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And there it is in black & white. **NHSE’s plan ALL ALONG was doctor substitution** A few direct quotes from their own document: 🚩 “Innovation in terms of substitution models is also to be welcomed” 🚩 “Challenges & Solutions with regard to replacing Foundation Doctors 🚩

❗️THE PLAN WAS ALWAYS SUBSTITUTION❗️ “There is then an ambition to increase PA numbers in the UK to make sure that maximum value is derived from them as medical substitutes …which is largely behind the call for them to be subject to statutory regulation” THIS is why the GMC

GMC public consultation * 78% of doctors and 60% patients DISAGREE * 98% of PAs agree So GMC will do what the PAs want Is that how public consultations/ “research” is supposed to work? #PatientSafety #AskForADoctor #SaveNHS

Didn’t feel like driving to work today was a good idea with this horrendous storm. Weather like this remind me of my school friend, Beth, who lost her life in a freak accident when her home was crushed by a falling tree. It would have been 9 years this October since she passed.

So this is the new great idea🤔 I’m pretty sure if Sarah had seen a GP she wouldn’t have needed to have a CT scan, no need to speak to the ENT registrar & yes it could be managed in the community Why does NHS England always underestimate the skills of GPs england.nhs.uk/long-read/refo…

Eilidh 🦀 Wes Streeting Absolutely ridiculous example. Unnecessary investigations which come with risk. A GPs skill is in managing risk with minimal investigations (+ escalating to 2 care as needed). They are excellent at it. There is no skill in algorithm 'blocked nose, face pain = CT + ENT review.'

Show us the evidence that any PA who has illegally prescribed or requested ionising radiation has been disciplined, had a FTP hearing or been dealt with by the criminal justice system. There's multiple NMC/HCPC/GMC registrants who have. The issue is ZERO accountability for PAs!

We've written to the Federation of the Royal Colleges of Physicians of the UK following the recent error regarding 2023 MRCP exam results. Transparency and collaboration are essential to supporting those affected—delays or missteps will only worsen the damage. Read here👇

A big problem in medicine is unconscious competence meeting unconscious incompetence. For a highly trained consultant complex tasks might be so second nature they seem like 'common sense'. And someone without much training or experience might believe them.

The absolutely MASSIVE elephant in the room that HMG have conveniently ducked, is that cutting welfare will mean an increase in unpaid family caring. And that this will hugely, and unequally, affect women, who will be driven out of work and into both caring and poverty.

We have published a report compiling the shocking testimonies of doctors who have witnessed unsafe practice by PAs and AAs. Patients are being let down by the repeated failures of NHS leaders to keep them safe. Read the full report here: bma.org.uk/media/p13leadh…

Repeat🧵describing the Aberdeen knot: an underappreciated surgical knot that is used to secure a running suture. It has been shown to be more secure than a square knot. We will cover how to do it, what not to do, and a modification that may make it more secure. (1/ )

Men only started saying higher education is a scam when women started outperforming them there. It’s male flight. As soon as a profession, area of expertise or study becomes dominated by women, they start to demonize it. Don’t listen to them. Get an education.

In this vein, it's a weird coincidence doctor's salaries have fallen off a cliff (and governments increasingly seem to consider us irrelevant to the provision of healthcare) as more women have entered the profession.

Important letter in The Times from a doctor involved in mental healthcare 👇

Good luck to everyone working the bank holiday weekend! Never forget the F1 is the lowest paid person in the hospital during a bank Holiday.

Considering 2.8% is below inflation, this is literally saying to NHS staff that the cost of maintaining the NHS doesn't fall on the general population, it falls on you. Your pay will be cut yet again so the public can have a health service. Nope, not acceptable.

I don't remember seeing this in Labour's manifesto, do you?

"Since 2022/23, NHS spending has fallen slightly in real terms" If Wes Streeting is actually delivering cuts to the NHS, how can he expect productivity, efficiency and patient care to improve when the core issue is underinvestment? We know we have some of the lowest number of

Since 2008, NHS doctors have effectively subsidised the health service by £25billion, simply because our pay hasn’t kept up with RPI inflation. That shortfall helped keep the NHS afloat, but it came directly from doctors’ pockets. We stayed. We worked through a pandemic, rising