course with a near 100% pass rate.
Your GP has at least ten years of rigorous medical training.
The NHS is replacing your doctors with PAs, and lying to you about it.
#AskForADoctor
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This senseless experiment is just waiting for a national scandal to happen.
Time for an urgent pause to think hard before further expansion.
@wesstreeting
🚨Patients should know who is and is not a doctor
If you are not yet familiar with the PA scandal watch this update
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Please continue to inform the public about this evil experiment on using non-doctors instead of doctors, which has no protocol, no ethics permission, no patient consent and no independent monitor.
Must be legalised assault on patients.
@JujuliaGrace
There are enough Doctors, there just isn't enough jobs being made available for qualified Doctors, the Simon Stevens' americanised health, denationalised systems & "providers" receive money & incentives to replace Drs & use unqualified staff instead
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It is time we seriously talked about what COLLECTIVE action/s we should take against NHSE and GMC, led by one of the major orgs.
@TheBMA
@DrPhilBanfield
@doctor_oxford
@TheDA_UK
As a cardiac specialist, this is deeply offensive to call someone with 2 years of training a specialist- let them take MRCP and EECC exam and 5 years med school and CCT to be called specialists….
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The introduction of PAs has been a massive experiment without a protocol, without Ethics permission, without consent by patients and without independent monitor.
How could anyone support this, particularly, the medics and silent organisations?
The NHS does NOT need PAs. It needs retention of properly qualified Drs & nurses.
We’ve asked this question a million times & have yet to receive a credible answer.
PAs add literally nothing to pt care & are more expensive than Drs to employ. Next add in the cost of
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Performing any form of medical examination without the patient's INFORMED consent would be an assault; PAs do not make this clear. Time to let the public know.
@doctor_oxford
@gmcuk
@NHSE_WTE
@CampaignNhs
@13sarahmurphy
@carolvorders
@19MW98
How can trusts defend clinical negligence claims if major procedures are carried out by people without a medical degree, surgical training and, currently, professional regulation? Would anyone really have given informed consent to this? NHS Resolution must surely stop this.
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Dear
@NHSEngland
@NHSE_WTE
@gmcuk
What are you doing about this?
If you do not have the power to intervene, please say so.
Or do you just do not care to put patients at risk? if so, you will deserve the worse punishment available by law.
A HUGE 🚩 from this trust
The job advert for a PA in this Emergency Dept - they’ll be the RESUS or PAEDIATRIC DOCTOR of the day?!
PAs don’t hold a medical degree & only do a 2 year course in PA studies
These are the sickest, most vulnerable patients
HOW can this trust do
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According to the chair of NHSE this is the way forward. I do not believe they are going to listen to anything. It is time to take urgent action.
@trishgreenhalgh
@DrSelvarajah
@ParagSinghal09
I think this is breathtakingly unscrupulous from
@NHSEngland
,
@gmcuk
,
@DHSCgovuk
& everyone else involved in this project of confusing & bamboozling the public into believing they’ve seen a doctor when they’ve been fobbed off with someone less well trained & experienced. 6/n
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I agree. It is far better to hire more GPs than PAs, a practice deliberately denied to GP partners by the incompetent and risky
@NHSEngland
@NHSE_WTE
Time to disband them
@wesstreeting
Quicker & easier for GP to just see the patients themselves
Better & safer for the patients to actually just see GP
AND it's more cost effective
No role for expensive physician associates with a 2 year qualification in PA studies (an unregulated, unaccredited course)
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Yes. This is a classic example of the good old British class system. This ethos is still in evidence and reflected in the manner in which MAPs has been promoted without telling the truth to the public.
We should take on this role of information
The audacity to suggest it’s acceptable for working class communities to have physician associates instead of actual doctors.
The working class built the NHS, in no small part to ensure equality of access to qualified doctors, irrespective of class or wealth.
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I agree. Furthermore, PAs should be regulated by the Allied Health Professions Council and not by the GMC, a deliberate plan to blur the distinction between a doctor and a PA. Culprits are:
@NHSEngland
@NHSE_WTE
@gmcuk
@HealthwatchE
@ArunBaksi
@TheBMA
@TheDA_UK
@BAPIOUK
@BIDAUK
@NHSMillion
@appne_official
@APPSUK
@doctor_oxford
Stop appointment of new PA's? Make them retrain like many time served State Enrolled Nurses had to?
