A lad who is 18 in 4 months was referred to an adult
#NHS
service with a 1 year waiting list. His referral was rejected as not 18, even though he would be when eventually seen. Paeds waiting list too long.
This demonstrates complete lack of common sense. The NHS is full of it.
There is going to come a point when
@TheBMA
is going to need to make a decision.
I suspect the BMA Council will need to ask GPs, Consultants and Junior Doctors if they are all prepared to walk out. Full withdrawal of labour at the same time. Indefinitely.
= Likely resolution.
So.....someone who isn't even a GP yet......is giving advice on health policy..... No life experience. A year at NHSE.
Can no one else see how utterly absurd this is?
#NHSCrisis
#nhscollapse
#NHSOnLifeSupport
Can you explain why you told a group of MPs that GPs do not have a particular desire to strike over pay? The RCGP is not a union, it is well outside your remit. A motion to strike was overwhelmingly carried 2 months ago by UK LMCs. Are you on our side?
@KamilaRCGP
@Parody_RCGP
It's interesting that this is being blamed as an "IT Blunder".
PAs know they can't prescribe, let alone Opiate medication.... yet.... whoever these individuals were, chose to ignore this legal restriction.
What will happen to them?
Oh. No. It's an IT blunder.
Uh huh. Probity?
#isitok
That a doctor engaged in debate with a covid denier, and they tweeted
@gmcuk
asking to refer the doctor. The GMC replied with a form to use to report - at a time when doctors are working themselves ragged, this is the response from their regulator.
#IamDrPhilipLee
Can someone, anyone, explain to me like I'm a five year old - how on earth it is appropriate for a PA to be supervising a Junior Doctor....... when a PA is not an Independent Practitioner, not a Prescriber, nor are they regulated (at present).
This is utterly INSANE
You're advising
@wesstreeting
on Health Policy?
Your plan for General Practice will be the final nail in its coffin. It will drive the remaining GPs away.
Frankly I'm astonished that someone with so little experience as you, could be employed in such a position
@Parody_RCGP
SERIOUSLY. CAN SOMEONE TELL 2° CARE SECRETARIES TO STOP ADVISING PATIENTS THAT I CAN EXPEDITE THEIR APPOINTMENTS.
5 WASTED APPOINTMENTS THIS MORNING.
MANAGE YOUR OWN WAITING LISTS
Just pondering.
Today I had a 2 letters from a 2ww cancer clinic.
They were both by the same PA.
One was a discharge from clinic, the other a cancer dx.
They were good letters - but if there's a mistake. Who is responsible? The PA, or me for accepting the information from them?
Theres a meeting of
@BMA_GP
tomorrow, to discuss the announcement of a 1.9% uplift (20% cut over 5 years) to GP funding.
I trust they will no longer be keeping their powder dry....
The Government already have blood on their hands.
We need to look at Industrial Action v seriously.
Lord Darzi?!?
Where'd they wheel him out from?
He was a disaster last time and he'll be a disaster this time.
If I recall he had some bonkers ideas for General Practice, is a surgeon in the private sector and knows nothing about how we work.
*gets popcorn* 🍿 🍿 🍿
🚨 NEW: Lord Ara Darzi has been appointed by
@wesstreeting
to lead a review of NHS performance.
"Honesty is the best policy and this report will prpvide patients, staff and myself with a frank assessment of the state of the NHS, warts and all."
The ignorance here is astonishing. (He's a GP)
GPs have to pay for location, staff, heating, lights, etc
Best case scenario is the business breaks even at £10 per jab.
Worst case, the GPs lose money/pay to provide the service.
All whilst providing a normal GP service too.
Oh of course.
Let me set up my remote monitoring equipment and night vision goggles.
I think it's next to my magic wand case, hold on.
What does this even mean?!
Perhaps write "no action required" next time.
Ta.
@timspector
Just like that my respect for you has gone.
This shows immense ignorance.
Primary Care is failing due to overwhelming demand, and vast lack of funding (and lack of workforce planning over the past decade). It doesn't need dismantling - it needs huge resources to save it.
I know this is nothing new - but how is it that one of the leading politicians in this country, is unable to stand up in front of the public- be honest and accept that General Practice is jn crisis. We have a net loss of GPs and simply acknowledge it.
