Daniel Wilson
@drdernial
Followers
273
Following
316
Media
212
Statuses
5,020
ST4 Anaesthetist | Anaesthetists United | Gooner | 🇸🇱 🇮🇪
👧🏼👶🏼👨🏽⚕️🙋🏼♀️
Joined April 2010
Don't wanna be here?
Send us removal request.
Explore trending content on Musk Viewer
Toni Kroos
• 285378 Tweets
England
• 123858 Tweets
Reich
• 102313 Tweets
Euro 2024
• 81391 Tweets
#お迎え渋谷くん
• 50175 Tweets
招待コード
• 48808 Tweets
ソフトバンク
• 46492 Tweets
Rashford
• 40521 Tweets
Singapore Airlines
• 38862 Tweets
#刀剣乱舞廻
• 37433 Tweets
#2024해피수호데이
• 36592 Tweets
Modric
• 34733 Tweets
$Retik
• 30300 Tweets
Southgate
• 28601 Tweets
Grealish
• 26206 Tweets
ホークス
• 24263 Tweets
Dunk
• 23963 Tweets
كروس
• 22819 Tweets
Starc
• 22701 Tweets
#KKRvsSRH
• 22667 Tweets
Pote
• 18522 Tweets
クロース
• 18286 Tweets
Shaw
• 17044 Tweets
ROCKSTAR PRINCE SUHO DAY
• 16924 Tweets
完全新作
• 15191 Tweets
Sancho
• 14187 Tweets
#日野下花帆生誕祭2024
• 10054 Tweets
If PAs don't know that prescribing is illegal for them to do then the PA courses need shutting down as matter of national safety. If they did then they wilfully committed a crime.
Doctors aren't treated so leniently by NHS or GMC
@drmattuk
@TheDA_UK
@gmcuk
Solicitor Sean Caulfield
@hodgejonesallen
explained that: “If a PA has innocently carried out acts of supplying controlled drugs, which they were not authorised to do, it might not be in the public interest to prosecute them.
“However, if anyone, PA or otherwise, intended to
35
61
219
9
176
617
Why are there no PAs even anonymously whistleblowing about this?
21
50
270
Can't believe what I'm reading in this story. Did a PA who's mismanagement contributed significantly to a patient death also investigate themselves? What is going on?
Family of film make-up artist call for inquest after treatment by physician associate which led to death.
@JanetEastham
@TheDA_UK
@TheBMA
47
313
638
2
58
166
Why not simplify things?
Doctor
Consultant Doctor
Clinical Assistant
Simple, no confusion of roles or expectations for patients or professionals
Of course the public are confused about the naming of Physician Associates. They were originally called "Assistants".
Whose idea was it to change the name, knowing it might confuse the public? It must have been somebody.
14
46
171
6
12
143
@wendyburn
Wendy MAPs are already being used to replace doctors on rotas, totally inappropriately. The plan is to include them in the medical act, legislation that distinguishes doctors from others. The evidence is clear, roles blurred, legal definitions blurred, MAPs believe equivalence
2
3
110
Surely the union that represents doctors (the professionals PAs depend on to work at all) is a relevant stakeholder?
1
9
102
From BMA Council this is sickening.
"We should embrace new avenues into medicine" there we have it, lines not blurred but rubbed out by
@TheBMA
council member
On behalf of Professor Sir Sam Everington, we share his thoughts on the process towards the regulation of physician and anaesthetist associates
49
8
37
7
14
90
@julianhartley1
Why is it you only tweet when there are strikes? Why no patient safety tweets on non-strike days?
1
9
70
It's clear as day. Doctors being removed from the system and replaced. The plan is to do your healthcare on the cheap
If you care about the future of the NHS you best buckle in.
I’m a doctor. I’ve been trying to tell you all that NHS/gov intend to use physician associates with two year degrees to replace doctors.
Well I found proof in official NHS documents. A 🧵 (it gets worse)
110
2K
5K
1
30
56
@ZosoGraffiti
@EmergMedDr
You're right, I signed up for medicine in 2008. I knew what the pay was. It is no longer what it was, so I'm striking.