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There must be an urgent executive order for an immediate PAUSE of further expansion of PA and their use.
@wesstreeting
@DrPhilBanfield
@BMA_JuniorDocs
@BMA_GP
@BMA_Consultants
@TheDA_UK
@doctor_oxford
@parthaskar
@drmattuk
@helenfernandes1
Coroners have raised concerned about PAs working beyond scope causing avoidable harm
Any action by
@NHSEngland
? Any action by
@sheona_macleod
who has a special friendship with PAs & will bend backwards to promote them?
@sheona_macleod
will you be able to justify your actions?
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It is time for a public revolt against this evil experiment on unsuspecting population, without a protocol, without Ethics permission, without patient consent and without independent monitor.
The help of the media is urgent.
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Yet, qualified doctors from abroad have to undertake PLAB test before being allowed to practice in UK. How have the PAs not been subjected to the same test before being allowed to undertake jobs that doctors do?
@gmcuk
@NHSEngland
@NHSE_WTE
@wesstreeting
Is PA role like Dr role?
Stethoscope - Yes
Lanyard - Yes
Scrubs - Yes
Claimed “Medical” - Yes
Accredited course - No
Medical School - No
10 - 15 years training - No
Taught by Drs - No
PA studies is an unaccredited course, mostly taught by non Drs & lasts 2 years.
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We must NOT allow this subject to ever be forgotten. It is up to us to keep ourselves reminded of it each day. Thank you
@DrNeenaJha
Our valid concerns about the PA role are being repeatedly ignored.
Actually, not just ignored, but actively shut down.
A reminder of this recent tragic case is Susan Pollitt where the coroner themselves said there is **risk that future deaths will occur unless action is
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We need an immediate pause in the expansion of PA to clarify scope of practice, registration and supervision.
"Specialist diagnostic generalists" ?
The tide of irresponsible, incoherent nonsense PA "leadership" and PA studies courses have immersed PA students in has been one of the most reckless aspects of the PA project
We need a reset to PAs being given safe, realistic expectations
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Hello
@HealthwatchE
you might find this helpful and revise your paper about PAs. It is not acceptable that you should turn a blind eye to what is happening throughout the country. Patients are at risk: this should be interest to you.
Are you telling me that the Department of Health in England deemed the PA role to be:
🚨HIGH RISK to patients…
🚨in ALL medical settings
🚨in 2017 ?!!
Yet DESPITE that, continued with their plans to expand PA numbers in the NHS with NO scope or regulation?!
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One of the sensible moves to improve the NHs would be to immediately disband
@NHSEngland
and associated bodies, who do not care about patient safety, have presided over an unhappy working environment, never transparent nor ever accountable + expensive
GP kindly…..
WHERE IS THE SUPPORT?
@NHSEngland
Some thanks from
@wesstreeting
but absolutely NOTHING from the NHS England team
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Training schools for PAs is now a proliferating and lucrative business. The fees are paid the tax payers.
Thoughts & Prayers with that 1 PA who did not get a Distinction or Merit - the only one in 3 years 😩
But on plus side they maybe working as a “cancer specialist” or a “Physician” in a GP surgery in Bradford- why see a GP when u can directly see a “specialist” 🙄
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This is dangerous, and deliberately creating an unsafe practice for the treatment of patients.
@PSCommissioner
@PatientAssoc
@CareQualityComm
@wesstreeting
@DHSCgovuk
@CommonsHealth
@mjauk
A core trainee put under the supervision of AAs.
The 'assistants/associates' have become the supervisors.
If that is not basically a reg level or above then what is?
This is outright dangerous
NoT rEpLaCiNg DoCtOrS
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What is the reason for not allowing GPs from using this money to hire more GPs?
@NHSHEE_SWest
That’s 640 GPs that could have been hired in salaried roles.
Yet we are 2000 GPs fewer than 10 years ago
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Time for a vote of no confidence in the GMC
and establish an elected GMC
Until v recently (and only after had raised serial complaints) GMC staff were being offered non evidence based healthcare screening in the private sector. Which all drs wishing to practice in the UK had to pay for.
