TCL @TCL3000
Maths graduate, chartered accountant, mum to 2 medical students and a dog. Passionate about fairness, understand economic realities, hate bad management. Bristol Joined March 2012-
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Expert is just not an appropriate word to use. The *whole point* is that PAs are not experts and therefore are much faster to deploy than experts, who take many many years to train and are more expensive. The term fails to mean anything if it's used this way.
Expert is just not an appropriate word to use. The *whole point* is that PAs are not experts and therefore are much faster to deploy than experts, who take many many years to train and are more expensive. The term fails to mean anything if it's used this way.
If you found out that your doctor had been to jail for something entirely unrelated to their ability to treat you well, would you have less faith in that doctor? DAUK is keen to know your answer. 👇 docs.google.com/forms/d/135eOB… PS Please can you share the link widely?
If you found out that your doctor had been to jail for something entirely unrelated to their ability to treat you well, would you have less faith in that doctor? DAUK is keen to know your answer. 👇 docs.google.com/forms/d/135eOB… PS Please can you share the link widely?
@TheBMA @RobLaurensonD4P @BMA_James_Steen @parthaskar @DrNeenaJha @doctor_oxford The BMA scope guidance is making an impact in GP surgeries . Interesting to see the PAs views on this . Threats of legal challenges …. What a mess this whole thing has turned out to be
Confirmation from @TheSpectator that political dogma from @10DowningStreet blocks resolution of the doctor disputes? @TheBMA fights to give patients doctors; is £20/hr ‘unrealistic’? You call us militant, we stand now for the future of UK medicine & the NHS.
Tip to Consultants who want to send me angry, personal emails re issues of bias or PAs I am a peaceful man-yet if you choose violence, there will be a reaction You may behave like that with IMGs Yet this IMG? Here to help you understand why not to do that again-with anyone else
The NHS is completely BROKEN😢 WASNT broken by COVID/Strikes/inflation (*delete excuse) but by deliberate CHOICES to break it RT if you want this/next government to make CHOICES to properly fund the NHS, #reward staff & provide better healthcare than 👇 for the UK population
Second job rejection without an interview. Unemployment sounding very real now.
A junior doctor has been offered a training rotation that involves a job 70 miles away. They have 2 kids under 10 and spouse is about to have treatment for stage IV cancer. Apparently, they have to accept the job or leave specialty training? Who should they speak to about this?
We have published a new statement, which updates our position on medical associate professions and the expansion of the physician associate workforce: rcpe.ac.uk/college/colleg…
Dropping my son off for a 10 hour shift. 8 ambulances outside on a Wednesday lunchtime. He has £90,000 student debt and a job offer from Australia came this morning paying twice as much. What would you do? @wesstreeting
I have looked at this job plan And I am sorry - but the leadership @NHSE_WTE @PrimaryCareNHS have lost control over issues around competence in the zeal to tackle GP ‘gaps’/ locums Please stop ‘Associate Physician’ This is not a typo It’s deception @rcgp start calling it out
Additional achievements at medical school (ranking/essay prizes etc) being removed from IMT. How long until we’ve demeritised the profession enough that NTN allocation becomes random like the PIA for foundation programme? Utter shambles.
free access, bmj why the fuss about PAs? bmj.com/content/385/bm…
Why the fuss about physician associates? bmj.com/content/385/bm…
It is high time that the @gmcuk was prohibited from providing its staff with private healthcare perks, unjustly funded by the public sector medical profession They should have to experience the same healthcare that their employer is responsible for facilitating & overseeing
GMC removed DOCTOR from ‘Good Medical Practice’ NOT GOOD medical practice this is poor & this is a failure at the highest level UK needed GOOD DOCTORS now not so much, complicit GMC, Govt, NHS leaders & MPs Happening without public consent or Drs agreeing What it use to say 👇🏻
GMC removed DOCTOR from ‘Good Medical Practice’ NOT GOOD medical practice this is poor & this is a failure at the highest level UK needed GOOD DOCTORS now not so much, complicit GMC, Govt, NHS leaders & MPs Happening without public consent or Drs agreeing What it use to say 👇🏻 https://t.co/bp1WIAazUM
You pay £17m a year to subsidise food for 650 MP’s. But they won’t give families with more than 2 children £2 a day to help provide for them. Meanwhile MP‘s get £15 per child per day for up to 3 children.