Glad you think pay should be the same as when you sign up to an industry. Good to know you support restoration of our pay
1
1
51
@nhsDirtySecrets
@PaulaMc007
Paula this is totally incorrect. PAs do a 2 year course, many with a unrelated 'science' undergrad degree. The NHS is then using them often in totally inappropriate situations with no properly defined scope of practice and they aren't regulated. They aren't 'better trained'
2
0
51
@HelenRSalisbury
@theveindoc
Helen, David is a bad faith actor on twitter. I'd avoid interaction. Goal post shifting, evidence avoiding, stops responding when shown to be wrong
2
0
47
@Roddy_Neilson
They're trying to sneak it through without scrutiny, Dr Neilson
The most concerning part of this article is one hidden line. Come next week, through cloak and daggers the medical act will be changed being a doctor will mean even less! The GMC are complicit in any harm that occurs.
@RoshanaMN
@RobLaurensonD4P
4
28
125
1
11
44
@theveindoc
@CQCProf
So now registers are important?
Are we to seriously believe that patients routinely check the GMC register to see who is treating them and will thus be confused if they see a PA on that register and believe them to be a doctor? So utterly far fetched
16
1
49
1
4
44
@DrEilidhMaria
1. We often peel off to do it from the emergency theatre in a free space so are alone ourselves
2. We can't remember which bottles to take / don't know which you need (infection, onco, neuro, other)
3. We like punishing the medics for making us do extra work
Mostly 3.
0
0
43
@KhyjaMccalla
@iDrSunny
@ExplosiveEnema
@millybrookman
@KatieMorrigan
@north_forum
@aiysh_97
@LocumPA_Ltd
@__nhm_
@ZoeCostigan
@PA_CharlotteC
@PAealish
@HajaraPa
@KomalRaval
@harriet_68
@glambystefania
@Connor_Cashmore
@Popoporoo87
@incognito_pa
@AnalysisDrawer
It's not difficult to say and it's not a minefield. Medical training programmes are for doctors who have been to medical school and the completed foundation training. These routes are open to all, post undergrad and postgrad
0
2
42
@MallinsonT
This is only a problem if doctors allow it. Sadly for a couple of decades medical schools have been telling their students to introduce using their first name and no title all of which fed into the erosion of respect for doctors. Doctors need to stand up against this stuff
2
0
41
@DyfrigH
@DrEilidhMaria
I'll repeat the question you maybe missed because i didn't see an answer:
Is it appropriate to say they are like a doctor? At any time let alone on TV
0
3
34
@parthaskar
@TheSalariedPA
Yet to see anyone answer this question Partha. I think we know why.
0
4
33
@IncogAssociate
@OReillyGem
Why would you compare PAs and doctors? They don't do the same job because we are told PAs aren't here to replace doctors but support them. We don't compare doctors and nurses.
5
5
35
So
@gmcuk
to ignore the bits of the consultation they don't like even if they are the result of significant debate? The cornerstone of democracy, dismissed as an inconvenience in their plans to "analyse"
9. Oh but wait: then there's the Risk Log.
Apparently, public debate re MAPs could ... [checks notes] ... negatively impact the analysis of a public consultation 👀
Good thing that GMC colleagues have been equipped with "key lines" to mitigate this risk.
3
20
80
0
16
32
@DrEilidhMaria
Then the natural progression is Consultant PA. The thing they pretend they aren't aiming towards.
0
0
33
@Doc_IonaCollins
@OrthoFA
I would argue Iona that any shift taking place overnight has the need for an on call room with a bed. Not sure about other specialties but RCoA and AoA recommend naps on night shifts. It's a patient and doctor safety issue tbh
2
3
32
What is a medical practitioner? I believe that term only describes a medical doctor. The General Medical Council should remain a regulatory body for doctors only. Are they straying from their founding principles and stated charitable objects? Please consider our letter.
Does regulating physican and anaesthesia associates breach the
@GMCUK
charitable objectives?
