Alfonso Mango

Lover, not a fighter. Core surgical trainee. NIRDC member trying to make things a bit better for resident doctors before UK medicine implodes 🫡

[Alfonso Mango @AlfonsoMang0]

@RyanF_26 @DrEilidhMaria Small dick energy fr

[James Steen @BMA_James_Steen]

I’ve seen someone else on here suggest that the retired doctor who wrote this was a “junior” doctor in 1974 when he was “happy with £7,500”

Just so we’re all clear on the maths:

£7,500 in 1974 in today’s money is:

🔹 £114,756 by RPI inflation.
🔸 £72,046 by CPI inflation.

[The BMA @TheBMA]

We remain concerned about the inappropriate substitution of doctors with non-medically qualified staff.

We’re exploring how advanced practice roles are being used by NHS employers. To help with this, we’re asking UK doctors and medical students to complete our advanced practice survey.

Make sure your voice is heard 👇https://t.co/YzdfNCWn1u

[@DrKatie.BSky.Social @doctor_katie]

To quote my colleague James Booth, regarding the Resident Doctors’ action this week:

“Lots of MPs hitting social media.
I was a junior doctor (as we were called then) just over twenty years ago. I worked hard: long, stressful hours…

1/x

@TheBMA
@BMA_GP
@BMAResidents

[Jeremy Corbyn @jeremycorbyn]

I’m often asked by the media: doesn’t striking put patients at risk?

I’ll tell you what puts patients at risk: an understaffed and underfunded NHS!

[platinumpizza™ @Xeon4f145d96s1]

Strike on my fellow comrades! @MedReddit

[The NHS Whistleblower @ItsnotrightUK]

@BBCBreaking For context, this is the hourly pay for doctors

And band 7 is a doctor’s assistant
Band 8a/b is a nurse practitioner.

Doctors have been taken advantage off for far too long

[James Steen @BMA_James_Steen]

If you have £100, I take £45 off you, and then give you £25 back, would you call it even?

And how would you respond if I were to go about telling everyone “I gave her £25 already, she’s just being greedy now”, and continuously pretend that the £45 I took never happened?

🤔

[Alfonso Mango @AlfonsoMang0]

Grab yer torches and pitchforks 🔥

[The BMA @TheBMA]

The Government has suggested a pay uplift of just 2.5% for doctors next year, well below inflation.

With resident doctors set to strike next month over pay and jobs, it is “frankly indefensible that yet another Government is once again suggesting real-terms pay cut for doctors," says
@thomasdolphin

Full response: https://t.co/8s4vbbYpxr

[Anisopoikilocyte @Anisocyte]

There has been a lot of discussion re ACPs recently, with some defending that ACPs are qualified to act at ST3 level, I thought it’d be helpful to sample ACP courses.
I chose two highly regarded unis (King’s, Edinburg) & then De Montfort to get a good breadth of representation
1/

[Ron Barbosa MD FACS @rbarbosa91]

If you push these efforts too far - shorten the schooling, shorten residency, get rid of the standardized tests, eliminate this and that…

Eventually, there is a point at which people will come to believe your job isn’t that special, and could be done by anyone.

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

From Professor Nicola Cooper.

"The mismatch between physician assistants and doctors in confidence and competence"

Via @bmj_latest

National guidelines are needed.

Has the @RCPhysicians started work yet? @BDChadwick @HilaryWMedic

Or just more of the same inertia?

@djnicholl @mmamas1973 please ask at the AGM 🙂

https://t.co/SYqxUcAAEH

[Alfonso Mango @AlfonsoMang0]

As someone who trained in this hospital and greatly admires the ICU doctors who taught me, I would be thoroughly interested in their views on this situation…

[Anon Anaesthetist @anaesthetic_spr]

The ICU unit run by ADVANCED NURSE PRACTITIONERS with an overseeing NURSE CONSULTANT 🤡

This aged well.

[Alfonso Mango @AlfonsoMang0]

It is a sad thing that the flag of St George now represents something so unaligned to how I was brought up to view our country

Inclusivity

Joy in sharing our lives with other cultures

Pride in a capital city that welcomed all

I am truly sorry 🏳️

[Alfonso Mango @AlfonsoMang0]

@InfamousGasman The absolute moral bankruptcy of consultants who enable this needs to be documented. It will make fascinating reading looking back on it in 20 years.

[Alfonso Mango @AlfonsoMang0]

Quite simply a joke

[Louella Vaughan @DrLKVaughan]

Here is an example of what is coming.

The whole of Medicine, broken down into tasks and tiers.

No need for knowledge. No need for expertise.

Brought to you by HEE.

Lets take a look at the new(ish) Framework for Asthma (May 2025).🧵
1/

[Luke Mordecai @Shr_Nottingham]

@drmattuk I read the rest of the review coloured by Prof Leng’s forward which I thought was exceptional

Not least because she is quite clear that resident training is broken and she’s the first in a position of true authority to admit it

Powis and Whitty ignore this at their peril

[Alfonso Mango @AlfonsoMang0]

Excellent idea and fantastic work! 👏🏼

[Dr Matt Kneale (🦋drmk.link) @drmattuk]

1/ Now the embargo has lifted, I’ve had time to read the @lengreview in full. While some celebrate minor cosmetic wins, I see the formal entrenchment of a parallel, underqualified medical workforce — built without medical training.

[Alfonso Mango @AlfonsoMang0]

Wonderful and heartwarming support from colleagues, goes so much further than you can imagine! 🙏🏼