Philip Pearson
@respirologist
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NHS respiratory consultant & associate medical director, Northampton. Tweeting in personal capacity. #HelloMyNameIs , always. Dysgwr mynediad: meddyg anadlol.
Joined July 2011
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238
I'm voting in favour of the five motions proposed at the
#RCPEGM
. A little history, before I get to each motion 1/14 (sorry!)
3
37
132
I think it’s also worth adding that this is the first time the College as a whole has been asked about physician associates. Until now “College policy” has been in fact the ideas of College officers only
Time for a profound change before the
@RCPhysicians
AGM on 25/3/24
#RCPEGM
Emphatic
In spite of data shenanigans (which may have influenced some votes)
It’s time for a pause
It’s time for scope
It’s time to look at rotas
Much kudos to many who have kept raising the issue at personal risk and battling national orgs
You know who you are
#RCPEGM
38
177
667
8
27
112
@jowhiley
Let me know where she is by DM and I’ll make sure we (respiratory team) see her this morning
1
0
107
#HelloMyNameIs
Yoda, Grand Master of the Jedi, I am
#MayThe4thBeWithYou
(for
@GrangerKate
)
http://t.co/AJsedGV305
1
53
103
@DrLKVaughan
@gmcuk
Given the recent shenanigans, this doesn’t sound like paranoia
The GMC’s foundational principle was so that people could know who was - and wasn’t - a registered medical practitioner. That seems to have been cast aside, which is concerning
2
22
83
I was impressed by the degree to which consensus was established in the post-EGM working group under
@HilaryWMedic
: our clear recommendations have not been accepted in practice
Training, the lack of leadership & especially patient safety remain unaddressed concerns
@RCPhysicians
Today over 80 Fellows of
@RCPhysicians
(with >20 Professors of Medicine, 3 elected RCP council members) have signed an expression of concern outlined below around the actions of the leadership of
@RCPhysicians
that continue to place patients at risk from harm.
In the March EGM,
62
497
1K
2
33
70
@parthaskar
@RCPhysicians
Wow - I’m amazed, Partha
And, for the record, I’ve been grateful for your interventions in
@HilaryWMedic
’s working group post-
#RCPEGM
1
4
71
I've had the privilege of working with Morgan at
@NGHnhstrust
: one of many good doctors at NGH
#ConfessionsOfAJuniorDoctor
1
12
67
@RCPhysicians
When I was a SHO in Leeds, we had a "physicians' assistant", who took blood, did ECGs, filled in forms that we signed, all to give the junior doctors time & headroom to do other things; this version of a "PA" was really helpful
#RCPEGM
3/14
2
7
69
@anon_opin
When I worked in Cymru/Wales, I came across a number of (usually older) patients who spoke very little / no English; and many more whose English was rusty, because they didn’t use it.
There is a need for bilingual signs - and for opportunities to learn Cymraeg
2
0
56
@wesstreeting
Many thanks for adding your voice to the concerns around physician associates.
My thoughts are here, if you have time; most of the debate that I’ve seen has been respectful, thoughtful, and focussed on protecting patients and staff; I agree: as hominem attacks are unhelpful
I'm voting in favour of the five motions proposed at the
#RCPEGM
. A little history, before I get to each motion 1/14 (sorry!)
3
37
132
3
8
58
@LBC
I assume that means the Govt are raising the minimum salaries for health care assistants and nurses to at least £38k, then…!
4
2
56
@RCPhysicians
@j59dd
@ihi
@NHSEmployers
@TheBMA
If we conclude the PA experiment hasn't worked & needs to be wound up, we need to determine what to do what to do with the staff we've trained as PAs: do we use the money from PA schools to put them through grad entry medicine alongside other GEM students, for instance? 14/14
3
10
55
@RCPhysicians
@j59dd
@ihi
The conduct of the
#RCPEGM
has been discussed at length; suffice to say, I found the College officers performance highly persuasive: as a result of their non-answers, non-data and filibustering, I'll be voting in favour of all the motions
#RCPEGM
7/14
1
10
52
I made a minor tweak to my badge for
@QualityForum
: what do you think?
