Every single PA could be replaced TODAY by a qualified GP . There are thousands of them unemployed or underemployed. The issue isn’t access . This warm body on a rota theory needs to stop . Patients want access to medically qualified GPs, not medically unqualified quacks .

@medicalmodelwithabriochebun PA Stephen Nash UMAPs.org.uk The College of Medical Associate Professionals Re Mr Nash’s comment quoted in Pulse, there’s a bit of wishful thinking on his part, the Pulse survey finished 3 working days after Leng publication so its full effect would not be reflected in the survey. Secondly, the majority (I think) of PAs in primary care are funded by

We have a shortage of nurses , for nurses to advance they must become fake Drs such as these ANPs in GP. These ANPs are working in the role of a GP seeing undifferentiated Pts whilst qualified GPs can’t find jobs How is this ok Wes Streeting youtu.be/q_zBkR48E8U?si…

84% of locum GPs struggle to find work, while there is a shortage of nurses in the NHS, yet ANPs are filling GP roles. This isn't workforce planning, it's mismanagement. We’re sidelining qualified doctors and deepening the nursing crisis at the same time.

Tim Ricketts Sadly, Options 2 +3 don't happen unless patients come to harm. Eventually, public and legal opinion requires retightening and redefinition of regulation. It has taken decades to get us here. It's going to take decades to fix.

Mary PS Dr G 💚🤍💜 🇪🇺 Tim Ricketts ll @medicalmodelwithabriochebun nmc.org.uk/concerns-nurse…

Stephen Kinnock Staff it with medically unqualified people who can’t safely make a diagnosis who will unnecessary order x rays & scans & the service providers can profit , those providing the reporting technology can profit & patient may or may not be helped 🤷🏻‍♀️

Jen Johnston @medicalmodelwithabriochebun Royal College of General Practitioners Kamila Hawthorne Exactly. Med students are supervised throughout their 5 yrs at uni, rightly so. If I was instructed to let them loose on patients like this I’d just refuse. Why are PA students treated so differently? Who wrote this guidance for HEE? We need names! Dr Navina Evans NHS England Workforce, Training and Education

Yes actually. More doctors on good pay with decent conditions IS the solution. Except no British Govt over the last 40 yrs has wanted to pay for this. Workforce substitution is inferior care on the cheap.

Time the PA project was called out.The chickens are coming home to roost. Patients, relatives of those misdiagnosed or worse, an opportunity to kick back. Money is little compensation. But it will highlight what Department of Health and Social Care & Wes Streeting are enabling. pearsonlegal.co.uk/blog/news/phys…

The next time an ACP claims that they aren’t here to replace Drs ? Post this document Bookmark it . nuffieldtrust.org.uk/sites/default/…

Tom 💙 Bekki Hills @medicalmodelwithabriochebun Anisopoikilocyte vintendo BS Tim Ricketts pontee Parody RCGP - Not a Doctor or PA PA Stephen Nash UMAPs.org.uk The College of Medical Associate Professionals That is healthcare/treatment. Not medical treatment which requires advance thinking beyond specific clinical tasks. We know this. Anything further is unwarranted professional protectionism by ACP’s: many of whom are fabulous. But are not medics. Don’t short change patient safety!

Bekki Hills Still waiting for these enablers to clarify how ACPs and PAs are held accountable to the same standards as doctors under the GMC governance framework, and how Datix ensures their incidents are escalated to a regulator rather than buried within trust walls.

If they're equivalent to ST3s then can anyone explain why actual ST3s are legally required obtain a medical license & held to legally higher standards for their mandatory qualifications? How have they determined this equivalence & what metrics do they use? Any ideas Royal College of Emergency Medicine?

Mary @medicalmodelwithabriochebun Royal College of Emergency Medicine Wes Streeting Patients need to be fully alert with regards to who they allow to treat them, buy that's very difficult if you're extremely ill in an ED or A&E. What if there's no Senior Drs around? What if you're rushed in unconscious? IC has been reduced to next to meaningless if no option!

It shouldn’t be hard to say it’s never appropriate for non medical graduates to be on a doctors’ rota whilst also recognising a place for advanced practice in other roles The arguments atm are solely b/c of a few malign policy makers facilitated by spineless medical leadership

Jen Johnston Joanne McGinn James Titcombe Burnt Toast ExplosiveEnema Anisopoikilocyte Anaesthetists United @medicalmodelwithabriochebun GMC As soon as it became evident associates were substituting on registrar rotas that should have been a big enough 🚩 to ask further questions Those further question quickly reveal the outrageous & cynical deficiencies in the entire project I can’t understand the silence from many

Lucy B Anon Anaesthetist It’s something that patients will look at and question Advanced Nurse working as a nurse with advances is great but working as a doctor - No, Thank you! Similarly other professions Nothing in that 18 month course makes you a doctor - that is what is being said- do you disagree?

Wes Wes Streeting, We need an independent review into the role of Advanced Clinical Practitioners (ACPs), who are allowed to work ‘autonomously’ and see children in the UK while using misleading titles. What if an ACP barged into a room and introduced herself as Dr X Y? How

It's the wild west, seems anyone can masquerade as a Dr without doing the graft. A review definitely called for, but Wes Streeting has yet to act on Leng Review findings. If I'm unwell I want a Dr looking after me, not someone with a trumped up title who hasn't studied medicine.