Sophie Newton
@drsophiegp
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GP with a patient information YouTube channel, Lifestyle Medicine diploma, plus TV director hubby, 3 kids and 2 dogs.
Halifax, England
Joined March 2011
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I’m really pleased that Susanna Reid saw my YouTube video which prompted
@GMB
team to cover the story this morning. Public awareness of concerns around the PA rollout & expansion is imperative.
The parents of Emily Chesterton who died after a fatal misdiagnosis by a physician associate, are calling on the government to overhaul the guidelines on how PAs work.
Emily's mum explains what happened to Emily while GP Dr Sophie Newton tells ＠susannareid100 and ＠edballs that
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I’ve made a video to help patients understand why there are concerns about the roll out of the PA role: Is your 'doctor' REALLY a doctor?
Please help share to build awareness.
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Often find notes like this around the house, little 9 year old Nellie is inspired by
@brian_bilston
& Benjamin Zephaniah and loves to write poetry ❤️
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Thank you to
@GMB
@susannareid100
@edballs
to have me on this morning with the parents of Emily Chesterton to highlight concerns about the rollout of physician associates. We urgently need consensus on scope, supervision and regulation.
#patientsafety
#nhs
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@StevenBartlett
@DrAseemMalhotra
This is SO disappointing! I am flabbergasted you would have someone like this on your podcast. Frankly outrageous and dangerous.
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Some of the comments on my PA video are, let’s say, interesting… 🤯
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@ClareGerada
@UKGastroDr
@NHSEngland
@RCPhysicians
@parthaskar
@DrLKVaughan
@ClareGerada
As a GP, I don’t understand what benefit a PA brings to primary care. We have excellent GPAs now. Supervising every patient contact of a PA is a huge task and I might as well see them myself. No-one has been able to explain this to me yet.
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@rcgp
@KamilaRCGP
@DHSCgovuk
I genuinely can not see how a PA could help me as a GP. I have to supervise everything they do, so surely it’s just quicker for me to do it. Can anyone enlighten me?
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@dr_musgrave
But none of us knew the risks early on? We knew the medical system in Italy was collapsing under the weight of covid and healthcare workers were dying. I think erring on the side of caution by removing clothes and showering wasn’t too crazy.
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@DrHuw
@StGeorgesUni
@UoLondon
@ProfJennyHigham
I graduated from St George’s and this would have infuriated me. When I think what I sacrificed to earn that graduation!
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@trishgreenhalgh
It’s incredulous that they expected to be able to hoodwink a group of the most respected and eminent doctors & professors with skewed data findings. Did they hope you wouldn’t notice?!
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@rheumipainmask
Plus, we then have to review the consultation, action anything that needs doing and close the task. Does this mean we are then left to hold accountability for the outcome? Quicker and easier just to sort it ourselves and put the money back into GP practices.
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@GMCharlatan
It still makes no sense even if they had scored well. I did social science degree, then GAMSAT (scored high), then did four years intense medical degree, then took another 10 years before I was seeing undifferentiated patients independently.
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@Liz_ORiordan
Yes! I talk about these tips in my migraine video: (Which I did in collaboration with
@KatyMunro1
from National Migraine Centre - who also has a brilliant book!)
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@DeanEggitt
Sure, but the waiting list to see a GP would be much shorter if we gave jobs to all the GPs out of work.
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@carolvorders
@GMB
Thanks for sharing this
@carolvorders
- this video I made explains the issues are and why we are concerned, it would also be helpful to share:
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@DeanEggitt
But there are lots of GPs looking for work, so in an ideal world, practices would preferentially employ them, instead of using ARRS funding for non-doctors.
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@Neuro_Matt
@gmcuk
Their response to me was that (in part) their concern his removal would risk causing even bigger media coverage of his views, but I don’t think that’s a good enough reason.
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@MedCrisis
This is a really well written response. I’m struggling to understand why he is whipping up this frenzy. There is so much damage done to the trust in doctors, vaccines and medicine itself 😔
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@timricketts_
Working in GUM clinic, Chinese visiting student sent erroneously to us with low abdo pain. Me, reading through the proforma: “any anal sex?”, “what’s that?”, “err, his penis inside your bottom.” Long pause…shocked face…”where I POO??”