@SteveBarclay
Dr Bramall-Stainer (
@doctor_katie
) speaks with passion and fury about the devastating impact of abysmal contract imposition upon General Practice.
Standing Ovation from the entire room 👏👏👏
#confLMC2024
Considering the immense conflict of interest here. The only correct course of action for
@KamilaRCGP
is for her to resign.
I would recommend that any current members of the college consider cancelling their membership until there is a significant change of leadership.
#pulselive
Charlie Massey of
@gmcuk
states Revalidation helps change doctors practice and therefore improve patient care. Asked if any evidence it improves patient care? Admits is bureaucratic/burden - but says doctors feel it is beneficial - shouts of NO! Echoed round the room.
I'm not going to mince my words.
I make no apologies for being blunt.
If you're a GP and you haven't joined
@TheBMA
or voted in the current Contract Referendum....
.... then YOU are contributing to the death of General Practice.
Apathy will destroy us.
@tom_gardiner95
@wesstreeting
You're advising
@wesstreeting
on Health Policy?
Well. Your plan regarding General Practice will be the final nail in its coffin. It will drive the remaining GPs away.
Frankly I'm astonished that someone with so little experience as you, could be employed in such a position.
@DrTeckKhong
I'm sick of this nonsense. Aren't you a GP?! You should know better than that.
You know that most ED pressures are downstream. You know the figures have shown it isn't work due to GPs not seeing patients.
There comes a time when we are all working above and beyond.
@sbattrawden
@piersmorgan
We are seeing increasing anger and abuse towards the NHS and its staff.
Samantha of
@TheDA_UK
has asked that those supporting the NHS, might put a blue heart 💙 next to their name in support of the NHS + staff.
Would you be willing to join us on this?
Utterly shambolic.
Govt: Here doctors, have a 4.5% pay rise.
Doctors: You mean a 4.5% pay cut on top of the 30% paycut over the past 14 years?
Yeah. No thanks.
#NHSPAY
The
#nhs
is going to be losing more staff.
@TheBMA
@BMA_GP
and other unions need to stand up finally.....
Does this mean that those OT courses for first contact practitioners..... were a mistake? Surely not. Perhaps just added to the website in advance of a public announcement.....?
Why go to all that effort if it wasn't going to happen?
Something not right here.
@WorcsAcuteNHS
Would you mind explaining to me why you have used a photo of my father in law, who sadly passed away last year.
As far as I can tell you haven't contacted us, the family, for consent.
It was a huge shock for his daughter to see him being used in promotional material in this way.
I'm glad I'm no longer a member of
@rcgp
if they're promoting PAs and encouraging PA membership for the RCGP.
Colleges have a lot to gain from the increased funding from membership.
The Profession have a lot to lose and the Royal Colleges seem to be complicit in that.
@DrSteveTaylor
I thought as much.....
So.... should we be looking at a national policy via
@BMA_GP
that PAs should not be signing off letters/seeing patients in clinic? Or that GPs should be rejecting these letters?
This would be an absolute disaster in my area - in fact, in any semi rural area. This cannot and should not be mandatory.
It destroys continuity of care.
Has there been a consultation with GPs?
A consultation with patients?
Who will staff these Hubs?
Same-day access hubs should be rolled out across primary care ‘in a mandatory way’, according to the pioneer PCN highlighted in the seminal report laying out the NHS’s plans for general practice.
Calling on all Medical Organisations to write similar letters.
@BMA_GP
@TheBMA
@rcgp
@AoMRC
@NASGP
tag any other relevant groups please and retweet if you feel so inclined. Ta.
The medical community is aghast at the Toombes vs Mitchell verdict & what it could mean for our future & 20+ years previous practice, including the message it sends to the those with disabilities & their families. This case is personal to all of us
#IAmPhilipMitchell
. Please RT.
@ClareSieber
I am so disappointed to hear this.
We were very clear at the LMC Conference about needing increased transparency.
They may not like the content of your report, but you have a right to share it with your constituents.
This is a very concerning attempt to silence from
@TheBMA
@DrTeckKhong
We are working harder than ever, above and beyond. We need to support each other. We need help and we need to question why things are the way they are. I suggest the issue lies with Government failure in staff and facilities planning over the past 10yrs. Stop misleading people!
