Jane Mackrell 💙
@mackey198
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Dr in NHS since 1978, now retired. prefers animals to many humans. Sports fan esp. football. Liberal Christian.
Joined January 2012
In 1996 we had 27,550 FTE GPs in England So in 29 years we have gained 151 FTE GPs 151 extra GPs to look after >10million extra patients Wow - this is a huge accomplishment by NHSE workforce planning
So, we now have fewer fully qualified, permanent GPs-down from 28,680 in 2016 to 27,701 in 2025. What an impressive increase. Meanwhile, the number of non-doctors practising as GPs in primary care keeps rising, compromising safety but no one dares to challenge the big players.
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UK is cutting corners by using inadequately trained staff in roles meant for qualified drs. A dangerous strategy, purely to try to save money at the expense of UK healthcare standards&unlikely even to be cost-effective as many dr substitutes paid more than drs they are replacing!
No one can work as a DOCTOR in GP without min 5yr at Medical School, 2yr general hospital roles & 3yr GP training Then they can consult undifferentiated patients with undiagnosed problems Yet @NHSE_WTE decided this was OK for a PA This is a patient safety issue for the UK
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All being done in an attempt to save money at the expense of standards in U.K. healthcare! @wesstreeting thinks increasing appointments is success but an appointment with inferiorly trained staff incapable of giving a reliable diagnosis/treatment is dangerous & not cost effective
There’s a reason it takes weeks to see your GP & years to get your surgery. The UK is an under-doctored country; yet thousands of doctors are being blocked from progressing to become Consultants & GPs because the Government has artificially capped the number of speciality
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By reducing specialist dr training posts,UK producing less consultants despite already a shortage. So waiting time for patients to see anyone capable of giving a reliable diagnosis/treatment which they certainly don’t get from nurse consultant/specialist nurse/ACP is increased.
While you wait hours in A&E, NHS doctors in England are being forced into unemployment. The Government has capped how many doctors can train to become specialist Consultants/GPs; creating a bottleneck in the NHS workforce. This year, 30,000 doctors applied for just 10,000
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Part of a safe birth is having the obstetricians there to help if things dont go the right way Yet we are not training them. Last year there were 297 ST1 posts. There were 4945 applications We are not training obstetricians of the future to facilitate safe births @wesstreeting
Why we must stop the dangerous culture of 'normal births' which is leading to babies dying unnecessarily - my article in today's Sunday Times
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By the way @wesstreeting what happened to implementation of Leng review of PA/AAs? The injunction against immediate implementation failed so who is making you hold back on implementation. Is the judicial review going to happen? No wonder resident drs don’t believe a word you say!
A PA job in Resp today. At a centre that deals with complex resp conditions including ILD. Training to work on the ward and run clinics Maybe go on the on call rota? How is a PA ment to be able to do all this and be supervised. More Dr replacement https://t.co/V1ixvwzOkD
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While you wait hours in A&E, NHS doctors in England are being forced into unemployment. The Government has capped how many doctors can train to become specialist Consultants/GPs; creating a bottleneck in the NHS workforce. This year, 30,000 doctors applied for just 10,000
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Reckless discarding of qualified drs has been created by DHSC.Labour govt clearly doesn’t think of drs as ‘working people’. They wouldn’t allow what they class as ‘working people’ to be treated like this yet gov’t itself is responsible for creating unemployment for qualified drs!
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An idiotic ‘plan’ which is destroying quality of U.K. healthcare. Qualified drs unemployed,as NHS funds diverted to use nurses/physios etc after part time MSc to diagnose/treat patients! Unsafe &unlikely to be cost-effective despite cost being the only reason why it is happening!
The 10 yr plan continues to put the WRONG staff in the wrong places . Nurses Physios Paramedics Physician assistants PAs in anaesthesia Occupational Therapists Pharmacists ODPs are ALL filling Drs rota gaps under the dangerous cloak of ‘ ACP’ .
