Burnt Toast
@Burnt2020
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Joined June 2023
Great thread. No money for residents, but billions for ‘medical role substitutes’. There have been a lot of posts about this over the weekend, this thread is a must read for anyone claiming ACP/PAs were not intended to replace doctors.
Sadly it seems the Resident Doctor strikes are inevitable, and as usual @wesstreeting blames RDs and @theBMA for being unreasonable, that there’s no money. So I thought it’d be helpful to look at the workgroups Wes IS funding: ACPs 1/
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Does anyone know if ACPs can replace nurse practitioners, ANPs, or nurse consultants? Does @theRCN support ACPs taking on advanced nursing roles if they wish?
Who better to get us to think differently about nursing workforce challenges than the inimitable Prof Alison Leary? #NursingLive @alisonleary1 @annemarieraffer @ShaunLintern
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This is true. However we have not heard any leaders of the nursing profession say the same thing about the drive to replace doctors. Will they maintain this bizarre double standard, or actually fight for patient safety and challenge doctor replacement?
@The_Gusman @alisonleary1 Registered nurse gaps can only be filled by registered nurses. That’s what the research evidence shows. Lives are put at risk if there are not enough RNs to deliver and coordinate care. #safestaffing
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There is a significant problem in UK healthcare when senior nurses use terms like ‘medical primacy’ as a derogatory expression and claim it is a problematic issue when discussing the practice of medicine.
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Presumably their answer is no, and they support the use of responsible clinicians who are not psychiatrists being in charge of a sectioned patients psychiatric care. The follow up question is then why do we need psychiatrists?
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I will ask this question again to @rcpsych Shouldn’t the care of a patient sectioned under the MHA because their mental illness is so severe you need to force them to have treatment, be led by a psychiatrist?
@ProfRobHoward @medicalmodelbri @Foreman1David @ErinGourley1 @waterman_harry @DrNandiniC Sectioning an extremely vulnerable person, forcing them to receive treatment, and depriving them of their liberty should require a consultant psychiatrist to provide a diagnosis and treatment plan. Do you think these patients deserve consultant led care?
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Supposedly has money to bring in 70k ACP/ANP and PAs in the next few years (whom were originally only deemed necessary because there weren’t enough doctors supposedly) Yet now he’s holding ransom the public and suggesting he won’t train the most highly skilled workforce to
Health and Social Secretary @wesstreeting: “My message to resident doctors: the fewer doctors who go on strike, the more specialty jobs I can afford to create.”
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Doctors are all lazy, greedy bastards. Until you need us, really need us. Then you want the best, most elite professionals money can buy, with the best education and training possible. The UK is in danger of getting the health service the politicians deserve.
I’m allowed to share an anonymised WhatsApp post. Nothing more to say, except I’m with you, resident doctor colleagues and other doctors working in the NHS. Enough is enough.
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Read this then reflect on @wesstreeting threat that he will not expand the number of training posts to produce more desperately needed consultants and GPs. This is Streetings plan, keep replacing doctors with people not qualified or able to do the job. It is idiocy.
The NHS annual budget is ~ £200 billion Let me show you and explain how £40 billion a year of it is being wasted 🧵 👇🏽
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The NHS annual budget is ~ £200 billion Let me show you and explain how £40 billion a year of it is being wasted 🧵 👇🏽
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A clear sign that Streeting will simply continue to replace doctors. Who will get his waiting lists down and pick up the work needed to be done? Residents become Consultants and GPs, Streeting is clear they are no longer needed in the NHS.
Today @wesstreeting has put junior doctors on notice that taxpayers’ cash will not fund more training posts if they continue to strike, in interview with Sunday Times @cazjwheeler READ:
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It’s like asking the blokes who stole those jewels from the Louvre whether the security systems need improving. The people running this review are directly responsible for many of the problems UK residents have to overcome and have done a huge amount of harm to medical training
The names of people who refused to accept that PAs were being used to replace doctors-and undermining training- and tried everything possible to undermine attempts to highlight this as well as the @RCPhysicians vote during EGM: Evans; Melville; Mcleod; Whitty; Powis The people
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Well said.
Fail patient safety - become chairman of Patient Safety group in gov : Hunt Create a failing, fragmented NHS, become a peer at House of Lords whipping further detrimental policy changes: Stevens Enable doctor replacement and death of primary care: become a HoL peer: Gerada
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Congrats @ClareGerada! All because you fought for the profession you love 🙂
Huge congratulations to our former Chair and President Clare Gerada on becoming a Crossbench Peer in the House of Lords. A lifelong College member and now a Baroness – but first and foremost a grassroots GP who continues to deliver exceptional care to your patients and to fight
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When I say “bookmark this” The rest is mere inevitability
@Parody_RCGP @wesstreeting I am forecasting a House of Lords seat Bookmark this 😊
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Once again a real advocate for doctors was spot on.
@Parody_RCGP @wesstreeting I am forecasting a House of Lords seat Bookmark this 😊
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And who has just been appointed to the House of Lords? Fighting for doctors 🤣🤣🤣🤣 Good news for any aspiring medical politicians, do what the government want and this too could be you!
The BMA opposed the NHS at its founding. Now, with more strikes planned, it risks hastening its collapse. Every delay and cancelled op strengthens those who argue the NHS no longer works. We must fight for the NHS — not just for ourselves.
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So when UMAPs, AoAA, GMC, NHSE, etc. describe MAPs (or ACPs/ANPs) as practising as middle grades it is a deliberate misnomer as none of them have anything like the qualifications of a doctor who is an SpR. It's all spin used to hide the reality of how doctors are being replaced
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The issue is that MAPs were never educated or trained to the level of any doctor, even a newly graduated F1. The term 'mid-level' when used as it is in the US may have been reasonable, however in the UK the term 'middle grade' means something completely different
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This description of 'middle grades' means doctors from ST3-ST8 level. It is bastardised from the US term 'mid-levels' which describes PAs, NPs, CRNAs - i.e. groups of professionals who are not medically qualified, in advanced practice roles, but less educated/trained than doctors
@RemindMe_OfThis @InvCoriolis @Burnt2020 @DavidMulvey5 @Anisocyte @Parody_RCGP I’ve had a look, the term middle grade maybe correct (did a search seems common for ACPs too etc ) , but I do find the term confusing, I wouldn’t personally describe AAs as middle grade.
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