We are writing to them to seek clarification. Co-sign the letter here:
27
145
357
1
9
32
@parthaskar
@NHSE_WTE
@dr_shibley
@trishgreenhalgh
@UKGastroDr
@doctor_oxford
@mmamas1973
@Leicnut
@DrLKVaughan
@RowanHarwood
@KamranAbbasi
@HelenRSalisbury
@HPIAndyCowper
Partha, the GMC have said it's up to both colleges and employers to set scope. Employers will see this as carte blanche to make their own rules and disregard anything the colleges say. Very concerned and think it needs fixing.
@CareQualityComm
silent...
1
7
32
@ucas_online
seem to be suggesting that you can do medical science courses to become a medical practitioner, a term protected by law.
@gmcuk
hopefully will contact them to help them correct their error
1/2
🇬🇧
#GeneralistPractioner
In 2 Yrs
No Need To Be A
#Doctor
#PhysicianAssociate
@VictoriaAtkins
@uemo_europe
@EU_Health
@HorizonEU
@CPME_EUROPA
@UEMSEurope
@gmcuk
@rcgp
@NHSEmployers
@wesstreeting
@TheBMA
15
40
76
0
13
30
@bbchealth
@NickTriggle
if I performed at work how you have in this article I'd be carted in front of the GMC
0
0
28
@RCPhysicians
higher ups (without consulting council) opposing motion to pause PA rollout and take stock. Deaf to the majority view of the profession
Concerning to hear that some of the
@RCPhysicians
senior leadership is allegedly recommending to vote down an EGM motion without gathering elected councillors views.
33
148
362
1
8
29
The quality of evidence, supporting MAPs in the UK is kext to non-existence and of very questionable, bordering on disingenuous methodology
Ensuring effective and appropriate supervision of MAPs, that MAPs are shaped within an acceptable scope of practice, and that they work within established guidelines are all very important.
Breaches of this must be reported directly to the CQC
4
12
70
3
6
28
@DrEilidhMaria
It won't be popular but the accepted wisdom ATM that all trainees want big centres and to never rotate would deprive many doctors of finding 'their place'
Young ppl all want city life but UK cities are increasingly expensive and family unfriendly. Not sure overall solution....
2
0
28
@Orange_spiral_
@ukmat82
The GMC was founded to, and for the last 165 years has let the public know who was and wasn't a doctor.
How are the public going to not be confused after this?
0
3
25
@FrankCoffey26
@parthaskar
@RCPhysicians
@FPARCP
@NHSEmployers
@mmamas1973
@trishgreenhalgh
@UKGastroDr
@DrLKVaughan
@iDrSunny
@AntonEmmanuel2
@Rezaidi
@DrAsifQasim
@RowanHarwood
@NHSE_WTE
"Competency, tier based rota"
To be clear then medical school is pretty pointless then? Become a PA, work in a department for a few years, become a consultant (or whatever you name the 'tier')?
Avoid debt, rotation etc. this is what you're pushing for?
2
0
25
@SamRoberts4
@UKGastroDr
@willtube4food
@NotAdoctor0000
Totally ridiculous comparison. Compare normal hourly rates not what someone working 28% more hours a week with unsociable enhancements because their life and physical health are disrupted by their working pattern
0
0
26
And so it begins publicly. The start of suggesting the medical act should refer to PAs/AAs
Interesting debate on titles-
The Medical Act (1983) almost always refers to ‘medical practitioners’ not doctors (or medical professionals).
#GoodMedicalPractice2024
means AAs and PAs once in UK regulation will have to follow the same high professional standards as doctors.
174
15
44
0
10
25
The government doesn't think you deserve to see a doctor anymore. They're actively defunding your right to be seen by a properly qualified medical practitioner
This is lunacy.
Patients everywhere report difficulty in securing GP appointments.
Yet this practice deems GPs surplus to requirements in a GP service?! 🤯
The replacement of doctors, particularly GPs, is a false economy and is a danger to the public.
23
211
687
0
5
24
@drcolinm
@HealthRegLawyer
Colin I still don't understand why 'Good Medical Practice' would apply to PAs/AAs when they don't practice medicine. Can you help me understand?
1
1
25
@drmattuk
@RCPhysicians
"We don't know the tangible outcome of pausing the roll out of PAs"
You don't know the outcome of not pausing it either yet you're happy to plough ahead with that...
