All our appointments are gone by 0805 so you might want to check that chief.

#hello I'm Dr Kirsty 🏳️‍🌈 Dr Sandeep Bansal @medicalmodelwithabriochebun David Oliver Louella Vaughan Caffeinated Sceptic Prof Alison Leary 💙#ProtectNurse Mary Springchicken Jacqui Lewis Partha S Kar 🇮🇳🇬🇧🏏🎥 Burnt Toast Balazs (🦋cannulaservice.hibalazs.net) Callum Williams Jen Johnston Catherine Williams David Hartin Rachel Cadwallader Buckland Jane Professor Lucy Easthope The BMA Resident Doctors Jack Fletcher Royal College of Emergency Medicine UMAPs.org.uk All ST3s and ST6s have a tested and examined minimal level of competence and knowledge. No level of ACP has any test of their knowledge, they brag about it in their videos. Open book exams and portfolio credentialling

Carter miller permanentlyexhaustedpigeon David Oliver Burnt Toast #hello I'm Dr Kirsty 🏳️‍🌈 Louella Vaughan Caffeinated Sceptic @medicalmodelwithabriochebun Dr Sandeep Bansal Prof Alison Leary 💙#ProtectNurse Mary Springchicken Jacqui Lewis Partha S Kar 🇮🇳🇬🇧🏏🎥 Callum Williams Jen Johnston Catherine Williams David Hartin Rachel Cadwallader Buckland Jane Professor Lucy Easthope The BMA Resident Doctors Jack Fletcher Royal College of Emergency Medicine UMAPs.org.uk Back in 2018 I worked with a (then) trainee ACP who'd worked as a physio for 3 years before just starting the course. On the frailty unit they were seeing patients independently on ward round like the doctors. Safe to say they're not all or even mostly v experienced.

Wendy Burn CBE 🌈 Meg 👨‍👩‍👦‍👦👩🏻‍⚕️🇮🇳🇬🇧🏏🎥(BlueSky Name👇) Parody RCGP Nuts - but it’s easier for the trusts to just use GPs to prop up prescribing - so they do. Same for absence of supervision for specialist nurses who can’t prescribe/encounter things outside of their remit. The latter is a particular nightmare as the patient is often told

Parody RCGP I have no idea ! GPs need a new contract which is pay per activity than currently unlimited work for a global sum. “Make General Practice Fit for future” like Wes Streeting keeps saying

I understand it's infuriating for patients, but when you have 10 minute appointments back to back, you can't afford to overrun. The simple thing is this, we need more GPs, more funding and more time. This is something out of our hands as clinicians!

Why would a Somali-run children's day care centre in Leicester employ four people when they have zero children enrolled?

David Oliver Prof Alison Leary 💙#ProtectNurse Catherine Williams Louella Vaughan Leanne Patrick QN Jo Franklin Caffeinated Sceptic @medicalmodelwithabriochebun Dr Sandeep Bansal Mary Springchicken Jacqui Lewis #hello I'm Dr Kirsty 🏳️‍🌈 Partha S Kar 🇮🇳🇬🇧🏏🎥 Burnt Toast permanentlyexhaustedpigeon Balazs (🦋cannulaservice.hibalazs.net) Callum Williams David Hartin Rachel Cadwallader Buckland Jane Professor Lucy Easthope The BMA Resident Doctors Jack Fletcher Royal College of Emergency Medicine UMAPs.org.uk Can you qualify this? “Most will not be working in roles that Drs would traditionally do.” Because that’s 100% why the roles exist. EDs with 35 ACPs- if they left tomorrow what profession would be employed to replace them?

Ah yes. The ST3 equivalent ED ACPs are so good they're *11* times more likely to cause a safety incident. Keep telling us how your ED ACPs are so amazing!

Conor McGrane Umair Dr Done Yep. We would love that. We are going to need to triple the number of GPs to facilitate that immediately and then double the number every four years. I can’t imagine a single GP disagreeing with that.

Catherine Williams Dr Sandeep Bansal Prof Alison Leary 💙#ProtectNurse Jen Johnston Louella Vaughan Leanne Patrick QN Jo Franklin Caffeinated Sceptic @medicalmodelwithabriochebun Mary Springchicken Jacqui Lewis #hello I'm Dr Kirsty 🏳️‍🌈 Partha S Kar 🇮🇳🇬🇧🏏🎥 Burnt Toast permanentlyexhaustedpigeon Balazs (🦋cannulaservice.hibalazs.net) Callum Williams David Hartin Rachel Cadwallader Buckland David Oliver Jane Professor Lucy Easthope The BMA Resident Doctors Jack Fletcher Royal College of Emergency Medicine UMAPs.org.uk I don't know on what basis an EM consultant is supervising them at all if they are practising their base profession, and not medicine. Cons would have no jurisdiction. Let them practice freely.