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The media keep asking: where would the money come from.
Why did they not and still do not ask: where did the money come from to cover the cost of PA training and employment over the years?
@ShaunLintern
@thetimes
@TheTelegraph__
@DailyMail
“Wes Streeting has promised as he said millions of patients will be able to see the same *family doctor* at every appointment”
Not “primary care appts”, he specifies Family Doctor-🤞- hoping he will fund actual GPs
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We could approach
@GoodLawProject
for their intervention or the Patient Association? The public must be told about this.
@CrataegusDoone
@forthemany_net
@MerseyPensioner
@19MW98
@13sarahmurphy
@NPCUK
@54kdoctors
@helenfernandes1
@Doctors4NHS
Non-surgeons are doing surgeries on you and your loved ones.
This needs to be stopped ASAP.
But did you also know non doctors are being used to replace doctors right across the NHS?
By 2034, in the NHS, the chances will be that you won’t ever see a doctor.
Is this the NHS
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It is very strange that
@NHSE_WTE
pays PAs much more than these doctors. How is it that they can afford the training fees and living expenses in addition to the huge cost of additional posts of PAs etc?
@doctor_oxford
@TheDA_UK
@ParagSinghal09
Junior doctors start their careers on £32,398.
There is not a single Conservative MP who would be prepared to do their jobs for that salary.
If we’re not careful there won’t be a single junior doctor who is prepared to do so either.
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You ask how we have allowed this?
Many obvious causes, least of which have been our dishonest colleagues.
More important question: What are we going to do about this?
@TheBMA
@TheDA_UK
@BAPIOUK
@BIDAUK
@NHSMillion
@appne_official
@APPSUK
@doctor_oxford
The Department of Health and HEE defines Physician Associates as being High Risk of causing harm to patients.
Yes you read that correctly.
And they are in GP surgeries and on hospital wards, unregulated and in many cases, unsupervised.
How have we allowed this?
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Are we going to join with the BMA and likeminded organisations to call for a vote of no confidence?
2003: Physician Assistant
2014: Physician Associate
2023: Assistant Physician Associate
2040 (TBC): Senior Assistant Physician Associate to the Physician Associate in Chief
Meanwhile still can't pay for an actual doctor.
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PAs are not a medical profession. They are not even a member of the AHP group. Why not consider Nurses and other AHPs as medical professionals
@gmcuk
?
@13sarahmurphy
@ShaunLintern
@TimesLaw
@GMB
@BBCPanorama
This nonsense about 'different knowledge, skills and expertise' has to stop. PAs have a small subset of the knowledge, skills and expertise of a doctor. There's nothing "different" about it
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This has resulted in daily assaults on unsuspecting patients:
An experiment on patients without a protocol, without Ethics permission, without consent of patients and without independent monitor.
@NHSEngland
@NHSE_WT
are culpable
Here's an even better idea- just employ GPs to see patients in primary care rather individuals with no medical training that are a danger to patients
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Thank you
@carolvorders
@PeterDilworth1
for highlighting these issue. The public needs to be informed.
@healthwatch
is reluctant to be more open.
Please spread this article as widely as possible:
It is by a PA; now a medical student.
We’re haemorrhaging our young doctors to Canada and Australia
@wesstreeting
@Kier_Starmer_PM
Training, working conditions, being valued and the physician associate debacle are responsible
@rcgp
@gmcuk
@RCPhysicians
@NHSEngland
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We should refuse to recognise
@gmcuk
as our regulator or refuse to pay our fees. We did so in 1979.
@TheBMA
@BMA_JuniorDocs
@RameshMehta15
@BAPIO
@AmitSinhaOrtho
@BIDAUK
@TheDA_UK
@DoctorsInUnite
@appne_official
@APPSUK
@parthaskar
@doctor_oxford
It’s almost like
@gmcuk
are making it up as they go along in desperate sophistry to make a political imperative to undermine doctors and provide ‘medical professionals’ on the cheap with totally inadequate training. Physician assistants yes, associates no.
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It is obvious that the State is deliberately blurring the distinction between doctors and PA. Before we know it, the NHS would be run without doctors.
Question is: Would
@wesstreeting
and
@Keir_Starmer
correct this dishonest system.
