zeem
@Zaeem_Mahmood1
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Co-chair (Resident) Doctor's Committee BMA Mersey. Passionate about improving doctor’s pay and condition. @MerseyRJDC
Joined March 2019
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Pinned Tweet
Just a reminder that the lowest paid person in the hospital today will be on the on call doctor.
#FullPayRestoration
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The lowest paid person in the entire hospital today will be the on call FY1 Resident (formerly "junior") Doctor. They will be first port of call for dozens-hundreds of patients. The second lowest paid person will be their immediate senior.
And they wonder why Drs are so angry.
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Idea - how about we leave Drs to remain at a Base Hospital to get trained, and get PAs to move all around the country every 4-6 months doing 48hr weeks full of menial service provision.
That would be cruel?
So why the hell do we make Drs do it then? For less pay, to boot 🤨
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There is an unwritten agreement between NHS and Drs.
If Drs staff the soul-crushing on calls in horrible DGHs (enforced via rotations) they will get career progression and training.
MAPs seem to circumvent this. That's why the anger is so deep-seated and not going anywhere.
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This is sickening
Would love to see a politician come on TV and say it’s justified to pay someone who is potentially responsible for dozens-hundreds of people‘s lives on Christmas Day is worth just £15.54/hr.
And then they wonder why doctors are so angry.
#fullpayrestoration
Merry Christmas to all those working in the NHS today
Many staff in the NHS are grossly underpaid (even on Christmas day👇) but none more so than Junior Doctors who frequently graduate with >£100k debt
RT to support them & ask government to pay them ALL fairly
#PayRestoration
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Genuinely breathtaking what a low bar the NHS has for "Junior" Doctors that simply getting paid the correct amount at the right time is considered an improvement.
The NHS is setting out measures to improve the working lives of postgraduate doctors.
These include improving payroll accuracy, reducing admin burden and enhancing choice and flexibility with rotas.
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Consultants who support MAPs: check out our new consultant associate role. 2 year run-through training in consultant model. Pick & mix best parts of job plan. Work mon-wed. Paid more than a mid-career consultant.
If you say unfair or unsafe we scream at you for failing to
#BeKind
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Rotating, exams and working 6 days with on calls and annual quality assurance ARCP for a decade+ takes such a toll on JD - emotionally, mentally, physically, financially & socially.
Make your mind up - either this stuff is necessary for patient safety or not. It can't be both.
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There is absolutely not a shred of doubt in my mind that if a doctor or medical student did this they would be looking down the barrel of a Fitness to Practice investigation….
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NHS: Sorry nurses, we know you’ve been putting in cannulas for 20 years but you need to get signed off again when you move wards. It’s for safety and governance reasons.
Also NHS:
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All JD can rattle off a litany of sacrifices they've been FORCED to make for their career: family, houses, children, relationships, friends, weddings, weekends, holidays etc.
To now heavily imply that it wasn't needed - can you perhaps appreciate why we are so angry about MAPs?
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Anyone fancy taking a wild stab at how quickly a doctor would wind up in front of a GMC tribunal were they to “misrepresent” and undermine a patient safety critical process in this manner?
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GMC: "...are not Drs and must never be used to replace Drs."
JD: "Ok, but we have lots of evidence to the contrary. Can you comment on that?"
GMC: *something something working alongside generalist specialist autonomously dependently meaningless word salad gibberish*
JD: 😵💫😵💫😵💫
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NHSE director
@sheona_macleod
response on insane situation that F1 Drs won't get a job til 3 weeks before start:
It's not really a problem.
We fuck up every year anyway.
It's actually not that bad.
Yeah we're aware it's causing anxiety but whatever.
...Maybe apologise??
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@ollieburtonmed
What a farce. The UK might be the only country in the world which has managed the spectacularly feat of engineering a situation where it has both a collosal shortage of doctors and also too many doctors. Only in the NHS…🤦♂️
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It’s so demoralising. Just what is the point of this system of national medical “training” when basically anyone can do whatever they want (except JD who must jump through dozens of ever-shrinking hoops in their spare time whilst also holding up the bulk of the NHS’s OOH service)
@ExplosiveEnema2
@RCHTWeCare
@FPARCP
@BritSocGastro
@UKGastroDr
@parthaskar
@DrAsifQasim
@DrLKVaughan
@DrSteveTaylor
@AlisonGeorge10
@Dr_Done_
@Doctors_Vote
As the training lead for
@RCHTWeCare
, and having signed off this PA, let me respond.