1
5
23
@AjEusuf
And to be clear, the exams are Year 1-5 Medical school, post-grad primary exam, FICM
They should never be able to skip a part
0
1
24
A worrying amount of senior doctors facilitating MAP proliferation don't seem to understand this
@JonnyGucks
Neither
Exams are just one of many filters. That's why opening up exams to non-medics is a terrible idea. There are a litany of other barriers Drs have to pass to get where they need to be
Would you drink water filtered just through the rock layer?
8
18
81
1
1
23
@Doc_IonaCollins
@OrthoFA
Yeah, the new normal is everyone working in an unsafe way with insufficient rest
0
0
20
@campbellclaret
@doctor_oxford
the country and the health service continues to be let down by them. They still refuse to negotiate and pay us properly
8
0
20
@VirtueOfNothing
@gmcuk
Exactly, Jan. A fundamental change to legislation that has legally distinguished doctors from others for 165 years!
The AA/PA order will place MAPs under the medical act. I see nothing in the wording that will stop MAPs from using titles such as doctor or surgeon
@gmcuk
???
1
4
20
@iDrSunny
@nikorandill
@ABarotchi1
@theresecoffey
Take on the risk of 3 associates, get paid little more than 1 of them
While they pay half as much to be regulated
0
2
18
@DrEilidhMaria
Every doctor is from the landed gentry or high didn't you know? We all pay off our student debt with a gift from Mummy and Daddy if we even take out the loan 🙄
0
0
18
@KeeleyMP
is there anything that can be done to force more scrutiny onto this?
The most concerning part of this article is one hidden line. Come next week, through cloak and daggers the medical act will be changed being a doctor will mean even less! The GMC are complicit in any harm that occurs.
@RoshanaMN
@RobLaurensonD4P
4
28
125
1
5
17
@Xeon4f145d96s1
Why is an equivalent offer not forthcoming for 2016 T&C's? 17% pay rise and commitment to proper DDRB and multi year deal likely ends the dispute
6
0
16
Great summary of why doctors aren't happy if you don't get why we're striking
Doctors pay dispute is only one, though totemic & overwhelming, of many serious issues affecting working conditions & unattractiveness of the NHS to doctors.
Once started listing issues to express problems doctors face:
XVI Theses on UK Postgraduate Doctors’ Discontent😬
42
359
820
1
3
17
@ClareGerada
Perhaps instead of a specialist, you're just "differently qualified"?
@iDrSunny
@DeanEggitt
@TheBMA
@BMA_GP
Also ‘less-qualified clinicians known as a physician associate (PA).’ Is wrong. They are differently qualified. It’s as if one says a paramedic is less qualified than a doctor. It’s insulting to these groups and really undermines their skills.
129
3
56
0
1
16
@zackferguson
If there were enough training posts to meet demand (and we were producing the required number of doctors via uni and immigration) do you still think there'd be space for them? Only then could you say they aren't replacing doctors
0
0
16
0
0
16
@parthaskar
@isitsleepytime
@Xeon4f145d96s1
@RCPhysicians
@AntonEmmanuel2
@UKGastroDr
@DrLKVaughan
@RowanHarwood
@DrSelvarajah
@mmamas1973
@DrAsifQasim
@trishgreenhalgh
@Rezaidi
Partha, frm everything I've seen of you online, think you more than many (any?) can take this question on the chin (not that it's an attack - an honest question not meant to offend): should any of the people in positions of power who dropped ball for 20 yrs be leading on this?
0
1
16
@Zaeem_Mahmood1
@JoOgidi
Because they want the esteem being regulated by the medical regulator brings. Even though PAs don't practice medicine
1
0
15
This is amazing. Let your colleagues know this is happening. The more voices of support the college sees the better. We need to mobilize to pass the motions
#RCoAEGM
🚨 BREAKING 🚨
After exceeding the 149 signatures needed to call an EGM WITHIN THE FIRST FOUR HOURS AFTER LAUNCH, we are now close to surpassing 500 signatures - that's more than 300% of the required number!
