Dr Sarmy™️ 🇵🇸
@Dr__Sarmy
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• will stand for the oppressed, never the oppressor • Owned by a cat 🐈⬛ & a cricket bat 🏏• NHS GeneralPleb 🩺💼🤓 • #AskforaDoctor
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Pinned Tweet
#Cricket
🏏
Opened the batting yday evening’s T20 for
@DudleyDoosras
& we were off to a flyer.
Shout out to Sujay for his v well made run a ball 46. Tight match & great win for us.
@UoBCricsoc
- awesome bunch of lads, lovely oppo & looking forward to the return fixture.
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🚨 Does anyone know who this GP is??
She should be PRESIDENT of the RCGP!!
📢 What a smashing statement to a complete bellend of a PM & Tory supporters who have no clue about general practice.
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Let’s get this straight.
The UK “cannot afford” to adequately resource the NHS or pay it’s doctors, nurses or teachers properly,
Yet somehow there’s plenty of money available for unjust foreign wars??
#NotInMyName
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Oh my, this is is brilliant from
@RobLaurensonD4P
🚨 Strike action has cost the govt £3bn
🚨 Full pay restoration would have only cost £1.3bn
🚨 Re 35% demand - a physician’s assistant is paid 35% more than a fully qualified doctor 🤬🤬🤬
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#TeamGP
So the pharmacy scheme for minor illnesses comes in to force today.
I’d like to highlight I advised a patient to attend the local pharmacy as per the PCN guidelines last year. The patient was so upset at this new advice that she reported me to the GMC.
The GMC
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Back to work PM clinic in local surgery where I enquired about salaried job but was told they’re not recruiting a GP.
Omg what a mess.
The whole place is now run by PAs, ANPs & paramedic.
GP partner comes in once a week.
Once A Week.
2 pts in my clinic had their rosacea
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“If I ever have to go under, I want a fully qualified anaesthetist… & NOT an associate”
👏🏽 👏🏽 👏🏽
We need more of the general public to speak up - a national scandal is unfolding.
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Email I sent earlier today.
Posting here purely as evidence.
Let’s see how they respond:
“Dear RCGP, Chair and Midlands Faculty team,
I am emailing you ahead of the scheduled meeting on Friday 8th March to discuss the ongoing debacle with regards to the increasing use of
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I’m sorry, but this campaign is bollocks.
❌ PAs work UNDER supervision.
They do NOT work alongside.
❌ A 2yr degree with a 30-40% pass mark & a 100% pass rate is NOT highly skilled.
❌ You are shamelessly replacing GPs with inadequately qualified staff.
Start telling your
Meet Megan, a Physician Associate who is a highly skilled professional working alongside GPs to help with:
- Diagnosing & treating certain health conditions
- Arranging tests & analysing results, and
- Performing physical examinations.
Find out more here:
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Excellent infographic below outlining the stark difference between the training of a PA vs a fully qualified GP.
Make sure you check who is actually treating you at your next practice/hospital visit.
#askforadoctor
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Dear PAs,
If you want to play Dr so badly, why don’t you just go to medschool & get a medical degree.
It’s that simple.
All of a sudden, you’ll be able to:
✅ prescribe
✅ refer
✅ request ionising radiation
✅ register with the GMC
✅ become a member of a royal college
✅ &
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@ShabanaMahmood
Literally no one stopped you from voting for a ceasefire.
In fact we encouraged you - you ignored us.
I sincerely hope you lose your seat.
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This article is absolutely terrifying:
“At Dudley Group NHS Trust, 1 junior doctor said a PA had missed an “obvious heart attack” on an ECG, having “just signed it as if it was normal”.
A clinician in primary care alleged PAs repeatedly misdiagnosed a patient’s metastatic
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At the start of my F2 Paeds rotation at a well known Bham hospital, the rota team “all of a sudden” realised they had no junior cover for the 1st weekend.
(I’m sure terrible planning on their part had nothing to do with it)
During our induction afternoon - exact words from
@BMA_James_Steen
@AliJaneMoore
I still remember crying with tiredness after being told that I had to stay and do the long shift in ST1. I’d done the long weekend into a BH and was shattered.
He said “well you could just leave the bleep uncovered but what would the GMC say?”
I’ve never forgotten.
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A PA is NOT equivalent to FY1/FY2 to ST1 ST3 on ANY level
A PA is NOT equivalent to FY1/FY2 to ST1 ST3 on ANY level
A PA is NOT equivalent to FY1/FY2 to ST1 ST3 on ANY level
A PA is NOT equivalent to FY1/FY2 to ST1 ST3 on ANY level
A PA is NOT equivalent to FY1/FY2 to ST1 ST3 on
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@PolitlcsUK
Absolutely nothing to do with this ⬇️⬇️
🚨 Does anyone know who this GP is??
