Toxic bin. Consultant SHO. Doing masters to be Consultant Advanced Clinical Practitioner. Anon profile as GMC is a bully organisation. Not a doctor. Lecturer.
Joined October 2018
- Tweets 4,396
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47 Photos and videos
Pinned Tweet
25 Oct 2023
I am certain Doctors are purely used in the guise of a “training programme” that involves rotating in hard to fill places/rotas/depts- to do the work no one else can, will or has liability to do. The carrot of training and future good pay used to be enough to quell some. Not now.
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Toxic Bin Seat retweeted
The British Medical Association has urged the new health secretary to intervene over the “unsafe and dangerous substitution of doctors” by advanced practitioners. buff.ly/brEJLwu
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Toxic Bin Seat retweeted
In December 2025 a young woman called Joanne Sellars had a tel consultation with a PA, was then seen by a PA apprentice ( supervised by the same PA ) , then seen by a different PA .
She died due to their misdiagnosis
The PAs are still working
@wesstreeting this is on you
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Toxic Bin Seat retweeted
I hope this is an error on the job advert.
PAs are dependent practitioners. They should not be seeing patients independently. They should not be first assist in surgery or performing LPs.
Patients deserve safe quality care. @IMO_IRL please look into this
@CUH_Cork @HSELive @IMO_IRL
This is one of the most dangerous PA job ads that I’ve ever seen .
@HSELive didn’t you publish a report banning PA recruitment in Ireland?
‘The PA will function with a delegated autonomy that is consistent with the consultant’s scope of practice’
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Toxic Bin Seat retweeted
May 26
>5000 doctors raised concerns about how advanced practitioners are employed in the NHS.
Read the full report here: cdn.intelligencebank.com/eu/…
Raise any concerns you have through the reporting portal.
The taskification of medicine must stop. Some things require a medical degree.
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"I think it is scandalous that the NHS is allowing the substitution of doctors by individuals without sufficient medical knowledge instead of the obvious response to doctor shortages: hiring more doctors." Dr Mel Ryan, BMA lead on preventing doctor substitution.
Advanced practitioners are being used to cover doctor rota gaps across the NHS. Read more: theguardian.com/society/2026…
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Toxic Bin Seat retweeted
Apr 21
New paper on PAs has dropped.
Arguably better conducted research than similar in past.
Points to what a complete dog's dinner the PA project has been. No planning. No regulation. No governance.
Much to pick over.
link.springer.com/article/10…
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Toxic Bin Seat retweeted
Apr 19
‼️GPs refer for a reason.
🚨Letting non-doctors reject those referrals risks delays, missed diagnoses, and unsafe care.
This looks less like efficiency and more like shrinking waiting lists on paper.
Patients need timely access to the right expertise.
pulsetoday.co.uk/news/referr…
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Toxic Bin Seat retweeted
Apr 15
"very generous" I'll tell you what Tom, do a night shift with a doctor and then tell me being paid a few quid more per hour is very generous.
Also it's not "overtime". It's mandatory work as part of rotas that can be up to 72 hours a week.
Apr 13
First: resident doctors want “pay restoration” to 2008 levels.
Except they’ve already achieved it: their base pay is the highest it’s ever been. They are only down at all when we consider that they used to do vast amounts of very generous overtime on the 2002-16 contract
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Toxic Bin Seat retweeted
Owen Dickinson, a self confident incompetent nurse ‘ consultant ‘ was involved in the death or harm of 68 patients at @RotherhamNHS_FT performing procedures that ONLY experienced Drs or surgeons should do .
bbc.co.uk/news/articles/clym…
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The NHS we’re building, where children die because doctors are replaced with knock offs.
Feb 24
- 9yo boy referred to A&E by GP with suspected appendicitis
- Never seen by a doctor. The hospital says it ‘couldn’t identify who saw the patient’
- Discharged
- Getting worse, his father calls 111 (non-emergency line)
- No answer for 2h, is triaged to get a call back from a clinician
- Gets even worse. Parents take him back to A&E.
- Diagnosed with a ruptured appendix and dies of septic shock.
leighday.co.uk/news/press-re…
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Toxic Bin Seat retweeted
🚨Serious concerns raised by ACPs in Doncaster 🚨
tACPs left to work as GPs without senior support
ACPs bullied after raising concerns
@wesstreeting what is going ON ?!
@AliJaneMoore @ShaunLintern @BBCHughPym @HSJEditor
We need Drs!
doncasterfreepress.co.uk/hea…
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Toxic Bin Seat retweeted
Physios and nurses (ACCPs) can now run the intensive care unit with NO ICU consultant on site, relying only on REMOTE supervision.
The public should advocate for their critically unwell relatives in such an unsafe environment.
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Are emergency doctors insulted yet?
Are patients scared yet?
This is a massive scandal.
"three week training programme" "150 hours supervised clinical practice" = manage patients independently deliver "autonomous care"
Surely this is stretching the bounds of being called "advanced practice"? What do you even learn in such little time?
@ImperialNHS
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Toxic Bin Seat retweeted
26 Dec 2025
The question that @wesstreeting needs to answer
Why is he still wasting MILLIONS OF POUNDS training PAs at uni plus giving them all a £5000 bursary - £5,000,000 per year group.
Employing them at £47, 800 each (55k in London)
When their work must be repeated by a Dr?
26 Dec 2025
If that’s the case what’s the point of a PA?
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Toxic Bin Seat retweeted
21 Dec 2025
Ok this is just ridiculous.
The NHS is deeply unserious. There should be no world where a Neurosurgeon who has completed all their exams is paid less than an art therapist.
20 Dec 2025
Picture 1
Consultant Level Arts Therapist
£80-90k
Picture 2
Senior Resident Neurosurgeon who has completed all of their consultancy exams
£65-67k
Resident Doctors are incredibly undervalued
Their request for pay restoration is a bargain!
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Toxic Bin Seat retweeted
19 Dec 2025
2 job descriptions
One for a GP the other for an ACP
The GP has trained for 10 yrs to do this job
The ACP is a podiatrist with an add on part time degree
Both doing the same ‘ job’ .
How is this safe @wesstreeting ? Every ARRS ACP should be a GP job
#streetingstrikes
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Now we know why @wesstreeting refuses to negotiate with NHS staff.
He wants the strikes to go ahead, so he can blame doctors and nurses for his failure.
19 Jul 2023
Now we know why Rishi Sunak refuses to negotiate with NHS staff.
He wants the strikes to go ahead, so he can blame doctors and nurses for his failure.
#PMQs
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Toxic Bin Seat retweeted
10 Dec 2025
Hi @wesstreeting. Given you have just offered UKGP from this application cycle, implying it is possible and can be done, and since it’s a measure which requires no funding, can we presume this is something you will do anyway as health secretary, irrespective of strikes?
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Toxic Bin Seat retweeted
10 Dec 2025
Imagine if RCEM put as much effort in supporting 1000s of doctors who cannot get into Emergency Medicine training or pushing for those who are to have better training and pay. Yet further evidence of their push to replace doctors with ACPs. Pay ACPs more = less £ to employ EM Drs
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Toxic Bin Seat retweeted
3 Dec 2025
.@doctor_katie "we've got thousands of under employed GPs.. if you ask any of the newly qualified GPs.. how many days they're working in the NHS, maybe one or two days. These guys are desperate to work more sessions but practices havent been given more resources [to enable that]"
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