Vishwajeet Patel
@VishwajeetP4t3l
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Retired 👨🏾⚕️Proud father to two lions, T1DM warrior, and passionate patient advocate. Public health champion. Sharing my views one tweet at a time.
Bradford, England
Joined February 2024
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BMA “guidance” essentially states PAs are not competent at seeing patients, can only take observations and bloods.
Yet they have been practising for 20+ years.
But they’re stealing your jobs? Able to cover Registrar shifts? Loved by consultants?
Something doesn’t add up…
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First they tried to stop regulation from happening
Now they’re trying to push “guidance” that has no evidence base or legal basis
All attempts at trying to abolish the role completely
Just a reminder:
This is not about patient safety
This is not in the interest of the NHS
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@cjsnowdon
It’s never been about patient safety. They have been targeting the nhs long term workforce plan and physician associates for over a year to protect their own pockets. These people have been bleeding the practice locum pots dry for years!
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I have said this a million times and I will say it again.
ITS NEVER BEEN ABOUT PATIENT SAFETY.
The statistics and data do not exist.
This is a political attack on the NHS long term workforce plan.
@doctor_oxford
@DHSCgovuk
@gmcuk
@NHSEngland
If it’s a patient safety scandal then can we see the statistics for patient harm, death, incidents, never events etc to see the % that were caused by a PA compared with all other professions including different medical professionals, ie medicine, surgery, primary care, MH?
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Glad to see the true medical leaders of our country not blindly bowing down to the demands and narratives set by the militant BMA.
#RCPEGM
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@SaraTon08500527
It’s sad to see people such as Eilidh, Partha and other doctors essentially condoning the systemic bullying of PAs, just because they oppose the role… Just take a look at the comments it’s mind blowing how they’ve managed to twist such a simple thing for their narrative.
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So the RCGP states the GMC should not regulate MAPS.
The 23 other medical royal colleges disagree.
HoL passed the statutory instrument.
GMC will be the regulator. It will not be changed.
This position by the RCGP means nothing. Much like the BMA “guidance document”.
🤷🏾♂️
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Our health services need to be modernised, and optimised to meet the needs and demands of all patients, and NOT just the employees.
Doctors need to understand this fact.
The BMA are only here to protect their own best interests, and not that of patients.
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@LouiseScot51918
@OReillyGem
There’s an obvious smear campaign against PAs. They have been providing excellent care for patients for over 20 years, happy to also hear your experience was good!
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There has been a role for PAs in the NHS for the last 20 years, and there will continue to be a role for PAs.
This role will not be unilaterally dictated by the BMA, for their own biased agenda and interests.
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I’ll say it one more time.
The BMA is practicing outside its scope.
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@doctor_dru_
Almost as if there’s an orchestrated campaign to spread disinformation and slander the role of PAs
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It’s not about patient safety. Cut the act.
“It is time for [
@VictoriaAtkins
] to launch an independent investigation to uncover the full extent of what is essentially a patient safety scandal.”
@DrPhilBanfield
responds to Telegraph reporting on instances of PAs replacing doctors on medical rotas:
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@drkeithsiau
It’s been toxic for a while now Keith. The behaviour displayed by those in supposedly caring professions is absolutely disgusting.
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I would like to commend all PAs, and other medical professionals for supporting their consultants and teams, helping continue the work to treat patients during the BMA’s year+ long strikes.
Do not let them jeopardise patient care.
We're hearing reports of NHS Trusts asking Physician Associates (PAs) to cover shifts of striking doctors next week.
PAs are not safe to provide cover for a qualified doctor of any grade.🧵1/5
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Gone are the days where it was just a doctor, a nurse, and a teenager as a part time secretary.
As healthcare advances, so do the demands placed upon it. Future of healthcare necessitates a multidisciplinary approach to address patient accessibility and diverse needs effectively
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@LBC
@mrjamesob
Ah Eilidh, the Katie Hopkins of the medical world. She is a nasty narcissist
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Questions of: why weren’t PAs regulated 20 years ago? - gets us nowhere.
It should be:
How can we ensure that they are regulated, scope of practice is established, and safety concerns are addressed now?
How can we better integrate this workforce to use to full potential?
@JuditVlad
@dr_shibley
@drmattuk
@RCPhysicians
@djnicholl
@natalieben
@sarahlogan76
@DacreJane
Regulatory delays stem from the profession's novelty, complex processes, and changing healthcare priorities. External factors like Brexit, Covid-19, and parliamentary shifts also played a role. Nonetheless, ongoing efforts aim to ensure safety and implement effective regulation.
