IV Facts
@IVfacts
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Helping you unlock the NHS matrix with each tweet. Your STAT dose of facts 💉
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Allowing a PA who can’t even prescribe thrombolysis treatment, hold the on call stroke bleep. What could possibly go wrong?
@DudleyGroupNHS
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Celebrating this toxic self sacrificial culture of overworking to cover for a broken and underfunded system needs to stop. You’re only a hero until something goes wrong, remember that.
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Imagine sacrificing your whole life for a cardiothoracic training post and seeing this after getting rejected.
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The art of completing a jobs list when you can’t do any of the jobs on it needs to be studied.
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PAs will look you dead in the eye and say they never wanted to be doctors.
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So the solution must be to pick people off the street with no medical degree and train them?
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I’ve never seen a better image to summarise the
#PAProject
. Truly encapsulates the full course in one picture.
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How can you be the first point of contact for a deteriorating patient if you can’t even prescribe normal saline?
Oh dear me,
@NHSBartsHealth
.
Your PA in neurosurgery, identifies it has some of the sickest most vulnerable patients, purports to be working at the same level as the SHOs, is the first point of call for deteriorating patients, starts treatment and requests scans (illegally)
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Not only does this practice employ 9 unregulated PAs to see vulnerable patients. They also accuse the public of having “too high expectations from the NHS” for asking to see a doctor. This has gone too far. Leave a review and let them know.
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So if “local governance” states 10:1 supervision is appropriate, does that make it safe? Do you have any sense of integrity or responsibility for the safety of patients? An absolute embarrassment of an organisation.
Over the past few days, we’ve had questions and comments about a recording of one of the workshops from our 2022 conference. We’ve been reading and reflecting on all of these and wanted to share our response:
🔵We recognise that there are differing views about the role that
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Only thing worse than being paid £16/h is having to chase up that £16.
The NHS is setting out measures to improve the working lives of postgraduate doctors.
These include improving payroll accuracy, reducing admin burden and enhancing choice and flexibility with rotas.
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Of course we couldn’t get into medical school
Of course we get called nurses
*rolls eyes *
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“Routinely I don’t discuss with anyone”
Imagine the amount of life threatening conditions being missed because of the ego of someone who is not even aware of what they don’t know.
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You might as well start cleaning the toilets and serving lunch in the canteen too in your search for the moral high ground.
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No one is failing exams. A training bottleneck has been created by increasing pseudo SHO level workforce through PAs, increasing training applications without an increase in spots means more doctors will be rejected from training.
It's not the PAs' fault some Drs are failing their higher specialist exams.
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The PA dichotomy: generalist yet specialist, integral yet supplementary, autonomous yet supervised.
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Pretending to be a doctor is not the same as being one.
Requesting an investigation is not the same as ordering one.
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Medical students being prioritised ✅
PA contracts being terminated with universities ✅
Echo chamber echoing ✅
This is only the beginning.
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Politely disagree. PAs have knowingly taken on a role far beyond their safe scope in exchange for the opportunity to role play their unfulfilled childhood aspirations at the expense of patients and legitimately qualified doctors.
There are 2 sets of victims here.
Patients and PAs.
Patients for obvious reasons.
PAs who have been lied to by the government and their “leaders” and encouraged to incorporate these lies into their identities.
It is not for patients to facilitate the dreams PAs were sold. 1/3
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“The thing that’s held us back is regulation” - This scandal has been orchestrated and executed right from the top. Everyone complicit needs to be investigated and held accountable.
In time, the AA hopes that with regulation AAs will be able to "move away" from the SoP and then be “able to do what we [AAs] need to do” and that "local guidance" is a “very flexible way to use scope of practice”. (10/15)
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The PA project in the UK is nothing like the US. Patient safety is being compromised to fuel government agendas and embezzle public funds to create a two tier healthcare system. Doctors are being replaced and made redundant.
Man the UK peeps are being downright mean about PAs. Do some of them realize how unbecoming it is to see the volatile comments from providers? Fill me in
@DrNeilStone
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Yes because an anecdotal story with a sample size of 1 can be accurately extrapolated to judge what’s clearly a nationwide issue that’s impacting your colleagues and patients.
Once again, I really enjoy working with our PAs in Acute Medicine. I see no evidence that they’re replacing doctors at our trust or detrimentally impacting our training.
Deeply unimpressed by the GMC, who seem incapable of getting involved without setting everything on fire.
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Still not enough to supervise you.
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No one asked for a pair of unnecessary incompetent hands. What’s needed is increased government funding for training spots to provide more qualified doctors to aid the NHS in meeting its demands.
@medicalmodelbri
@ClearThinker66
@Shamz_141
@InvCoriolis
@VishwajeetP4t3l
When were PAs marketed as bringing unique skills? We simply serve as an additional pair of hands to aid the NHS in meeting its demands.
Not everything that presents to primary care needs to be seen by a GP.
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I’ve never seen a more egocentric group of incompetent individuals. Not one mention of patients or their safety. No one cares about how you feel.