It’s complicit I’m afraid. They were against regulating PAs until Charlie Massey was installed as head stooge. And now they are an arm of government
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What else does the
@gmcuk
have to do to convince us that we should refuse to accept it as our regulator?
@parthaskar
@mmamas1973
@UKGastroDr
@trishgreenhalgh
@doctor_oxford
@DrAsifQasim
@DrLKVaughan
@zudin
@somsuj
@ShrillaB
@OrthopodReg
🚨🚨 The GMC CREATED A LOOPHOLE for PAs/AAs to breach safe scope of practice in the NHS 🚨🚨
“So how do we do that? That’s really difficult. The scope of practice says you can’t, you can’t. There’s a VERY NICE LITTLE GREY SENTENCE that says UNLESS you develop local governance”
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What about demanding a safe NHS for patients? The use of PAs within the current system is absolutely dangerous.
@TheDA_UK
@The_TUC
@cmcanea
@carolvorders
@CampaignNhs
@MerseyPensioner
@citizen_network
@PSCommissioner
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It is time for
@BMA_Consultants
to write to consultants advising them to report near misses /serious incidence relating to PAs?
@DrPhilBanfield
These🧵s make disturbing reading
@AlderHey
!
Deeply disturbing 🚨🚨🚨
How many children need to be harmed or even die, before this callous human experiment is stopped?
#PAScandal
#GMCOnTrial
@gmcuk
@drcolinm
@RCPCHtweets
@CQCProf
@rcpch_president
@Telegraph
@MailOnline
@GMB
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WE should refuse to pay our fees to the GMC and refuse to recognise it as our regulator.
This is absolutely astounding
@gmcuk
is seen lobbying the
@DHSCgovuk
&
@UKHouseofLords
to force through
#PAproject
against widespread opposition from the medical profession
The GMC needs to be disbanded, and replaced with a regulator with integrity
@TheBMA
@BMA_JuniorDocs
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Increasing numbers of patients are being subjected to unsafe medical care and, yet
@RCPhysicians
does not appear to show any urgency to correct this irresponsible practice.
@trishgreenhalgh
@ShrillaB
@somsuj
@Zudin_P
@OrthopodReg
Having seen the scope of practice document it is clear that
@RCPhysicians
has not acted in good faith following
#RCPEGM
- and our college has failed to follow its own Code of Conduct to investigate officers and executives when issues of governance and probity were raised by >30
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This is dishonest practice. I hope, at some future date, those in
@NHSEnglandNorth
@NHSE_WTE
@gmcuk
and others would be found to be guilty of an offence on humanity.
Left: One of the chief architects of the
#PAproject
admitting that PAs compete for placements against Drs
Right: PAs being prioritised to the Foundation Programme while Drs are forced onto a placeholder waiting list
Doctors are being replaced
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Is is what Parliament agreed to achieve?
@Keir_Starmer
@wesstreeting
@RishiSunak
@VictoriaAtkins
@EdwardJDavey
@libdemdaisy
@AngelaRayner
@darrenpjones
@LordPhilofBrum
@JimBethell
@RhonddaBryant
Each of these Coroner Matters of Concern demonstrate explicitly the considerable patient safety issues of using PAs/AAs as Doctor substitutes
PAs & AAs are unregulated, unaccountable, undertrained & inexperienced
This is being facilitated by
@DHSCgovuk
,
@NHSEngland
& the
@gmcuk
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Whose money is
@gmcuk
planning to use in their defence of ehat is their fault?
Time for a vote of no confidence and refusal o pay our fees.
The GMC have refused independent mediation in our legal dispute with them over Anaesthesia and Physician Associates.
The dispute is over their failure to define what is Safe and Lawful Practice for Associates.
They've rejected mediation because we, and our supporters, are
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Yes, it is extraordinary that the Unions have been silent on the evil experiment conducted on the public, without a protocol, without Ethics permission, without patient consent and without independent monitor
Patient safety is not important!
@UniteSharon
@UniteSharon
No as we explained when we met with u just before u started as Gen Sec, the issue is the denationalisation & americanisation of health- ICSs-which had already happened at that point. U persist in pushing false narratives/diversions rather than tackling the cause of the "crisis"
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Dear
@BMA_James_Steen
Despite all our protestations, the status quo continues. When do you think we would take corrective action. The BMA is the only organ with guts and it should lead
I cannot urge
@MaudsleyNHS
strongly enough to immediately back away from setting a local scope for MAPs.
