Martin Wadley Dr Linda Dykes @[email protected] Tim Ricketts Walsall Healthcare The Royal College of Surgeons of England Look at the previous publications. Absolutely they’re aware, and absolutely they chose. And oh so absolutely mediocre but sure isn’t that just very on brand for the whole nonsense?

Dr Linda Dykes @[email protected] significantrisk Tim Ricketts Plan to tweet some more about this but:
The team involved must surely be aware of the current controversies surrounding PAs/AAs and unregulated roles for non-doctors
So the team at Walsall Healthcare chose to submit a desperately mediocre paper and The Royal College of Surgeons of England chose to publish?🤷🏻‍♂️🤷🏻‍♂️🤷🏻‍♂️

Steve Taylor I don’t think it’s bad intent. I think it’s a naive understanding of the nature of health care … a failure to recognise that the practice of medicine is not just a set algorithmic technocratic processes but is grounded in nuanced judgements, trust and personal relationships.

A national report on costs of ARI show costs averaging £48 per appt
GP practices shown to cost significantly less
£165/patient/year - average 7 appts 3.5 of which are GP
It would be interesting to see ICB costings of hub appts
No one is doing this calculation
Fuller = More costly

Why are NHSE/ICBs pursuing plans that cost more, reduce patient care?
Same day access plans are dangerous, fail patients, are being driven by failed understanding of data/needs
http://https//www.lmc.org.uk/news/why-improving-access-with-core-hours-same-day-hubs-misses-the-point/

Raising patient safety & workplace concerns in the NHS can be pretty damn scary

The powers above don’t take kindly to whistleblowers & I’m fully aware of how vulnerable we are as individuals.

Institutions using “be kind” as a threat to silence us.

To all those risking their…

Adam Janjua pain management team without a specialist physio and psychology input do not seem to know how to treat chronic pain - I've dealt with 3 patients we spent 6 months getting them off the junk that Pain clinic started and helping them live their life again

The madness continues! Patient under the pain management team is asked to contact GP for pain relief! I should clarify that this patient has been under their care for sometime and has stated several times that the pain relief isn’t working. This was not a clinic encounter. But it…

RIP Dr Hamza Rafaqat Butt - Junior Doctor ENT Northampton

Inna Lillahi wa inna ilayhi raji'un

Allama Iqbal Medical College 2019

From Sialkot, Pakistan

May have just had one of the most soul-destroying shifts in A&E I’ve ever had. How is it ok that people are waiting on a chair for over 2 days for a hospital bed? The moral injury of delivering such poor care is just awful.

Stolen from a fantastic account that is locked...

1. It's disappointing that people have this wholly wrong view (disappointing but not surprising, because it's easier than looking at their own flaws)
2. It had people liking it rather than it getting a flurry of down votes.

rodric jenkin Ahmad Barotchi Louella Vaughan Dr Linda Dykes @[email protected] It’s one of the most embarrassing papers I’ve ever seen published.

Tim Ricketts Dr Linda Dykes @[email protected] Quite, they decided in the 1700s that surgeons required medical training to be safe and effective.
I do not know exactly what has happened the last few years where it seems everyone that isn't a doctor can say 'ohhh, lets have a go'.

This is a terrible study. I am actually surprised it was published.

It is a breakdown of one person's performance. But NO comparators.

I imagine huge selection bias.

Assisted in every case by a doctor. What does 'assisted' even mean here?

This proves absolutely nothing.

This 'study' (I use that term loosely) is just a review of one SCP operating with no control - how did it get published.

The Royal College of Surgeons of England should retract this paper - nowhere is there evidence in this paper to support the conclusion that SCPs can perform LC safely.

Disappointed to see The Royal College of Surgeons of England publishing this. A single SCP has been allowed to perform lap choles on patients as the primary operator.

What is the point of med school, surgical exams, core training and specialty training? All the courses, publications and presentations?

Would be a far better investment to spend this time, energy, resources &money on training actual doctors to perform surgical procedures

Could Walsall Healthcare
& University Hospitals Birmingham explain why they decided not to invest in actual trainee surgeons? You know, the future surgical consultants

I've got a crazy idea The Royal College of Surgeons of England

Maybe let surgical trainees actually operate, and let an assistant do the discharge letters?

If an SCP requires a consultant, registrar or surgeon SHO to 'assist' their operation, what is the actual point of them existing?

You might as well have the surgeon do the operation.

Which is what the patient would prefer.

Apparently we’re just letting anyone do surgery now, who needs a medical degree? Are we really wanting to move to a world of having “surgeons” be technicians doing the same procedure over and over? Do patients want this?