DrJCrane
@DrJCraneBatman
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Statuses
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Dr Jonathan Crane. Definitely not a Consultant Psychiatrist in the NHS. Opinions hardly ever my own. #FullPayRestoration or #seeyouinmyprivateclinic
England, United Kingdom
Joined October 2023
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Pinned Tweet
This is all that matters for the next few weeks
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5
8
My primary school aged child developed new symptom over a few days so I called GP practice. Was given PA appointment- told this on checking in. Said to receptionist a child needs to see GP. The receptionist told me PA is a GP. I disagreed- receptionist clearly disgruntled 1/
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2K
@DrPJJB
Dunno when you were a junior doctor, mate, but if you do a bit of ‘Google research’ doctors are asking for pay RESTORATION. So the equivalent of whatev you were getting paid back in the day. Pay RESTORATION. Clue is in the name.
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47
1K
The care child received was thorough.
But the problems are: 1. PA allocated undifferentiated patients 2. PA allocated patient <16 3. Signage on door and in office misidentifies staff as Dr 4. PA didn’t identify as PA 5. Receptionist told me the PA ‘is a GP’ literal quotation.
/4
5
134
1K
I said GP would need to see child also, receptionist warns me this only happens if the PA thinks necessary. Next called into appointment. It says Dr X on the door, Dr X must usually work in that room. It says Dr X on the desk. a unaware patient would think they were seeing DrX/2
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682
The GP practice has always been excellent- I have used it for years. The PA and the GP were both lovely. My child received thorough care in the end. But what do you think of the listed problems 1-5?
10
50
667
The PA is absolutely lovely but doesn’t introduce self as a PA, so had I not sought out information I would certainly think I saw DrX. After PA has heard the history and examined, I ask for their GP supervisor to see child. Gp comes and hears hx and examines child also. All ok /3
3
53
630
Ultimately they could have said ‘sorry no appointments’ when I requested a same day appointment. They could say go call 111. Instead my child got the care needed in the end. So would you raise any of the above points 1-5 to the practice and if so, how to approach supportively?
55
44
510
The de medicalisation of the NHS becomes yet more evident. ANP working in a specific field in local general hospital misinterprets a finding in a patient they are discharging to GP care. Requests the GP refers to my secondary care service ( yes, asked GP to do the needful 🙄) /1
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134
505
@DrEilidhMaria
Definitely. This is the key problem. A non medical or non aware parent would have wrongly thought their child was assessed by a GP. That’s the part that is just not ok.
Child is ok- thank you!
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@Expo1222222
Totally. And if I just went from the signs on door and on desk, I’d think child was seen by lovely Dr X . As for the receptionist saying ‘ the PA is a GP’, don’t know what to say, it’s so many miles off for her to lie to the unsuspecting public.
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30
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@RCPhysicians
@JanetEastham
Rcphysicians deliberately delayed the EGM until after the whole shambles went through parliament. Presented misinformation at the EGM. An absolute scandal and
@RCPhysicians
a disgrace for this and colluding with unsafe AA/PA plan of the government
8
71
282
Great to see Manchester are proceeding with the AA roll out, despite the anaesthetists of the country voting against it . Band 8b. This roll should not exist. Patient safety not a concern then 🙄🙄
20
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@DrEmmaNash
Thanks-I will emphasise they have given excellent care to my child, just to address these issues. I want to be supportive as they are a really great practice, but issues 1-5 were not ok.
10
5
203
If this happens often enough, we’ll see swamped secondary care services; those who actually need it are left waiting longer. Time is patient care, and it’s limited. Only doctors have the breadth of training necessary to know when another secondary care service is needed/4
4
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@KeeleUniversity
Why have you chosen to call them ‘generalist practitioners’ in this clip? That sounds a lot like ‘General Practitioners’ doesn’t it? A patient could think they are seeing a doctor, when they are not. Do you know impersonation of a doctor is illegal?