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Shock. Dr Done spreading disinformation again
@Dr_Done_
I've worked at GOSH, and I think you should take this tweet down.
The bit that's blacked out, before the word SHO? That's not someone's name, it's the number of the on-call phone that's held by either the SHO or the PA. There is nothing inappropriate going on here.
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@cjsnowdon
I have been shouting about this for over a year. Doctors vote and BMA have been running a disinformation campaign and heavily lobbying. It’s disgusting.
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We cannot let these radical champagne socialists take over.
We can all see what’s really been happening.
Excellent article highlighting the toxicity of the BMA. 👏 👏
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When they don’t get their way
@VishwajeetP4t3l
We will smash RCPL and infiltrate every RC who don't stand up for our profession
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I agree with Ajay here.
Sometimes the right person for a job/role isn’t always a doctor. Other people can bring invaluable skill sets and experience.
@Dr_Done_
Don’t agree about the CEO. It is an operational/ management role, so needs to be someone appropriately qualified (as it is now). The VP & PRCP roles are all physicians.
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When are we going to stop pretending that all of this is about patient safety? The motives at play are highly transparent.
@TheBMA
@AnaesUnited
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Let me be absolutely clear.
I will gladly receive care from an anaesthesia associate, or any clinician for that matter, as long as they are competent, know their skills and limitations, and can do their job.
@cannula_service
@gmcuk
I trust in the expertise and training of anaesthesia associates. They play a crucial role in healthcare, and I'm confident in their ability to provide safe and effective care. Using emotive language to incite fear isn't helpful; let's focus on promoting understanding and trust.
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Much needed clarification.
Recommend everyone to read the letter.
The amount of misrepresentation of information and deliberate dissemination of disinformation and propaganda by certain doctors on here is absolutely disgusting.
We’ve written to healthcare leaders, chief medical officers and employer organisations about the regulation of physician associates (PAs) and anaesthesia associates (AAs). You can read our letter on our website:
The letter explains more about our approach
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We cannot let these radical champagne socialists take over.
We can all see what’s really been happening.
Excellent article highlighting the toxicity of the BMA. 👏 👏
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Trying to smear an entire profession and label them incompetent and a risk to patients.
Be honest
@TheBMA
as to what your motivations are to suddenly turn on your colleagues.
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Well done to all those junior doctors are doing what’s right for their patients and not blindly following orders from the BMA.
These strikes are absolutely pointless, when we are imminently going to have a change in government!!!
First day or strikes and full allocation of junior doctors have arrived for their shift as normal 🙌🏾
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5 days of pointless strikes when there’s an imminent change of government.
Ah yes, patient safety.
@TheBMA
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@parthaskar
@SecretPhysician
@SaraTon08500527
You may not see it, but there is a clear orchestrated, targeted harassment of PAs being done by certain drs on here, mostly anonymous, we should be calling this out where we see it, rather than giving these people a platform because they use “whistleblowing” as an excuse.
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The current debates feel like we’ve gone back 20 years in time again.
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Looks like I’ve upset quite a few people by simply asking questions, seeking clarity, and expressing my opinions
Let’s clarify
No it shouldn’t have happened
Going forward?
Let’s investigate properly and learn from this
Regulate the profession to hold people accountable
👍🏾
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Well said.
The us vs them rhetoric needs to stop.
At the end of the day everyone is working hard to do what’s best for their patients.
Colleagues should be looking after each-other, not starting petty arguments on who has to work more.
The
#NHS
is not an easy place to work.
If you work in ED, you do out of hours. You don't want to work out of hours, that is not the place for you.
Tomorrow, I start my fourth set of nights this year so far, having done 7 day shifts in the same time (and I work part time and only part of that in ED at the moment)
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@Erin_Dean_
@ASiTofficial
@ExplosiveEnema2
@RCPLTrainees
Would you also be interested in speaking to doctors that have also had the PA roles implemented successfully into their departments, providing safe and effective patient care, while also improving training opportunities?
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@SaraTon08500527
Eilidh needs to reign it in, this constant bullying of other professionals is not a good look
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@caroll_ste87889
This person has been doing this for a while. They cherry pick information and edit documents to cause fear and outrage
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@Dr_Done_
More Dr Done lies.
The document is still up, in fact I encourage everyone to read it. It shows that the PA had nothing to do with this doctor being struck off.
That dr was negligent and a risk to patients.
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Great document by the FPA, especially providing further clarity and reassurance regarding MAPS scope, supervision and liability!