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No logic in the thinking of this RCN leader who feels nurses leaving base profession&after 2/3yr part time MSc becoming ACPs unreliably diagnosing/treating patients as dr substitutes is totally appropriate yet says it is unsafe for Nursing Associates to be used as RN substitutes!
@BMA_James_Steen Interesting though that she hasn’t said this. She has only said NAs can’t replace nurses. To her, it seems, that everything else is fair game.
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By encouraging RNs to do MSc, become ACPs outside base profession &recklessly diagnose/treat patients in dr roles for which they are dangerously ill-equipped,Nursing Leaders have endangered their own profession as DHSC will use Nurse Associates to fill the gaps the RNs vacate.
@LostDazes @Anisocyte @Molly2323232323 @theRCN Another nursing leader who cannot bring herself to say that medical education, training, and qualifications are needed for those who wish to practice medicine, yet will scream from the rooftops about how important nursing education, training, and qualifications are for nurses
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@JaneEBall @alisonleary1 If you want to retain Nurses in Nursing workforce,fix their pay structure. Not encouraging them to leave core nursing by taking on managerial duties or working as Dr substitute with very little training in the name of “advanced practice” as the only option for pay progression 3/3
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@DrNickDalmon So we have graduates from medical school who can't find jobs in the NHS yet the gov have devised a PA system to undermine qualified status of Dr's? Why is the gov paying a PA far more than a junior doctor? Is it to break the medical profession, de professionalize?
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I reckon about 15 years ago HMG extrapolated out the % GDP on healthcare & shat a huge brick Since then they’ve enabled people with an enormous aptitude / ambition mismatch to create a cost cutting world of cReDeNtIAlLeD illusion If you want to be a doctor go to medical school
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Genuinely curious if there’s any logical explanation for opposing the outright substitution of nurses by nurse associates but not the exact equivalent with regard to doctors and PA’s? If anyone has something other than just good old fashioned double standards I’m listening 🤷♂️
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And the lack of careful evaluation of the safety,effectiveness and cost effectiveness of these inferiorly qualified staff used in dr roles continues because it suits the purposes of DHSC!
@wesstreeting You're vastly increasing bureaucracy by allowing the underqualified to over-request tests and scans in a vain attempt to diagnose without depth of knowledge. Just pay the #Doctors, fund enough training posts and you'll then see patients being correctly diagnosed in half the time!
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Wes Streeting: We can’t afford to pay Drs £23 ph Meanwhile : We can pay nurses band 8a to work unsafely in a Drs role @wesstreeting @RachelReevesMP advertising and paying more for a nurse to do the job of a surgical @BMAResidents is a political choice #drsstrike
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Show us a complete itemised breakdown of the supposed 2500 more GPs you have recruited & the £1.1 billion invested instead of hiding behind meaningless figures which fail to show the true picture.
In the 21st century, this is a service patients want and expect - we've invested £1.1 billion in general practice and recruited 2,500 more GPs - so the tools and resources are there. We are working to identify areas facing challenges to see what more we can do to support them.
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Simple logic! Why, after part 2yr MSc are physios/dieticians etc trying to diagnose/treat patients with conditions unrelated to their base professions.Why are radiographers reporting X-rays/Scans when clinical knowledge is insufficient to do so.Justify this madness @wesstreeting
A podiatrist is lesser qualified than a radiographer to practise radiography A physio is lesser qualified than a dentist to practice dentistry A nurse is lesser qualified than a Dr to practise medicine The right person to work as a GP seeing undifferentiated pts is a GP
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There are major doctor shortages in the NHS, partly because pay is so low. No-one who wants to defend the NHS would keep doctors' or nurses' pay so low. Resident doctors reject Streeting's please and go ahead with strike https://t.co/H3EjeF0b1H
theguardian.com
Resident doctors in England to strike for five days next week, saying health secretary’s latest offer is too limited
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