The NHS Whistleblower
@ItsnotrightUK
Followers
2,654
Following
3,156
Media
283
Statuses
1,620
we are here to support all NHS whistleblowers. DM us and one of the team will do their best to help you.
Joined August 2023
Don't wanna be here?
Send us removal request.
Explore trending content on Musk Viewer
Release Now
• 48139 Tweets
#FayeBDPartyInNanning
• 44718 Tweets
Lakers
• 25835 Tweets
TEN FIREWORK IT
• 24554 Tweets
鶴丸国永
• 23246 Tweets
Oregon
• 21212 Tweets
Aces
• 20891 Tweets
#キントレ
• 17519 Tweets
Purple Heart
• 14041 Tweets
#HaryanaElections
• 13877 Tweets
Michigan State
• 12496 Tweets
Bronny
• 11580 Tweets
UNLV
• 11416 Tweets
Syracuse
• 11027 Tweets
TREASURE AT MANDIRI KARNAVAL
• 10898 Tweets
オースティン
• 10732 Tweets
तृतीय स्वरूप
• 10319 Tweets
Can you see why there is no good will left in the NHS. We do 12h shifts 7 days a week. Is it too much to ask for hot food on the weekends?
585
2K
8K
Given that the Royal College has said that physician associates have no place in GP practice. Will all PA students now be removed from GP placements?
22
274
1K
This is from a ED reg. It Just shows that PAs should work with us and not try to do the same job as us.
#askforadoctor
28
76
810
So a doctor is paid less than a PA but out GMC fees are twice as high as the proposed PA fees.
11
128
775
Why do most A&Es run such low staffing levels? Get rid of the PAs, have a couple of extra Middle grade doctors and there will be almost no wait to be seen. Ask
@LandDHospital
why it’s under 1h to be seen. Because they have a well staffed Rota.
29
149
753
London A&E is paying upto £65/h for the Locum’s / bank shifts to its PA’s. Standard SHO rate is around £38/h
28
292
706
We received a very upset message from a SHO in a South London A&E department because the locum shifts are Open to SHO, ACP and PA’s. The SHOs get the last pick because the PAs have a lower bank rate but have a much higher salary than the SHO’s.
28
206
694
I met an amazing PA. She went to medical school and now is a FY doctor in the midlands. But still Locum’s as a PA as she is paid more than doing shifts as a Doctor.
17
124
643
These are people who are dead because of the political experiment to replace doctors with PA’s which does not even save any money as they are paid 20% more than a senior Register
#askforadoctor
20
365
610
So £57.8k year for a PA with 2 years education.
Or a Doctor that will supervise the PA.
5/6 Years Medical school.
2 years foundation
5 + years of ED/A&E
And probably also have ITU
All for £51k.
And then they say we are greedy asking for 35%.
9
270
591
Why are PAs not in this? The public needs to be able to easily identify who is treating them. Right now they walk around trying to look like doctors.
66
172
547
So a ACP in london makes £75k for a 37.5h week and works at senior SHO level. While a SHO is paid £53k for a 40h week. How is this fair?
37
117
510
Which is 11k more than a doctor starts on for a 40h week.
18
101
455
There are so few GP training spots available.
Zero In London.
Why are Doctors who are not even in the UK allowed to complete with our local graduates.
No other country in the world does this to their own doctors.
23
76
424
I think PAs need to read this and take a long hard look in the mirror. Your school is selling you the idea you study medicine in 2 years but it’s complete BS.
5
173
398
Patient today.
2/7 hx of chest pain.
Not typical but some worrying signs.
Worse when turning the head.
Saw a pharmacist who advised MSK due to the above and does not need to go to Ed.
Wife pushed to come to ED 2 days later.
Trip 2000 and ECG changes.
#askforadoctor
32
88
400
So this poor doctor has worked for free for 3 months and there are so many applications for a job they can’t get there in time. But we are still replacing Doctors with PA’s
16
170
387
PA 37.5h week Vs Doctor 40h week. Spot the difference in Pay. Even with a 30% pay rise the PA will out earn the doctor.
12
124
368
Just received this. “We have just hired a newly qualified GP at £32/h in our urgent care. While I have to get the best deal for our business it makes me sick at the same time”
56
72
358
I have been supervising a PA who him self was supervising 2 medical students. Sad sad state of the NHS and UK helath care.
