Ed Hope @DrHopeSickNotes
Your friendly neighbourhood Junior Doctor. The original and second best #doctorreacts channel on YouTube youtube.com/drhopesicknotes Margate, Europe Joined August 2017-
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Well said, @TYoungstein. Those of us with safety concerns around the role of PAs - now, finally, corroborated by Leng - were smeared as an irrational, toxic rabble. I think Chris Whitty owes doctors an apology. As do @RCPhysicians, @JimBethell et al.
Well said, @TYoungstein. Those of us with safety concerns around the role of PAs - now, finally, corroborated by Leng - were smeared as an irrational, toxic rabble. I think Chris Whitty owes doctors an apology. As do @RCPhysicians, @JimBethell et al.
I fundamentally believe we now need a national inquiry into how the PA project got to the stage it did where it caused so much harm We need to hold the likes of @Jeremy_Hunt @AmandaPritchard @NavinaEvans @DacreJane @profjimspeaks @pa_StephenNash @ClareGerada @RCPhysicians et al…
As an NHS doctor I resent this deeply Why are my mandatory GMC fees being used to pay for private health care for GMC employees?! I don’t even have private healthcare myself! **£642,000 spent on 1066 staff** ‼️ I do NOT give consent for my fees to be used in this way! 🤬
As an NHS doctor I resent this deeply Why are my mandatory GMC fees being used to pay for private health care for GMC employees?! I don’t even have private healthcare myself! **£642,000 spent on 1066 staff** ‼️ I do NOT give consent for my fees to be used in this way! 🤬
Just wanted to give a massive 👏 to the FY2 doctor on @LBC with Wes Streeting today: Dr: “Why are PAs (who are meant to be dr’s assistants) paid more than me as a doctor?” Wes: “Well, what’s your earning potential?” Dr: “Well I’m facing unemployment from August” Slam dunk.
‘The PAs told the undercover reporter they saw all sorts of patients, sometimes without any clinical supervision. They said the practice treated them as equivalent to GPs.’ Tell me again how PAs are safe medical practitioners @rcgp @gmcuk bbc.com/news/health-61…
@ShaunLintern @gmcuk are unfit to practice as a regulator Unregistered people breaking the law prescribing medications & ordering ionising radiation by breaking UK law- GMC plans to give them Registration without investigation GP protested peacefully? Suspended from register
So the PA examined and took the history of a patient. And the tribunal determined that the doctor failed in their duties for not examining the patient or taking a history themselves and in addition to the PA. What exactly is the purpose of a PA in this medico-legal context?
So the PA examined and took the history of a patient. And the tribunal determined that the doctor failed in their duties for not examining the patient or taking a history themselves and in addition to the PA. What exactly is the purpose of a PA in this medico-legal context?
I can’t believe this 🤬 @gmcuk what are you playing at?! THIS is who you choose to suspend?! The GP of over 30 years said: "As a doctor, my fundamental duty is to protect health and life. This includes proactive efforts to prevent disease and death. The climate crisis is the…
I can’t believe this 🤬 @gmcuk what are you playing at?! THIS is who you choose to suspend?! The GP of over 30 years said: "As a doctor, my fundamental duty is to protect health and life. This includes proactive efforts to prevent disease and death. The climate crisis is the…
The public have no idea how lawless their medical care has got in the UK
Absolutely. This is a significant part of the problem. Another significant part of the problem is people advocating that less qualified and unregulated “associates” with less training, and both lower training and entry standards, are suitable alternatives to GPs. Who knew?! 🤷🏻♂️
Absolutely. This is a significant part of the problem. Another significant part of the problem is people advocating that less qualified and unregulated “associates” with less training, and both lower training and entry standards, are suitable alternatives to GPs. Who knew?! 🤷🏻♂️
Top trolling of junior doctors by whatever Trust is responsible for this (not the PAs’ fault, so I’ve obscured their faces). Can they not read the bloody room? All evidence points to majority disquiet amongst doctors re the #PAProject & having a dig a doctors’ strikes is not cool
Asked to share anonymously. These types of incidents aren't rare. Yet drs are vulnerable & feel unable to speak up. Pressured & bullied. Emblematic of a crippling NHS a CT1 anaesthetist left to be the med reg at night unsupported. This should never happen. I'd be fuming.
NHSE have mandated (finally!) that ALL work undertaken by PAs must be supervised by the GP What does “supervision” mean? If GP needs (& should) see every patient too…what is the role of a PA in GP? It’s a direct doubling of work & a waste of everyone’s time & money.
“Physician associates” with no medical training ➡️ REPLACING doctors❗️ “Nursing assistants” with no nursing training ➡️ REPLACING nurses❗️ “Pharmacist technicians” with no pharmacy training ➡️ REPLACING pharmacists❗️ I’ve an idea - let’s try “Politician associates” next!
“Physician associates” with no medical training ➡️ REPLACING doctors❗️ “Nursing assistants” with no nursing training ➡️ REPLACING nurses❗️ “Pharmacist technicians” with no pharmacy training ➡️ REPLACING pharmacists❗️ I’ve an idea - let’s try “Politician associates” next!
Patients aren’t asking for much. Sad to say if you look up you get asked for updates, chasing investigations and ‘how long is the wait’, and even worse; blankets, food, help going to the toilet, medications. You try and do what you can but you have to prioritise the sickest.
What’s in a name? Associate Specialist- DOCTOR Physician Associate- NOT doctor The name change from “Physician Assistants” is DELIBERATE to blur the lines b/w PAs & Drs In spectacular irony, @gmcuk whose purpose is to protect pts from NON-doctors are refusing to heed concerns

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