UK public health needs a total overhaul. We need to reinstate PH training as a medical only specialty. We’re seeing impossible competition for training places and CCT jobs. We need to go back to before 2001 - PH medical training should never have ended up like this! #ReformTheFPH
Slight delay on this from me due to NHSE abolition but what does this mean for public health? We're facing both competition ratios of 30+ plus CCT'ing registrars struggling to find consultant jobs. All of it needs an overhaul, PHMRS will work to ensure any changes increase...1/2
Now they want us to relinquish our NHS Consultant T&C contracts and join them on AfC. They can’t stand us earning more than them in Public Heath MEDICINE. A race to the bottom. Never let PA/ACP/‘Multi-professionals’ in. Unregulated (UKPHR nonsense), Unaccountable, Unsafe..
Exactly what happened to public health medicine training, don’t let it happen to hospital medicine. The biggest scandal in UK med happened in 2001, when the self-hating medics at the Faculty of Public Health unilaterally enabled ‘multi-professionals’ to join PHM training.
Could this be a new addition to the alphabet soup of noctors? An ANNP equivalent to ST1–3 perhaps, with up to 11 years of medical training behind them? What a fucking joke!
I have some news;
I am running for the British Medical Association Council. If you are a BMA member please vote for me;
"I am standing for BMA Council because doctors need representatives who understand how power operates in the NHS - and how decisions made at the top land in reality. I work in A&E, where political and workforce failures translate directly into risk and harm for patients and staff. I do not just understand doctors’ anger about pay, morale and conditions, I live it.
Alongside my clinical work, I have spent twelve years pursuing a fiercely contested whistleblowing case and supporting doctors in similar situations. I have seen how employers, regulators and lawyers can combine to silence doctors who speak truth to power or scapegoat those who remain silent. Doctors carry responsibility for patients, yet too often lack power and protection. I have worked closely with the BMA on my own case and have seen it increasingly win these fights for others. These successes matter. They protect patients, defend doctors, and change culture."
Dr Elaine is the UK’s first deaf/blind doctor. She is under multiple specialists in London. She is on 24 hour LTOT.
Her request to be pre-allocated to London was declined and was allocated Dorset.
This is a catastrophic failure by the @UKFPO, who simply isn’t hated enough.
The scale is staggering. In 2025, 33,000+ doctors competed for ~9,500 round 1 specialty training places. The BMA found 52% of FY2s had no job from August. It costs ~£230k to train each graduate. That investment is being wasted.
Public Health Medicine is a MEDICAL specialty. We’re no longer under-subscribed, and we don’t need ‘multi-professionals.’ You have many routes into PHM, we only have one. Self-hating medical public health consultants at the @theFPH unilaterally cheapened our profession since 2001
Thank you - please keep supporting. We’re going to need all the help we can get to lobby the FPH and the self-hating medical PH consultants that have enabled this to happen. No space for PAs/ACPs/‘multi-professionals’ in medical training. #ReformTheFPH#UKPHScandal
The biggest scandal in UK medicine happened in 2001, when the @FPH unilaterally allowed ‘multi-professionals’ to enter public health medicine training. PHM is no longer under-subscribed. It is a MEDICAL specialty with > 28:1 competition ratio, it must return to medics ONLY. 🧵
@DrLKVaughan@medicalmodelbri@Anisocyte@anaesthetic_spr@luk Actually been the case since 2001, although difficult to find anything on the decision, the Faculty just did it. The training route is equivalent with a high bar for non-medical entry. Big issue was the non-medic portfolio route historically, no regulator and no exams...
There’s a petition currently circulating calling for the immediate resignation of the Chair and Chief Executive of the General Medical Council (GMC).
Please sign and share:
https://t.co/t9m5rQLAiQ
Step 1: Overhaul Public Health training and stop non-medics from being able to apply - that will solve the horrific competition ratios. Let’s take our specialty back - we can’t have non-medics continue to undermine our specialty. Why is no one talking about this? #ReformTheFPH
We do not have enough public health consultants in the UK despite a need to shift to prevention. Yet governments won't properly fund enough consultant or training posts. The public health ratio has doubled, GP/PH isn't being expanded quickly enough. We can't go on like this
We do not have enough public health consultants in the UK despite a need to shift to prevention. Yet governments won't properly fund enough consultant or training posts. The public health ratio has doubled, GP/PH isn't being expanded quickly enough. We can't go on like this
UK public health needs a total overhaul. We need to reinstate PH training as a medical only specialty. We’re seeing impossible competition for training places and CCT jobs. We need to go back to before 2001 - PH medical training should never have ended up like this! #ReformTheFPH
Slight delay on this from me due to NHSE abolition but what does this mean for public health? We're facing both competition ratios of 30+ plus CCT'ing registrars struggling to find consultant jobs. All of it needs an overhaul, PHMRS will work to ensure any changes increase...1/2