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15
144
@r1chardf1tzg3r1
@gmcuk
@ESAIC_org
@RCoANews
@AoMRC
@TheBMA
@EJA_Journal
I’m confused
@gmcuk
Have you written new guidance called
‘Bad Medical Practice’? Horrified as a doctor, a patient and a taxpayer that this is the standard of care in the UK today and you who should care for patient safety are actually promoting it
@ShaunLintern
@MichelePaduano
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139
@implausibleblog
Get back the stolen money. PPE , test and trace money laundering schemes. Mass profiteering from energy companies. GET IT BACK before asking for more. Investigation and justice sought for all the current pack of racketeers.
1
27
135
@parthaskar
@NHSE_WTE
@PrimaryCareNHS
@rcgp
@doctor_oxford
@RobJimFleming
@DrSelvarajah
@Richard_GP
@DrAsifQasim
@trishgreenhalgh
@RoshanaMN
@mmamas1973
@DrLKVaughan
@UKGastroDr
This is disgraceful
@ShaunLintern
@JanetEastham
@MichelePaduano
Deceiving the public. Physician associate (2 years training ) advert, with JD full of work as an ‘associate physician’. Fraud. Unsuspecting public as the victims.
3
27
134
The ARRS staff member in my thread is a clinical pharmacist. Great at pharmacy. Not trained AT ALL for the role they are undertaking in the GP practice. Wrong,
@RishiSunak
🚨 Longer video here.
Watch as
@RishiSunak
laughs at an unemployed GP who angrily raises concerns about substituting GPs with Physician Associates.
This is the biggest scandal in the UK right now and it’s being brought to light finally.
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1
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132
I have since seen
@RishiSunak
suggest a pharmacist is appropriate in primary care and must disclose the ARRS staff member is a clinical pharmacist. And no,
@RishiSunak
, it’s entirely inappropriate and causes appropriate patients to wait longer. Capiche?
5
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133
Referral is completely inappropriate, but patient has been told by both ANP and then ARRS staff member that they are being referred to our service. Unnecessary worry for patient and their family. Time used up in my team contacting and explaining this to patient
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@LBC
To clarify, as
@VictoriaAtkins
can’t . Physician assistants were brought in to assist. In the UK they changed their name to ‘associate’ and
@RishiSunak
wants them actually delivering your healthcare after a 2 year course. Yes they are paid significantly more than doctors. 1/2
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@KeeleUniversity
This is very misleading ‘generalist practitioners’. Are you trying to mislead ill patients with this?
@mmamas1973
what do you think of this
@KeeleUniversity
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@doctor_oxford
@RCPhysicians
Read this
@wesstreeting
@Keir_Starmer
Soon it will be your time to sort out the mess the tories want to make of the nation’s health. They are leaving a big mess for you to clean up.
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The hospital discharge summary is Ickes up, not by a GP, but by another ARRS staff member who is most definitely untrained in this field ( no, it’s not a PA on this occasion). Also misinterprets the finding and refers to my secondary care service /2
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@VictoriaAtkins
Consultants and specialty doctors have not accepted the offer-don’t use that as an example.
The ball is still in your court to avert strikes. Restore doctors’ pay. You’ve certainly kept your own- 11th pay rise for MPs awarded to yourselves this week.
#FullPayRestoration
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16
103
@DrAsifQasim
@UKHouseofLords
@JimBethell
Shouldn’t reporters inform the public of this? It’s our NHS and our money
@itvnews
@ShaunLintern
@JanetEastham
@MichelePaduano
@Channel4News
@guardiannews
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101
@chriscraigCCC
@gmcuk
why are you allowing the PA project endanger patients, as this parody description depicts?
@itvnews
the next Post office scandal is happening right now with our health, courtesy of
@gmcuk
, promoted by
@NHSEmployers
with their ‘physician associate’ dangerous game.
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In my second post, it should read ‘picked up’ not ‘ickles’!!
1
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@carolvorders
He laughs after this- laughs. That’s you he’s laughing at, the public. He arrogantly defends the garbage ARRS scheme that uses your taxes to fund anyone- except - a - doctor in primary care. Yes, you can anyone EXCEPT a GP in his scheme. Have people died? Sure! He laughs anyway
1
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@NHSE_WTE
Plus there are lots of GPs out of work now, because you are funding anyone- except- a - doctor for primary care
0
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@UMAPsUK
Study medicine. Then you’ll be in the medical community. Try GEM. Until then, you don’t get a say in medical standards and patients safety. Every doctor I know agree with Professor Kar, and will follow BMA advice. You don’t have to like it. But that’s what’s happening.