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@gmcuk
😤 Unbelievable that you are ploughing in with this despite everyone shouting from the rooftops that this is a TERRIBLE idea.
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Jeez. If you didn’t believe PAs aren’t being used to substitute doctors, look at this. If you want to know more about the issue, watch my video here:
There is no agenda to replace doctors with physician associates.
This is just one hospital.
This is just one 6 month period.
Credit u/sildenafil_prn
@MedReddit
.
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@GMB
@susannareid100
@edballs
For those wanting more background on the issue, I made this video to give more information:
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My new video has just gone live, covering the really important topic of red flag warning signs for cancer. Please watch and share with anyone who might find it useful
@Parody_RCGP
#TeamGP
#cancer
#breastcancer
#bowelcancer
#prostatecancer
#lungcancer
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Super proud to have made this video with the incredible Dr Liz O’Riordan. Such an important video; a valuable resource for anyone concerned about breast health (helpful for GPs to send on to patients
@Parody_RCGP
)
#breastcancer
#breastcancerawareness
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@drlouisenewson
I’m a GP and I made this video for patients to watch before they speak to their GP, so you have time to think what you would like and any questions you might have may be answered here:
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@medicalmodelbri
@TheBMA
@BMA_James_Steen
@parthaskar
Oh, they’re talking about my YouTube video here! Yep, just me being jealous 🙄
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@dranitaraja
absolutely smashing it here 🙌🏻🙌🏻🙌🏻
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@drphilhammond
💯 So many of my patients are struggling with mental health due to awful things going on in their life, it’s often difficult to explain why medication won’t solve this.
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@mrnigeldsouza
@iDrSunny
@timricketts_
@_BH_6582
@drkeithsiau
@parthaskar
@mmamas1973
@Xeon4f145d96s1
@ExplosiveEnema2
@Dr_Done_
Learning from the anon accounts led me to take a deeper interest in the PA / AA issues, which spurred me on to make a patient info video on the topic, which got me invited onto national TV to discuss concerns with the parents of Emily Chesterton.
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@Doc_IonaCollins
Again there’s this mention that they can increase the skill mix, what unique skills do they bring? And soon they’ll be able to prescribe, after a 2 year course. I actually have no idea how PA’s could make my life easier, as they require so much supervision 🤷🏻♀️
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@DrGoblin3
@PulsePCN
@BenAllenGP
PAs such as this one, can do a 1 year distance learning ‘doctor of medical science program’ from Lynchburg university:
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@Parody_RCGP
I’m still not happy with this, because of the unknown unknowns. Their retelling of a potentially inadequate history taking and examination leaves me still at risk.
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If you have any interest in better communication around DNACPR decisions and issues surrounding them, then I think you will find this interview with the brilliant and insightful
@ProfMarkTaubert
fascinating. - please watch, comment & share!
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GPs take note! Really important how we frame language around MSK pain 👏🏻
Diagnostic labels and explanations impact beliefs about hip pain
🩻Avoid terms degeneration, wear and tear, and bone on bone when diagnosing hip pain
Link:
Massive thanks to my PhD supervisors and collaborators😀
@CHESM_unimelb
See infographic below👇
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@Liz_ORiordan
Oh no! I am attending this event and now so disappointed, both that I don’t get to see you and also that the organisers have been so rubbish! Well done for standing your ground 💪🏻
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@DeanEggitt
Gosh, I’ve yet to meet any at all! It would be great to hear some positive reasons why GPs are pleased with the direction of travel in NHS primary care.
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@doclauravater
I also became a mum during medical school against much advice! Planned the pregnancy so I could forfeit my elective and then went straight back to finish my final year. Went on to have another two during my junior doctor training. Wouldn’t change a thing!
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@djnicholl
@medicalmodelbri
@bbchw
@NHSEngland
I honestly have no idea how this works for GPs. We have to supervise everything, which is massively time consuming. Surely easier to do it ourselves? We have GP assistants to do much of the simpler stuff we need help with. Yet to find anyone who can explain the benefits.
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@dralisonj
@Parody_RCGP
I’m sure I’ve seen them do this before too. I made this vid I sent to patients instead, which is really helping speed up consultations:
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@medicalmodelbri
It’s lovely to have so many fans! 😎 They mention things I said ‘had people terrified’, but everything I said is just factual 🤷🏻♀️
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The most important topic you may have never heard of: antimicrobial resistance (AMR). After my recent visit to the House of Lords with The Fleming Initiative, my new video explains how AMR impacts millions and what we can do to fight it.
