AK KK

Victory Comes through Harmony. Consultant Psychiatrist. Views are my own.

[Jonny Cooper @JRCooper26]

James Milner retiring means 2026-27 will be the first English top-flight season since 1956-57 that will not feature a single player who played under Sir Bobby Robson.

[Arsenal @Arsenal]

This belongs to all of us.

[bum @BattleRapBum]

DILLA FOREVER

[Arsenal @Arsenal]

Flow state.

[Haroun @HarounHickman]

The PGMOL’s very own Howard Webb clearly explaining why Saliba touching the ball while clashing heads accidentally with Joao Pedro must be a penalty…

…so why have the rules changed today for Arsenal playing away at Newcastle when Gyokeres got cleaned out?

[Mike @Mike88881221]

🚨 NEW: FOI response shows @NHSEngland has spent £62 million on training Physician Associates and Anaesthesia Associates over the last three years.

£54.3m on PAs. £8m on AAs. 💰

They’re also directly funding salaries for PA and AA 'ambassadors' - £275k and counting

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

Somehow a lot of folks have got together

And managed to create a narrative that being a doctor of medicine is elitist and one must avoid such titles

Nah.

You worked hard, you did the hard yards, you are trained beyond what others are

Feel proud to be a Doctor

Remember this- it’s a title of such value & respect that many others spend so much time trying to draw false equivalency

Imitation is the sincerest form of flattery

Be proud of that title

#sundayvibes

[Mike @Mike88881221]

Second Regulation 28 following the death of a patient misdiagnosed by a physician associate in ED

"Witnesses from the Trust gave evidence that a Physician Associate was clinically equivalent to a Tier 2 resident doctor without evidence to support this belief"

@RCEMpresident

[Mike Henley 🤨 @trentconsultant]

The organisation set up to protect the public from over confident bogus ‘physicians’ who’d not had the training needed to be a doctor now putting them on the doctors register. @gmcuk hang your head in shame.

[Dr Rachel Clarke @doctor_oxford]

I will write more fully on this shortly - but this is a breathtaking abdication of responsibility by the UK’s medical regulator.

This is mass medical deregulation - the @gmcuk literally saying PAs can do whatever they want if their local employer says they can. An NHS scandal.

[Arthur Li @Art_Li]

@Burnt2020 I can’t tell you what they think but I can tell you what they’ll do - use EVERY trick known to man to avoid cover. Standard Op Procedure.

Doctors should NOT wait to see how things go after the sh*t has hit the fan. Speak to MDO, risk assess, minimise exposure beforehand.

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

Lesser trained individuals delivering more care for the deprived population

Facilitated by @NHSE_WTE @gmcuk leadership & personal ego / hubris

A 2 tier system creation

It’s now the @FT reporting on it

Absolute wowsers what some have facilitated 😳

https://t.co/uTBdw8FwSv

[Guardian sport @guardian_sport]

Star boy Saka’s consistent brilliance makes him rock for England and Southgate | Jonathan Liew https://t.co/PlhSYB6RmX

[Dr Phil Hammond 💙 @drphilhammond]

Thank you for asking me this question

I generally refrain from comparing medical scandals because they are all tragedies in their own way.

The Bristol heart scandal arose because the unit had demonstrably worse results for paediatric cardiac surgery than other units, but was telling parents the UK average mortality rates rather than the unit’s actual rates. To compound matters, the problems in Bristol were widely known amongst the profession, the Royal College of Surgeons, the Society of Cardio Thoracic surgeons, the Department of Health specialist commissioning group etc. Everyone knew apart from the parents, until a very brave whistleblower called Steve Bolsin spoke up. The public inquiry, which finished nine years after I broke the story in Private Eye, concluded that around three dozen babies might have survived if they’ve been operated on elsewhere over a set period. Over a longer period, Professor Bolsin puts the number at around 170. The real tragedy of Bristol is that it made 198 recommendations, many of which have been subsequently repeated in all the other health scandal since, most notably the Mid Staffs inquiry and more recently the infected blood inquiry. The UK is a world leader in public inquiries, and then we ignore the findings so we can have another public inquiry.

The physician associate scandal may not progress to a public inquiry because so many people have raised concerns early, both here and elsewhere. Various Royal Colleges and the GMC have egg on their face and are reversing, or may shortly be reversing, their positions. Far more NHS staff are speaking up for patient safety and, with a new government in charge, constructive changes are more likely to happen and people will continue to speak up if they don’t.

There have been some well publicised disasters where PAs have either voluntarily or forcibly been put in positions that were beyond their competence, and serious harm and death has resulted. However, this clearly doesn’t just apply to PAs. In the Bristol Inquiry report, it was estimated that around 25,000 people die every year in the NHS from either substandard care, or failure to access care. More recently we seem to have settled on a number of 11,000 avoidable deaths a year. Only a tiny fraction of these will have anything to do with PAs.

I guess what I’m saying is that we need to look at patient safety in the round, and speak up forcibly about every aspect of it. My big lesson from Bristol was that how you raise concerns matters as much as the concerns you raise. I did it in a very aggressive way, that made people pull up the drawbridge and probably delayed constructive change and adversely affected the mental health of surgeons trying to do the hardest operations on some of the sickest children. There are plenty of competent PAs out there doing their best in very difficult circumstances, and suicide rates are high enough amongst NHS workers without making things worse.

If we see everything through the prism of patient safety, safe staffing and skill mix levels, it gives us something to unite around as healthcare workers. As Steve Bolsin famously said about the Bristol case, “if you want to prevent future scandals, never lose sight of the patient.” And the lesson from Bristol for PAs out there is that you have to be very explicit and honest with patients about who you are and what your levels of expertise are. If you give misinformed consent, there is no defence. And hospitals and professional bodies that misrepresent the expertise of PAs are equally culpable.

Does that answer your question?

[Led By Donkeys @ByDonkeys]

32 days to go. Do you live in North East Somerset? Do you know someone who lives in North East Somerset? Do you know someone who knows someone who lives in North East Somerset? Share this film with them

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

Actual words in @RCPhysicians Charter in 1518

"To curb the audacity of those wicked men who shall profess medicine more for the sake of their avarice than from the assurance of any good conscience..

Whereby many inconveniences may ensure to the rude & credulous populace"

Huh

[AK KK @DrKumar84]

@vxyjmzzz7211 Will take - check dm

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

There are Four Groups of people you have in your lives

Who you spend your time & energy with?
Is your decision

FWIW?
Make time for the Blinds: they always leave you with a feeling of happiness- that’s worth its weight in gold

Via @bmj_latest Jun 2022

https://t.co/lBkznIHX87

[Ian Wright @IanWright0]

Enjoy it!!!!

[Taz @Suburbanbella]

Colleagues in the UK, as you fight this ridiculous scope creep battle, I would like to offer a few caveats/quotes for support. Be warned that you will be gaslighted & sealioned to death. You will be asked to prove a negative(ie: that PAs don't measure up to docs). Don't fall for