1
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@NHSEmployers
@TheBMA
@NHSE_Danny
Stay in your lane
@NHSE_Danny
. Doctors’ union advising doctors is essential. Doctors are the supervisors and are responsible for these dependant healthcare workers. So yup, we’ll decide what’s safe, thanks.
(Well not me personally as I decline to supervise PAs)
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@NHSE_WTE
Or you can fund doctors. There are lots of GPs out of work because you are funding anyone- except- a - doctor in primary care. There are HUGE numbers of ‘junior’ doctors who can’t get onto a training scheme because you won’t fund places for them to train.
1
16
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@NHSScotCareers
No. Anaesthetists are highly trained and highly skilled. A Associates haven’t done any of the training, benchmarked exams and standards- they do 2 years training. Anaesthetists are doctors who train for 14+ years to reach expert level. Patients deserve anaesthetists. Not this.
0
17
97
@medicalmodelbri
@FPARCP
@gmcuk
@TheBMA
@DrNeenaJha
‘Rate your placement’ on social media is beyond unprofessional.
1
4
91
@ShaunLintern
@GSTTnhs
What are you paying PAs for
@GSTTnhs
?
This would ACTUALLY assist your physicians and surgeons.
And wouldn’t endanger the patients!
( Still pondering why they call themselves ‘PHYSICIAN associates’when they infiltrate specialties that have nothing at all to do with physicians)
0
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@TVRJDC
@DocShivSharma
@BucksHealthcare
Please enlighten everyone
@BucksHealthcare
It would be most helpful to clarify, so that doctors can steer clear of working in your organisation
1
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@Ask_foradoctor
Drives me mad! Should completely ban this junior/ trainee nonsense. I have to continuously correct some of MDT who still say ‘GP trainee’. Everyone else in NHS call themselves ‘advanced’, ‘specialist’ ‘brilliant superhero’ or whatever, while doctors drag themselves down
2
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@BBCNews
The whole point is that they are NOT anaesthetists. Do your homework. The sentiment is right, the public is in danger, this is an unprecedented drop in standards of healthcare. Get it right: they are NOT anaesthetists. General anaesthesia should only be delivered by aneasthetists
1
6
85
@ShaunLintern
@GSTTnhs
This is absurd.
The medical students are paying high fees to be a medical student.
The Trust must pay them at least minimum wage.
Or they should JUST SAY NO
0
14
82
@djnicholl
Wow, misleading the Court.
I’m sure you’re going to do something about this, right
@gmcuk
? Right?
3
14
82
@EstherClift
@IOWNHS
@melisapasi
‘ consultant practitioner’ doesn’t mean anything really. You just ‘practise’ healthcare somewhere. Why aren’t you calling yourself ‘consultant physiotherapist’ if you are a proud physiotherapist? I think you and I know you want patients to think you are a doctor.
1
1
81
@goldstone_tony
@_VivekTrivedi
@RobLaurensonD4P
@Vish_Sharm
@trentconsultant
@DrPhilBanfield
@ERunswickBMA
@Doctors_Vote
@BMA_JuniorDocs
@NHSMillion
@10DowningStreet
Good luck finding a doctor that will continue to work in this hopeless country
@VictoriaAtkins
. Wait, no one needs them, you can have an assistant play operation on you instead ‘nhs long term plan’. Laughing stock of the world.
