Nel

[@medicalmodelwithabriochebun @medicalmodelbri]

H/T @Mary_Tom11 for showing me this damning CQC report . Everyone please take the time to read it.

THIS IS NOT A ONE OFF .

https://t.co/L73hOzi9Gl

[Nel @DrNelee]

Disgraceful @jamesmurray_ldn

[ExplosiveEnema @ExplosiveEnema2]

@Melissa_S_Ryan @DW8674 Literally ACCPs describing working on both two tiered rotas and mixed rotas dating back to 2020

@dw8674 knows this has been going on

He has many people blocked (like me) so that he doesn't have to confront these uncomfortable facts

🙈🙉🙊

[Bekki Hills @HillsBekki15323]

Another scalding hot forensic analysis by @Anisocyte, this time of the FICM's *no-scope-whatsoever* document for ACCPs. It's PAs replicated again only worse, be scared, but most of all get educated about this scandal!😱

[@medicalmodelwithabriochebun @medicalmodelbri]

3 GPs suspended from the @gmcuk register and their GP practice registration cancelled by @CareQualityComm due to serious patient safety concerns .

❌APs working out of scope

❌PAs not managing care or advising patients appropriately - not picked up by the GP

[Dr Ali G (🦋 @dralig.bsky.social) @AlisonGeorge10]

What is the point of @CommonsHealth @PSCommissioner & @WatchPatient if they continue to ignore this MASSIVE HEALTHCARE SCANDAL?

Dangerous Dr substitution with less qualified HCPs is happening across the NHS🚨!

#TwoTierHealthcare
@LaylaMoran
@JamesTitcombe @Jeremy_Hunt

[Anisopoikilocyte @Anisocyte]

@Nurseadvoc58533 Instead they’re out there pretending they’re ST3 grade. And they never is re exams.

They’re so clueless they don’t understand that GenMed is integral to practise at ST3 grade.

Yeah, sure! I skipped 25 miles and rollerbladed on the last mile, so I too “ran” the London marathon.

[Anisopoikilocyte @Anisocyte]

@Nurseadvoc58533 Masters in Fine Arts is also a masters level programme.

Shall we let them act as doctors too?

The content is what is important, and an F1 has a Level 7 degree in Medicine.
An ACP doesn’t have any degree in Medicine.

So an ACP should not be doing even what an F1 does, medically

[@medicalmodelwithabriochebun @medicalmodelbri]

@CareQualityComm this is happening all over the U.K. in many GP practices isn’t it ?

How often do you inspect practices ? This was highlighted due to whistleblowers. Will you be inspecting ALL GP practices ?

[Nel @DrNelee]

@jamesmurray_ldn

It’s the Wild West now in healthcare.

On your watch now.

[Dr Melissa Ryan 🦀 @Melissa_S_Ryan]

Locally-set scopes invite variation and are unsafe. There must be no doctor substitution and national standards and regulations. APs do not have a medical degree and have no medical training.

Especially worrying in an ICU setting where patients are too unwell to consent to this

[Anisopoikilocyte @Anisocyte]

I would like to talk about this document, which was sent to consultation by stakeholders by FICM.
It’s a “scope” document for ACCPs, who are medically unqualified individuals being increasingly used to replace ITU SHO/SpRs across NHS hospitals
1/

[ExplosiveEnema @ExplosiveEnema2]

@Anisocyte I'm sure @theRCN will be along right away to tell us all how inappropriate it is for FICM to have written this medical document for their nurses

Right?

[Burnt Toast @Burnt2020]

@Anisocyte Anaesthetic SpRs should refuse to supervise these people. The RCoA should insist all supervision is from ICU consultants. No more free labour and liability sponges from anaesthetists. Then they can do what they want with their specialty.

[Anisopoikilocyte @Anisocyte]

It’s clear why specified national scope won’t be set by FICM though: specification requires evidence, evidence invites scrutiny, which exposes the inadequacy of ACCP standards.
Just like with PAs, visibility will kill the ACCP project.
So they bury it into local scope.
29/

[Anisopoikilocyte @Anisocyte]

The most shocking part of it for me is that this is imposed on ITU patients, who cannot consent, whose families have limited power to move them somewhere safe (if even transferable) without an LPA.

This is abandonment of standards for some of the most vulnerable people.
28/

[Anisopoikilocyte @Anisocyte]

All in all, this doc isn’t a scope.
It’s a Carte Blanche to let medically unqualified ACCPs run wild & practise up to consultant level ICM, with no national or regulatory oversight, & blame it on “service need”
It is negligent & irresponsible of FICM to write this & enable it
26/

[Nel @DrNelee]

This is now quite horrifying.

Are you trying to actively reduce the electorate @jamesmurray_ldn by allowing unsafe scope creep by non doctors?

Will you halt this?

[Anisopoikilocyte @Anisocyte]

I would like to talk about this document, which was sent to consultation by stakeholders by FICM.
It’s a “scope” document for ACCPs, who are medically unqualified individuals being increasingly used to replace ITU SHO/SpRs across NHS hospitals
1/

[Burnt Toast @Burnt2020]

UK ICM wants to escape anaesthesia. It can't because there aren't enough doctors, and out of hours, the majority need senior anaesthetic trainees to provide expertise. This document shows how they want to use paramedics instead. Anaesthetists should refuse to supervise them.

[@medicalmodelwithabriochebun @medicalmodelbri]

@AshleyDalton_MP When will the Labour government implement the @lengreview or are you waiting for more children to be harmed by physician assistants @AshleyDalton_MP ?

https://t.co/9JkzfyLK53

[Mike Henley 🤨 @trentconsultant]

Get that ballot paper in the post! 9 out of 10 members of the public believe consultants pay should be competitive, it's half the level of the national health service in Ireland. #DemandBetterVoteYES

[Nel @DrNelee]

Please implement the Leng Review and review the role of ACPs.

@jamesmurray_ldn

Patients safety is at stake.

[Anisopoikilocyte @Anisocyte]

What is needed before the planned government upscaling of this role is a rigorous independent review, just the one done for PAs.

We’ve all seen how unchecked expansion of PA roles went.
Let’s not make the same mistake again and waste taxpayer money that we don’t have.
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