@iDrSunny
@parthaskar
@TheBMA
@NHSE_WTE
@FPARCP
@RCPhysicians
@DrLKVaughan
@UKGastroDr
@RowanHarwood
@DrPhilBanfield
@mmamas1973
@DrAsifQasim
@trishgreenhalgh
@doctor_oxford
@OrthopodReg
The delivered change:
>PAs being made redundant
>PAs losing their confidence and identity
>PAs going into work and being told they can only run NHS health check clinics
>Mental health and morale of many PAs destroyed
>PAs quitting due to bullying at work
>Referral rejections
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At least your logo is ready.
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When you can’t decide between social media attention and patient safety.
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1 page per system. The Dunning-Kruger model.
I genuinely understand the PA frustration right now
But these sort of videos aren’t helping:
1) not all PAs going through human biology in undergrad
2) the comparison of this to the anatomy, physiology, pathology, biochem etc in medicine - I mean 😮
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I can but it will never be as hard as the day you got rejected from medschool.
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Do you know how many innocent patients and families have had their lives destroyed to satisfy your fragile egos and false sense of identity?
Are you serious?
Do you realise how many Physician Associate lives, mental health, morale, confidence, identities, sense of security, and livelihoods have been absolutely destroyed?
Fucking unbelievable.
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Time to regulate the regulator.
We are commencing a legal case against the
@gmcuk
over their regulation of Physician Associates.
We need your help to fund it.
Writing letters didn't work. Time for action.
#telltheGMC
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@SecretPhysician
@manLikeTeaa
40K a year to make a list of jobs you can’t even do. May the NHS rest in peace.
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@IncogAssociate
@TheBMA
@RCPhysicians
@rcgp
@FPARCP
Yes your *lack of training is exactly what they would’ve considered before setting your scope.
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The complexity of medicine is not diagnosing the common conditions, it’s not missing the rare conditions. You are fit to do neither.
@KadeFlowers
@VishwajeetP4t3l
Complex/complicated hayfever is rare.
In such rare scenarios where escalation/discussion is necessary there must be an appropriate system in place.
GP triages patients. I can be allocated undifferentiated patients. In some places receptionists have a flow chart to follow.
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@medicalmodelbri
Telling yourselves that you’re valuable members unfortunately does not make you any less useless.
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@Lola1982827
@ExplosiveEnema2
@KhyjaMccalla
Correct! They shouldn’t exist period. The fact you can say they’ve operated for this long without scope but do not see a safety concern in that is what’s most worrying. This circus has been exposed now and people are seeing the mess it is. We aren’t going anywhere.
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@DrEilidhMaria
The harsh truth is medschool entry requirements are not for everyone. Apparently it’s elitist to point out the obvious.
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@drkeithsiau
@ExplosiveEnema2
@RCHTWeCare
@FPARCP
@BritSocGastro
@UKGastroDr
@parthaskar
@DrAsifQasim
@DrLKVaughan
@DrSteveTaylor
@AlisonGeorge10
@Dr_Done_
@Doctors_Vote
Genuinely expected better from you. He individually may be deemed competent in your eyes but the role itself without scope is a danger to patient safety. Enabling this scope creep is a disservice to your juniors and patients no matter how you justify it .
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@Lola1982827
@ExplosiveEnema2
@KhyjaMccalla
Anyone knowingly working beyond their scope and compromising patient safety is to blame themselves. No one is holding them at gun point to work these roles. Stop the PA sympathy stories.
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@JoOgidi
@parthaskar
@DrEilidhMaria
@NHSEngland
A consultant can step down because he’s qualified to replace the Reg - they’ve both completed full medical training. You have no right to be on the rota to cover anyone with your 2 year pancake diploma, regardless of how desperate the trust is.
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The problem is precisely PAs seeing undifferentiated patients in GP. Secondly the government actively paying practices to employ PAs instead of GPs. Thirdly it’s people like you who lack the IQ to comprehend the above.
About PAs: this is vey basic beginner-lever divide and rule stuff & it's disappointing to see some drs fall for it so hard & so quickly. The problem isn't PAs seeing undifferentiated pts in GP, the problem is the defunding of primary care, making supervision of PAs harder.
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@InvCoriolis
Not sure of the trust. The same PA
@medicalmodelbri
exposed a few weeks back. Absolute mess.
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@svha_abdl
@MFTnhs
@MFTnhs
absolutely disgraceful gaslighting of your staff who have raised genuine patient safety concerns. You have no right to tell doctors to ignore
@TheBMA
guidance. Textbook NHS manipulation.
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@aashfaque14
@Mary_Tom11
@ExplosiveEnema2
@IncogAssociate
Prescribing illegally, not correcting patients when they mistake you for a doctor, missing life threatening conditions seems to be their speciality at present
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There is always too few places available, that’s what makes it competitive. Your daughter simply did not make the cut. Let’s accept that instead of justifying her fraudulent role in healthcare.
@nhsbourbon
1. My daughter is a very highly respected PA. She got superb, relevant Alevel grades & wanted to train as a doctor but there were too few places available at Uni. She investigated further and decided to train as a PA because the style of patient involvement appealed to her.