Non medical endoscopists provide a significant and important contribution to endoscopy procedures in the UK whether we like it or not. They all have to go through a robust certification process…
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Good luck to the NHS which is absolutely desperate to increase productivity and efficiency. I'm sure burning bridges with the most vital, most skilled and highest trained cornerstone of the medical workforce will help. Bold strategy.
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“Medical training is broken beyond belief and all our JD are miserable. Rather than try and fix it, we’re going to offer meaningless platitudes (Lots Of Work To Go Around) and pour our resources into a new experimental role….hey, why are you guys so angry???” -
@NHSE_WTE
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HEE: Medical training is awful. All the JD are miserable because we keep rotating them in endless service provision jobs.
JD [exhausted]: Finally!!!! You guys are going to fix it now right?
HEE: No, no you guys just keep doing that. We'll focus on this new shiny new role.
JD:
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Highly manipulative way to present findings. How can you bunch together neutral/positive. Is it 5% positive/60% neutral or 60% positive/5% neutral, because that's a HUGE difference.
@RCPhysicians
need to release the full survey results because this is very disingenuous otherwise
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Play in 2 parts:
HEE: Listen up, all JD must rotate every 4-6 months. Don't ask why just do it.
JD: Sounds terrible for everyone, but okay?
*Few years later*
HEE: These useless JD keep rotating!!!🤬 Right, we need a new role which is a sort of doctor but doesn't rotate.
JD:
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Hypothetically speaking, if an f1 or junior SHO was holding a wildly inappropriate bleep or acting outside of any reasonable scope of practice would we be saying Awww Poor Exploited Doctor, or would everyone be totally outraged and send them on a one-way ticket to GMC-ville ?
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Routine 24hr A&E bed waits, all cancer targets missed, 7.2 million on the waiting list, 10000 Drs short, remainder burning out in a broken system.
NHS in wholesale collapse
All this before any strikes
Now they are worried for patients?
Even though you CHOSE not to negotiate
It is time for the BMA Junior Doctors Committee to show they are serious about doing a deal.
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It's a reasonable scope for 2 years of training.
If all you need is local sign off to do whatever you want (from GP to surgery) then what is the point of the decade+ of brutal ARCP, exams, on calls, rotations etc. that doctors must do.
Move Drs to PA model if it's truly safe.
This document does not do that. It's too far in the other direction. It's almost like they know it's ridiculously too far in the other direction so they don't have to worry as much about meeting in the middle
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More bad faith by the government.
@VictoriaAtkins
repeatedly said she would negotiate within “20 minutes” after strikes.
This is precisely why doctors are forced to call strikes- because they change the rules when it suits them and there is no other way to get them to listen.
@TTOTrainee
@VictoriaAtkins
@TheBMA
@RobLaurensonD4P
Negotiations have not restarted despite the seemingly abundantly clear position the Government were ready.
We are waiting and ready to restart as soon as they are.
We will keep doctors updated with developments.
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There is a cohort of senior medical leaders in colleges, GMC & the like who wax lyrical in offering full throated advocation for the entire MDT...but have a complete blind spot when it comes to one of the most maligned members of the MDT: their own "junior" trainees (see: RCP)
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Another strike day.
The gov needs to understand something: we are never returning to the status quo. The status quo of annual pay cuts was failing doctors, and it was failing patients.
Drs are some of the most resilient people around, and we will keep going as long as it takes
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@ShaunLintern
Sean, this could literally be every single ED in the country on a non-strike day
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Get that it’s old but I think this is reflective of today’s devalued attitude towards Jnr Drs.
That “baseline competence for service provision” which F1s barely reach apparently is responsible as the first port of call for hundreds of patients on a night shift/in emergencies.