#Quality2014
#HelloMyNameIs
http://t.co/3lIUQGKLZG
14
21
48
A very clear result; within
@RCPhysicians
, the Officers need to consider the implications of the clear rejection of their position
Externally,
@NHSEmployers
- and esp the next Health Sec & his team - need to consider the implications:
@wesstreeting
@abenaopp
@karinsmyth
#RCPEGM
0
18
52
Thomas Linacre was the first President of
@RCPhysicians
; it was said of him that"He was a detester of all fraud and deceit". We need (to be seen to be) intellectually honest - and to be clear about financial or intellectual conflicts of interest
#RCPEGM
2/14
1
3
50
"Last year's doctors' strike... a cry for help from the front line" - Robert Francis at
#psafety4all
@thebma
(Ditto nurses, AHPs, others)
1
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49
@RCPhysicians
@j59dd
@ihi
@NHSEmployers
@TheBMA
If we conclude that PAs *do* add to the MDT (something the RCP Officers were unable to enunciate), then their scope must be clearly agreed and defined before the end of 2024 (no mean feat - because we need 40+ medical speciality curricula / scopes of practice agreed by 31/12/24)
1
4
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0
2
45
@gmcuk
I’d wait and see whether the
@RCPhysicians
wants to follow your lead first
…unless you can provide answers to the questions the College officers were unable to answer?
Q: what does a PA add that other members of the MDT do not? (Esp nurse practitioner / extended role AHP)
0
8
42
@parthaskar
@RCPhysicians
@doctor_oxford
@trishgreenhalgh
@UKGastroDr
@DrLKVaughan
@RowanHarwood
@mmamas1973
@ShivaniM_KC
@RoshanaMN
@RobJimFleming
@OrthopodReg
He’s done the right thing in difficult circumstances
I hope the senior officers will take this opportunity consider their positions, and stand aside this weekend, to allow the Fellows to choose a new senior team
0
4
40
@RCPhysicians
@j59dd
@ihi
@NHSEmployers
@TheBMA
It seems to me that we need to address evaluation & impact (3 & 4), in order to deal with scope of practice (1), but that until such time as we have, we need to be cautious about the pace & scale of roll out, to protect medical staff
--> FRCPs please vote 'FOR'
#RCPEGM
12/14
1
7
44
@RCPhysicians
I understand that the original call for the
#RCPEGM
was in November 2023: pursuant to bye-law 4.3(2), such an EGM should have been held within 8 weeks of the original request to the President, something the Secretary of RCP Council (the Registrar) should have ensured
#RCPEGM
4/14
1
4
43
@RCPhysicians
@j59dd
@ihi
Motion 1: Physician Associate Scope of Practice: this needs to be addressed: at present, the SoPs produced by
@NHSEmployers
&
@theBMA
are vastly different, the latter being closer to that of a band 4 assistant (or associate) practitioner
--> FRCPs please vote 'FOR'
#RCPEGM
8/14
1
7
42
@parthaskar
@trentconsultant
@RCPhysicians
@mmamas1973
@doctor_oxford
@trishgreenhalgh
@AntonEmmanuel2
@DrLKVaughan
@UKGastroDr
@RowanHarwood
@EileenBurns13
@DrAsifQasim
@RoshanaMN
Fully agree,
@parthaskar
: we need changes in the College officer team to restore confidence in
@RCPhysicians
(and not simply a reshuffling of the same faces)
#RCPEGM
0
6
41
@RCPhysicians
@j59dd
@ihi
@NHSEmployers
@TheBMA
Motion 3: generation of an evidence base & evaluation framework: ought to have been done a decade ago; failing that, we need this expeditiously in order to inform motion 1
--> ?
@RCPhysicians
&
@TheBMA
to oversee completion within six months
--> FRCPs please vote 'FOR'
#RCPEGM
1
6
41
@RCPhysicians
@j59dd
@ihi
@NHSEmployers
@TheBMA
At the same time, because we have painted ourselves into a corner by not sorting this before, we've 3000 PAs wondering what's going on & why their band 7 jobs now don't look anything like what they signed up for: critically important that we deal with the issues 13/14
1
2
40
@RCPhysicians
@j59dd
@ihi
@NHSEmployers
@TheBMA
Motion 4: Impact on medical training opportunities: again, should have been done years ago
--> as with 3, recommend to
@RCPhysicians
that this is conducted with Council &
@TheBMA
oversight within six months
--> FRCPs please vote 'FOR'
#RCPEGM
11/14
1
7
40
@JosephHeskin
@RCPhysicians
Once this is dealt with, I think it’s essential we look at
@RCPhysicians
governance and ensure Council includes consultant MRCPs and junior Dr MRCPs
#RCPEGM
2
6
40
Wow
My pledge for
#Quality2014
rendered brilliantly by
@smizz
Inspired by
@helenbevan
&
@GrangerKate
#hellomynameis
http://t.co/1RBOBmOBrz
1
40
39
@doctor_oxford
@RCPhysicians
Unrepresentative & undemocratic
Our neighbours
@thebma
could do far better
cc
@ERunswickBMA
1
2
37
@RCPhysicians
@j59dd
@ihi
@NHSEmployers
@TheBMA
Motion 5: Caution in pace & scale of roll-out: with the differences on PA scope of practice (motion 1), medical practitioners find ourselves with a trade union that will not cover us to supervise PAs performing more than relatively simple tasks
1
5
37
@RCPhysicians
@j59dd
@ihi
@NHSEmployers
@TheBMA
Motion 2: Accountability of medical practitioners: a useful reminder that registered medical practitioners are responsible for decisions we are asked to endorse
--> FRCPs please vote 'FOR'
#RCPEGM
9/14
1
6
37
Simple message: you don’t want to meet me like this
Keep your distance (2m min; 3m if exercising)
Wash your hands well
#StaySafeStayHome
#SupportTheNHS
#COVID19
2
16
37
Very serious question from the floor: what due diligence has the
@RCPhysicians
done to ensure there is patient safety?