We will not agree to anything short of the BMA safe scope to protect patients and doctors.
Any attempt to impose will be resisted to the fullest extent of the union’s might.
4
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WE continue to express our concerns without any response. WE should now mount a collective demand for answers.
@DrPhilBanfield
@BMA_JuniorDocs
@TheDA_UK
@RameshMehta15
(BAPIO)
@AmitSinhaOrtho
{BIDA)
@parthaskar
@appne_official
You don’t need to be a genius to see that it would make sense to pause AA & PA training & use the money to increase specialty training places for Drs, which are so desperately needed👇🏼.
There’s no economic argument for AAs that I can see.
NONE!
@VictoriaAtkins
@AmandaPritchard
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And our own profession has been complicit to date
@BMA_GP
@ParagSinghal09
@NHSMillion
@thatginamiller
If we lose the NHS, we’ll never get it back. And they’re attempting to destroy it🚨
598
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For
@rcgp
to say that it is not responsible for training is disingenuous; Royal Colleges set the training requirements and standards. One has to ask, what are the functions of
@RCGP
?
NO!!
@rcgp
Right your wrongs!!
At a time when our specialty desperately requires leadership & the upholding of professional standards, you cannot step aside & pretend the college hadn’t secretly (& openly) campaigned for GP replacements.
Stating “it’s not our problem” isn’t
4
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Another question for
@NHSE_WTE
Put your hand on heart and answer this to yourself: would be feel safe to be treated by a PA rather than a doctor?
Let’s say you are a leader in
@NHSE_WTE
You wake up
You see this
Do you feel any sort of remorse for these individuals?
‘We don’t have enough doctors’ - yet there are doctors without jobs
If this isn’t a failure of leadership?
What exactly is.
14
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This is the dishonesty of
@gmcuk
@NHSEngland
@NHSE_WTE
in not doing anything about what they are quietly encouraging while stating that PAs are not doctors. Time to PAUSE to agree on safe scope of practice for PAs.
@RoyLilley
@parthaskar
@RCPhysicians
Urgent Liaison Required Today To Stop
#Foundation
Posts Being Given to
#PhysicianAssociates
#Enablers
Should Be Referred to
@gmcuk
@NavinaEvans
@NHSEnglandNMD
@UKFPO
@RCPhysicians
@AoMRC
@COPMeDUK
@DrPhilBanfield
@TheBMA
@BMAstudents
@PlaceholdTrent
@Telegraph
@HSJnews
3
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A wonderful move.
Tories bowels are rumbling at news Reeves is to appoint a Covid corruption tsar who will work with HMRC, the Serious Fraud Office and the National Crime Agency to recoup £2.6 billion from Covid contract fraud that happened under the Tory government.
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Dear
@ShaunLintern
If you and your media colleagues do not start telling the truth about PA to the public, we will end up with the NHS being run by PAs.
Blame
@NHSEngland
@NHSE_WTE
@gmcuk
@VictoriaAtkins
"We see the proportion of consultants who are academically qualified is going down, and the proportion of consultants that can do research is going down. It’s a big concern for UK faculties of medicine that it’s harder to get clinical academics" -
@jarottingen
@wellcometrust
43
168
361
3
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Perhaps, we could send a joint email to HSSIB? I would be happy to do so. Please let me know.
My email: baksi
@baksi
.co.uk
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51
The truth is this is a test of the collective morality of the Tory party
🤔 🇫🇷 No news yet from Paris about the Presidential election being cancelled because the war in Ukraine means it’s “just not a good time” to change leader.
#PoorExcuse
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The lot of them are guilty of deliberately exposing the public to harm and deaths
They should receive the harshest punishment available to us.
Comments by a PA student about their PA Studies MSc👇🏽
If in a 2yr course- no teaching staff/teaching for nearly 1yr-have you actually learnt? But get degree & replace a doctor
University is duping students
But
@DHSCgovuk
@NHSEngland
are duping patients & risking health/life
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The Royal College of Physicians was created to protect the public from people masquerading as doctors.