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Everyone in the MDT is equal, until something goes wrong and then suddenly doctors are more responsible.
Being a doctor is weird as you are held to infinitely high standards by everyone but also expected to play down that your job is high responsibility & intellectually tiring at times & have to act like any old rando could do your easy job so people don't think you're "superior"
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When the matron tried to convince me that my water bottle on the ward was an infection risk but the llama doing “therapy rounds” wasn’t.
What experience in the workplace radicalized you?
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@Welshvalleysub
@ItsnotrightUK
@RCPhysicians
@NHSEngland
Please save the PAs are being exploited sympathy story. They know fully well they are working beyond their scope and are more than happy to role play doctor without any of the work. No one is holding them at gun point to do these roles.
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Imagine being seen by someone trying to reach the next level of their Pokémon patient collection.
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@drkeithsiau
It’s nothing personal, just more disappointing when it’s from those you least expect. I hope you can reflect on this and make systemic changes going forward to benefit your trainees who have sacrificed most of their life to get there.
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@StGeorgesUni
You are not doing yourself any favours with this BS. They are experts in nothing. If you want to be complicit in government orchestrated destruction of the NHS then say that but don’t think anyone is stupid enough to believe your gaslighting.
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@medicalmodelbri
@rcgp
@NHSEngland
@TheBMA
@RobLaurensonD4P
I look at these people and think surely this is all a joke?
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When all is said and done, the only thing that will matter is what side of history we were on.
11 'complaints'-all from PA colleagues to
@RCPhysicians
Reviewed by RCP
Decision:
"No current grounds to proceed with investigating these complaints further"
An excerpt from one of them
My concern is about safety based on lack of scope/regulation etc
Don't make it personal.
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This is the - you do not have the valid training/qualification to care for sick patients and so you will not be putting our patients at risk for your fragile egos. It’s not a club, it’s medical school but yes you still seem unable to join it.
This is:
Scapegoating
Elitism
Protectionism
This has NOTHING to do with patient safety.
This is:
You do not have 'Dr' in front of your name so you can not care for patients. You can not join our club.
You can't sit with us.
Punching down. Nothing to be proud of.
#RCPEGM
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We don’t because patients know exactly what we are. Your whole profession is based on facade and obscuration of titles to confuse patients so yes you do have to say what you’re not.
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Turns out destroying the NHS is not the worst crime this man has committed.
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@c3convertase
@Mary_Tom11
The excitement comes from doing a job they know deep down they have no right to be.
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@IncogAssociate
Begging the public for support? You guys really are panicking now that the veil has been pulled on your circus.
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Someone is dying in resus and instead of showing compassion you use it as an opportunity to gain more attention from your followers. The worst of humanity.
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@medicalmodelbri
@rcgp
Knowing a little bit of everything does not make you a generalist. It makes you an incompetent dangerous clown with no insight .
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@nas_vascular
@medicalmodelbri
@ClinOncDoc
@ExplosiveEnema2
She definitely called you a clown. If she didn’t correct you when you called her a medical student then what chance does a patient stand? The lack of professionalism and probity concerns are off the scale. A disciplinary meeting is the absolute minimum.
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@Dr_Rajiology
Literally the first rule of medical ethics - do no harm. The way this circus is being pushed despite safety concerns shows the underlying motives surpass any ethical considerations.
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@ExplosiveEnema2
@MFTnhs
@svha_abdl
@DrEilidhMaria
FTSUGuardian
@mft
.nhs.uk
Escalate to their freedom to speak up guardian so they know they can’t get away with this one.
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The most corrupt “regulator” endorsing a bunch of criminals openly discussing ways to circumvent rules designed to protect patients. There is a special place in hell reserved for everyone involved.
🚨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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@Bonivorlewis
It’s not a personal insult or a pile on to point out you offer nothing unique to the MDT and currently pose a massive risk to patient safety whilst impeding training of more qualified members of the team. It’s the harsh reality of your job.
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@medicalmodelbri
@watsondoolittle
@ExplosiveEnema2
@TheQNI
@nmcnews
@nmcnews
what example does this set for other nursing staff when such a prominent figure is complicit in such vile online abuse.
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The recycle bin doctors sit on during board round offers more to the MDT than a PA.
@medicalmodelbri
@parthaskar
Maybe not. But you cannot deny their value to multidisciplinary practice. The PAs are educated. Have a first degree in a science plus a two year intensive course in medicine. Show some respect!
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So because compromise of safety, negligence and manslaughter has been ongoing for 21 years we shouldn’t be stopping it now.
#PALogic
@IVfacts
@ExplosiveEnema2
@KhyjaMccalla
Well I hate to tell you this for the last 21 years they never had a scope so according to you they shouldn't exist period. Stop. the nonsense. You guys care about
#1
and that your own arses and saying its about patient safety when they have existed for how long? Get real.
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@SophieAnnBurges
@indigosphinx
@medicalmodelbri
@DrNeenaJha
@BBCPanorama
Then surely you’re just doubling up the work for the GP? What purpose do you serve?
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