I am unclear as to the answer from officers
#RCPEGM
1
10
35
@trentconsultant
@LeylsTurk
An observation: had the English NHS run a test & trace service like the NHS in Cymru/Wales, I’ve seen it would have cost ~£2-3bn. The difference between that and and its current cost would give all 800000 staff something like a 15-20% pay rise.
It’s affordable for all staff.
2
5
35
@RCPhysicians
Views of
@RCPhysicians
Council can be attached to a the EGM motions (4.3(4)); each motion has a direction on which way to vote, beginning "We therefore recommend": unclear to me who the "We" is (I gather these don't seem to have been endorsed by Council)
#RCPEGM
5/14
1
4
34
In awe of my junior colleagues
And, to be clear, of the hard work done by nurses, AHPs & others in
@NGHnhstrust
#ConfessionsOfAJuniorDoctor
1
11
35
@RCPhysicians
Good to know. Please answer:
Which officer(s) was(were) responsible for misrepresenting survey data to Fellows?
Which officer(s) was(were) responsible for signing off on the presentation give to
#RCPEGM
?
Thank you!
1
3
31
At Northampton
@parkrunUK
this morning (
#MilesForMind
) and had a thought:
After patients complete pulmonary rehab, should we encourage them to join the local Parkrun? Anyone already doing this?
@runr_uk
@UKRunChat
#RunR
#ukrunchat
@MatthewEvison1
@respphysio
4
4
27
Spreading the word:
@GrangerKate
with
#hellomynameis
poster at
#quality2014
#culture
http://t.co/EgYWgs4yDw
1
27
27
In honour of
@GrangerKate
becoming the youngest ever Fellow of
@RCPLondon
: how many
#hellomynameis
can we get today from around the world?
3
48
26
Running
@NGHnhstrust
induction for F2-STs this morning
Obviously incl
@GrangerKate
@PointonChris
#hellomynameis
1
8
25
I understand credit is due to
@djnicholl
& colleagues for getting
@RCPhysicians
officers to accept motions 1-4
#RCPEGM
1
3
26
I think badge version 2 is better with
#hellomynameis
@QualityForum
#Quality2015
@GrangerKate
http://t.co/RP6Hs7H2M6
2
4
22
“Lean not new in
#NHS
”: true enough,
@AdamSewellJones
: we were doing it in 1948:
#TWI
/
#TrainingWithinIndustry
#nhskaizen
1
14
24
10-7 to
@LondonWelshRFC
: league champions 2019, unbeaten at home
Tier 7 next year
#COYW
#LWFamily
Congrats to the team and coaches
@CaiGriffiths
@Will_Tayls91
0
2
22
Special congratulations to
@GrangerKate
:
Dr Kate Granger MBE FRCP FRCPEd
#NewYearHonours
@PointonChris
@RCPLondon
@RCPEdin
1
15
21
Courage: necessary for a junior doctor (or nurse or AHP) in today's
#NHS
#ConfessionsOfAJuniorDoctor
@willlorimer2
@TheBMA
@NGHnhstrust
1
25
20
@mum22x
@champrnews
@dickyevans100
@ExeterChiefs
@RFU
Greetings from
@OldDeerPark
: I’m sure the players and staff of
@LondonWelshRFC
@londonwelshwrfc
@LW_RugbyCamps
will be thinking of you - and will be glad when you’re up and about again
1
0
21
Important Q words for
@HealthFdn
#theqinitiative
:
Latin for: who, what, when, by what means, in what way, to where:
http://t.co/tsODg9BI8A
2
13
20
Rugby reflections: the
@bmj_latest
obituary of JPR Williams FRCS, of
@LondonWelshRFC
,
@WelshRugbyUnion
&
@lionsofficial
cc
@DannyGriff31613
@dragon_dewi
@gazgroove
@simonrug
@happyeggshaped
#LWFamily
#HappinessIsEggShaped
0
3
12
@TheBMA
@ERunswickBMA
@DavidGWrigley
Congratulations, Dr Runswick: you’ll be an articulate voice inside and outside BMA house
Time for
#PayRestoration
0
0
19
.