@wesstreeting
2 things:
Patient speaks to consultant by phone or f2f if lucky. Consultant asks GP to prescribe and arrange tests on their behalf. Waste of a GP appt/resource.
Patient on waiting list. Hospital says see GP to send expedite letter. Waste of appt. Hospital should manage this.
would just like to stand up as an elected representative of GPs in Berkshire and go on the record to state that I also think same day access hubs are a bad idea.
Also suggest
@CharlotteBenja1
needs to consider retracting the veiled threats of
@gmcuk
referrals. Not a good look.
Reason 43323 for being an anonymous account.
To avoid the likes of Dr Benjamin (
@CharlotteBenja1
) sending us to the GMC which has a fucking body count.
Imagine doing this to colleagues!
I wonder if she has considered the GMC guidance on bullying? Back at you.
Bite me.
This is terrifying.
As a GP with 15 or 16 years of clinical experience, plus 6 years of med school before that - if I phone the hospital for advice - I expect to speak to at least a Registrar or Consultant.
Happy with SHO too.
PA? No. Not at all. This raises huge safety concerns.
@theveindoc
The mess that UK doctors find themselves in happened on your watch.
You and your ilk are responsible for pulling up the ladder behind you.
Eroded pensions, eroded salaries, eroded working conditions, devalued professional status just for starters.
You should be ashamed.
This immensely out of touch.
Appreciate the rose tinted spectacles trying to be painted - but I still do visits, as do all other GPs. I know a large proportion of my patient list - as do that majority of GPs. Don't paint us in a bad light inappropriately to make your point.
🚨
@BMA_JuniorDocs
tell members they will strike for 3 days every month, summer and winter, for as long asit takes after "derisory" offer during talks with
@DHSCgovuk
From today's print edition of The Sunday Times, click to read in full:
@Amoxicologist
You can see it now "by the time you sign off my portfolio, you will no longer own any of this surgery. Now if you could kindly review the reflections I've submitted this week"
@NikkiKF
@PrimaryCareNHS
@NHSEngland
I'm afraid this isn't the retraction, or apology that we hoped for.
You've recognised the situation, but for the second time in this pandemic you have released a statement which has denigrated the entire profession which you stand for.
Its just not good enough. We deserve better.
I do not consent to my GMC fees being used against the Union which is there to protect me.
Weird that in spite of the vast sum we pay them - we have no say in the direction of travel, senior leadership, priorities etc.
#quango
Today we have responded to the BMA, strongly rejecting the basis on which they have proposed to bring legal proceedings.
You can read our statement on our website -
Utter nonsense.
Years of failing the young and vulnerable in this country, but apparently it's GPs not seeing patient face to face that is driving long term sickness.
Rubbish!!
IDS claims GPs are scared of mental health. Such ignorance.
Classic flawed logic and overselling by
@RishiSunak
this morning.
If GPs see more complex patients more rapidly, waiting lists will actually increase. This doesn't change the Hospital bottle neck (which is mostly a funding issue)
Of course, this won't increase GP appts either.
I would strongly recommend all newly CCT GPs to relinquish your membership of this organisation which has repeatedly looked after its own interests ahead of those of its members.
The exam issues are the tip of the iceberg.
Congratulations to the 2,000 GP trainees who have CCT'd & are moving to the next phase of your GP journey. As a newly qualified GP member you're now part of our First5 community. Find out what support is available from your professional home ➡️
@KamilaRCGP
@danny_mercer
I'm not entirely convinced.
As a student - I wouldn't describe myself as immersed in the NHS.
3 years in - is very little experience.
He lacks a CCT.
He lacks practical experience in hospital OR General Practice.
But.... Better than most advisors... So there's that.
Full Pay or Resource Restoration for General Practice.
Industrial action. If needed.
LMCUK Conference 2023. This is now General Practice Committee of the BMA Policy.
#conflmc23
Stem and Part i Unanimously Carried.
Parts ii and iii Overwhelmingly Carried.
Can you explain why you told a group of MPs that GPs do not have a particular desire to strike over pay? The RCGP is not a union, it is well outside your remit. A motion to strike was overwhelmingly carried 2 months ago by UK LMCs. Are you on our side?
