A revolt over patient safety and declining expertise is tearing the medical establishment apart. 🖊️ @pwhitakerwriter newstatesman.com/long-reads/…

On 6th of July I wrote an email to the president of the @rcgp and asked for it to be disseminated to all trustees, council and board members. I also copied in @TheBMA The RCGP have not disseminated it to the above group, so I thought I would release it here: To the leadership of the RCGP, Trustees and Council Members I am writing to express my deep concern about the College’s inactions on the Physician Associate issue. As a background, I have been an AiT and I sat on the AiT committee for the RCGP on behalf of the Oxford Deanery back in 2013-15. I left clinical medicine in 2015/16 and am now writing to you as an informed member of the public and someone who is still working in the non clinical side of healthcare. 81% of your members have identified there to be a negative impact on patient safety with the use of PAs in primary care (Ref: Q38a of the survey report)

Not all “modernisation” has to come from workforce changes. Think infrastructure. HS2 was infrastructure but government mismanagement and inability to make decisions wasted billions didn’t it. That wasn’t the drivers’ fault was it.

Awfully generous of the PAs to take over the day shifts so the Doctors can focus on the on-call rota Really, much appreciated #OneTeam

He took this point onboard. Ultimately, he wants to hear not from me, @UKGastroDr or any other Cons tweeters, but GI trainees - so, if you are a GI trainee & want to be heard, you MUST email president@bsg.org.uk, elected.council@bsg.org.uk & your regional BSG trainee rep NOW 7/x

So senior figures within the Royal College of Physicians presented a false picture of what its survey found. What a mess. One resignation so far...

Guys you realise you've set 50 hours of arbitrary CPD on the same scale as 2 years of 48 hours/week across 6 specialties right?

Note the date of this FB post…

Wondering what those pesky registrars and house officers have been doing as clearly they weren't needed to keep the service running.

Thanks for the tag. Firstly, I think the quoted post is from the US (saw it doing the rounds from US radtwitter). H3nce the term midlevel that they don't really use here. Secondly, I'll address complication rates, but also why I think that means very little (cont)

RT @DrOKaneAgain: This is a disaster! This deal: ▪️Ignores the longest-serving consultants (17.8% of total) ▪️Ignores new consultants ▪️F…

Monkey's paw: you get the brioche bun but it comes with random assignment in UK of your next two years of employment, £2000 of exams and £100k of student debt. And they dock £13k off your pay.

Oh no look at what I found on! No idea what these numbers mean but three digits is good right?

In it’s current guise the gov’s work force plan is a disaster & and as a consultant I feel compelled to raise a 🚩 The rapid expansion of anaesthesia associates within the NHS is likely to have severe consequences for patient safety and training Read on if you want to know why

1/6 Exactly one year since @BBCNewsnight @MichelePaduano exposed the toxic culture damaging patient safety @uhbtrust, the “never events” keep on coming. NB Atherton’s extraordinary comment👇 @KenZeroHarm @manosnikolousis @PreetKGillMP @RobPocock1 @RichardBurden27 @microlabdoc

💯No one gets left behind💯 🦀 Strength in Unity 🦀

Consequently Prof. Melville's assertion that genuine concerns aren't raised by the anonymous - is counter to existing NHS guidance and Sir Francis' report. The assertion that a formal internal process must be followed - is counter to existing guidance. His tweet can be ignored.

I would be concerned if I was calling another hospital for tertiary specialist advice and I get advice from someone who does not even hold a medical degree... If you can't man a tertiary service, don't have one.

Attempting to discuss the concerns of many graduate doctors = stirring up trouble You've heard it - shut up and work your nights, weekends and Christmas shifts.