It has no business to provide shelter to people who are not doctors.
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This also shows how guilty are some GPs in endorsing clearly unsafe treatment of patients. Do we have a mechanism to call them out?
@DrSelvarajah
@davidwrigley
@mmamas1973
@RobLaurensonD4P
@DrSteveTaylor
@doctor_katie
This sounds so safe… 🤮
A salaried GP sees 44 patients a day
They also supervise 2 PAs
Wtaf
@rcgp
@KamilaRCGP
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Many of us regret this outcome; it means one less person to fight for the NHS.
The NHS is a fantastic institution that has always given its best to patients, the rich and the poor alike.
We are going through a bad patch: thanks to our elected MPs!!
And just like that, the U.K. loses another highly trained doctor.
@NavinaEvans
@NHSE_WTE
@DHSCgovuk
@wesstreeting
👏🏽… 👏🏽… 👏🏽
23
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This is the type of person chosen to lead important organisations in NHSE; before this, they worked in business concerned with making profits. Time for a public vote of no confidence in NHSE.
@DrPhilBanfield
YOUR LIFE IN WHOSE HANDS?
UK patients and citizens, there is a systematic and covert effort ongoing to REPLACE DOCTORS with less well-qualified staff. This will lead to deaths.
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I do hope the doctors and the public in Wales fight this
Looks like the Welsh NHS is also getting in on the act of replacing doctors with PAs
11
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We can go on talking about this but no action appears to have been taking.
Time to take action; Life is short, and even shorter for our patients.
As the skins of the onion are peeled back the, lies of the PA project are revealed.
The 2 year PA studies role is a dependant role that exists under the supervision of doctors.
Now this crash course assistant role appears to be training its’ own supervisors?
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To
@Keir_Starmer
@wesstreeting
@EdwaedJ
Why do we not hear from any of you about the unsafe use of PAs? Is it because you plan to destroy the NHS by allowing the Tories to do the dirty work for you?
@DefendourNHS
@CampaignNhs
@forthemany_net
@NHSMillion
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24
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By so doing it would not be able avoid criticism of its use of PA for tasks they have not be trained.
My question to the consultants at
@rno_hnhs
: are you guys not concerned about the risk to your patients?
Is Real Reason
#RNOH
Royal National Orthopedic Hospital Has Quit X …
#PhysicianAssociateScandal
?
@wesstreeting
@NHSConfed
@BritOrthopaedic
@bota_uk
#BOAAC24
@TheBMA
@ShaunLintern
@HSJnews
5
36
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This is the lie perpetuated by
@NHSEngland
@AmandaPritchard
@NHSE_WTE
, that PAs are not doctors, and amazingly supported by
@HealthwatchE
(I had forgotten that this is entirely funded by the government, our money)
This is how they’re working already.
Does this sound like an assistant role or a doctors role ?
24
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The paper by
@Adam_Skeen
also claims that most PA would make good doctors, only if the system allowed them entry into medical schools: A very important point.
@wesstreeting
@indranilc
If you’re involved in/care about health policy, NHS staff retention &/or patient safety, you must read this excellent article by
@Adam_Skeen
.
& if you’re a PA Champion it’s not too late to admit you were wrong & prevent further harm caused by the
#PAExperiment
.
@LabourHealth
1/5
3
46
92
18
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The public has not been consulted on this. To subject them to not only a substandard but unsafe care without their consent must be a criminal act.
@13sarahmurphy
@carolvorders
@MarinaPurkiss
@19MW98
@TimesLaw
@AliJaneMoore
@ParagSinghal09
Is this any surprise that this document comes from Torbay?
If you want to give substandard care to your population you serve - have you openly told/asked them?
@TorbaySDevonNHS
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This indicates a lack of professional ethos in addition of lack of knowledge.
There’s a reason GPs don’t publicly humiliate patients who find it difficult to discuss things they’re frightened about.
Patients should be reassured that every single GP knows this type of consultation and they take it very seriously. You are not wasting time.
#AskForADoctor
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Let us join hands with the public to demand justice for GPs and ban the use of PAs in primary care.
@Britain_People
@Peoples_Britain
@carolvorders
@DefendourNHS
@19MW98
@13sarahmurphy
@tanita_tikaram
@SueyQP
@SJRAfloat
Yes, you read that right!