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@drmattuk
I was so terrified when I pressed ‘publish’ on my YouTube video, so can imagine how daunting it was to be a lone voice early on. Well done for all your efforts on this Matt, you’ve made a real difference 🙌🏻
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@DanielSokol9
I don’t know, are the majority competent, honest and hard-working? The problem is nobody knows. There is no national guidance on their scope, training standards or assessment of their role. We are swimming in murky waters.
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@timricketts_
I feel like this was a crucial missing piece on the discussion in the HoL. We don’t need to create a new workforce to replace doctors, we need to increase training numbers so doctors can progress to fill the voids.
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@timspector
She claims this isn’t expensive, but nuts, fresh food & herbs etc are not cheap. I just tire at the relentless lack of awareness of privilege in articles like this.
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@liambarker
@CJThomo
This is partly why I make my videos, to send out to those who need to self-manage first, eg
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It was such an honour to be invited to
#TheHouseOfLords
, by hosts YouTube Health &
@FlemingCentre
, to discuss how to tackle antimicrobial resistance, which is thought may kill 10 million lives yearly by 2050. We can start by ensuring we only use antibiotics when really necessary!
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@DrEilidhMaria
@spearce33801
Having met and talked with Marion & Brendan Chesterton, this also makes me feel pretty outraged. Imagine how they’d feel watching this.
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@carolvorders
@iDrSunny
@gmcuk
@LBC
@TheBMA
Thanks Carol, this is SO important to highlight. I made this video for anyone wanting to understand the issue better:
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New video just gone live on a topic people are often embarrassed to talk about, but is SO common: haemorrhoids! A guide to managing them at home and when you may need to call up the doctors
@Parody_RCGP
#hemorrhoids
#haemorroids
#piles
#teamgp
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@ExplosiveEnema2
I genuinely do feel sad that PAs are caught in the middle, seemingly most trying their best to help patients and support the NHS. The blame lies with the senior leaders who have created and expanded the role without due diligence.
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@Sunraged
@JTibballs
@GMB
@susannareid100
@edballs
No, not yet they are not. They remain unregulated for now.
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My new video is a really useful watch for both clinicians and patients! I suspect lots of us aren’t aware of the symptoms & impact of withdrawal, or how to taper properly. I learned a lot making this! Please share
@Parody_RCGP
#teamgp
#antidepressants
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@Parody_RCGP
I had urologist write to me to tell me he had told family he did not think the patient needed their DNACPR so I should arrange to discuss this further with them. He was in 90s with significant morbidities! Caused an unnecessary hullabaloo.
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@JonnyGucks
I thought it was a useful example of how PA’s have been treated as doctors by very senior clinical staff. It may make more people review their previous lackadaisical attitude to the situation. Agreed, the name of the individual was not needed and could have been omitted.
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New video we GPs can share with patients, this one on
#chronickidneydisease
Such a common problem but not well understood. Lots of info on causes and management, including how to reduce risks of complications. Please share!
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If you’ve heard of a
#DNACPR
, but would like to understand it better, plus what it is to have ‘a good death’ then my new video will help. Hoping this will be really useful for clinicians to text to patients / families
#HaveTheConversation
@Parody_RCGP
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New video just gone live, really useful for any GPs reading to text to parents worried about infant feeding problems, might avoid appt!
#colic
#cmpa
#reflux
#lactoseintolerance
Please share with those who might find it useful
@Parody_RCGP
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@First_Neptunian
@gem1509
I did a degree in anthropology, then did graduate entry medicine, worked my socks off for 4 years, and then, 9 years after becoming a doctor, I finally qualified as a GP. Bit different to a 2 year course.
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@99Stickling
@Parody_RCGP
GPs have “a very cosy deal”, yes this explains the giant recruitment and retention successes! Oh wait…
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@ThisisDavina
Yes! Thank you, plenty of us are on board with this and helping women everyday 🙌🏻
#bigupthemenogp
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@MedCrisis
🤦🏻♀️ What’s super frustrating is how content like this spreads like wildfire. I have a YouTube channel with really good health information based on evidence and guidelines, but I get teeny views, because it’s so boring compared the the excitement of misinformation!