17
61
353
Instead of massive expansion of PA’s can we have a massive expansion of 4 year graduate entry medicine. The same
students can study medicine and make fine doctors and we would have to rely less on 3rd World countries for doctors who need their own doctors for their population
14
61
333
Doctors don’t sell out for £1.2k to £2.4k which is half that after tax and pension.
All this work for an extra £50 to £100 per month.
Keep the fight going.
A SHO (FY2) should be on at least the same pay as a PA
9
63
332
#askforadoctor
we are working with the BBC and looking for examples of patients who have come to harm due to care give by PAs. Please DM be if you are willing to speak anonymously
15
200
312
If you are not a medical doctor you should not be using the title in a medical setting. It causes confusion
#askforadoctor
17
86
303
All PAs seeing undifferentiated patients should get informed consent before the consultation
7
101
299
A SHO should be allowed to apply for a Pa position
6
36
235
77% (49 out of 64) PA’s who answered the question think they should work at Reg /T3 level or above. An unbelievable 10 think the should work at consistent level.
16
34
238
Doctors need to be removed from the shortage occupation list. We have a flood of unemployed doctors and competition ratios to get into training are off the scale
8
21
221
Rate came down from 87 to 82 now going down to 70 for a fully qualified GP.
26
59
213
This is the future:
Post GMC
1 to 2 years - allowed to order ionising radiation
4 to 5 years - allowed to prescribe.
Immediately followed by being allowing to become ACPs and move up to band 8a/b @ “ST3/4” level
More PA will move to management and advance the PA agenda
19
50
195
Look pharmacists are amazing but they are not doctors.
I have seen around 25000 patients and I still miss stuff.
Yes they will be right 99% of the time but do you want to be in the 1% that died?
4
24
182
We have just been told that one London A&E departments has had a recruitment freeze and are not allowed to replace doctors who leave. What the plan? Replace with PA’s?
#MedTwitter
@TheBMA
14
38
170
FIO request to UCAS shows 67% of PA study applicants also applied to medical school in 2020. So the current batch of PAs are practicing medicine actually failed to get into medical school. While the ones who did are still in medical school and will be paid 30% less than a PA
7
87
165
This 35% raise sounds like a lot but it’s asking for £15/h to £21/h. We can afford to pay a PA more than that. Any can’t we afford to pay our doctors that.
When I need to call out a plumber I’m grateful to pay £40/h because I don’t have the first clue how to fix my boiler, or the skills to fix a burst pipe
Doctors are asking for half of that, to fix your kids
In life we get the health services we pay for
225
3K
10K
5
71
166
@VictoriaAtkins
Why is it that we can accord to pay a ACP and PA a fair wage but not the doctors who supervise them.
4
51
162
If they had follows the new BMAs scope of practice this would not have happened Patient would still be alive.
8
86
163
Ok. Now it’s time to put UK residents first and allow them to apply for round 1 and then have a round 2.
8
15
157
@RCPhysicians
@NHSEngland
A PA has no business clerking patients in ED, seeing pts in GP or managing patients in resus. You need to define the scope of work and limit how trusts use them. They are a amazing resource but to help doctors with admin and as runners not play doctors and risk and cost lives
4
30
137
@IncogAssociate
Actually you are a Doctors assistants. Yes you chose to change your title. But just become I decide to call me self Captain XXX does not mean I can fly an aircraft or sail a cruise ship. But I can be a passenger and do what I’m told by the Captain.
1
4
126
Scope of practice for PAs as published by a Ed in the south west
26
38
116
@jewett6a
That’s not our problem. Let them pay what ever is needed to get somone that can do a good job. PA’s are not over paid. Doctors are underpaid.
3
3
109
So a PA can’t prescribe but are making allegations of prescription errors. Seems
Like the PA’s are out to get the poor
New doctors
9
21
104
PAs shouldn’t be involved in discussions regarding their safe scope of practice.
Just as a Med student has no say on their scope of practice.
Every PA will have an unsafe & unacceptable COI.
We need a national scope of practice, if a PA wants to do more - go to med school
1
38
101
@JimBethell
@rcgp
My Lord. This is not about how we treat our colleagues, friends or family. This is about peoples health and lives. You do not have a medical degree, you don’t work in health care. You are not qualified to pass judgement or make clinical judgements
This is about patient safety
2
10
100
@pa_StephenNash
ST doctors rotate every 6 or 12 months, FY doctors every 4 months.
