USA courts fight back against health care staff who try to deceive patients by calling themselves doctors. ‘California nurses with doctorates do not have the right to call themselves doctors, a federal court ruled, upholding a state law that regulates health titles’

“Just over a third of licensed GPs in the UK did not work for the NHS in 2024, up from around a quarter in 2015, according to a BMJ study.” It will be 50% by 2028/9🤓 Study finds despite 40,000 “assistant” roles on the payroll ……patients want to see a doctor !!

RCEM poster explains level of entrustment / supervision / trainee / clinical staff/ based on Consultant location …..from the same clinical room in the hospital ……..to at home in bed in the same county!!

This dates back to 2020……still relevant today ……an ANP is whatever he/she fancies being and doing😳😬

Views of PAs from the USA Probably a small survey…..but still divided as a whole. Some still pushing for independent practice. Only 3 states have adopted ‘Associate’ title ….so that’s a non starter!!

How long is the ‘jury’ deliberating 🤷🏻‍♂️🤷🏻‍♂️

😂😂

Sad reflection on the current relentless race to the bottom in UK health care ……worth a read😳

I think its variable and developing / shifting sands: Job spec for ACP in ED::

I think they can apply 😎

First time I’ve seen an advert for a trainee ACP in ED…..are these jobs converting PAs to ACPs 🤷🏻‍♂️🤷🏻‍♂️ “Trainee Advanced Clinical Practitioner - Emergency Medicine North Cumbria Integrated Care NHS Foundation Trust” £54,710 😳😳

Thanks FFLM for response to Leng….again brutal but honest 👏 FFLM Press Releases View our press releases and press statements below. FFLM Response to the Leng Review 31 July 2025 In PDF format so doesn’t copy to X

⬇️ “The Health Secretary has agreed to implement the recommendations of her report in full, prioritising safety and reassuring patients that, when they seek medical advice for a range of symptoms, they will be seen and diagnosed by a qualified doctor.”

👀👀👀…….buckle up for winter 🥶 Unite’s ballot of members in health has demonstrated the strength of feeling among the NHS workforce with 89 per cent of members believe that the pay award (3.6%) is unacceptable and are prepared to take action up to including strike action.

“NHS strikes could spread further after paramedics joined thousands of health workers in rejecting a pay deal.” A queue is starting to form 😬😬😬

Experts would be wise to heed a recent warning to lawyers on use of AI This applies to Medical Experts using AI to complete a report ……AI may generate false information……won’t look 👀 good in court 😬😬

Spotlight on: The Leng Review Save the date !!…..July 30th…..early evening online Webinar Not a re - review of the Leng report….but a talk / Q&A on what happens now…..what does the future UK healthcare team look like…👀…..should be interesting 🧐

Emergency Radiology - Bridging the gap: Innovation, imaging, and immediate care Save the date - Friday 10th October👍 One day online CPD Webinar on current innovation in Emergency Radiology

RACGP - NHS reins in physician associates Australia now has a chance to reflect on doctor substitution roles in light of the fallout from the PA debacle in the UK. I think they’ll choose quality training over quick poor quality fixes.

PA trade union taking legal advice on 'how to dispute' Leng recommendations 👀…….as Arthur Scargill once said…..’compromise’!!……can’t even spell it 🤓