ConsUltaNT-ACP
@ConsUltaNT_ACP
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Top tier Consultant ACP. Ex-PA. Quad registered Nurse, Physio, Paramedic, Pharmacist. ACP MSc & years of experience. Does anyone need a senior review?
NHS
Joined October 2025
Some say that his medical knowledge is lacking, and that if he took a doctors exam, he'd probably get his name wrong. All we know is he's called the ConsUltaNT ACP and works at ST3 level with ease.
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Been happening for more than 20 years. Why the sudden concern?
Discussing the 'skill escalator' concept with Martin McKee (late of this parish). Mentioned in the 10YP. This suggests that anyone entering the NHS workforce can 'progress' through different roles/grades, limited only by their 'potential'. It has been touted as a partial 1/
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If advanced practice is so dangerous for patients, why have you all been complicit for the past 20 years?
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Clearly not a safety issue. Purely a doctors job issue. ACPs are safe and worthwhile.
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Why the sudden ACP hate? We've been doing this for over 2 decades. No significant issues when compared to resident doctors. What's changed? You guys need a scapegoat, and you're trying to make advanced practice your sacrificial lamb.
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This idea makes PERFECT sense!
@Molly2323232323 @VincentVanGrump @Jamesmealey10 Read above, they are needed. They're always needed, but: reduce doctors numbers to 25% of current drs at uni. Less competition and be consultants in future. (Also pay them better). Then just up-skill nurses to become ACPs, ANPs, etc. (who will be supervised by said consultants).
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The issues with waiting lists are nothing to do with advanced practice
The Kitchen analogy used here is an important one. Because it's also used as an excuse to justify workforce substitution aka The Cheesecake Factory model. This argues that the role of the 'fully trained ' chef is no longer to 'cook' but to oversee less well trained staff. /
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People messaging asking who I am. Doctor? PA? ACP? None of the above? I'm the motherfucking ConsUltaNT ACP.
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If you're going to message abuse, don't have your trust and department in your bio. And you're trying to tell me doctors have superior intellect.
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When vascular ignore the orthopods
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r/DoctorsUK is full of whining and stuck up doctors. I can see why the government hates them.
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“Digital ID will cure cancer and bring Woolworths back, that’s for deffo. No lies.”
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This is exactly what airlines do! First officers have less training and experience, supervised by captains who have more training and experience. Both do a similar job in terms of skill and day-to-day. Captain is there for difficult situations and oversight. Works well.
This has nothing to do with jealousy nor insecurity. 2 years of condensed information does not equate to >5-6 years of medical training. E.g. A pilot assistant with 2 years of education and less experience without necessary qualifications would be safe to fully operate a plane
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It does though, not everything, but you cannot tell me exposure to something doesn't give you some knowledge.
@stevepow8468 @kcisc @Molly2323232323 Spent well over 20 years working in in-depth ways with physiotherapists but it doesn’t mean I feel like I could do their job. Their knowledge doesn’t miraculously osmose over to me.
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First, do no harm. Second, get youself into the staff room, someones got pizza!
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Y'all licking junior doctors arseholes have obviously never done a PTWR. My mate Frank, who loves Holby city and 999 on the front line (also Grey's anatomy), can often come up with a better working diagnosis. ACP/PAs are not worse than doctors. We're all amazing.
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Added to my CV "Useless with fractures and things." Jane, the expert.
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