“1000s of GPs are currently wanting work in NHS practices. The money isn’t there to employ them.”
So while you’re desperate to see a GP,
@DHSCgovuk
&
@NHSEngland
are preventing you from doing so.
Deliberately🚨
This must change ASAP
@wesstreeting
!
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This exercise must be one of the most unethical practices in healthcare enabling non-medical people to undertake physical examinations on patients without their explicit permission. This could be described as an assault.
@TimesLaw
@mjauk
Is PA role like Dr role?
Stethoscope - Yes
Lanyard - Yes
Scrubs - Yes
Claimed “Medical” - Yes
Accredited course - No
Medical School - No
10 - 15 years training - No
Taught by Drs - No
PA studies (see below) is an unaccredited course, mostly taught by non Drs & lasts 2 years.
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My question is why did the senior officers of
@RCPhysicians
attend this meeting?
@parthaskar
@DrLKVaughan
@trishgreenhalgh
@doctor_oxford
@djnicholl
@DrAsifQasim
@TheDA_UK
PASC calls a meeting and everyone jumps to get around the table.
Compare with this letter from RCP begging those people to talk about 4 year UG degrees.
Jeannie Watkins’s company has more influence over health policy than the Royal College of Physicians.
This is not normal.
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Those of us who believe in ensuring patient safety should support this.
@AmitSinhaOrtho
@BIDAUK
@RameshMehta15
@BAPIOUK
@appne_official
@Khinger110
@APPSUK
@TheBMA
@BMA_GP
@helenfernandes1
@Doctors4NHS
@Andrea80305172
🚨IMPORTANT!
I’m supporting
@AnaesUnited
’s legal challenge over the
@gmcuk
regulation of
#PhysicianAssociates
and
#AnaesthesiaAssociates
.
PLEASE WATCH THIS SHOCKING FILM & contribute to their crowdjustice fund if you can🙏
THIS IS TO PROTECT US ALL
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It is time to refuse to recognise
@gmcuk
as out regulator.
The regulatory body that overseas regulatory bodies such as the GMC who oversea doctors and medical standards…
Have concerns about the way the GMC is looking to ‘regulate’ PAs and AAs and dropping medical standards.
Wild 🤪
Not just some anons on Medtwitter have concerns
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This disgraceful and dangerous exercise was, and continues to be, promoted by
@NHSEngland
@NHSE_WTE
@DHSCgovuk
@gmcuk
without making the slightest effort to inform the public about this.
And in a moment it was done:
2014
PA leadership asked 135 Physician assistants if they felt their title should change to Physician Associate and 135 agreed.
This title change was inflicted on 65 million UK people by the leadership of 135 PAs.
No public consultation.
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The media has a moral duty to inform the unsuspecting public the truth about PAs and how to point out that PAs are not doctors.
@mjauk
@vicderbyshire
@vsmacdonald
1
12
30
The truth revealed about plans for PAs in a GMC paper:
"them as medical role substitutes, which is largely behind the call for them to be subject to statutory regulation."
@doctor_oxford
@djnicholl
@DrNeenaJha
@UKGastroDr
we don’t need a zombie survey to deduce; doctors are hacked-off.
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Have you seen this?
‘’... Kate Straughton, has become the first ever physician associate (PA) to become an honorary fellow of the RCP in recognition of her outstanding work and commitment to the FPA and PA profession.’’
@djnicholl
@DrLKVaughan
@UKGastroDr
Thank you
@gmcuk
for endorsement of this work from
@RCPhysicians
Much appreciated
Look forward to
@NHSE_WTE
@NHSEngland
@NHSEmployers
adopting this as standard for Locally Employed Doctors & IMGs
Every doctor deserves the opportunity to grow.
Let’s get this done
@gmenon1423
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It is sad and distressing how not only the politicians but also all our regulators have become corrupted. All of them have lost their moral compass: they are unable to distinguish right from wrong.
How does one fight such a situation?
The CQC once criticised on one of our inspections that the floor near the door was dirty (spoiler it wasn’t… just scuffed!) - now when it comes to MAPs & patient safety, CQC appear to be very hands off & light touch. Healthcare in the UK is rapidly becoming deregulated.