She should be PRESIDENT of the RCGP!!
📢 What a smashing statement to a complete bellend of a PM & Tory supporters who have no clue about general practice.
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Working OOH again this morning.
One GP has traveled from Nottingham to Birmingham for a shift, as no work available for him locally.
When patients are so desperate to see a doctor, remind me again how we got here??
Remember this situation has been manufactured.
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🚨 Bradford District & Craven Health & Care Partnership - STOP LYING to your patients 🚨
⚠️ Lily is NOT a “physician”
⚠️ Gareth is NOT a cancer “specialist”
Shame on you if you no longer wish to employ GPs - change your name to “ARRS surgery”
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Spoke to a local GP partner (West Mids) - the ARRS (aka GP replacement scheme) has been an absolute Godsend for them.
Apparently they are “no longer obliged by NHS England” to employ doctors, PCN pays clinical staff wages & their income has rocketed to £250k/yr as a result.
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Now would be a good time as ever to reiterate:
❓Want to play doctor
GO TO MEDICAL SCHOOL
❓Want to work as a GP
COMPLETE GP TRAINING
❓Want to work as a nurse
COMPLETE A NURSING DEGREE
#PAscandal
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God help you if you still think Wes Streeting is the answer to the NHS… 🤦🏽♂️ 🤦🏽♂️
⚠️ He supports the PA project
⚠️ He supports the NHS workforce plan
⚠️ He sees no issue with pouring money into the private healthcare sector
⚠️ & now he supports capping doctor’s overtime pay
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Dear Prof Mike Holmes,
I am having great difficulty in coming up with a single good reason to as to why I should bother renewing my
@rcgp
membership this year.
I’ve been a member for 10 years & increasing evidence has come to light that my >£6000 contributions have been spent
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Working OOH this evening.
Just reviewed a pt who an MAP diagnosed as having gout…
🤦🏽♂️ 🤦🏽♂️
Pt never gets joint swelling, no redness, & urate is normal. Pain only after using treadmill. Stretching helps. Clear cut achilles tendinitis.
The future of medicine is bleak.
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GPs already do this!!
This money should have been invested into general practice!!
We seriously have idiots running our NHS. 🤦🏽♂️. 🤬.
🔗
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This decision is an absolute disgrace from the
@gmcuk
.
I personally know Jewish doctors who have rightly spoken out about the atrocities against innocent Palestinians - would they be suspended too??
Are British doctors supposed to support genocide now??
The BBC Apprentice star Dr Asif Munaf has been suspended from the medical register by the General Medical Council following his criticism of Israel’s genocidal actions and Zionism on social media.
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In other words, you are sorry you were caught lying to your patients on social media.
How politely did you expect us to react to this illegality??
We have been made aware of mistakes in our 'It's a GP Practice Thing' campaign. We are updating materials to ensure they are accurate and use correct titles for colleagues in General Practice teams. Thank you to all those who have shown care and compassion when feeding back.
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#MedTwitter
Received this letter back from my MP today re
#PA
&
#AA
project.
Shock horror he is fully behind the expansion of their roles, & concludes they will apparently benefit patient safety. 🤦🏽♂️.
If this doesn’t convince you that their existence is entirely political,
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NO.
If you want to “practice medicine”,
GO TO MEDICAL SCHOOL.
It’s that simple.
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When did PAs & AAs become “medical professionals”??
Need I remind you, that NEITHER,
hold a medical degree!!
🧵The updated
#GoodMedicalPractice2024
uses the term ‘medical professionals’ as a collective term for doctors, physician associates (PAs) and anaesthesia associates (AAs), rather than listing out each individual role for every reference. We haven't removed doctors from the
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@Number10cat
This GP deserves a knighthood!!
🚨 Does anyone know who this GP is??
She should be PRESIDENT of the RCGP!!
📢 What a smashing statement to a complete bellend of a PM & Tory supporters who have no clue about general practice.
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“Just over half of 18,000 doctors surveyed by the British Medical Association (BMA) said working alongside those staff increased what they had to do rather than freeing up their time.”
What a stupid stupid idea this whole scheme has been. Just imagine if this wasted time, effort
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The moment you realise the course organisers who sold you a dream of becoming super-duper-generalist consultants with all the prescribing, referral & radiology requesting rights in the world after just 24 months at Uni, were indeed lying to you all along:
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#MedTwitter
The nitty gritty is the essence that makes a doctor!