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@DrNighatArif
Gosh, aren’t they vile. You’re an incredible role model, for doctors and for women in general. Ignore the haters! 🙌🏻
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Amazing day
@YouTube
today, fascinating presentations and panels, plus lots of opportunity to natter to brilliant clinicians who are creating online health content. Too many to tag! Left feeling inspired.
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@DrSelvarajah
Me! These are from UK GP run company SCRBS. I will never go back to clothes I have to choose in the morning and worry about washing! (DRSOPHIE10 gives 10% off if anyone wants to try them).
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@doctor_dru_
Yep, as FY1 / 2, i did psych, A&E & GP which were all basic pay. I also had a science undergraduate degree, so would have been very annoyed if having to supervise PAs earning significantly more than me after their 2 year course. TBF PAs do support junior doctor pay increase.
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@medicalmodelbri
@SheffChildrens
@SheffieldHosp
@MajorKirsten1
Bit of an oxymoron that “a commitment to quality and safety” is a requirement.
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@ExplosiveEnema2
@parthaskar
@UKGastroDr
@BMA_James_Steen
@DrAsifQasim
@DrLKVaughan
@DrSteveTaylor
@iDrSunny
@mmamas1973
@Dr_Done_
So frustrating! It would be helpful to know how many PAs got a place on the programme, that could have instead gone to a doctor.
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@DrGoblin3
We tried to make things easier by making a video and leaving it to them to get back in touch. It’s saving appointments and hopefully sharing good info (that they may ignore!)
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Be very wary of wearing a glucose monitor if you do not have diabetes. You’re body is very good at managing your blood sugar and you don’t need to panic.
@cjsnowdon
Meanwhile, here's a recent 'victim' of Zoe who's now been frightened out of eating......sliced tomato on sourdough....because it "sPiKeD mY BLooD sUgAr"
Birthday cake and booze was OK though, bring it on.....
🤣🤦♂️🤦♂️🤦♂️🤦♂️🤦♂️🤦♂️
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@dr_barrett
@gmcuk
He has failed to grasp that extraordinary claims require extraordinary evidence and that the burden of proof lies with him. Opinion piece in insulin journal does not suffice!
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@medicalmodelbri
@CQCProf
@CQCpressoffice
These are absolutely simple questions and it needs to be acknowledged if they can’t be answered by those supposedly regulating them, clearly the whole thing is a farce.
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UTI patient info video just gone live. Everything women need to know to treat and prevent urine infections! Please watch, share, comment (&text to patients if you’re a clinician)
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@KevinBrennanMP
Great news, but please don’t recommend random PSA testing. I made this video with lots of info for those wondering if they should get this done:
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@DrGoblin3
We are reducing workload by using my patient info videos to text these patients (who may not need a consultation) the info to self-care and education on when they may need to have a review. I really don’t know how practices manage without using them! 🤪
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New patient info video just uploaded, this one on prostate cancer and PSA testing. It’s important to know the pros and cons before having this test. For GPs, this should be useful to AccuRx to patients
@Parody_RCGP
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@drmdsmith
@NHSEngland
I am solving the problem! Have created a YouTube page with videos for GPs to text to patients. You can leave a reply if they still want to speak to someone. Many do not. Have one on coughs for adults and a separate one for kids infections:
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Just made this new vid as there is a sea of respiratory infections around and it’s hard to know when to contact GP, or stick it out at home. Antibiotics aren’t always the answer! We’ll be sending this via
@Accurx
to pt’s.
@Parody_RCGP
#MedTwitter
#TeamGP
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@sh_abbers
I was a postgraduate and spent 12 years training to eventually qualify as a General Practitioner. We’re those 10 years a waste of time?
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My latest video is about endometriosis, which takes an average of 8 yrs to diagnose in UK! This vid likely helpful to both clinicians and patients. Please watch & share
@EndometriosisUK
@Parody_RCGP
#endometriosis
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@DHSCgovuk
Rather than try and book in with your GP, I recommend anyone watches this video I made instead, which gives information about the risks:benefits of a PSA test, then decide if you still want to go ahead:
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@TheBMA
There’s some irony here that we have to give our GMC number as evidence that we are doctors before filling out the survey about whether non-doctors should have GMC numbers.
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