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How can the BMA now say that the HCPC should regulate PAs when your own website says HCPC failed standards for regulation?
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@bduric_
Why do you want to impersonate clinical scientists? This would be highly confusing for patients in my opinion
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@DrNeilStone
This isn’t even scratching the surface of the abuse PAs and students have received. There has been fatal outcomes as a result. It’s truly heartbreaking.
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Roses are red, PAs lend a hand,
Not replacing GPs, just part of the band!
Roses are red
It's just not appropriate
To replace a GP
With a Physician Associate
#medicalvalentine
#medicalvalentines
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@parthaskar
@VaishFamily
@JamesTitcombe
@PaulaMc007
@eveosh
@RoshanaMN
@PaperWhispers
@OrthopodReg
@AntonEmmanuel2
@NHSE_WTE
@doctor_oxford
@iDrSunny
@healthyopinion
@RobJimFleming
Something needs to be done about the culture of racism, harassment and bullying within the NHS
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@ExplosiveEnema2
Are we just going to ignore the fact that the BMA also met with the lords in advance, and provided extensive briefing packs to all lords? - also completely ignoring the lobbying of other Labour and Green Party members…
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@cjsnowdon
Ironically the actions of the BMA are the biggest risk to patient safety currently.
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@IncogAssociate
Excellent response by them standing up for their students. This is professional discrimination.
Looking at the comments I think It’s hilarious how there is such artificial outrage towards this statement, again, always the same faces
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I’m still in shock…
Please if anyone is struggling, don’t hesitate to reach out to your friends and support networks.
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👏
@ExplosiveEnema2
@RCHTWeCare
@FPARCP
@BritSocGastro
@UKGastroDr
@parthaskar
@DrAsifQasim
@DrLKVaughan
@DrSteveTaylor
@AlisonGeorge10
@Dr_Done_
@Doctors_Vote
As the training lead for
@RCHTWeCare
, and having signed off this PA, let me respond.
Non medical endoscopists provide a significant and important contribution to endoscopy procedures in the UK whether we like it or not. They all have to go through a robust certification process
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@DrEilidhMaria
I think there’s a difference between debating something and active bullying and harassment- which as you know, is rampant in the NHS. We should work to improve the culture, for all healthcare professionals within the NHS, and treat each-other with respect.
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@BMA_JuniorDocs
@AoMRC
@TheBMA
@NHSEngland
@gmcuk
Which stakeholders did the BMA include when dictating “guidance” to MAPS?
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@dr_shibley
@RCPhysicians
Physician associates also have my full support.
We need to stand by our colleagues
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@caroll_ste87889
This is such a poor take by Eilidh. Weaponising mental health for her hatred of PAs. Simply a bully.
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I never would’ve imagined so many people to take issue with such a basic request to be kind. This is about treating people with the respect that they deserve, and being civil. Are we really here trying to discredit the feelings of these people, and twist the narrative?
@DrEilidhMaria
I think there’s a difference between debating something and active bullying and harassment- which as you know, is rampant in the NHS. We should work to improve the culture, for all healthcare professionals within the NHS, and treat each-other with respect.
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@SandipP64097927
Sure, if that’s what your service needs you can just hire a doctors assistant at band 3, they’re fantastic. Don’t need a PA with 5 years of university education to type on a keyboard for you.
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@JanetEastham
@TheBMA
This document has no legal power.
Scope of practice is not set by a trade union.
Work on this is being done by colleges
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@ADigitalWitch
@PrebashanMoodl1
@caspertown42
@emmdechen
@OcoRory
@LeanneHPatrick
@alisonleary1
@Shaun_LDNurse
@MutteringWildly
@dr_shibley
@ChrisWoodPhysio
I’m sorry for what you’ve gone through Sarah. I do too worry about how doctors are portraying themselves on here, absolutely does damage public confidence
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Thought this article highlights quite well how PAs can be utilised appropriately. We can all learn from this.
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@makepumps666
Which will come from the GMC, who are the regulators, working alongside colleges and specialties.
Not a doctors union.
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@EwenPearson2
@UKGastroDr
I absolutely understand where you’re coming from, but let’s not forget civility also saves lives. We need a shift in culture within the NHS, the racism, sexism, bullying, harassment appears to be never ending.
The answer is not to refuse kindness.
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@AdalCarrol
@ExplosiveEnema2
This persons entire MO is to drum up outrage and hysteria, most of the time he misses. Not so innocent.
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@hkg294
Why on earth are you disappointed?
The EGM is for fellows to discuss and vote. There were sensible discussions.