15
50
310
0
3
15
@ramey999
@drcolinm
@wendyburn
How can registers be separate if they have a consecutive numbering system like I believe is planned?
2
0
15
Our EGM was a clear message that anaesthetists don't believe ANRO are fit for purpose. Since then they've got it wrong again. Welcome letter from the college. Can't continue like this
Our President has written to Amanda Pritchard, CEO of NHSE to request immediate action to address the inadequate resourcing of ANRO or to work with the College to identify a viable alternative to the current provision of anaesthetic recruitment services:
5
52
179
0
4
14
Fantastic news. We need a national discussion and a strong evidence base before making any changes like this. If they were a medicine/equipment you wouldn't be able to introduce them like this.
Patients deserve better
1/ We are delighted to share that the House of Lords will now hear the debate on PA/AA regulation in the main chamber, following DAUK's call for motions of regret. This crucial discussion ensures the legislation undergoes thorough scrutiny.
13
193
580
0
4
14
@JamesLynchGTC
@mouseter_chef
@GMCharlatan
PAs don't practice medicine so aren't anything "in the medical sense". It's pretty straight-forward. They 'associate' with medical practitioners for legitimacy. It's in the name and I'm their job role. Only legitimate by depending on medical practitioners.
1
0
13
0
4
14
@timricketts_
Once you accept, the moment when you usually finally sit down at the end of a long day, after kids are asleep and let out a sigh of relief isn't for sighing anymore, it's for opening the books and working for the next 2 hours...for 6 months then you're on your way
1
1
12
What are the benefits? They don't even do what they're marketed by the government as doing
55% of doctors have found that PAs increase their workloads, even though they were sold as a way of reducing them.
Read our latest survey findings providing further insight into why doctors feel so strongly about physician and anaesthesia associates.
6
176
453
1
3
14
@PaulaMc007
@nhsDirtySecrets
It is. Many doctors are trying to raise the alarm about the threat to patient safety. Patients are confused, think they've seen a doctor when they haven't. As the NHS gets increasingly stretched, these less qualified professionals will be used more with even less supervision
1
0
14
@actor_joshua
@KashCheema26
@wendyburn
@DrEilidhMaria
@Xeon4f145d96s1
@Dr_Done_
And how do trainees feel about PAs? 'We won't answer that but just suggest trainees are misinformed about PAs in general because we either haven't asked or just don't care'
1
3
13
@Xeon4f145d96s1
@TracyBullock12
@TracyBullock12
this needs explaining. Why are you offering non-doctors higher rates than you offer doctors? they can't do as good a job but they're worth more money?
you've got a lot of explaining to do to your hard working and stretched junior doctors
1
2
13
@MallinsonT
@DrEilidhMaria
@Nadeem_Moghal
This seems like a statement that brings the medical profession into disrepute from Nadeem...
2
0
13
@DocAnonX
@RoshanaMN
I meant they should have done the work to rule thing no the making staff pay lol
1
0
13
@BMA_James_Steen
why are you apologising. You made a general point about the conceptual issues in general. It's others who can't separate specific cases from the overall issue
0
0
12
@AoAA_uk
@Xeon4f145d96s1
@AnaesUnited
You could have published this letter here if you have time to respond to other people's tweets?
0
0
12
@MedleyMelanin
AAs should not be learning this cos AiTs should be seeing this skill and then becoming experts. An ST7 who has done many should be taking all these opportunities over an AA. There's no time where this needs to be done and there isn't a trainee about who would benefit instead
0
0
12
@RoshanaMN
I've worked in more than one hospital where this occurred and the consultants banded together and paid for coffee supplies for everyone. Should have done this instead
2
0
12
@JonathanFoulds
@MahaElias1
@DrEilidhMaria
There's nothing clear about that at all. They're being used on doctor rotas, replacing doctors in general practice (see ARRS), being used inappropriately in anaesthesia. Prescribing rights are planned. Tiers with descriptions identical to those of doctors are planned
0
1
11
#bbclaurak
Rishi Sunak repeating the lie that Consultants and SAS doctors have reached agreement on settlement. Will they check the lie?