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@EileenBurns13
@dr_shibley
why does it take a JD 10 years min. of huge sacrifices to be allowed near an endoscope.
If you are now saying you can pick&mix medicine then the entirety of medical training needs to be rethought. If all you want is >capacity then look at the 000s of JD who would love to do it.
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Just a little reminder for why we are still here, and the government’s offer is totally insufficient
Here’s my payslip as a first year doctor in 2005, next to a first year doctor colleague’s in 2023. 18 years later, their take home salary is less than mine was. I lived for free in hospital accommodation and had a fraction of their student loan.
#JuniorDoctorsStrike
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@misspaulalondon
@goldstone_tony
Thanks Paula, but this is quite misleading if not downright disingenuous. Working more hours/unsociable doesn't change the abysmal base hourly rate. Unclear where you are getting this "paid to learn" idea because I can tell you with absolute 100% certainty that is not the case
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While other organisations abdicate their responsibility, and fritter away putting out meaningless statements hoping the problem magically goes away, the BMA actually shows the leadership required to start putting an end to this mess.
"Patients must know who is treating them and the skills and abilities that clinician has."
Today, we have published new guidance on the scope of responsibilities for Medical Associate Professionals (MAPs).
Read more here:
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I have worked alongside many PAs and almost all have been kind, conscientious, wonderful colleagues.
BUT!
There is a double standard at the heart of this - at best, it’s manifestly unfair to JD, at worst mass dilution of standards is dangerous to patients.
Resolve this first.
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Failure to listen, failure to engage with the actual issues, brushing over concerns, just repeating meaningless cliches and buzzwords about MDT working. And the clincher - the reason
@RCPhysicians
don't want to hear what's being said: £££ .
This is awful.
#RCPEGM
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Survey on MAPs by
@RCPhysicians
is incredibly poor. There are just a handful of questions and alongside not allowing members to debate, I struggle to see how this is going to lead to a properly informed opinion.
Hope this is not an exercise in sweeping concerns under the carpet
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@HSJEditor
You know what is actually disrespectful - concerns of trainees have been repeatedly ignored, dismissed, railroaded over and shouted down. Trainees have not been engaged with at any point in what is a monumental change to med profession. So why should we continue to support this.
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This is the fundamental crux of the issue.
Either the entire misery of medical training (med school, exams, portfolio, rotations, on calls, ARCPs, competitively staged bottlenecks, 10+ years) is necessary to be safe and competent...or it's not.
You can't have it both ways.
When I was a GP registrar - despite already been a Consultant in EM - I still had "hot case review" slots with my trainer, right up to the end of the GP training. The arrogance of PAs thinking they only need such training and supervision for a few months is breathtaking.
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PA regulation is now being fast-tracked without any debate in parliament. This has been the modus operandi of almost all the organisations pushing this - to force changes down the throat of doctors without scrutiny despite some very big objections which must be heard first.
🚨Take Urgent Action Now🚨
The GMC and the government are trying to force GMC regulation of PAs and through the backdoor without scrutiny or debate tomorrow.
This is time critical.
Write to your MP NOW.
You can reply as a doctor, a patient, or both.
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@Dr_Done_
In every other country in the world, the gold standard of treatment is by an appropriately trained doctor. In the UK we are trying to experiment covertly on people's lives without any consultation with patients, doctors, wider stakeholders for reasons which still remain unclear.
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The government has set a completely arbitrary line in the sand that they can’t negotiate while strikes are called. They did it previously with barristers. The Scottish gov did it and averted all strikes.
Stop playing games, if you have an offer to end strikes then make it!
Reminder.
This government were able to negotiate with barristers in England while they were on strike.
With the longest strike in NHS history fast approaching, why can't the government negotiate with doctors like they did with barristers?
@VictoriaAtkins
there is still time.
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Crucial steps going forward:
* Follow BMA's advice, pause MAP recruitment - switch to HCPC regulation, consult and listen properly to Drs on scope and role.
* FIX DOCTOR'S TRAINING. It's completely broken with rotations, inflexibility and bottle-necks. That is the priority.