@KamilaRCGP
@Parody_RCGP
It is fascinating how
@NHSEngland
announce these grand schemes before they've even actually negotiated or got an agreement with General Practice on this.....
🙄
This is daft.
A nursing home was told they can't give disp aspirin anymore by inspectors. GP to sort.
Reason? Elderly residents won't take it in 125mls of H2O
But they do fully dissolve it and take it with a less water
It's only 2 patients, but
Can we stop this insanity please?!
@DrAdamCol
@docib
When I worked in A&E (before you were a student, btw), it was the same. Except minor injuries have never been part of a GP contract or role. Minor illness - how do you suppose I stop my patients from visiting you? Shall I call them all, everyday, just in case. All 12,000 of them?
@RobLaurensonD4P
@JeanetteRCR
The Royal Colleges will end up earning vast sums of money through membership and training for these roles.
That is a MASSIVE COI.
They need to be removed from the debate.
"The right to see a GP within a week"
@EdwardJDavey
will announce.
In a system where demand is outstripping supply - why focus on increasing demand?
All that enshrining this "right" will do is drive up demand/consumerism.
Focus on "needs," not "wants."
Fix capacity.
@DrFalakG
@TheBMA
You think the NHS is safe as things are? Full walk outs have been done in other countries. It is entirely possible and would resolve the issues very rapidly.
6% takes a doctor’s starting salary to £31,147 + the consolidated £1250 payment = £32,397.
Starting salary for a Physician’s Assistant is £43,742.
Physician’s Assistants are NOT doctors. They can’t prescribe meds. They can’t request X-rays.
They are supervised by doctors.
Final part below
The Government are doing everything they can to delay and avoid negotiations. They are to blame here. They need to be held accountable.
The media - if it has any impartiality left somewhere - needs to make the public aware of the Government's persistent failings.
The silence is deafening from pur college.
Perhaps the rest of you would like to ask
@KamilaRCGP
the same question.
Why do you say GPs have no desire to strike over pay?
Why are you not supporting our profession at a time when we most need to be united?
Can you explain why you told a group of MPs that GPs do not have a particular desire to strike over pay? The RCGP is not a union, it is well outside your remit. A motion to strike was overwhelmingly carried 2 months ago by UK LMCs. Are you on our side?
@KamilaRCGP
@Parody_RCGP
Fighting to protect and preserve the contractor model of General Practice.
A salaried model would be a disaster for patients as well as the profession.
Overwhelmingly Carried (part 5 taken as a reference).
#LMCConf
Patients are suffering.
NHSE are using Covid regs to impose a real terms cut to services on General Practice.
The profession has spoken and has had enough.
It's time for
@NHSEngland
to engage properly or face the consequences.
Today the BMA's GP committee in England has entered into dispute with NHS England over the 2024/25 GP contract.
@doctor_katie
has written to NHS England stating her commitment to finding "mutually acceptable solutions to this dispute to benefit patients and practices". [1/2]
@UHP_NHS
@DrMinaIp
@BMA_James_Steen
Take Ownership is one of the Core Values of your Trust.
I assume you will ensure that this is taken seriously, the person responsible "takes ownership" and following disciplinary proceedings, apologises to the doctors it was sent to?
@TheBMA
@BMA_GP
I was dismayed to read this article today. As a member, I hope you intend to do a full investigation. It sounds as though there is a sexist culture which needs addressing within your ranks. What do you intend to do about it?
The best possible choice to give us the strongest possible chance for the upcoming contract negotiations (they're still not going to go well, of course - so be prepared)
@BMA_GP
@rcgp
@HelenRCGP
Any plans to revoke the "Companion of the College" award given to The Sultan of Brunei in wake of the introduction of laws to stone to death those participating in homosexual activity? Does this comply with the ideals of the college?
#LGBTQ
#NHS
@doctor_oxford
@gmcuk
@TheBMA
For a long time it's felt like a "be careful what you wish for" situation.
Felt it ridiculous that we pay for our own potential executioner.
Then recently - they appear to be an extension of Government anyway..
Could it be worse? Possibly.
Do they need reform? Definitely.