SAS do not rotate and are generally not more expensive than PAs.
This is the view of one doctor there are thousands who do not agree with uk. We don’t need or want to work with PAs I their current role.
3
9
100
In the name of career progression they let nurses become ANP/ACP’s then nurses consultants. Where will PA’s go next? Consultant Physician (associate) you know it’s on the way.
12
21
91
@rcgp
Funny putting public health first.
@wesstreeting
I hope you are taking note. We all have the right to see a doctor and not just the Rich.
#askforadoctor
Now STOP ARRS funding for PA’s
0
15
90
@drmattuk
This is gross negligent manslaughter. The supervising consultant should face prison just like Hadiza Bawa-Garba did.
This will teach us doctors to properly supervise our little assistants and not let them run free as they are now.
1
10
84
A resident Doctor job is advertised. It automatically closes when it receives a set number of applications (say 30). There is a flood of doctors outside the uk trying to get jobs so The limit is hit within 30min. This does not give a chance for locals to apply.
9
9
80
How is this acceptable. We need a vote of no confidence and they need to go
0
28
79
Why are doctors worth less than the rest of the NHS who we all agree are underpaid
#MedTwitter
@TheBMA
@VictoriaAtkins
2
11
73
@IncogAssociate
@RCPhysicians
Why do you think as a dependent PA with little to no leadership experience you know more than a Professor with a clinical lead role?
0
4
73
One ED department last week has 1 reg and 3 SHOs over night. That means they can see around 35 patients. The night team started with 32 waiting to be seen. So anyone that arrives overnight will not be seen until the next day
3
4
71
@LouiseAllard18
You also did not have £100k of student loans at 7%. You got free accommodation, you could buy a house with 4 times your income. You did not struggle to meet day to day expenses. You did not pay £2k to take exams, you did not pay £500 to the GMc, you did not pay for parking
0
3
69
So a ST 5 has 6 years med school. 2 years FY training, 5 years O&G training
The PA has 2 years training and a irrelevant undergrad
1
15
70
@IncogAssociate
As individuals you may be nice people.
But you are advocating for a profession that endangers public lives.
Most of you are people who did not yet into medical school and now want to practice medicine without the knowledge and education of a doctor.
1
3
68
@ClareGerada
@Burnt2020
@PatrickMackle4
@edinfringeguide
@RCSEd
@drphilhammond
I fully agree the PAs are hard working caring individuals.
But what are the patients benefits of being seeing by a PA vs a doctor?
Why use them as a replacement for doctors instead of using them as a supporting role?
Why are they scoping patients?
0
12
67
@IncogAssociate
£100k student debt
Last year:
£500 GMC
£650 insurance
£850 courses
£1250 exam
£450 royal collage
£1900 conference cost.
Plus the cost of moving house for training regularly.
2
4
67
Spot on. PAs could be amazing if used to aid doctors instead of replace them
5
9
63
@IncogAssociate
@iDrSunny
@parthaskar
@TheBMA
@NHSE_WTE
@FPARCP
@RCPhysicians
@DrLKVaughan
@UKGastroDr
@RowanHarwood
@DrPhilBanfield
@mmamas1973
@DrAsifQasim
@trishgreenhalgh
@doctor_oxford
@OrthopodReg
All these things focus on the PA and their feeling. Why is no one taking about the danger to health and lives of the people that don’t get to see a real doctor.
1
2
61
@VictoriaAtkins
@TheBMA
@Doctors_Vote
Victoria you argued on national TV’s that Doctors don’t deserve the same pay as a PA’s because we get additional pay for nights and weekend but so do PA’s. They out earn even a senior ST5 doctor in london. Compare hourly rates
1
13
64
@IncogAssociate
You guys are a fantastic resource and would help in almost every department.
We just need to get over the idea that you should be practicing medicine.
Do our admin, dc letters, follow-up calls. Basically free up time for the con ans SPR’s to get on with medical stuff.
1
3
61
GP partners, They are Giving you ARRB funding so you train people to take your job. They are cutting your funding so you can’t afford a real doctor and when the ARRB funding is done you will have no choice but to keep them on and burn your self out supervising them
1
21
58
@RCPhysicians
Your Members need to cancel their membership and boycott all future events until the RCP starts to listen to the concerns about PAs from its members.