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When you are blatantly manipulating data, restricting who can vote, covering up results, refusing to openly share information and hiding behind obfuscating language like politicians you would hope you have the insight to realise you are in the wrong
@RCPhysicians
#AreWeTheBaddies
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I think a very simple first step the
@RCPhysicians
leadership can show in demonstrating they have reflected and understood the issues is by endorsing the BMA's very reasonable scope of practice document.
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@SecretNHSCEO
I speak to lots and lots of JD. I enjoy reading your perspective but I think you are totally wrong on this. On the contrary we are witnessing a unity in anger from a critical mass of JD who are fed up of the nonsense they have been subjected to by those in leadership positions.
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@Xeon4f145d96s1
So the “buy in” is only from organisations held in deep disregard by many medical professionals, and at no point do they mention seeking consent from average doctors on the ground for whom this represents a sea change in training and day to day work. Out of touch beyond belief.
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The express purpose of doing a survey was for the non-voting membership to be able to share their views at the
#RCPEGM
so as to inform voting decisions.
Inexplicable therefore to so clearly bias the results and then refuse to release the actual data until after voting.
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@mancunianmedic
Thanks David. Any solution to this problem for both JD + PAs needs to start at a place of recognising the concerns that JD are expressing are real. Too many in positions of power have been quick to wholly dismiss it all with meaningless platitudes like
#BeKind
which ring hollow.
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Heartbreaking thread. I think this experience will resonate with many doctors.
Those in leadership positions (at colleges, GMC, NHS-WTE) have so much to answer for. I wonder if they feel any sense of responsibility for the disastrous environment they have created/watched over🤔
My perspective on AAs; a 🧵
I was an ANP before medical school and am now a specialty doctor in anaesthetics.
I work with 2 qualified AAs who are excellent,
I am often asked for my opinion given my background, so here it is a long thread including my own story.
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The government needs to come to terms with the new reality that the status quo of forcing through perennial funding squeezes & pay cuts is now well and truly over - for GPs as much as it is for all other branches of practice.
GP regs in England have spoken, they will not accept a future of funding squeezes, burnout and being constantly devalued. If you haven't already, join
@TheBMA
. GP is ready to follow in the footsteps of juniors and other branches in taking strong action to protect our futures.
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@RobLaurensonD4P
“Our censuses found that in 97% of UK cancer centres, patients’ treatment had been delayed because of staff shortages over the past year.”
A staggering failure by the government to retain staff. This is before a single day of strikes.
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Why have
@RCPhysicians
not released a copy of the EGM to all members.
Many Drs will have been at work/busy.
RCP promised to be more transparent around this issue (see below)-the point was to have a frank & open debate.
What possible reason could there be to not share it then?
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.
@Doctors_Vote
have made the BMA the most powerful union in the country with the work that has gone into the Junior Doctor Committee. It is now time to start replicating that momentum and success across the rest of the BMA
(P.s. I am standing for Liverpool - please vote for me!)
1/n
📢 Attention all BMA members!
The Annual Representative Meeting (ARM) election for divisions is now open.
We need your help to shape the future of the profession.
It’s time to make your voice heard.
#DoctorsVoteforDoctorsVote
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@Doc_IonaCollins
Come on, it’s obvious, they are specialist generalist specialist generalists trained in the medical model with a masters in sort of abridged medicine and all the college insist they must not be a replacement for doctors even though they do the same job. Couldn’t be any clearer
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@VirtueOfNothing
I think across the NHS there has been a trend for some reason to denigrate doctors and simultaneously elevate all other MDT professionals. Frankly, the language sometimes resembles that of social justice movements which is just downright bizarre.
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Just insulting to the intelligence of the British Public.
Rishi is embodying the government’s ludicrous strategy here: Pretend the strikes aren’t happening, laugh and then walk away ignoring any criticism.
We are ready to negotiate and end this dispute. Stop playing games.
The public get it.
Paying doctors £5 more an hour to end the strikes is just common sense.
Stop playing games
@RishiSunak
and get back around the table, its been more than 20 minutes.
#DoctorsStrike
#TellThemAgain
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Absolutely incredible.