4
9
77
@pulsetoday
Why are you at
@pulsetoday
giving this man such attention? And no, doctors are delighted to work alongside senior nurses and pharmacists as they are ( for some reason) specifically mentioned. Everyone working within their appropriate limits, doing what they have trained for
4
8
79
@JimBethell
Maybe remember patients in the midst of your
#bekind
rant? Remember them? They’re the victims of this country’s disgusting experiment. Nowhere in the world is letting people with a 2 year (some only 4 weeks/ year clinical exposure) loose on patients like the UK. Laughing stock
0
20
77
@ITVNewsPolitics
@itvnews
@thismorning
I’ve said it before and I’ll say it again
For the Pulp fans
Rishi Sunak is a danger to Common People
‘I can’t see anyone else smiling in here’
Here he laughs when a member of the public asks why the NHS can’t go back to when it functioned we’ll before his party took over
3
17
76
@wesstreeting
Focus on patient safety. No one will thank you for being kind and sacrificing more patients’ lives.
1
6
77
@RoySocMed
Why are you asking such a foolish question
@RoySocMed
. How can they be a core part of the healthcare team when they 1. Have just 2 years training, have no further formal training exams etc
2. Didn’t exist to any extent on our healthcare service until 5 minutes ago 😂😂😂
1
9
74
@Telegraph
Only those over 85 yrs have already done national service. So EVERYONE aged 28-85 MUST sign up if ANYONE is forced to. No exceptions.
9
1
69
@Anisocyte
@Expo1222222
That’s so poor, and on a nine week old baby, and ill toddler. It’s terrifying that healthcare in the UK has fallen so low when it used to be great.
1
5
71
@ProfGrahamTowl
@LeanneHPatrick
@SaraTon08500527
@thatsnotmine125
@caspertown42
@Erin_Dean_
@ASiTofficial
@ExplosiveEnema2
@RCPLTrainees
@HSJnews
@AnalysisDrawer
@JamesLynchGTC
@keepnhspublic
Is this for real
@ProfGrahamTowl
? I’ve read all of Harlan Coben’s books AND watched the Netflix series. So I can apply for Prof of Forensic Psychology posts, right? You are ‘assuming privilege’ by only allowing forensic psychologists work in that role. It’s discriminatory.
FFS
1
6
70
@OReillyGem
You’ve made a propaganda piece, lacking any research and getting the facts entirely wrong. It’s bad for patients, not backed by doctors… where’s the journalism?
2
10
66
@gmcuk
You’ve just given yourselves a 14% pay rise. All doctors in the NHS have striked over the last year. Could it possibly, possibly have something to do with the vast pay erosion doctors have experienced, more so than EVERYONE ELSE in the public sector?
5
15
68
@mmamas1973
@RCPhysicians
Lots for the public to know about
@ShaunLintern
alongside
@Assoc_Anaes
legal action against
@gmcuk
The public must know their right to treatment by a doctor is being greatly compromised and their health is at risk. Tories have made
@NHSEngland
the laughing stock of the world
2
24
67
@andrewhesselden
No there’s no doctor shortage. The truth is very much out, but more need to hear it. The shortage is funded jobs for doctors.
@RishiSunak
would like to prevent your access to a doctor and is doing this right now by diverting your taxes into nonsense such as ARRS
0
13
66
@SkyNews
He’s laughing at you all, the public. He has diverted your taxes into the ARRS scheme so that anyone EXCEPT a GP is funded to work in primary care. Patients have died, but who cares, eh,
@RishiSunak
? Lots of unemployed doctors about, but no funding for one to treat you.
2
14
64
@JanetEastham
Why did this tragedy not result in an independent investigation
@RBNHSFT
Why did you ignore the opinions of EIGHT senior doctors on your conclusions? Why did the PA involved partake in the review? These are real people dying, they and their families deserve better.
2
13
64
@premnsikka
Thousands of fully qualified doctors are turned away from anaesthesia, surgery etc each year as the government do not want to fund them to work in the NHS. There’s no doctor shortage. There’s a job shortage for doctors. Government doesn’t mind as it’s your health, not theirs
1
28
60
@BenMearns
@sashnhs
@RCPhysicians
What is wrong with this guy?
Is it $$$$$ ?
Is one of his kids a PA?
Literally can’t fathom the reason for him saying the above. Coz it’s not in patients’ best interests, we all know that. Anyone who can shed a light of the motivation here?
5
5
60
@VictoriaAtkins
@andy4wm
Fix this or there will be no doctors working in the NHSanyway👇.