2
3
54
@VictoriaAtkins
@TheBMA
35% rise is £5/h and still less than a PA and £3b is not taking into account the fact that half of that spend will come back in the form of NI/income tax and VAT.
If we can afford to pay PS’s we can afford to pay Doctors.
But don’t worry you will not be in power anyway
0
12
57
@Dr_Done_
@mrjamesob
7 years as a paramedic. What do you know about the pathology of ARDS, Heart failure, oxygen dissociation curve or COPD. You just don’t know what you don’t know. And you are not afraid of doing your job because you have no idea how much you don’t know.
2
6
53
@ByDonkeys
I have to confess I also profited from the pandemic. I took a few extra shifts in the ICU in my free time and took home almost £310 for 10h in PPE and risking my life.
0
1
54
@IncogAssociate
@dr_shibley
I just don’t know where to start. You are not a doctor. So why is it undermining to make this clear to anyone that you treat who may be confused by your deliberately ambiguous title.
0
2
53
@iDrSunny
Do not forget this was the hospital that demanded fingerprints from its doctors to find a whistleblower
4
28
53
@IncogAssociate
No one wants physician associates, not doctors, Not the public. We don’t need or want this part of the MDT.
What we want and need is more doctors and physician assistants which is what PA originally were before PAs over stepped their role and redefined their role.
5
9
53
Not capable of getting through med school but ok to see patients independently.
4
12
50
@RoyalLondonOrth
@KabirMatwala
@ts1nas
@BartsBoneJoint
@kashakhtar
Literally the first time I’ve ever ever seen a hospital appreciate its rotational trainees. And this is how Doctor should be presenting themselves
2
0
48
@Xeon4f145d96s1
@DrInsurgent
Has this been referred to the GMC? This is highly dishonest to have withheld this information
3
3
47
@IncogAssociate
@gmcuk
@rcgp
putting patient safety first and not allowing you to play doctor without the education is bullying?
No one is saying you will be out of a job. Only we will let you do what we consider safe. Keep in mind we are your supervisors and hold ultimate responsibility for patients.
2
3
47
52% of new doctors in the UK are IMG’s. Of those only 17% plan to stay in the uk after they complete training. IMG’s are a mobile workforce and have moved here for a better life. If you don’t treat them well they will CCT & Flee. The a loss of 43% of your upcoming constituents
4
15
47
Here is a good audit. Let’s call the last 500 patients that where seen in ED by PA’s and ask if they where aware they where not seen by a doctor
#askforadoctor
5
8
44
@iDrSunny
@MHRAgovuk
@CareQualityComm
Oh good god. This is so dangerous. You can’t change someone’s medication if you are not prescriber.
1
1
44
With the influx of PA’s into ED and the reduction of JCF jobs. Who are going be your Middle Grade doctors in 5 years when you are not training up enough JCFs.
3
2
45
@danielmgmoylan
@wesstreeting
My Lord. We made it clear that our pay needs to go back to what we were paid in 2008. This deal only puts us back to pre Covid levels.
Do you think £20/h for a doctor is too much.
Do you know we are paid less than our assistant (PA) who we supervise?
2
11
44
The expansion of PA’s/ MAP’s pose the greatest danger to public health since the introduction of smoking and processed foods into our society. The Royal colleges should be advocating for the public not the PA’s.
4
10
43
@Ask_foradoctor
50% of all training places went to IMGs and 85% of them plan to leave.
Who will supervise the 10,000 PA’s on the cards ?
5
5
44
@TomStocks1982
In one ED in south london they have cut the number of SHO’s on the rota and replaced them with PA’s. They have SHOs doing unpaid shadowing for months because they can’t find a job.l And PA’s can pick up the same shifts as a SHO.
5
17
40
@IncogAssociate
@wesstreeting
Physician assistant were deployed to help with admin. Due to work force shortages, they started to be used as a doctors. Now we have no shortage of doctors let’s stop endangering patient lives. And stop the illegal practice of medicine by them.
0
5
40
@IncogAssociate
Your lack of insight is staggering. Concerns About your clinical capabilities are being raised by those who supervise you. Instead of acknowledging your limitations you lash out.
1
2
40