I recall a case of a 3yr old girl whose mum brought in her with cough & sob symptoms (could easily have been dismissed as viral URTI)
O/E
Afebrile
ENT nad
Chest - no wheeze & not a crackle to be heard, yet very
All the fun, none of the knowledge.
“Learn from a clinical perspective without delving too deep into the nitty-gritty science”
What on earth is this.
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Sir Gerald Kaufman UK parliament 2009 re Israel. Please watch this video & educate yourselves on history.
“my grandmother did not die to provide cover for Israeli soldiers murdering Palestinian grandmothers in Gaza.”
#FreePalestine
#SocialistSunday
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Would an MP allow a PA to perform a cystoscopy on them unsupervised??
That is the question.
Govt taking us all for mugs.
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I went to Uni of Bham & studied medicine there under Prof Parle.
He used to repeatedly threaten us with a GMC referral for every minor misdemeanour…
…yet here he is championing PAs. 🤦🏽♂️.
Where is the emphasis on patient safety now?? Don’t get me started on the double
@stmarnockZ
@DrSelvarajah
@AlisonGeorge10
@DrHFRyan
@HelenRSalisbury
@doctor_katie
@Dr__Sarmy
@DrGoblin3
@DrSteveTaylor
@pulsetoday
@HeedDoc
No...
But just read the first sentence and can guess what's coming...
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Lmao.
Try turning up to a private hospital in the UK with a heart attack or a stroke.
They’ll dump you straight back out on to the street & signpost you to the nearest NHS A&E.
@jemmadace
@EmergMedDr
I'm now fully private as would hate to put my life in their greedy selfish hands.
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@DrNeenaJha
Feel your pain.
We’re all being replaced 1 by 1.
Meanwhile patients cannot see a doctor on the NHS.
General practice is heading down the path of dentistry.
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Why pay someone £40k,
only to have to repeat their work??
What a ripoff for the taxpayer & the NHS. 🤦🏽♂️.
A fitness to practise tribunal (MPTS) determines that a PA's history should be repeated by a doctor and a PA's examination should be repeated by a doctor too.
DAUK's report in Pulse explains more 👇
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And another one - a practice in Dudley (West Mids) where an F2 colleague is doing his placement.
- single handed partner
- whole practice is run by PAs, ANPs, CPs, & GP trainees.
- NO patient has been physically SEEN by a fully qualified GP for over 12 MONTHS!!
- partner’s role
Spoke to a local GP partner (West Mids) - the ARRS (aka GP replacement scheme) has been an absolute Godsend for them.
Apparently they are “no longer obliged by NHS England” to employ doctors, PCN pays clinical staff wages & their income has rocketed to £250k/yr as a result.
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By investigating, & writing up this news article,
Janet Eastham has advocated more for patient safety than:
🚫 the RCP,
🚫 the GMC,
🚫 NHS England,
🚫 the House of Lords,
🚫 & this Tory govt combined!!!
We are indebted to you. 🫡.
🔴NEW: NHS England orders hospitals to stop using physician associates to cover doctors’ shifts after
@Telegraph
investigation reveals that the practice is widespread.
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Exact words of my last patient from this afternoon’s clinic:
“I’m not impressed by the PAs at this practice - they don’t seem to know what they are doing.
I sincerely hope they don’t employ anymore more here. Please can you have a word with them doctor?”
🙄🙄🙄
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❌ Neither Physician
they do NOT study medicine
❌ Nor Associates
they are NOT on the same level.
Rename:
✅ Clinical assistants.
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@gmcuk
@medicalmodelbri
📢 “PAs & AAs don’t have the same knowledge, skills & expertise as doctors. They are not doctors, and they can’t replace them…”
✅ Yes we all agree they are NOT medical!!
❌ Then WHY are you regulating them??
⚠️ You still haven’t answered this question & can continue playing
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@BMA_JuniorDocs
This might be useful too 👇🏽
Don’t retweet, wouldn’t want anyone finding out… 🙈
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@FIFAWorldCup
THIS FINAL IS SOMETHING ELSE!!!!!
ARGENTINA!!!!!!!! 🇦🇷🇦🇷🇦🇷🇦🇷🇦🇷🇦🇷🇦🇷🇦🇷🇦🇷🇦🇷🇦🇷🇦🇷🇦🇷🇦🇷🇦🇷🇦🇷🇦🇷🇦🇷🇦🇷🇦🇷🇦🇷🇦🇷🇦🇷🇦🇷🇦🇷🇦🇷
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“The Royal College of Emergency Medicine does NOT currently support the expansion of the PA workforce in Emergency Medicine (EM).” 👏🏽 👏🏽
@rcgp
what planet 🌍 are you living on?!