@BCHBoss
@JohnRentoul
I still like this piratical CT scanner in NY Children's Hosp!
http://t.co/Pcyced9cwY
http://t.co/urRHpLmGC1
2
32
19
@parthaskar
@RCPhysicians
Thanks, Partha: looking forward to seeing more of the detail tomorrow.
#RCPEGM
was a start, but not the end, I think
1
3
18
At
#quality2016
,
@maureenbis
says "hire for culture, then train skills"; IQ, EQ and CQ all matter
2
20
19
@DrSarahClarke
@RCPhysicians
I was under the impression that candidates for
@RCPhysicians
positions couldn’t canvass on social media.
Also, as I recall, you weren’t elected by the Fellowship, but only by Council, to a (de facto) interim position (hence the need for this election).
Have I misunderstood?
1
2
14
Colin Bosley, player, selector, life member of
@LondonWelshRFC
; founder of
@LWMiniRFC
, on his involvement with the club since 1954....!
#LWFamily
(With
@gazgroove
)
1
7
18
If true, very disappointing: akin to releasing an abstract, but not the full paper, Prof
@trishgreenhalgh
?
Madam President,
@DrSarahClarke
, the integrity of the
@RCPhysicians
is being called into question: please send the full survey results today, at least to all FRCPs
#RCPEGM
I'm hearing that RCP senior officers are possibly going to release the *actual findings* of the MRCP survey AFTER the FRCP vote has closed. What do they take us for? What are they hiding? How can they reassure us that they're not trying to rig the vote?
#ReleaseTheSurvey
18
195
523
1
4
17
My welcome to the new doctors at
@NGHnhstrust
Still a rewarding job - but harder now
#ConfessionsOfAJuniorDoctor
@willlorimer2
@TheBMA
0
14
16
Consistently impressed by Sam, Holly and Emily: brilliant, compassionate
I'm lucky to work with them
#ConfessionsofaJuniorDoctor
0
3
17
Winners of Middlesex Bowl & league champions, London NW 3:
@LondonWelshRFC
Congrats to
@CaiGriffiths
@Will_Tayls91
@poblwc
& the team
#COYW
#LWFamily
2
4
14
@JodiOlden
@WelshGasDoc
@ourmanontheM62
@stephen_t_webb
@drandrewmackay
@docpgb
@stevemathieu75
@ICS_updates
The thing is, we (UK) are massively short on respiratory physicians too: providing a CPAP service is fine, but what do we *not* do instead?
You’re right that need more investment, but I think that needs to include resp med as well as ICU
@RCPLondon
@bodgoddard
@BTSchair
2
1
16
#BMABear
with Dr Kate Granger FRCP at
@RCPLondon
(
@GrangerKate
with
@djnicholl
&
@respirologist
)
#HelloMyNameIs
http://t.co/mpZZu1YD0f
2
6
15
.
@GrangerKate
Kate, you've changed me & changed my practice. You're one of the most special people I know.
#deathbedlive
? Maybe.
#yodo
? Yes!
1
5
13
Please take this pandemic seriously; COVID isn’t “just ‘flu’”; and what we’re seeing isn’t “just winter pressures”.
Follow the rules; keep your distance (>2 metres); wear a mask; wash your hands properly
....then I won’t see you like this
#NHS
#Covid19UK
1
4
15
Results of reassessment by
@HealthFdn
of quality initiatives in English NHS: it doesn't look good
#quality2016
1
22
15
#ff
the youngest ever Fellow of
@RCPLondon
(FRCP)
@GrangerKate
and husband
@PointonChris
And watch this:
http://t.co/036ViaQOYA
1
15
15
Just finished
@runr_uk
’s
#MilesForMind
: set myself the target of 50 miles in May, which now seems unambitious...!
At the end of
#MentalHealthAwarnessWeek
, please consider donating to
@MindCharity
:
@UKRunChat
#UKRunChat
6
1
14
.
@GrangerKate
@RCPEdin
@RCPLondon
Congratulations to Dr Kate Granger FRCP FRCPEd
#YoungestFellowEver
#YoungestDoubleFellow
0
11
14
My first time back at
@OldDeerPark
in many years - and what a win! Da iawn,
@londonwelsharfc
#coyw
- more of the same next time please!