Oh wait, you want to ‘staff’ the place with physician/ anaesthesia assistants, making the NHS the laughing stock of the world. This is an absolute scandal and will come back at you.
1
22
59
@bbchealth
Why is your headline a lie?
Many royal colleges are about to have EGMs about the disaster that the government
#PAProject
poses for patients. Do your research
@bbchealth
End the
#PAProject
and preserve the right for patients to see a doctor in the NHS.
1
13
57
@BladeoftheS
These PA final questions are far, far lower than GCSE grade questions. My 10 year old can answer there’s and the other examples seem earlier. This is the Assistant -delivered NHS that the government plans for you. You’re gonna need all the luck you can get.
2
6
57
@bbchealth
Not only is your headline a lie, you neglect to say that most doctors deem the government’s
#PAProject
as a huge safety risk to patients. And you add a picture of a victim of the project to your incorrect headline. This is a terrible thing to do. Imagine her family reading this.
1
20
53
@DrNeenaJha
@JimBethell
@JimBethell
doesn’t get that if they haven’t trained to be a GP, they’re … not a GP. They learn marginally more than GCSE biology. Good that the public can see who is responsible when more deaths occur.
1
10
53
@doctorshaib
@RishiSunak
The
@gmcuk
have no conscience and call anyone and everyone a ‘medical professional’. They know the public won’t know that’s different to a ‘medical practitioner’ I.e an actual doctor. But they don’t mind! The distinction is their raison d’etre and is why they need defunding now
3
12
51
@JimBethell
@NAOorguk
Just a few examples showing thousands of doctors turned away though wanting to train as GP, surgeons, etc but the government chooses not to fund training posts for them. The ‘shortage’ of doctors is fabricated and a deliberate choice to limit your access to a doctor.
1
23
50
@silvermazza
Well no harm was done. So it’s not negligence. But points 1-5 should be remedied.
5
4
49
This is a shocking way to ‘staff’ a hospital @ RBNHSFT
Does the local population know this is happening in the Royal Berkshire hospital?
@berkshire_live
Shocking and disgraceful
Since we love equivalents…
This is equivalent to taking a random person off the street, enrolling them in a course, then using them to cover a doctor shift.
Trainee physician associates have a minimum of 0 years medical experience, and a maximum of 1.
Rock bottom.
5
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426
2
45
93
@Disillu89254799
@CementedAM
@NHSGlos
@Dr_Done_
@Xeon4f145d96s1
@DrEilidhMaria
I’ve asked what it means. Please ask too! Maybe someone at
@NHSGlos
can tell the public
3
3
47
@VictoriaAtkins
You want the strikes. That’s why you didn’t come to negotiate when the January strikes finished. No one, including the public, believe a word you say. You literally want the strikes, and have forced the strikes from the start
by doing this👇 and refusing to fix it
0
15
47
@MedRegoncall1
@UCLan
They should never be attempting to diagnose anything. That’s the job of a doctor. They can assist by getting the notes open or ensuring the equipment is functional and present.
1
4
45
@ShaunLintern
@nottmhospitals
This is why doctors are striking, and will continue to do so until pay is restored. Got a problem with it? Write to your MP. It’s your government causing this.
1
14
48
@mmamas1973
Thanks for highlighting. Could
@VictoriaAtkins
or
@RishiSunak
explain why on earth they want worse outcomes for patients, costing more from our taxes? The public should know about this
@guardian
@DailyMirror
@MichelePaduano
@ShaunLintern
5
15
46
@Dr_BellaR
Picturing any of your day’s work in a healthcare setting on social media in this manner should be enough to be suspended. There must be a clampdown on this behaviour. As for a PA and a DNACPR, this dependent practitioner is out of control. Litigation lawyers, get ready
0
4
44
@GMCharlatan
Really sensible idea promoted by
@gmcuk
. The public are delighted with healthcare provided by unqualified unregulated woefully undertrained ‘physician associates’ as long as they can ‘phone a friend’ or ‘ask the audience’
@itvnews
@wesstreeting
@ShaunLintern
@MichelePaduano
0
10
46
@mmamas1973
It’s an absolute scandal that this was ever pushed in the first place. Disgraceful treatment of patients. They’d be as well off to google their symptoms at home. Someone who is woefully undertrained has no business seeing these patients.