A ""randomly selected"" fellow in the audience actually ranted that the BMA survey was clearly biased - despite the BMA openly releasing all 32 pages of data and methodology on its far more exhaustive survey.
If that was biased then what the heck is this.
The
@RCPhysicians
sent around a survey around PAs ahead of the EGM, and are refusing to show raw data, where positive and neutral responses are seperated- even to the the person who wrote the survey, to their members and many fellows of the college who have asked for it.
There…
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@DrPhilBanfield
@bbcnickrobinson
Don't seem to recall as much hand-wringing when our pay was being viciously eroded year on year, 10x more than the average worker and more than the entire public sector. We're not even asking for a pay rise - just make a plan to restore our pay and stop cutting it!!
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@misspaulalondon
@goldstone_tony
@Hugh_Pearson_
And I am a doctor. You are dead wrong. You can have a different opinion and think doctors are selfish for striking, but your information about what a JD is just comically inaccurate.
Have a Merry Christmas, and hopefully in the new year we find all find a solution to this:)
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@parthaskar
Thanks for finally speaking out.
Those loathing the toxicity of discussion around PAs have for years refused to listen, refused to engage, shouted down any heartfelt concerns with cliches like
#BeKind
. And then they wonder why doctor’s only option has been to lash out online.
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@PhilipBrayshaw
@c_chief24
Read the survey the BMA put out. The membership is not “polarised” - 90% of 18000 doctors said they had concerns. Only the most incompetent TU would ignore that. Just because the actual reality doesn’t match the one you’ve convinced yourself is true doesn’t make it wrong. 🙄
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Where are
@ConfedMatthew
and
@JohnnyMercerUK
? I’m sure they will be just as appalled as they were about this during the JD strike.
Looking forward to seeing them all over the news/local papers talking about the atrocious service patients are getting on a NON-STRIKE DAY.
Please be aware that we have declared a critical incident. This is due to a very busy with sustained higher emergency attendances since the end of last week.
For more information and guidance on how you can
#HelpUsHelpYou
visit:
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While comparisons can be unsavoury, just imagine how much you would pay for ANY other highly skilled worker on NYD. Just the call out fees would be in excess of the Drs entire day's pay. This is why we are still striking, and this is why we will not give up until it's sorted.
Wishing all NHS staff a Happy New Year! In my opinion *ALL* undervalued, worst of all our junior doctors & the future of UK medicine- look at NYDs disgraceful rates of pay👇
RT if like me, you want govmnt's NY resolution to return to negs THEY abandoned to make a credible offer
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@misspaulalondon
@goldstone_tony
@Hugh_Pearson_
I would encourage you to do some proper journalism and spend a night with an F1 doctor on call 🙂 It might be eye-opening for you.
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Dear
@drjread
, thank you for sharing the data from the RCP survey. Many (particularly fellows who are due to vote on the motions) would be keen to see a more thorough breakdown, particularly the distinction between positive vs negative vs neutral. Can this be published?
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Over the last 18 months (coincidentally since Doctor's Vote appeared 🤔) Drs have managed to find their voice on things like pay and MAPs.
Don't let them return to the failing status quo.
If you are in these locations, it is vital you attend and make your views known.
VOTE!
We shouldn’t have to do this.
@Doctors_Vote
should be focussing on restoring pay and the profession’s sense of worth.
Instead the old guard have caused a massive distraction.
Help draw a line underneath this anti-democratic nonsense so BMA reps can represent you!
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@misspaulalondon
@goldstone_tony
JD work independently without supervision, and even at F1 are responsible for major decisions. The most senior medical decision maker in a hospital overnight is a "junior" doctor.
The Scottish deal is completely different and makes an express commitment to FPR
@Hugh_Pearson_
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@misspaulalondon
@goldstone_tony
@Hugh_Pearson_
I'm not shutting you down at all. Nothing I can say will make you change your mind, and it sounds like your trying to bait me so I'm inviting you to go to a hospital to see for yourself😉
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By constantly lying, gaslighting and using media attacks dogs the gov has fostered a situation where the only option left to JD is to strike repeatedly .