London Welsh 1st XV back to winning ways 65-7 today
@OldDeerPark
thanks for your support
#lwfamily
#coyw
1
15
41
0
3
14
#FF
@GrangerKate
: today Kate becomes the youngest ever FRCPEd (& only jnr dr Fellow) as well as youngest FRCP
#hellomynameis
@RCPEdin
2
18
13
Paul Jervis,
@NGHnhstrust
Guardian of Safe Working, has introduced himself to new FY1s today. Important role
cc
@TheBMA
@HCSANews
0
9
14
2
5
13
@silv24
The
@RCPhysicians
only allows FRCPs to attend and vote at General Meetings - or to stand for & vote for Council & Officers
I think the governance needs to change to include consultant MRCPs and (esp) junior doctor MRCPs
#RCPEGM
4
1
13
@DrLKVaughan
@parthaskar
@ExplosiveEnema2
And yet any work done by a PA must be replicated by a doctor, according to
@gmcuk
cases?
0
2
13
@YesCymru
@letters_amy
The original
@nationaltrust
sign from 1965; note the word order:
“Bannau Brycheiniog
(Brecon Beacons)”
2
5
14
3
7
13
This will be a
@LondonWelshRFC
season for the annals:
First time for first team in tier 8 (passing through at speed...!)
Record lowest score: 0-0 at
@OldStreetRugby
Highest ever score: 113-0 at
@verulamiansrfc
Congrats to
@CaiGriffiths
@Will_Tayls91
& team
#COYW
#LWFamily
The referee has blown up rather early and the final score is 113-0 to Welsh. An all time club record in all completions.
#COYW
#lwfamily
@lwsupporters
8
14
63
0
5
12
@sarahyoung____
Depends on why you want to leave and what you’d do instead. You have the intelligence, flexibility, hard work ethos etc that other employers / sectors would want.
What’s in your personal (whole life) PDP?
Alternatively: what makes you want to leave? What would make you stay?
2
0
13
Recommendations for a timescale for the
@RCPhysicians
, following the
#RCPEGM
votes
In short: we need to move fast, both for our junior doctors and for the 3000
@FPARCP
members whom this affects
0
5
11
2
6
11
Gwyn Williams, chair of
@londonwelsharfc
, getting emotional about how well the club has done this season: 1st XV, Druids, Occies &
@londonwelshwrfc
:
#lwfamily
1
1
12
One for
@LondonWelshRFC
&
@Cardiff_RFC
today: a look back to a meeting at
@OldDeerPark
in 1990, when LW won 20-6
#LWFamily
(Not mentioning the return fixture…!)
1
1
12
About to teach
#QI
to year 1 (week 2) med students at
@LeMedSchool
Will I begin with & teach on
#HelloMyNameIs
?
Of course I will!
0
6
12
@DrNeilStone
*England* is opening up; Wales isn’t at present. Therefore we have an observational study taking place at a population level between
@BorisJohnson
&
@fmwales
.
The next 2-4 weeks will give us a clue, but my guess is we’ll have lots more COVID cases, hospitalisations & deaths.
4
0
12
@drmattuk
@TheDA_UK
@Telegraph
In the week of the
#RCPEGM
, glad to see your & your colleagues’ hard work is paying off,
@drmattuk
0
2
12
@parthaskar
@RCPhysicians
@djnicholl
@doctor_oxford
@trishgreenhalgh
@DrLKVaughan
@mmamas1973
@RoshanaMN
@OrthopodReg
@AntonEmmanuel2
@iDrSunny
@RowanHarwood
@RobJimFleming
At the moment, it looks like a lot of feathers need to be ruffled: it feels like there’s a level of complacency and arrogance from some of the officers (and undeclared CoIs, on PAs, tobacco control, and who knows what else)
Carry on making “good trouble”, please!
0
0
10
@JolyonMaugham
@GoodLawProject
“Privilege just means ‘private law.’ ...He just doesn’t believe the ordinary laws apply to him. He really believes they can’t touch him, and that if they do he can just shout until they go away. …Shout at people, get your own way, ignore the rules.”
From
@terryandrob
, The Truth
0
0
11
It's 20 years today since I started as a doctor!
How did I celebrate? Being consultant on 13-hr shift looking after sick patients.
#7dayNHS
2
4
11
@DrDLittle
@RCRadiologists
@halliday_kath
How about “You do not answer the phone because you’re driving”…!
0
0
11
Remembering
@GrangerKate
today; thinking of
@PointonChris
,
@kaybee1978
& all attending her farewell
May there be 🍾 and 🌻
#hellomynameis
0
5
10