Eilidh 🦀 Christ. If I could leave again I would
I would urge any Cons paying fees to stop. You have a job. You don’t need the post nominals

We have future trainees to protect. Future consultants.

This has to stop

Am I reading this right?

It looks like Canterbury Christ Church are offering a surgical internship for PAs which gives them a masters level qualification, plus access to a Royal College of Surgeons accredited course offered with FULL funding from HEE? A FY could never.…

Aj Eusuf sailbadthesinner Adam Hussain Martyn C Stott agirltheycallBrian For difficult decisions my practice is to ask the medical team to discuss with their consultant as well and ask for their input too. A recent trust I worked out for all decisions like this apart from ED and Immediate emergencies. Rule was consultant to consultant even at 3am.

Meg 👨‍👩‍👦‍👦💙👩🏻‍⚕️🇮🇳🏏🎥🇬🇧⚽️ St George's, University of London I’d refuse to go

Or I’d walk out after MBBS awarded

Or I’d see if kids from local schools wanted to be awarded their cycling proficiency certificates at the same time (do they still do them 😂😂)

Neena Jha You can’t do an 8 hour shift without prescribing or ordering scans (can you?)

Someone has to be signing for these

Or are they??😬

Hospitals: ‘it’s better than leaving the shift empty as no one wants to take them!’

The same hospitals: ‘let’s slash locum rates for doctors’

Also: ‘let’s not even put the shift out to doctors!’

Uk wide: ‘wah wah we don’t have enough doctors but are doing nothing to

Abolish Physician Assistants.
Scrap ARRS funding.
Use savings to invest in doctors + nurses as core clinical staff.
Stop pretending anyone can be a GP.
Revamp doctor training programmes.
Have a long term NHS workforce vision.

It’s not rocket science. Wes Streeting MP

Caesarnotsalad Aj Eusuf ExplosiveEnema Dr Navina Evans Dr Done Alison Moore Dr Ali G #StandWithUkraine #CeasefireInGazaNow 💔 James Steen Iona Collins.DOCTOR. Dr Asif Qasim 💙 Louella Vaughan Steve Taylor Partha S Kar 🇮🇳🇬🇧🏏🎥 𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮 Dr Sandeep Bansal Roshana 🦴 PAs go to PA school, do PA studies & PANE exam

Doctors go to medical school, study medicine & do MLA exam. Doctors then do postgraduate training & exams.

TWO entirely separate & discrete paths

And NEVER THE TWAIN SHALL MEET

No crossover
No equivalence
No comparison

1000 F1s with no job. Yet EOE is effectively recruiting PAs to the Foundation Programme.

F1s get no study budget. PAs £500.

PAs were meant to be permanent, non-rotational and without progression - hence high salary.

The lines are blurring. Doctors are now the poor stepchild.

Aj Eusuf ExplosiveEnema Dr Navina Evans Dr Done Alison Moore Dr Ali G #StandWithUkraine #CeasefireInGazaNow 💔 James Steen Iona Collins.DOCTOR. Dr Asif Qasim 💙 Louella Vaughan Steve Taylor Partha S Kar 🇮🇳🇬🇧🏏🎥 𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮 Dr Sandeep Bansal Roshana 🦴 And they need to competitively get into medical school, attend and pass all the required assessments along the way.

There are no shortcuts that preserve standards and standards are patient safety

Shortcuts = incomplete learning & patient safety nightmare

Ollie Burton It's bonkers that we can both have a shortage of doctors and a shortage of jobs for doctors

ExplosiveEnema Dr Navina Evans Dr Done Alison Moore Dr Ali G #StandWithUkraine #CeasefireInGazaNow 💔 James Steen Iona Collins.DOCTOR. Dr Asif Qasim 💙 Louella Vaughan Steve Taylor Partha S Kar 🇮🇳🇬🇧🏏🎥 𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮 Dr Sandeep Bansal Roshana 🦴 Doctors are being replaced by PAs. This is black and white, be it SHO rotas at hospital, or ARRS at GP as salaried GPs fight for posts. A spade is a spade, this is not a complementary role, this is a replacing role.

