RestoreGP
@RestoreGPUK
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We are a grassroots group of GPs in the UK working together to protect the future of General Practice.
UK
Joined July 2023
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Seeing a medical doctor in general practice means you are less likely to attend the Emergency Department.
Did you know only 43.9% of appointments are now with GPs?
You and your family deserve the highest quality care.
#ItsOkayToAsk
for a doctor.
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The use of PAs in UK healthcare needs an immediate pause with a public inquiry into the dangers such a role poses to patient safety.
This is appalling.
Mid 50s, cancer red flags ignored by PAs for 8 months.
This could be your dad.
The UK is failing patients, and planning to fail many more with the dangerous long term workforce plan.
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🚨⚠️RCGP council meeting papers show a move to consider offering RCGP fellowship and/or 'college affiliation' to non-doctor members of the MDT. This would set a dangerous precedent and is another move by key stakeholders that will undermine GPs and the medical profession.⚠️🚨
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Physician Assistants -> Physician Associates -> PAs with GMC numbers -> PAs with GMC numbers and prescribing rights -> Senior PAs as Clinical Leads -> Consultant PAs -> Independent Consultant PAs in private practice & PA Partner in General Practice.
Where does it end?
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“PAs and AAs who register with us will receive a seven-digit number in the same format as a doctor.” - a deliberate attempt by the regulatory authorities to further obscure the differences between PAs and doctors.
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Are you a GP or GP registrar concerned about the expansion of ARRS roles? Sign our open letter to have your voice heard!
🔗
✍️ Act now to prevent:
- Patients coming to harm
- Lower standards of healthcare
- Diminishing career prospects for GPs
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Are you a patient? Do you know your healthcare professional?
Over 55% of appointments are no longer with GPs.
You and your family deserve the highest quality care.
If you're not sure who you're seeing,
#ItsOkayToAsk
, 'what's your role?'
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PAs teaching medical students. The circus continues 🤡.
CTPA: “Clinical Teaching Physician Associate”.
Complete deregulation of standards, patient safety and quality: marking formalised lunacy.
Your students aren’t paying >9K for this trash
@AstonMedicine
@unibirmingham
!
@Dr_Done_
@Xeon4f145d96s1
@r1chardf1tzg3r1
@HelenRSalisbury
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"Documents seen by The Telegraph show staff including podiatrists, pharmacists and physician associates being used in lieu of GPs to diagnose and treat patients with conditions they are not trained in."
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We are overwhelmed by the response to our open letter to Steve Barclay regarding the expansion of ARRS roles in general practice and now have over⭐1,000 verified GP and GP reg signatories!⭐
The strength of feeling is clear and it's not too late to sign👉
Are you a GP or GP registrar concerned about the expansion of ARRS roles? Sign our open letter to have your voice heard!
🔗
✍️ Act now to prevent:
- Patients coming to harm
- Lower standards of healthcare
- Diminishing career prospects for GPs
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“A study of more than 6,000 GP practices by the University of Manchester suggests that surgeries that rely most heavily on such staff have lower levels of GP and patient satisfaction - and end up with more patients being sent to A&E.”
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“If you look at the government’s position on paying physician associates 35 percent more than a doctor, how can that be justified as fiscally responsible when you’re getting less bang for your buck?” -
@RobLaurensonD4P
in reply to Wes Streeting’s comments on NHS winter spend.
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Repeat after me, “ARRS roles are not designed to replace doctors but to complement them.”
#OneTeam
Consultancy firms offering to show practices how to replace "expensive locum GPs" with "use it or lose it" funding for ARRS roles...
But ARRS isn't being used to replace GPs...
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“A young mother died earlier this year from aggressive breast cancer after delays caused by a misdiagnosis from a physician associate (PA) at her GP surgery, this newspaper has learned.”
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Writing to your MP only takes 10 seconds via this BMA portal. Act now to protect general practice!
🚨Take Urgent Action Now🚨
The GMC and the government are trying to force GMC regulation of PAs and through the backdoor without scrutiny or debate tomorrow.
This is time critical.
Write to your MP NOW.