Certain individuals with their own political interests pushed for this EGM, it should not have happened in the first place.
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@caspertown42
I saw a comment from a patient in the post that was worried about taking their child to GOSH…
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@rheumipainmask
@parthaskar
@SecretPhysician
@SaraTon08500527
We can talk about patient safety.
Let’s not change the subject from the fact that a survey is highlighting that a significant percentage of an NHS workforce group are having an impact on mental health due to systemic bullying
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@thatsnotmine125
There has always been a clear campaign of disinformation and fearmongering by these accounts. I do not take anything at face value from any of them.
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@parthaskar
@SecretPhysician
@SaraTon08500527
Work on regulation and scope is ongoing, and of course it’s important for the safety of patients.
You’d be surprised to find that we agree on quite a few things, but I do not appreciate my concerns regarding staff well-being being twisted and diminished.
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@IncogAssociate
@DrEilidhMaria
I’ve noticed this a while ago, medtwitter have certainly been abusing the community notes system
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@Dr_Done_
I think it’s ironic that the only titles there that are going to be protected under law is Physician Associate, and Anaesthesia Associate.
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@Azeem_Majeed
@dr_shibley
There has been an orchestrated pile on towards PAs for a year now, all driven off Twitter and silenced. No reasonable debate is happening.
The culture is toxic, and it’s not being addressed.
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Just look at the comments 🤦♂️
PAs are unable to express their views, the moment they speak up there’s an immediate pile on, instigated by people like Matt Kneale.
Actually 0 interest in debate, only shutting down conversation and pushing a narrative with nasty bullying tactics
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@theveindoc
You can’t expect to pile on a group of people for over a year, bullying and harassing, and expect no backlash. As highlighted in the HoL debate: The BMA are playing with fire here.
Besides, Sara is not a PA. The majority of PAs are trying to engage sensibly and professionally
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@SaraTon08500527
It’s outrageous how he’s attempting to flip the narrative completely ignoring the genuine concerns raised regarding the systemic bullying
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A much more worthwhile cause to donate to
Fundraiser by Benjamin Beska : Help buy Alice the fish an amazing new tank to call home
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@JimBethell
@TheBMA
@gmcuk
The BMA have never been onboard with change. They will do anything to protect their own interests, rather than the needs of the wider population
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Sadly, the responses and retweets of this original post really do highlight the problem quite well highlighted by the authors.
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“Concerns of patient safety”
This is targeted and orchestrated bullying of individual PAs.
Let’s stop ignoring what’s happening .
@ExNHSorthopod
you’re a disgusting racist bully. You should be ashamed
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@pandamonidad
@doctor_katie
@The_HCPC
@BMA_GP
This is from the BMA themselves.
They know the HCPC is not fit to regulate MAPS, yet they call for GMC regulation to be halted. This would result in PAs being left unregulated.
This is absolutely not in the best interest of patient safety.
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@doctor_dru_
This is why the courses need to be (and will be by the GMC) standardised nationally and quality controlled.
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@TheBMA
You are putting many other patients at risk still. Shame on you BMA. This pointless strike action needs to be called off!
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@ExplosiveEnema2
@rcgp
And 20 years later, multiple organisations come forward and clarify that PAs must not be utilised to replace doctors. Work is being done on regulating and setting standards.
Don’t understand how bringing up historic documents is in any way helpful, rather than creating hysteria
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FPA statement on the upcoming RCP EGM.
Much needed clarification 👏
Endorsement for 4/5 motions.
All RCP Fellows should read this:
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@parthaskar
@DrEilidhMaria
We should look at the results as it is. Over 400 NHS staff, are saying that they have been harassed and bullied, to the extent of it effecting their mental health.
I appreciate there are genuine concerns around the role, and this should be addressed. But bullying is not the way
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@caroll_ste87889
@gmcuk
@RCPhysicians
This is genuinely concerning. Obvious push of a one sided narrative, with wishywashy data being used as concrete evidence by MPs to further an agenda.
@guardian
even responsible for using this data in its articles on PAs.
Proper debate, data, and evidence is needed.
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Dr done spreading false information again for sensationalism? Shock/horror
£1582
The monthly take home salary for a UK Doctor after 5 years of training and 4 years of working.
Pathetic.
The UK government should be so ashamed.
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I think someone needs to have a sit down with this “med reg” instead.
@feelingunderap1
@IncogAssociate
I think the misogyny charge is predicated on the fact that the aforementioned account has said some of the worst things reg women a UK medtwitter account has ever said and yet still gets clicks, likes, retweets.
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