4
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Are they inventing these rules as they go along? It is time for a campaign to demand a pause.
Are we ready?
@DrPhilBanfield
@TheDA_UK
@AmitSinhaOrtho
@BIDAUK
@RameshMehta15
@BAPIOUK
@appne_official
@APPSUK
@Muslimdoctors
@doctor_oxford
@parthaskar
The more we go down this rabbit hole the worse it gets.
Apparently PAs don’t need to be supervised by doctors. It can be ‘healthcare professionals’
Consultant PAs incoming in to the NHS soon.
GMC is a joke.
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We must keep this subject within our radar lest it is forgotten.
Please keep RT
.
@WEBylines
Concerns expressed this Month by HM Coroner over Physician Associate Role following patient death.
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Would the
@gmcuk
use our fees to defend? This should not be allowed because it was their deliberate actions of dishonesty.
@parthaskar
@trishgreenhalgh
@DrSteveTaylor
Well what do you know
@gmcuk
😳… you just may have met your match!
Along w/ 100s of others I’m delighted to have donated to
@AnaesUnited
’s brilliant campaign & I will donate again if necessary.
#telltheGMC
@drcolinm
@NavinaEvans
@AmandaPritchard
@VictoriaAtkins
@Jeremy_Hunt
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Many more examples of this are happening each day.
Time for no confidence motion on NHSE.
@PeacePleb
@SueyQP
@DefiantSparrow
@maurlind
@NPCUK
A little knowledge in medicine is highly dangerous.
We are seeing the system wide degradation of expertise in the NHS.
That will lead to many more events like below. Some patients will be caught in the safety bet, many wont and suffer huge consequences
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This unsafe and callous disregard for patient safety could not happen without the tacit permission of
@NHSEngland
The public should know this:
@BladeoftheS
@SueyQP
@NPCUK
@vsmacdonald
@haydnburrows
@19MW98
@13sarahmurphy
@citizen_network
@MerseyPensioner
🆘From Reddit:
Physician Assistants are now in management positions in some departments and they hire “remote locum Doctors” to circumvent the prescribing issue ☠️.
⭕️Absolutely dodgy practice
⭕️You cannot prescribe because you’re UNSAFE.
⭕️Also covering oncall Docs rota??
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How many more deaths do we need to wake up and do something meaningful?
@TheBMA
@TimesLaw
@ShaunLintern
@doctor_oxford
@AoMRC
Isn’t this the trust whose CEO went onto radio to say PAs were never involved in any significant events?
So she lied ?
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No, Ma'am
The fault lies squarely on the Royal Colleges,
@NHSEngland
@NHSE_WTE
@gmcuk
and related organisations to quite deliberately establish PA without any idea of scope of practice, supervision, regulation.
And for the lie: PAs are not doctors
I’m sure they are “trying their best”.
I don’t blame individual PAs.
They’ve been set up to fail by “leaders” actively resisting a defined scope for the role commensurate with their limited training, exposing patients to avoidable risk.
It’s a systemic failure to manage risk.
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This was one amongst many other lies old at the time; the practice continues without being challenged.
0
11
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It is time to consider the credibility of
@gmcuk
as our regulator. Our exorbitant fees are used for its whims and bad judgements.
@CNagpaul
@helenfernandes1
@drmattuk
@appne_official
@APPSUK
@Muslimdoctors
@NigerianDoctors
@mjauk
So not only is previously-free protest now criminalised, but it can also result in your losing your livelihood when you clearly pose zero risk to patients or the profession.
Dr Benn deserves better from
@theGMC
, who are not as constrained as they claim.
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Rising Covid infections are resulting in staff slickness
leading to cancelled operations and appointments
All of us are responsible for this
Wearing a mask - minimal cost and minimal discomfort
Let us start a vigorous campaign ton save our services
1 in 30 people in England have COVID-19 right now. Why aren’t people wearing masks?😷💙🚨
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This is evil and totally unacceptable.
Time for a Public vote of no confidence in
@NHSEngland
@NHSE_WTE
This is really scary. I worked clinically as a doctor for ten years. Worked in paediatrics for about a year, including some time in a neonatal ICU. I would have found this role incredibly daunting. Why are you hiring a non-doctor to do this work? ⬇️🚨🚨🚨
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