1
8
45
@VictoriaAtkins
This is outrageously unsafe. The public must be alerted
@MailOnline
@DailyMirror
@MichelePaduano
@ShaunLintern
@Telegraph
Victoria and Rishi can have an assistant delivering their general anaesthetic and drilling their skulls l, if they like, but the public deserve a doctor.
0
10
43
@VictoriaAtkins
Nonsense and you know it
@VictoriaAtkins
. No country in the world is arranging a health service delivered by assistants instead of doctors. Absolutely disgusting, unsafe third rate healthcare. And you know it
0
6
45
@doctor_oxford
@DHSCgovuk
@gmcuk
@NHSEngland
I think we all know that the unsuspecting patient most certainly did not consent to that.
0
6
45
@sarahfors76
@Mary_Tom11
@TomStocks1982
Who triages patient x to ‘simple’? The receptionist?
This isn’t medicine. It’s downright dangerous.
1
6
43
@gmcuk
Absolutely disgraceful dismantling of gold standard medical training. Deliberately ensures no international recognition. Dumbing down of medical standards in this country. A good time to get into medical malpractice work.
@MichelePaduano
@ShaunLintern
@doctor_oxford
1
10
42
@Dr_Done_
Who is this fool? Why can’t everyone just rock up and do what they want then? Why are doctors forced through extensive training programmes, rotated, internationally recognised multiple postgraduate exams etc? Just why?until that’s addressed- It’s Red/ Amber/ Green for me
1
10
43
@SaraTon08500527
WRONG.
Very much about patient safety.
Disgraceful to list this nonsense while patients come to harm and some have died.
You can’t do a fraction of the training and believe you are safe to treat. End of story.
3
2
43
@iDrSunny
This is just silly now. You can’t flick through 3 pages on each system and say ‘there’s your proof’! . It’s like GCSE level
0
3
43
@howtofinance1
@BMA_JuniorDocs
You obviously don’t know anything about ‘junior’ doctors. Reckon stick to what you know
1
0
40
@JanetEastham
The IT blunder didn’t lead to those prescriptions. The prescriptions didn’t write themselves. The individual PAs chose to do this despite knowing it was illegal. And
@CHFTNHS
has taken no action????
2
6
41
@quackophage
This is disgraceful- against
@NHSEmployers
requirements now. PAs who have done a basic 2 year training cannot replace doctors and to do this is dangerous. ‘No experience necessary’ to work in neonatology. Do
@AberdeenNews
know this is what
@NHSGrampian
plan for the poor newborns?
1
10
39
@vicderbyshire
Just a few examples showing thousands of doctors turned away though wanting to train as GP, surgeons, etc but the government chooses not to fund training posts for them. The ‘shortage’ of doctors is fabricated and a deliberate choice to limit your access to a doctor.examples👇
0
10
40
@medicalmodelbri
I just get upset hearing ‘I done’ ‘we done’ over and over….why hasn’t someone stopped her, if this is a marketing type video FFS
5
4
40
@doctor_oxford
@RCPhysicians
Well done taking this stand Rachel. You are on the right side of history. Take note at what integrity and standing up for patients looks like
@RCPhysicians
you seem to have long forgotten those concepts. VONC
1
3
39
@san____
Don’t do it- stand up for your time and training, clearly others are doing what they want, and will ride roughshod over you if you let them
You’re the future consultant that patients need and will be leading a service.
Make it happen!
1
1
39
@colone1flanders
@_rubberbaron
@SkyNews
No they didn’t. No one born after 1939 had to do it. So anyone under 85 didn’t do it and should join up themselves if they favour such a disgusting policy.
0
0
38
@carolvorders
@LBC
@liambarker
Thanks for covering this
@carolvorders
GPs can’t get jobs. Patient are diverted to non- GPwhen they need a GP. I have thread on the problems this causes for secondary care. Inappropriate referrals swamp secondary care leading to longer waiting times for appropriate patients
1
9
38