You can reply as a doctor, a patient, or both.
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@AlanStout19
@Molly2323232323
Additional roles are actively taking jobs away from GPs. There are many currently struggling to find a job in many different regions. ‘Complementing not replacing’ is a lie.
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Say it together, once more… “you have nothing to worry about, these roles are never going to be substitutes for doctors”
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Over to you
@KamilaRCGP
for the RCGP perspective on 7-digit GMC numbers for PAs.
We share concerns around 7 digit GMC registration numbers for PAs, which we brought to the attention of the GMC last week. We continue to work on behalf of our Fellows and members to ensure our specialties are valued and understood, in order to ensure good patient care.
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🚨Act now to stand up for general practice🚨
✉️ Our open letter to Steve Barclay regarding the expansion of ARRS roles in general practice has an overwhelming ⭐️1,500⭐️verified GP and GP reg signatories!
✍️ We will be closing the list tomorrow. Act now!
Are you a GP or GP registrar concerned about the expansion of ARRS roles? Sign our open letter to have your voice heard!
🔗
✍️ Act now to prevent:
- Patients coming to harm
- Lower standards of healthcare
- Diminishing career prospects for GPs
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GP leaders in England call for a pause in recruitment of physician associates
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“We won’t regulate or set standards for any training that PAs and AAs might undertake after joining the register, in the way we do for doctors.”
All the veneer and no accountability. A danger to the public and a scandal of epic proportions.
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“UEMO expresses support for UK colleagues over their concern and opposition to the trend of physician substitution by ‘Physician Assistants’ particularly in the field of General Practice and is concerned at the implications for patient safety”
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"Regulation will be proportionate to the size of the professions, their roles and responsibilities."
Proportionate to role and responsibility = tacit admission that PAs will not be held to the same degree of accountability?
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"The majority of GP appointments are no longer delivered by a family doctor, with the latest data showing that in September just 43.9 per cent of appointments involved a GP."
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@Dr_Done_
@AnaesUnited
We are only as strong as the members who join us. If you are a post-CCT GP, please email RestoreGP
@protonmail
.com from your work email with your gmc number and mobile number and we will add you to our WhatsApp group.
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"A thorough and costed proposal, outlining the College’s MDT proposition, will be presented to Council in Spring 2024 for their approval."
If this concerns you, have your voice heard and contact your officers and councillors within the RCGP today!
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"It was only when a GP at the same practice saw her two years later due to agoraphobia – anxiety to leave the house – caused by vertigo that the connection was made and she stopped the treatment."
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"In the most extreme cases, poorly children with viral infections, asthma-related issues and concerns about menstruation have been seen and diagnosed by a podiatrist – a healthcare professional trained exclusively to care for feet."
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⭐Over 2,600 GPs and GP registrars⭐have signed our letter to the Health Secretary, expressing how concerned we are about the rapid and poorly thought out expansion of ARRS roles in general practice.
🙏 A massive thank you to all of you who have stood up for your profession.
Are you a GP or GP registrar concerned about the expansion of ARRS roles? Sign our open letter to have your voice heard!
🔗
✍️ Act now to prevent:
- Patients coming to harm
- Lower standards of healthcare
- Diminishing career prospects for GPs
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This is what leadership looks like. Being able to recognise an attempt to undermine and devalue the medical profession and to speak out against it. Thank you
@dannyjnwong
, your successors will hold you in high regard.
@cenkalhan
None of these roles will replace a GP. And very few of them actually reduce a GP's workload. I'm fundamentally against substituting doctors using non-doctors for what should be doctor tasks. Some roles are helpful, eg pharmacists doing medication reviews. Others much less so.
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Paper C13 available to all members describes that "the College should become a more inclusive and supportive organisation for MDT colleagues" and describes plans to consider opening up the annual RCGP conference as well as fellowship of the RCGP to non-doctors.
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We're backing
@EbMulla
and
@Zehra22Imam
for RCGP First5 co-chairs for their recognition of the dangers of the expansion of non-medical professionals in GP.
Voting closes tomorrow, calling on all First5s to vote now for a better general practice!
