@FunctionsZeta

NOT a doctor. Anti-PA. Anti-scope creep. Podiatrists and optometrists aren't doctors. Behave yourself America.

Joined March 2016
  • Tweets11.3K
  • Following107
  • Followers351
346Media
Since the @RCPhysicians will soon become the Royal College of Quacks, I have taken the honours to make you a new logo. I only ask for one thing and that is to refund all fees doctors have paid. You're welcome!
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Neena Jha@DrNeenaJhaOct 21
***NHS staff should NOT be expected to fund the NHS with pay cuts*** NHS service provision is a national issue, as such, the pressure to fund it should be spread fairly across the population Why should NHS workers accept pay cuts year on year to prop up the NHS?!
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Replying to @parthaskar
@parthaskar @thomasdolphin Whilst we argue over PA clinical protocols ? @NHSEngland are steadily releasing PA jobs falling WAY OUTSIDE of these protocols X2 jobs at @MFTnhs beta.jobs.nhs.uk/candidate/j… @PrimaryCCareers beta.jobs.nhs.uk/candidate/j… @EPUTNHS beta.jobs.nhs.uk/candidate/j…
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platinumpizza™@Xeon4f145d96s1Oct 12
Good medical decisions absolutely are exclusive to doctors. Otherwise it’s all just a bit of blind luck and random trial and error isn’t it. Which is great until it isn’t. And then someone dies.
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RACP issues a strong document outlining their position on PAs racp.edu.au/docs/default-sou…
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Luke Mordecai@Shr_NottinghamOct 8
The anonymous contributor list to the latest PA document is so entirely on brand for a project mired in conflicts & opaque “evidence” since day 1 How can anyone in healthcare leadership bang the transparency drum whilst thinking this is ok? As appalling as it is unsurprising
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Relies on doctors, yet , doctors not invited to the party.
The BMA
@TheBMAOct 7
Replying to @TheBMA
The proposed protocols, if enacted, would effectively enable the NHS to continue to dangerously use PAs. We are clear - PAs must not assess, diagnose, or manage undifferentiated patients in any healthcare setting. Read the proposals here: cdn.intelligencebank.com/eu/…
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kc isc@kciscOct 7
PAs are legally dependent practitioners. They are not 'medically trained' They are not a 'distinct... profession' They must always be supervised by a doctor.
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ExplosiveEnema@ExplosiveEnema2Oct 7
If these individuals felt their work represented an honest & safe evaluation of what PAs could do they would be proud to put their names to it Instead, this reeks of a stitch up where I suspect many of those with conflicts of interest are attempting to rescue their pet project
The BMA
@TheBMAOct 7
The BMA has written to Professor Leng objecting to draft clinical protocols permitting physician assistants to see patients who have not been assessed by a doctor.
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This is silly, expensive AND dangerous ‘practices employing PAs ‘must run an effective triage system’ that ensures PAs are only allocated pts ‘presenting with minor ailments’. PAs ‘should not hold sole responsibility for making a final diagnosis’ pulsetoday.co.uk/news/clinic…

PAs can see 'limited' undifferentiated patients under GP supervision, says draft guidance

Physician associates working in GP practices can assess ‘limited groups of undifferentiated patients’ under heavy supervision from GPs.

pulsetoday.co.uk
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TIVA Tim@TheSnoozeDoctorOct 5
The ‘noctor’ brigade assessing, diagnosing and treating patients in primary and secondary care is bad enough. Now young Ross has his own company offering the lot through private remote consultations. But he had a three-hour CQC interview, so that’s all just bloody fine, then! 🙄
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kc isc@kciscOct 3
.
kc isc@kciscAug 12
Let's play a game of Doctor or Not? 'Medical Lead' NHS 'Hello' badges... The pages mention 'clinicians' and 'medical professionals', 'practitioners' and indeed 'doctors'.
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kc isc@kciscOct 3
This is the reality of how the PA role started in the UK. It was not 'Royal Colleges' as some would have you believe.
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NAs do some of the tasks traditionally done by RNs. They deserve routes to grow. Many of them don’t want to be registered nurses. They can become band 5 Advanced NAs with the right support and supervision. This will help free up RNs. #protectnurse
Just a sharp scratch@sh4rp_scratch13 May 2025
Replying to @m4ggiesimpson
Thank you — completely agree that everyone deserves to feel valued. Career progression for NAs needs more structure, but it could include: – NA Team Leads – Clinical Educator roles – Specialist NA pathways (frailty, LD, MH) – Advanced Band 5 development within scope It’s not always about becoming an RN — we need routes to grow as NAs. It’s an area that really needs to be looked at nationally.
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The reason why the title ‘ consultant’ must be protected in healthcare settings . @trentconsultant @BMA_Consultants #protectconsultant
@medicalmodelwithabriochebun@medicalmodelbriSep 17
I present to you…. The Consultant Practitioner #noctor #maxinurse #wedontwanttobedoctors #whataboutDistrictNurses #5pillarsofnoctorism #bekind #askforadoctor
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kc isc@kciscSep 15
The PhD in question
kc isc@kciscSep 15
'Hi, I'm Dr Cheryl' 'You are a real doctor?'
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Taz@SuburbanbellaSep 15
Sigh....I have often said the scope creep issue would not have succeeded w/o physicians acting as the Trojan Horse. This cardiology group brags that this NP is the first in their hospital system to "autonomously" implant a loop recorder. Reminiscent of a similar event in the UK
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They’re trying to expand the same Pharmacy First nonsense in Australia . The Australian government’s announcement was also yesterday Here is the Australian Medical Association ( NSW) response . Where’s yours @TheBMA @rcgp amansw.com.au/patients-need-…
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Replying to @Orthopod_Errant
I just want to know HOW. Someone from @RCRadiologists needs to explain
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A med reg wrote to the medical directors Dr Rachel Rouse , Dr James Calvert and neuro consultants at @AneurinBevanUHB Easter 2024 raising concerns that the dodgy lumbar puncture PA was signing doctors off as independent who couldn’t actually do LPs … @ABUHB_MedicalEd
Conor Gogarty@ConorGogartySep 1
Patient in severe pain and struggling to walk since lumbar puncture two years ago at the Royal Gwent. She is the second patient to come forward over traumatic lumbar punctures at the hospital. walesonline.co.uk/news/wales…

Woman left 'in pain and struggling to walk' two years after routine procedure

It is the second allegation of a botched lumbar puncture at the same hospital

walesonline.co.uk
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ExplosiveEnema@ExplosiveEnema2Aug 28
Ridiculous for the @CareQualityComm to say they are investigating the situation at Arrowe Park, pretending like they were completely unaware Unfortunately for them, the receipts are clear. They've known what was planned at Arrowe since 2022
The BMJ
@bmj_latestAug 27
An NHS trust in northern England has become embroiled in controversy and confusion over how it has staffed doctor shifts at Arrowe Park Hospital in Birkenhead bmj.com/content/394/bmj-2026…

Nurse consultants covering doctors’ shifts: controversy deepens at Birkenhead hospital

An NHS trust in northern England has become embroiled in controversy and confusion over how it has staffed doctor shifts at Arrowe Park Hospital in Birkenhead. In a response to a freedom of informa...

bmj.com
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