Mountain rescue employee was found to be impersonating a doctor & was fined. In an attempt to mitigate, claimed she said "trauma medic" not "trauma Dr". Prosecution quoted the dictionary definition of a "medic". How many PA "medics" are owed fines? dailypost.co.uk/news/north-wal…
.@MattHancock Matt, we have disagreed on a lot of things you did in office, but one huge lasting achievement of yours was expanding the services of NHS Practitioner Health after we met early in your tenure. This saved doctors’ lives. Now, the service is being destroyed and (1/2)
.@MattHancock Matt, we have disagreed on a lot of things you did in office, but one huge lasting achievement of yours was expanding the services of NHS Practitioner Health after we met early in your tenure. This saved doctors’ lives. Now, the service is being destroyed and (1/2)
One doctor takes their life every three weeks, @VictoriaAtkins. How can you possibly countenance slashing psychological support services for a deeply traumatised post-Covid NHS workforce? It’s pure vindictiveness.
One doctor takes their life every three weeks, @VictoriaAtkins. How can you possibly countenance slashing psychological support services for a deeply traumatised post-Covid NHS workforce? It’s pure vindictiveness.
Beethen @Beethen2PbKZ31
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3K Followers 146 Following We are a group of Anaesthetists who feel our views on AAs and workforce issues haven't been listened to. Join us https://t.co/8DsjxxcGd8Natalie Silvey @silv24
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@ShafiAhmed5 Thank you so much, Prof Ahmed, for speaking out loud and clear about the potential risks of this practice. If only more of your colleagues would show similar leadership.
A laparoscopic cholecystectomy is a major operation with significant major potential complications, including mortality. Even as consultants, there is a great deal of scrutiny on the number of cases and the complication rate. It is also an excellent training procedure for…
ASiT and the Surgical Specialty Training Organisations have released a joint statement in response to a recently published in The Annals of the Royal College of Surgeons England What should be the #priorities in delivering surgical care? Share with us your thoughts 🔗…
@DrEilidhMaria I have a friend (who is a Doctor) whose 5/6yo nephew genuinely exclaimed - “wow - I never knew that boys can be doctors!” after a trip to ED - his only experience of doctors to that point had been 100% female. 🤣
@ASiTofficial @RCSnews @RCSEd @rcpsglasgow @RCSI_Irl @gmcuk @JCST_Surgery @CoPSSuk @NHSE_WTE I have met an ODP student who told me they want to progress into a SCP role asap so they can do the fun stuff. When I told them they should’ve gone to medical school if they wanted to be a surgeon they looked shocked. What has the profession come to?
The blurred image around your phone is called life... (Except when its at the bottom of the river 😜)
The Foundation Programme too. The Fountain Programme is about providing ornamental garden features to hospitals well below market rate.
Sunny Bank Holiday and I’m stuck indoors with a poorly pyrexic baba who is a delightful ball of snot and sadness. But those wee fingers and toes? 🥰🥰🥰🥰 I’m just glad that I get to be here for him when he needs the extra snuggles.
I have cancelled my regular Direct Debit to @StGeorgesUni in light of their recent statement about #PhysicianAssociates, which I felt sought to stifle legitimate debate by weaponising kindness.
For a variety of reasons I never thought it would happen, but today my mum met my boyfriend and it went really well 🥰
We are stressed and anxious. 1000 of us new doctors don't have an allocated job instead just a 'placeholder' due to a lack of planning from @NHSEngland and @UKFPO. bbc.co.uk/news/health-68…
@timricketts_ As someone who’s a trainer. It’s dame hard supervising FY2 and GP regs properly. It was easier for me when we had none. But we enjoy having them and see the benefit to the profession. This is why I do not understand how others are supervising PAs so easily 🤷♂️
@parthaskar @timricketts_ @PrimaryCareNHS @rcgp I suspect that those in senior roles have or have allowed themselves to be painted into a corner and are now too embarrassed or self serving to admit it. Anyone with a genuine interest in patient safety or the Medical profession would be crying 'shame on you' as loud as possible.
@o_matthias1 @timricketts_ @PrimaryCareNHS @rcgp the thing about not answering a fellow senior colleague is that the next step is it all being in the public domain 4 emails so far- happy to honour philosophy of “let’s talk online” As long as the “talk” happens
This is what I cant stand ‘ as a highly skilled PA with over 8 yrs in the NHS ‘ Meanwhile her Biomed degree was in 2014 and she only qualified as a PA 3 yrs ago
To be more serious, when the REGULATOR isn't willing to tell the public what the differences are between roles they wish to regulate, I think we have an extremely disturbing problem, and as ever, the work seems to be falling to the doctors to sort it.
I'm not a consultant surgeon and can't replace them, as I have different knowledge, skills and expertise. A lot less of all three, actually. But I prefer not to say less, as that would be politically embarrassing for me and might unnerve the public. So I say different instead.
2/6 We will become a multi-professional regulator, but we’ll regulate doctors, PAs and AAs as three distinct professions. PAs and AAs aren’t doctors and they can’t replace them, as they have different knowledge, skills and expertise. Our Chair, Dame Carrie MacEwen wrote to all UK…