0
1
10
@JamesLynchGTC
@mouseter_chef
@GMCharlatan
All I did was state facts. The medical act outlines clearly who practices medicine (it's not PAs) and they gain their legitimacy by supervision from a medical practitioner (doctor).
Where's the lack of respect in an accurate legal and work role description?
1
0
10
@donotcallmemike
I see people anonymously whistleblowing on twitter all the time. There's no risk and it's still not happening
0
0
11
@agemjourney
@Expo1222222
Perhaps they meant weren't ready academically at the age of 18 for the ridiculous competition offer undergrad. GEM is great because it gives people a chance later down the line? No doubt GEM is tough
1
0
11
Exactly the kind of attitude that patients should be concerned about and doctors are angry about
0
3
10
@SimonClarkeMP
I'm majorly concerned about this drastic change to the healthcare landscape that is being made without sufficient scrutiny and major opposition from many doctors.
🚨 Urgent: Legislation to regulate Physician Associates (PAs) and Anaesthesia Associates (AAs) under GMC is set to pass this Wednesday via affirmative statutory instruments, bypassing vital scrutiny in parliament.
A thread 🧵
#AskToSeeADoctor
40
542
761
0
5
9
@goldstone_tony
Not a consultant but will be in a few years. For me some sort of "triple lock" with inflation, MP salaries and similar professionals salaries that's clearly defined is surely what should be aimed for. If all that's agreed is "principles" to approach pay review then it's doomed
1
2
9
@ramey999
@drcolinm
@wendyburn
Also seems that this order will mean the GMC will be staying from it's statutory objectives. Unless it's the GMC Charity's position that AAs/PAs will be part of the medical profession?
2
0
9
@BBCHughPym
They've agreed to put a deal to the membership. They haven't agreed a deal. These are different things
0
0
8
Important moment. Specialty and college making progress to stop the degradation of the profession. Other groups need to follow
Our Board of Trustees has agreed to implement EGM resolutions 1 and 2 as summarised in our December update:
Our next steps will be to write to clinical leaders. We will publish the letter on our website so that members are kept updated.
7
38
115
0
1
8
@PaulaMc007
@nhsDirtySecrets
Totally agree. Worryingly the GMC seem to be planning to use the same numbering system as doctors when they start to regulate them blurring the lines and confusing patients. See letter from Academy of Royal Colleges
2
0
8
@iDrSunny
What's really bizarre is if they truly think they're 99% of a nurse why are they happy with anything less than 90% of nurses' pay?
0
0
8
@Doc_IonaCollins
@charlotte_e_ray
and as such, stating PAs are trained in the medical model is a misrepresentation of the truth
0
1
8
@BurntoutN
@DocCSarah
@DrEilidhMaria
Why don't medical schools give MBBS degrees when nurses reach a certain time served then?
1
0
7
@KhyjaMccalla
@iDrSunny
@ExplosiveEnema
@millybrookman
@KatieMorrigan
@north_forum
@aiysh_97
@LocumPA_Ltd
@__nhm_
@ZoeCostigan
@PA_CharlotteC
@PAealish
@HajaraPa
@KomalRaval
@harriet_68
@glambystefania
@Connor_Cashmore
@Popoporoo87
@incognito_pa
@AnalysisDrawer
"Not all wish to be a doctor" "There are no plans to replace doctors" "still need to work under supervision". Messages repeated by PAs while the ground work is laid to the contrary. Do all the good bits of a Dr via shortcut and without the rigourous work + struggle
1
0
8
@LeanneHPatrick
@parthaskar
@xxsnzz
@ollieburtonmed
@PaulaMc007
@COSMakin
If it's ok to be anonymous to speak truth to power regarding x then it's also ok regarding y. Doesn't mean people should be bullying etc but you can't say "anonymous accounts must go" but then claim it's ok for some people
0
0
8
Wait until you hear about what's happening in the NHS
I have just discovered that there is such a thing as a "Baby Name Consultant". This is how civilisations fall.
35
37
378
0
0
7
@dens_r_d
@DrNickTwit
I don't see anything that suggests ultraviolet is part of the spectrum emitted by mobile phones??? Can you point me to where?
0
0
7