Another way was possible- Scotland listened and engaged from the start and avoided all of this.
This is 💯 gov’s fault.
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.
@IainDale
said multiple times on LBC that doctors have a huge employer contribution on their pension and this should be taken into account for FPR. I think this is a fundamental misunderstanding of DB pensions. Would be interested to hear
@goldstone_tony
‘s take on this
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@freddiesen
@RodricJenkin
@MerseyRJDC
I disagree. This infantilising behaviour is endemic towards Jnr Drs throughout the NHS. If local mediation was the best way then why is this attitude towards Drs so prevalent. Let's see how quickly this will now get solved after it's been called out publicly.
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@RobLaurensonD4P
Clip needs to be played on repeat to everyone who still has their head buried in the sand. He could not spell it out any clearer - the point of these roles is to devalue medicine I.e. to take away the bargaining power of the union.
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@JoOgidi
Genuine question, if the goal is just to get regulated (which everyone agrees with), it’s clear that doing it through the GMC is proving deeply divisive and anathema to many drs. Why don’t you guys yourself lobby for a different regulator then? Why does it have to be the GMC?
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@mancunianmedic
The online stuff is so toxic because leaders in RC, GMC and NHSE are not listening to legitimate concerns, and are just hoping it’ll go away if they go full throttle ahead. It makes the situation worse. There’s no other outlet for the anger so it bursts out online. It’s on them.
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If a JD doesn’t meet a single dumb item on the curriculum each year or can’t do an assigned 3 hour round trip commute to a random rotation, they will get kicked out the programme. No exceptions.
If you have these rigorous standards, they should apply to everyone or no one.
The
@RCObsGyn
would like to tell you about the benefits of PAs within Obs & Gyn.
PAs:
- Work at ST1-2 level
- Are a bit more expensive than an ST1-2 [sad face] but
- They don't rotate (unlike those pesky jnrs)
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@KateBurkeNHS
That'll be the day! 🐷🪽
Every single JD has had this experience. Literally every single one.
I deal with this CONSTANTLY as BMA work. The message has been received loud and clear: trusts do not care about us enough to even solve these easily solvable yet life-changing issues
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We have normalised atrocious treatment of JD under the NHS. Things which would never be acceptable by any other employer are routinely accepted. Is there any recognition whatsoever from HEE/NHS-WTE how they have contributed to this current catastrophe?
I thought it might be interesting to compare the position for Drs with that of lawyers, the majority of whom work in the private sector. I have used my experience, but it may differ for others.
1. Exam fees: now around £1800 + VAT. The firm I trained with paid. Free.
🧵
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@DeanEggitt
It is punishment if you have to move every 4-6 months potentially hours from your support network to ANOTHER hospital with little to no choice of location. The promise was - do this and you get training and career progression.
If it's so vital then why don't MAPs have to do it?
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@KateBurkeNHS
Kate, I cannot overemphasise to you the monumental improvement in quality of life for JD that would result if even half these suggestions could be implemented!
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@UHP_NHS
I think next time just go with "I fell over on my keyboard and accidentally composed this email and cropped and attached the relevant newspaper clipping and then sent it to the appropriate mailing list. Silly me!" Slightly more believable.
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Whatever you think of Doctor’s Vote, how could anyone have any possible objection to opening the process to a fair vote.
If you don’t like what this is about, then don’t vote for it, vote for someone else who you feel represents you better. At least you get the chance to vote.
Halal beef and brandy sauce, a classic combination, just like attending ARM for the last 20 years, eroding our pay, and enabling PAs
You finally have a choice in who represents you
Stay tuned for an announcement later and what you need to do next
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@parthaskar
@RCPhysicians
@doctor_oxford
@UKGastroDr
@DrLKVaughan
@OrthopodReg
@RobJimFleming
@RoshanaMN
@eveosh
@Rezaidi
@trishgreenhalgh
@doctorhelgi
Question: are there going to be any doctors in training at this meeting? Is it going to be held publicly or behind closed doors? Is there any ability for doctors in training to have their viewpoints heard?
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The term Junior has got to go. It's demeaning and insulting.