'Imagine the outrage if Ryanair tried to fix a pilot shortage by providing some condensed training to flight attendants to become co-pilots of large jets, rather than supporting them through proper flight school,' says Dr Ebrahim Mulla
#physicianassociates
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It is apparent that the financial implications of such a move for the College have been considered as the paper mentions that these options may be 'accessed by a paid-for subscription.'
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"In another case, an advanced practitioner gave a woman precautionary angina medication but did not take her off of it when it was not needed. She developed vertigo and saw several advanced practitioners who did not connect the two."
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There is a moral duty on us as a profession to keep the public informed about the changes that are being made to the quality of the healthcare they are receiving via the NHS through the expansion of non-doctor roles.
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Poor guy. This could have been prevented.
Trust response to coroner report below
I have questions. A medical degree teaches us to look past ‘investigations’
I want to see what CLINICAL exam showed. Eg did the PA feel pulses?
Pt had chest pain, SOB, aching arm, vomiting
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"We propose that the ARRS scheme is amended to include eligibility for GPs. If a surgery is unable to recruit a GP after a three-month advertisement, this should be escalated with funding given to offer higher remuneration to fill this gap."
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“Majority of NHS GP surgery appointments now do not involve family doctors”.
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“Official NHS data show 43.9 per cent of appointments at GP practices were carried out by family doctors in September – a fall from 49.7 per cent in two years.”
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Notably the paper suggests that the focus of such policy should be on roles where direct clinical contact occurs "where patient risk and uncertainty is delegated to others, such as clinical pharmacists, nurse practitioners, paramedics and PAs."
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“The photographer ... from Bury St Edmunds believed she was seeing a doctor – but her appointment was in fact with a PA who carried out an examination and reassured her the lump was simply ‘a blocked milk duct’, giving her the impression that there was nothing to worry about.”
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RestoreGP is a grassroots group of GPs and GP registrars working together to protect the future of general practice in the UK. We are deeply concerned about the state of general practice and in particular, the rapid, unevidenced expansion of ARRS roles.
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"Only 43.9% of patient contacts in General Practice are now with a GP, a fall from 49.7% in two years. This is a managed decline of General Practice and must be reversed."
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"The assessment and management of undifferentiated patients must be restricted to GPs only, due to the higher clinical risk involved, the independent nature of the work and the wide spectrum of disease and presentation which only GPs are sufficiently qualified to manage."
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“By the time Colleen was finally diagnosed on October 20 later that year – having recently given birth – her breast cancer was incurable and tumours had spread to her liver, pelvis and spine.”
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Please do share this far and wide to support the campaign. Our strength is in our unity. Thank you for your support!
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"It is also crucial that an ongoing artificial workforce crisis is acknowledged - practices are financially unable to employ available salaried or locum GPs, due to a lack of meaningful funding for them in the global sum and the restrictions associated with ARRS."
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Also, how is regulation dependent on the size of a profession?
@gmcuk
need to start providing answers. A storm is brewing.
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“Colleen Howe was 34 years old and eight-months pregnant with her second baby in August 2021 when she visited her Suffolk GP practice after discovering a lump in her right breast.”
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"Although we support the principle of all patient-facing professionals having a regulatory body, PAs have no training level equivalence to justify being registered with the GMC, and this decision should be reversed."
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Freudian slip from
@DHSCgovuk
There is something/some people missing from this Primary Care campaign from
@DHSCgovuk
I wonder if this is an oversight, or a reflection on the current support and regard of the missing members of the Primary Care team 🤔
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Our journey to protect patients and standards within general practice is only just beginning. Our letter is now closed and will be delivered to
@DHSCgovuk
@gmcuk
@rcgp
and
@NHSEngland
over the coming days.
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@rcgp
Have any of them made a commitment to work towards stopping the expansion of dangerous Physician Associates in General Practice?
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@thesalariedGP
@edallen41
@Parody_RCGP
Many of us are and want to become partners. But GP partners have a role in preventing further degradation of conditions for all GPs. Enough is enough. If we’re all on the same side then pledge not to take up ARRS funding for PAs.
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