Askforadoctor So triage symptoms they can’t see presenting to GP or ED:

Abdominal pain
Chest pain
Headache
Confusion
Dizziness
Anything pregnancy - any woman of childbearing age
Anything paediatrics
Diarrhoea
Urinary symptoms
Rashes
Weakness focal + general
Lethargy
Cough
Dyspnoea

The list of

- 2a: PA can't diagnose but can manage somehow once a real doctor has diagnosed

and

- 2b: PA can't play any part in diagnosis or management of (i.e. can't recognise or treat).

according to the PA matrix.

Remember they work in GP/A&E.

Few missing as I got bored.

‘The physician associate will be required to work autonomously in the practice’

RCGP what could possibly go wrong ?

The 11,346

What if we went in a different direction with ARRS funding? What GP numbers could it fund?

The current ARRS pot stands at £1,441,000,000 or £1.4 billion

Paying an FTE GP £100k a year for 8 sessions... with NI and Pension... would be 127k.

9/12

ExplosiveEnema GMC @medicalmodelwithabriochebun Prof Colin R Melville There now needs to be an EMG on a vote of no confidence in the GMC and its current leadership.

The British public are not safe.

Official GMC council meetings 2015

Makes it crystal clear the intention of regulation isn't safety, but to allow them to act as 'medical role substitutes' up to ST3 level

The GMCs position as a regulator is untenable

Credit: @medicalmodelwithabriochebun

Prof Colin R Melville

Jenna Johnston I remember at medical school, someone requested a list of conditions to revise for a specific exam. The leadership team refused because they didn't want us rote learning specific conditions without understanding everything else.

Ironically that's the entire PA course.

Yes the threshold needs lowering - there’s also a postcode lottery of GPs not following NICE guidelines to test where iron anaemia is present in younger women. Cases of #bowelcancer among young people are on the rise - yet we’re too often diagnosed late stage 😔 #nevertooyoung

Tories passed legislation for Physician Associates to replace doctors in a lot of their work.

Doctors and medical organisations say it's dangerous and should NOT be allowed.

Tragically Emily Chesterton died after a PA misdiagnosis. Her parents spoke out on @gmb ⏬️

Despite the courage & determination of the late #EmilyChesterton ’s parents in highlighting how dangerous such a model of care is, this PA job advert is advising the same. 2yrs of training doesn’t equip anyone w/ the knowledge & skills to do this safely.
Barbara Keeley 💙 🇺🇦 Natalie Bennett Good Morning Britain

conker lover ExplosiveEnema GMC @medicalmodelwithabriochebun Prof Colin R Melville And yet, to my knowledge, GP registrars aren’t even left to crack on.

@medicalmodelwithabriochebun 8 weeks GP placements and then working in Primary care 😲

Steve Taylor Dr Helen Salisbury Selvaseelan Selvarajah Kamila Hawthorne Professor Stephen Powis Wes Streeting MP Shaun Wooller Dr Carter Singh MBE Uwa Ima-Edomwonyi Abs Ibrahim Imran Rafi Catherine Tichler Susi Caesar Mohana Ratnapalan Victoria Tzortziou Brown Shaun Lintern

Jenna Johnston The Cricketing Doc™️ 🇵🇸 NHS England GMC RCGP Royal College of Physicians It is. having 3 GP appointments to try an unravel the nonsense of 8 PA appointment. the only win is that the NHS England 'access figures' look phenomenal

platinumpizza™ I can't tell what's worse

A: they are telling the truth about seeing under 3s, which is a patient safety concern

B: they are lying, which is a probity concern (by extension also a patient safety concern)

C: B plus the fact advertising such lies mislead prospective students

ALL staff in the NHS from cleaners to consultant surgeons are heroes and do a vitally important job for our health service. However, the fact that Agenda for Change thinks that an administrator should be paid the same as a staff nurse in charge of a ward (Band 5) is mind-blowing.

PA’s are unfortunately a classic example of the Dunning-Kruger effect.

They work well within models where there is around the clock senior supervision (e.g. ED). Outside of that, they’re dangerous because they don’t know what they don’t know.

PAs can save money by replacing less experienced doctors!

Totally, definitely, absolutely not what we're seeing in practice...

5/🧵

The alternative angle to this of course being 'the GMC was aware of PAs being used at ST3 level without the requisite training and chose to do nothing about it' - why were eyebrows not being raised 10 years ago?

I imagine this is how it goes:

Receptionist: what is the reason for the appointment?
Patient: I think I've got a UTI

Physician associate sees 'UTI' as the appointment reason.
Takes a history, does an exam.
Tells GP to prescribe abx.
Posts on Instagram that they cured a UTI.

Rupert wilson @medicalmodelwithabriochebun Dr Sandeep Bansal Askforadoctor Absolutely
Needs to be reported, but Faculty of PAs @ RCP aren’t interested (I mean given who the President is it’s not a surprise) & GMC are turning a blind eye to so many of these Instagram & TikTok PA cosplaying as Dr accounts