Schrödinger’s PA: they’re either “medical generalists” when they explain how they’re almost the same as a GP.
They’re “specialist experts” when a trust wants to justify them working senior resident doctor roles
An insult to years of training that make GPs and specialists alike.

Dear St George's, University of London

Please correct or remove this misleading post.

PAs are not essential and your statement is misleading.

It is clear that you have failed to understand that the real concern of doctors is St George's, University of London having used PAs in place of doctors; they see the…

Dr Asif Qasim 💙 The deskilling of healthcare roles kills patients. In 2021 my husband tried for weeks to see his GP in the end he agreed to see the prescribing nurse. She told him he was constipated 6 months later he was diagnosed with metastatic prostate cancer. I will loose him before 2025 😢

When government uses your hard-earned taxes to fund non-doctors, cramming them into GP practices and hospitals, this is the consequence.

Fully trained, vastly superior, real doctors unable to find work.

Next time you’re forced to see a Physician Associate, #AskForADoctor

A reminder that Countess of Chester Hospital NHS Foundation Trust responded to doctors raising concerns with the threat of GMC referral.

Resulting in a serial killer being allowed to continue to murder babies.

The GMC would like you to speak to those same people if you have any concerns about patient safety.

‘We are going regulate PAs & AAs despite the strong protestations of the supervision profession.’

‘But we’ll leave the actual job of regulating PAs & AAs to local NHS trusts’

‘So we won’t actually do anything other than have an excel spreadsheet with their names on it’

I’m an FY2 doctor who does not have a job from August. It’s May & there are very few clinical fellow jobs advertised. Locums are drying up. I applied to med school as a working class student & was the first in my family to go to university. Doctors no longer have job security.

For those at GMC HQ it must seem impossible

Don't speak & let the narrative run away from you

Gaslight & make it 10x worse

There is a 3rd option

Admit the #PAproject has failed & is catastrophically out of control

Before more patients come to harm

“Raise it locally”

Yeah…

That’ll fix it.

Because the local leaders who are facilitating the inappropriate use of “associates” will definitely listen - delusional. 🤦🏻‍♂️

We've had open access echocardiography for GPs for > 10 years, and same day online Advice and Guidance > 5 years...

PA A&G Request today:

'Echo shows LVEF 60%. Please could you see and assess for this'

This is the mess that we have to un-pick to protect patients and stop…

I’m sorry but this thread is brazen doublespeak.

Your raison d’etre, GMC, is to uphold standards in medicine for the benefit of patients.

Yet you deny what is manifestly happening across the NHS - PAs replacing doctors. Openly, explicitly.

So how can anyone trust you?

If only there was some sort of national body that we could complaint to about patients being put at severe mortal risk by people without medical degrees working as doctors. 🤔

I’m sure there used to be something for that?

I wonder what happened to it?

Hi, Stagecoach Manchester.

I want to formally praise this driver, who showed empathy and compassion by standing against literal genocide, remaining calm and polite when provoked by an antisemitism-weaponising fraudster.

Please acknowledge this formal compliment.

Just Tories voting for the New Tories in red!

Thread via GMC

1. This shows how much of an issue this is now across the system & level of control lost

2. Everyone-including NHS Employers know that replacement is happening-as well as training opportunities lost/ expense of doctors-ask GPs

Leadership is a thing NHS England Workforce, Training and Education

If you regulate PAs and AAs (as you will in the future), why will the consequences for acting out of scope be determined on a local scale?

This is not quite the same way you’d handle an F2 doctor locumming as a consultant, is it?

Hi Elon Musk @support

I’ve had a post deleted twice

It shows the reality of the UK NHS

The post had 350K views & was recorded from a publicly posted YouTube video

It has been deleted on YouTube since I shared

Does this really violate X rules?

It’s telling that the GMC feels the need to publish this.
There would have been no need for this if the GMC had kept to its remit to be the ‘Independent regulator of Doctors’.
They are not independent of Government & don’t listen to Doctors who finance them.

My polling station in Gospel Oak this morning.