David Oliver Jen Johnston Prof Alison Leary 💙#ProtectNurse Catherine Williams Louella Vaughan Leanne Patrick QN Jo Franklin Caffeinated Sceptic @medicalmodelwithabriochebun Dr Sandeep Bansal Mary Springchicken Jacqui Lewis #hello I'm Dr Kirsty 🏳️‍🌈 Burnt Toast permanentlyexhaustedpigeon Balazs (🦋cannulaservice.hibalazs.net) Callum Williams David Hartin Rachel Cadwallader Buckland Jane Professor Lucy Easthope The BMA Resident Doctors Jack Fletcher Royal College of Emergency Medicine UMAPs.org.uk why are you continuing to lump everyone in the same debate? This is one about ACPs - not Specialist nurses at all.

Viva le NHS.

#hello I'm Dr Kirsty 🏳️‍🌈 Secret Physician ConsUltaNT-ACP Erin Dr Sandeep Bansal Flex David Mulvey permanentlyexhaustedpigeon PS H-e-l-e-n 🍉🇵🇸 David Oliver Louella Vaughan Caffeinated Sceptic @medicalmodelwithabriochebun Prof Alison Leary 💙#ProtectNurse Mary Springchicken Jacqui Lewis Partha S Kar 🇮🇳🇬🇧🏏🎥 Burnt Toast Balazs (🦋cannulaservice.hibalazs.net) Callum Williams Jen Johnston Catherine Williams David Hartin Rachel Cadwallader Buckland Jane Professor Lucy Easthope The BMA Resident Doctors Jack Fletcher Royal College of Emergency Medicine UMAPs.org.uk So the fact that highly trained staff sometimes make mistakes means that we can replace them with more poorly trained staff?

Very hinged.. Surely this must be tiring.

Dr Oliver continues to misrepresent the argument, is he doing this on purpose?

Kirsty, I have now looked at your bio. I seen that you have done History of Medicine (as have I). And have a PhD in health service. So I asked the following in good faith: Academic HoM is basically the study of disputes over knowledge and power. Who got it. Who has it. Who 1/

#hello I'm Dr Kirsty 🏳️‍🌈 Anisopoikilocyte Dr Sandeep Bansal permanentlyexhaustedpigeon PS H-e-l-e-n 🍉🇵🇸 David Oliver Louella Vaughan Caffeinated Sceptic @medicalmodelwithabriochebun Prof Alison Leary 💙#ProtectNurse Mary Springchicken Jacqui Lewis Partha S Kar 🇮🇳🇬🇧🏏🎥 Burnt Toast Balazs (🦋cannulaservice.hibalazs.net) Callum Williams Jen Johnston Catherine Williams David Hartin Rachel Cadwallader Buckland Jane Professor Lucy Easthope The BMA Resident Doctors Jack Fletcher Royal College of Emergency Medicine UMAPs.org.uk Imagine you are an FY2 just about to complete your training year. You have applied for ED CT training but the competition ratio is 14:1. There are no locum or LED jobs available and you are applying to Tesco's just to make ends meet. Then you read Leeds ED has staffed 35 ACPs.

Nathan @medicalmodelwithabriochebun David Oliver Prof Alison Leary 💙#ProtectNurse Catherine Williams Jen Johnston Louella Vaughan Leanne Patrick QN Jo Franklin Caffeinated Sceptic Dr Sandeep Bansal Mary Springchicken Jacqui Lewis #hello I'm Dr Kirsty 🏳️‍🌈 Partha S Kar 🇮🇳🇬🇧🏏🎥 Burnt Toast permanentlyexhaustedpigeon Balazs (🦋cannulaservice.hibalazs.net) Callum Williams David Hartin Rachel Cadwallader Buckland Jane Professor Lucy Easthope The BMA Resident Doctors Jack Fletcher Royal College of Emergency Medicine UMAPs.org.uk Imagine being an FY2 with 2 degrees and MRCP - seeking senior advice … only to be directed to these guys …

@medicalmodelwithabriochebun #hello I'm Dr Kirsty 🏳️‍🌈 Anisopoikilocyte Dr Sandeep Bansal permanentlyexhaustedpigeon PS H-e-l-e-n 🍉🇵🇸 David Oliver Louella Vaughan Caffeinated Sceptic Prof Alison Leary 💙#ProtectNurse Mary Springchicken Jacqui Lewis Partha S Kar 🇮🇳🇬🇧🏏🎥 Burnt Toast Balazs (🦋cannulaservice.hibalazs.net) Callum Williams Jen Johnston Catherine Williams David Hartin Rachel Cadwallader Buckland Jane Professor Lucy Easthope The BMA Resident Doctors Jack Fletcher Royal College of Emergency Medicine UMAPs.org.uk No because the ACPs do not work nights in Kirstys department.