Sunak just can’t help himself.
Belittling and infantilising junior doctors at every opportunity.
Can’t imagine Biden referring to a baby as a resident doctor.
I guess he’ll say anything to justify paying fully qualified doctors just £15 per hour.
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@VirtueOfNothing
@ASiTofficial
Good god this makes for difficult reading. I think some of the colleges need to pull their head out of the sand, return the money the government gave them, and actually listen to their trainees/future consultant colleagues.
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@mouseter_chef
The implication is very serious. All the royal colleges (including RCP) need to put it all out on the table and clarify exactly what has been going on behind the scenes, otherwise this will get slowly dragged out of them and it will become more and more outrageous.
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Probably the most important thing you can read about how medical training has ended up in such a miserable state.
Utterly damning indictment of
@RCPhysicians
and how the organisation has failed a generation of doctors.
Way back in 2015 when Twitter/X and social media was not as big a thing as it is now, back in 2015, there were lots of concerns how
#PAs
where being pushed forward by
@RCPhysicians
whilst junior doctor strikes were on the horizon 1/x
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The Gov, despite opposition from doctors, is pressing ahead with regulating PAs & AAs under the GMC.
@KimJohnsonMP
, as my MP, please oppose the draft Anaesthesia Associates and Physician Associates Order 2024 to protect patient safety
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Are you in the Liverpool division? Please vote for me!
I want to replicate JDC's attitude across the rest of the BMA. Less talking shop. Less pointless professional association stuff.
In the NHS, either you are at the table or on the menu-and Drs right now are the main course.
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@RoshanaMN
@NavinaEvans
Well obviously they don’t want to hear from the people who actually try to represent doctors and more importantly might tell them the uncomfortable truth that they are wrong
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Just get in the room and negotiate
@VictoriaAtkins
. Every one of us wants to see an end to this dispute so we can get back to seeing patients.
If as you say, you have an offer which can end it, stop playing games and just make the offer. The BMA will meet you right now.
This morning
@Keir_Starmer
made his thoughts very clear on
@LBC
that ministers should now be coming back to the negotiating table.
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@ShivaniM_KC
think it’s right to not name the person- but I wonder, if this was a medical student insinuating they were a qualified doctor would people be talking about being polite and systemic issue - or would they be they pilloried, name/shamed and taken to FtP. Suspect we know the answer
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This is corruption, no other word to describe it.
Voting for people to represent you, what could be the objection?
No wonder the medical profession is in such dire straits when reps have just been selecting themselves for years and wining and dining on our membership money.
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@Xeon4f145d96s1
@RupraRoshan
@goldstone_tony
@misspaulalondon
@TheBMA
Doubt it, suspect she’s trying to launch a GBNews career by antagonising doctors and 🎣 for a controversial quote she can use on her next broadcast.
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@ShaunLintern
Honestly it’s not even post-Xmas. You could be describing EDs I’ve seen in the middle of summer 😞
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STAFFING IS NOT JUST A HEADCOUNT
Say it louder for the people at the back.
Retention, retention, retention.
@VictoriaAtkins
your offer needs to start from a place of recognising the historic pay erosion which has affected doctors. Without that there is no solution.
@ShaunLintern
@annemarieraffer
@thetimes
Our pay in the NHS has fallen further than other sectors when compared to inflation. The government don’t want to listen to this, even if they hear it. Staffing is not just a headcount. Churn and poor retention impact upon quality.
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@veggieequallife
Agreed.
The deal was suck up all the horrid OOH and rotational misery which keeps the NHS afloat in the name of “training” and in return we progress your career.
Now they seem to allow a shortcut around it and then wonder why we are so angry.
So what’s the point of everything?
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@JonnyGucks
Disagree strongly. It’s useful to chart the trajectory of how we ended up in this mess and the degree of enabling which has happened in the background covertly.
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@veggieequallife
@cannula_service
But why would they? They need to attract PAs else they will find another job/career. They get handed doctors on a plate, and if they treat them badly or don’t bother training them who cares- they will get new ones in a few months. Therein lies the fundamental problem.
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