SelenaPenrose

Radiology trainee and Disney fanatic

[Rhianna ریانا @Rhianna_1989]

To be honest, “noctor” probably IS a slur.

A (somewhat) pejorative term we use describe people practising beyond the scope of their profession.

However, context and intent matter.

I was a nurse before I studied medicine. Before anyone jumps to conclusions, nursing isn’t a prerequisite for medicine. I simply chose to train as a doctor. Nursing taught me so much, but it also taught me that nursing is not medicine.

If I wanted to practise medicine, I had to go to medical school. So that’s precisely what I did.

That isn’t a criticism of nursing, physiotherapy, SALT, OT, dietetics, or any other allied health profession. These are skilled, valuable professions in their own right. They are simply not medicine. ACP training doesn’t change that.

The problem isn’t that these clinicians exist. The problem is when health systems use them to fill gaps created by a shortage of doctors, blur professional boundaries, or allow patients to believe they’re seeing someone with equivalent medical training.

That’s unfair to everyone.

Unfair to patients, who deserve informed consent about who is treating them.

Unfair to doctors, whose training is being diluted by substitution.

And unfair to the clinicians themselves, who are asked to carry responsibility they were never trained for.

Call the term “noctor” rude if you like. I don’t care either way. But don’t let the debate about the word distract from the real issue: replacing doctors with non- doctors is neither safe nor honest.

[Neena Jha @DrNeenaJha]

***GENOCIDE***

[Rachel Reeves @RachelReevesMP]

I will accept Nigel Farage’s request to be appointed Steward and Bailiff of the Manor of Northstead.

It is a farce and a desperate distraction, and the people of Clacton deserve better.

But if he wants to spend the summer arguing with a bin, I won't stop him.

[Michael Buchanan @BBCMBuchanan]

NEW: Criticism of ‘normal birth’ was removed from the final Amos report just 8 days before publication.

Dr Bill Kirkup says the review had found evidence that the approach was a problem in some areas but that the criticism then “disappeared”

https://t.co/6UeWG7D1f0

[TIVA Tim @TheSnoozeDoctor]

Lack of transparency in how funding from NHS England for undergraduate medical training is spent suggests trusts are treating universities like a “cash cow,”https://t.co/RlUS4gFo2q

[Dr Melissa Ryan 🦀 @Melissa_S_Ryan]

The GMC consultation closes at 11:59pm today.

Use our guide below to help you complete it ⤵️

We cannot afford complacency. Act now to prevent:
- delays to title changes for PAs
- the possibility of CCTs for non-doctors
- a single register blurring boundaries

Share widely

[TIVA Tim @TheSnoozeDoctor]

‘The average survival time for patients on chemotherapy was 6.6 months, compared with 13.2 months for patients on daraxonrasib. It also caused fewer side-effects.’

https://t.co/8RNFeylSkw

[Louella Vaughan @DrLKVaughan]

The paper on ED 'consultant' practitioners/nurses is absolutely fascinating. 🧵

The authors acknowledge 2 things:
1. That there is a national framework for 'consultant' practice.
2. That there is a nationally agreed role/function

https://t.co/VjRO031sbN
1/

[John Chisholm @DrJohnChisholm]

Advanced practitioners should not & must not replace doctors on rotas. They lack the training & education to do so; they shd practise within the limits of their training & competence. This is a patient safety issue, with patients placed at unnecessary & wholly inappropriate risk.

[The BMA @TheBMA]

We have uncovered a haphazard approach to the use of Advanced Practitioner (AP) roles by NHS trusts. Our investigation has revealed almost half of hospital trusts are using non-doctors to fill doctor rota gaps.

APs can play an important and valued role in patient care. But they should not be asked to substitute for doctors to address staffing gaps.

Patients shouldn’t have to worry about whether NHS managers have asked non-doctors to deliver care that only doctors can safely deliver.

Read the full story: https://t.co/kSI340ouIc

[Sharon Graham @UniteSharon]

➡️ @UKLabour must immediately rule out the threat of limiting the right to strike for resident doctors. #NHS and other workers went towards danger in Covid, while the rich and powerful were receiving parcels at home by the hour.

Do the right thing by workers now. @TheBMA #ResidentDoctors #BMA

[Callum Williams @cmwilliams99]

@ox_anna29 The government last year called doctors “juvenile delinquents”, “moaning Minnies” and “reckless”

Then negotiated and at the last minute reduced the offer, refused to reinstate it and then withdrew 1000 training places harming patients.

It’s not the BMA who are the bullies

[Zack Polanski @ZackPolanski]

It's now been 3 hours since our supposed "ally" Donald Trump threatened genocide on a country of 93 million people.

We've had absolutely nothing from the UK government.

This doesn't come in a vacuum either - every day the US & Israel have been murdering innocent people.

[Furkan Gözükara @FurkanGozukara]

Absolute horror. Al Jazeera confirms the Trump administration's near total fuel blockade on Cuba is causing infant mortality to surge. Doctors are literally operating blind in the dark as life saving machines shut off. This is a deliberate crime against humanity.

[Dr Shivam Sharma @DocShivSharma]

Blackrock. Palantir. JP Morgan.

The NHS is being sold off to the highest bidder and privatised by stealth.

Billions for private investment schemes.

But somehow not enough to pay frontline staff properly.

The government will always prioritise big business over NHS workers.

[Jack Fletcher @fletchjack]

Interesting reading this morning.

📝 BBC article:
“[the BMA] refused to call off a six-day strike next week.”
“the BMA ended the talks”

👉 My letter <24hrs ago:
“we are willing to postpone industrial action should a genuinely credible offer be provided.”
“We are willing to talk before,
during and after any industrial action.”

If govt give us a time and a place, me and my team will be there to talk through any credible offer.

https://t.co/eDioig4NaO

[The Heartlands Tribune @HeartlandsTrib]

#TrialByJury

The leader of the North Eastern Circuit, Caroline Goodwin KC, has just given the Justice Minister a reality check on Labour’s plans to limit jury trials to deal with the court backlog.

You don’t solve a backlog by removing one of the oldest safeguards of liberty in this country.

Trial by jury is not an administrative inconvenience.
It is a protection against the power of the state.

Create the chaos to present the solution.

Labour is exacerbating the issue and then presenting the solution, and the solution always seems to involve less liberty, more state power, and fewer protections for the individual.

Limit jury trials, and what you move towards are Diplock-style courts, trials decided by a single judge without a jury. We have been down that road before, and it was never meant to be normal justice.

This country fought for jury trials.
They are not a bureaucratic problem to be managed away.

Be very careful when governments start talking about “efficiency” in the justice system. Efficiency for the state often means fewer rights for the people.

[Dr Haseena Wazir @DrHWazir]

Tonight, @Keir_Starmer and @wesstreeting have decided to cut the number of offered specialist training jobs for doctors.

Doctors need these jobs to train to become the specialist Consultants and GPs of the future that the NHS so desperately needs.

Instead, this Government has decided to make it harder for you to see a specialist and is effectively holding doctors’ jobs hostage.

We are already an under-doctored country compared to other OECD countries. In 2025, around 40,000 doctors applied for just 10,000 speciality training jobs.

That means tens of thousands of qualified doctors ready to train, ready to work, and ready to treat patients are being turned away every year.

The Government can train more specialist doctors when they want to.

They are simply choosing not to.

Remember this the next time you can’t get an appointment or your surgery is delayed.

[Abdullah Omar🇵🇸 @Abdullah_Om3r03]

#The heroic doctor Hossam Abu Safiya is among the prisoners scheduled for execution 💔