A voice in support of UK General Practice https://xitter.cf/t.co/ZJoT5mK4WM https://xitter.cf/t.co/cUqVsaJo4w

England, United Kingdom
Joined June 2015
🚨 ARRS see 3% of patients, Yet take up 25% of the budget. Just criminal - the whole scheme needs to be binned 🚮. *PCNs are & always have been a gravy train* So much of our precious NHS funds wasted on pointless bureaucracy.
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ARRS will not be cut with the current NHS England board in place Think it’s working despite the 31k staff adding just 40m appts for £1.4bn Compared to 27k GPs doing 160m appts Cost-benefit not being done at the highest levels & they actually don’t know how it works @wesstreeting
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Day 87 of asking.
Hello @gmcuk. Your public consultation on your intended regulation of physician associates closed on 9 May. Why haven’t the results been shared with the public? Please do so. [Day 1 of asking.] gmc-uk.org/news/news-archive…
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22% of GPs say they might not be working in the NHS in just three years. Without urgent action, we risk losing vital experience and care. We must act to #RebuildGP./ #TeamGP
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"Mr Streeting recognises that we as GPs are so clearly the beating heart of the NHS family. We now need him to follow through and treat us as such" @doctor_katie referencing @wesstreeting's latest response to our ongoing NI concerns in her speech today at LMC conference 👇
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It was always about Doctor replacement Rather than work on the root cause of lack of doctors in a certain area. You know why? These were the poorest areas. The most vulnerable people. The people the gov wants you to believe whom don’t matter. Is this what our society’s come to?
The first Evaluation of the PAs who came here from the US to work in Tipton in 2003 ‘ The PAs have, in effect, to a great extent replaced GP roles in an under-doctored area’ citeseerx.ist.psu.edu/docume…
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GP Survival retweeted
This is the best thread I’ve read on the PA issue It’s absolutely superb & succinctly breaks down the issues from conception to employment. The evidence is damming & speaks for itself A must read for all patients & HCPs, particularly NHS leaders @wesstreeting
As a senior clinician I 💯 approve of @wesstreeting announcement of a review into associates But I am concerned it will be written around a predetermined outcome like so much of this debate has been Below is material is hope Prof Leng sees and takes into account 🧵 @RoySocMed
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📢We support the Government’s decision to establish an independent review of the physician associate and anaesthesia associate professions. Led by Professor Gillian Leng CBE, the review will be informed by research, data, and insights from patients & professionals.
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Last thought - please consider reading my piece from June for context, Nick - it's so much more complex than you imply. Finally, I am speaking out for one reason only - because I care about patients & the quality of their care. Feel free to quote me. theguardian.com/commentisfre…
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It also makes a mockery of patient consent, with numerous examples of PAs pretending to patients that they are doctors, and patients consenting to treatment on that basis. Such context was crucial balance for your piece, Nick. Disappointing to see you ignore it. Ends/
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Misleadingingly contextualised piece, @NickTriggle, which relies, predictably enough, on those infamous anonymous NHS senior sources. The crux of the issue is not, as you claim, 'the speed at which [PAs] are being recruited". 1/n bbc.co.uk/news/articles/c2dl…
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“We have started hiring 1000” @wesstreeting GPs Just 75 - Seventy Five 🤔 digital.nhs.uk/data-and-info…
"Mr Streeting recognises that we as GPs are so clearly the beating heart of the NHS family. We now need him to follow through and treat us as such" @doctor_katie referencing @wesstreeting's latest response to our ongoing NI concerns in her speech today at LMC conference 👇
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GP Survival retweeted
I agree with Dr Clarke as the 1st point of my Leng List - patient safety is prejudiced by de-skilling the healthcare system & replacing doctors with PAs. No one can argue against this statement. Prof Leng must hear this LOUD & CLEAR. FOCUS on this, ignore the noise.
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They'll probably just remake it/reintroduce something similar under a different name. After 40 yrs of restructuring by private profiteers embedded in NHS structures, they are not going to stop the trajectory now they r so close to finish line
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ARRS will not be cut with the current NHS England board in place They think it’s working despite the 31000 staff adding just 40m appts for £1.4bn Compared to 27000 GPs doing 160m appts Cost-benefit not being done at the highest levels & they actually don’t know how it works
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It’s what should happen but will it happen though ?
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