ExplosiveEnema Dr Navina Evans Dr Done Alison Moore Dr Ali G #StandWithUkraine #CeasefireInGazaNow 💔 James Steen Iona Collins.DOCTOR. Dr Asif Qasim 💙 Louella Vaughan Steve Taylor Partha S Kar 🇮🇳🇬🇧🏏🎥 𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮 Dr Sandeep Bansal Roshana 🦴 .The BMA enquired about North West of England's LIFT II scheme with similar language: PAs to 'enable and support’ Drs training & undertake foundation programme.
They have stopped this & no plans to return to the pilot. Perhaps need to enquire the same for East of England...

ExplosiveEnema Dr Navina Evans Dr Done Alison Moore James Steen Iona Collins.DOCTOR. Dr Asif Qasim 💙 Louella Vaughan Steve Taylor Partha S Kar 🇮🇳🇬🇧🏏🎥 𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮 Dr Sandeep Bansal Roshana 🦴 & it seems that 🇬🇧graduates no longer have priority over IMGs for FY jobs👇🏼
Even though they must complete FY1 & get full registration before they can leave to work outside the #NHS .

Every thing is being deliberately stacked against 🇬🇧med students & jnr drs.

The BMA Doctors’ Association UK 💙

ExplosiveEnema Dr Navina Evans Dr Done Alison Moore Dr Ali G #StandWithUkraine #CeasefireInGazaNow 💔 Iona Collins.DOCTOR. Dr Asif Qasim 💙 Louella Vaughan Steve Taylor Partha S Kar 🇮🇳🇬🇧🏏🎥 𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮 Dr Sandeep Bansal Roshana 🦴 I can’t speak to East of England, but I’ve been explicit and direct with NHS England London, that any attempt to introduce MAPs to the medical foundation programme in the capital will be actively resisted.

ExplosiveEnema Dr Navina Evans Dr Done Alison Moore Dr Ali G #StandWithUkraine #CeasefireInGazaNow 💔 James Steen Iona Collins.DOCTOR. Dr Asif Qasim 💙 Louella Vaughan Steve Taylor Partha S Kar 🇮🇳🇬🇧🏏🎥 𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮 Dr Sandeep Bansal Roshana 🦴 This is so bad, it should never happen. The incoming F1s must take priority over PAs, they deserve to have a place on the foundation programme that is designed for them, and they're far safer for patients than PAs. It's as if Trusts don't know that FY1 doctors are far better.

ExplosiveEnema Dr Navina Evans Dr Done Alison Moore Dr Ali G #StandWithUkraine #CeasefireInGazaNow 💔 James Steen Iona Collins.DOCTOR. Dr Asif Qasim 💙 Steve Taylor Partha S Kar 🇮🇳🇬🇧🏏🎥 𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮 Dr Sandeep Bansal Roshana 🦴 Just to really rub it in, FY1s do NOT get a study leave budget. But they are allocating £500 to the PAs.

Appalling.

PAs should only cannulate, take bloods, catheterise, porter patients to imaging, assist with toileting, and bring food/drink to patients in A&E.

Except HCAs already do all of this for half their salary.

This sums things up perfectly from Aj Eusuf

“There is no comparison and no equivalence”

Partha S Kar 🇮🇳🇬🇧🏏🎥 Royal College of Physicians Zudin Dr Rachel Clarke Dr Shrilla Banerjee MD FRCP 💙 Dr Sandeep Bansal Dr Asif Qasim 💙 Mamas A. Mamas Trisha Greenhalgh Louella Vaughan 𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮 Rowan Harwood The resistance towards sensible ideas is baffling…

- Not on Drs rotas
- Not taking Drs roles in clinic/theatre
- Well defined scope
- Pause for more data

Why would anyone object to any of the above?