What is stopping you from releasing this statement re general practice?
We have today (07/06/24) published our updated position regarding Physician Associates in Emergency Medicine.
News story -
Position Statement -
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Like seriously, we’ve managed to fill GP surgeries with idiots who don’t even know how to write a referral letter ⬇️⬇️
@NHSEngland
@gmcuk
@rcgp
@RCPhysicians
Why are you all actively encouraging this??
Why is it not being investigated??
Where is your obligation to patient
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Birmingham New Street right now
#CeasefireForGazaNOW
#ceasefireNOW
@Lowkey0nline
@FactualNarrator
@ToryFibs
@CensoredMen
@TorahJudaism
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@Number10cat
@LightHackers
Right back at ya Larry 👊🏽
We should rap 🎤 that poem to this tune 🎶
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Nah, reckon I gave the college a fair chance.
13 yrs of fees (approx £7.8k) down the pan, whilst our past presidents were busy cooking up GP replacements - you got your wish & you don’t represent grass roots GPs.
For the last 6m, GP colleagues continue to be replaced by PAs &
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The BMA has made the following recommendations.
🛑 There should be an immediate halt to the recruitment of Medical Associate Professionals (MAPs) in the UK, including PAs and AAs on the grounds of patient safety (as called for by the BMA in November 2023). Long term
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@DrTechnophile
It is absolutely not the patient’s fault. My genuine sympathies for each every one of them registered at this practice. This is not how healthcare should be delivered.
This MAP experiment has gone too far, and is now evidently being abused as a cost cutting measure.
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Turned up to Out of hours shift this morning.
Receptionist’s words, not mine:
“Patients don’t know how lucky they are, that they get to see 2 actual doctors today.”
About time we got back to GPs doing GP work.
#askforadoctor
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@wesstreeting
PAs:
- waste of our time
- pts didn’t ask for them & neither did we
- rip off for the NHS & taxpayer @ 40k a pop. Pure bureaucracy.
But you won’t listen.
We already know this.
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Just look at his arrogance.
Reflect on your own wrongdoings FIRST, before speaking ill of others.
1. Let’s start with the blatant lies you told re the medical profession in the House of Lords.
2. Then your deleted WhatsApp messages
3. Then your “lost phone”
4. Then your
When AA/PAs say they feel shamed and bullied by a campaign of intimidation, this distasteful thread is the sort of thing they mean. 👇
Anyone could do something similar for any profession. But I hope they do not because life depends on collaboration and teamwork so we should act
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🇬🇧 The UK then - once the beacon of light in leading the way in medical education & evidence based expertise.
🇬🇧 The UK now - race to the bottom in lowering the standards of patient care,
pursuing deregulation like it’s going out of fashion,
& hellbent on replacing doctors
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@ToryFibs
“It’s been termed a pro-Palestinian demonstration, but I think it’s a pro-Peace demonstration”
“It’s up to us to Do better”
Wise words.
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And to think I was investigated by the GMC for advising a pt to see a pharmacist following local PCN guidance… & yet look at what this lot will get away with 🤬🤬
The double standards,
The downright hypocrisy,
My blood boils…
Dear 🇬🇧,
Please read - this NHS scandal potentially affects you all.
🧵 Having studied the data, just released, from the
@RCPhysicians
members' survey on PAs, I couldn't be more disgusted by the lack of probity, honesty & fairness of those who lead my Royal College. 1/n
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🗣️“The NHS is disintegrating. I am one of 2,500 GPs in this country who are currently unemployed due to your policies.
"What are you going to do about that?
"37,000 GPs will not vote Conservative because of the constructive dismissal of general practice that is currently
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How many deaths will it take before this ridiculous PA experiment is ended??
Christopher Tucker died aged 81 from sepsis caused by a bladder infection on Dec 14, 2022.
PA at the Royal Berkshire Hospital had performed cystoscopy an invasive bladder procedure, on him less than 48
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Seems to heavy emphasis this morning on “locum” GPs unable to find work.
Let us be clear, there are NO salaried jobs NOR partnerships available to apply for.
Being a locum is hardly a choice at the moment - how else are we supposed to pay the mortgage?!
It’s either that or
More than 80% of GP locums 'cannot find work', BMA survey finds
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