MHG

GP

[MHG @MHG1910]

@medicalmodelbri This is truly awful for the child & mum
A really important aspect-if consent for examination was only given by mum because she thought (trusted) it was a GP as it was not made crystal clear it was a PA it is NOT informed consent & it potentially constitutes assault by the PA?

[@DrKatie.BSky.Social @doctor_katie]

Patients tell their story all too often @LaylaMoran but they may not wish to share ALL info with ALL providers ALL the time – do all the staff in your local pharmacy have to see the notes on consequences of prostate surgery?  Or the full details of traumatic experiences?

[Meg 👨‍👩‍👦‍👦👩🏻‍⚕️🇮🇳🇬🇧🏏🎥(BlueSky Name👇) @Megsenmumdr]

@DHSCgovuk @jamesmurray_ldn @BBCNews Would pts have a say in who sees what on their records?
There’s historical info on pts GP records which they may not want all staff to see
Ex-past relationship breakdown/ STI/drugs etc
Especially given inappropriate access by hospital staff in high profile cases

[ExplosiveEnema @ExplosiveEnema2]

@DrICollings @ConorGogarty Lovely introduction in your own words explaining how much work you have done to embed the PA role into primary and secondary care over the last number of years

I don't want to be accused of misrepresenting you or your "Showcase" of best PA practices

Onto the list 👀

6/

[MHG @MHG1910]

@ExplosiveEnema2 @DrICollings @ConorGogarty @CLawthom PAs always need to work under the supervision of a specialty named Cons/SAS Dr/senior GP
They cannot be supervised by a Psychiatrist for pt assessment & treatment of new or coexisting MEDICAL conditions
Is noone supervising medical care given by PA (who can never be independent)?

[Margaret McCartney @mgtmccartney]

pharmacists are great. no question. but the idea that 'minor illness' can always be separated from major or what will be ongoing needs are not true. Additionally, 'minor illness' is often the way that people get to know their GP; builds relationships, and creates trust;

[Karen @Lesley5856]

@vcg239 @medicalmodelbri @Molly2323232323 @EKHUFT I am an old nurse and completely agree with you. What this type are doing is also undermining the important role we have as nurses! I would suggest calling them Matrons like the old days. They are not Consultants.

[MHG @MHG1910]

@Melissa_S_Ryan Thank you
There is a huge issue re patients not being clearly informed or informed at all or misled re any details re the title/role/supervision requirements of advanced practitioners.
They are not giving informed consent to examination, investigations and procedures by APs

[Burnt Toast @Burnt2020]

@valhumphreys51 @gold103x @medicalmodelbri @NHSForthValley What do you think the legal situation is for patients who did not know their surgeon was not medically qualified (and therefore not actually a surgeon) and experienced complications? Is it as bad as it sounds, or would the trust simply say we deemed them to be qualified?

[Mamas A. Mamas @mmamas1973]

1. In NHS Forth Valley Scotland there surgical care practitioners (non medically qualified individuals that have no formal surgical training / have not passed surgical fellowship exams) undertaking advanced breast surgery autonomously, with "remote"consultant supervision.

That this is happening in a first world healthcare system is both dangerous and incredulous.

➡️The post involves working autonomously in an outpatient setting to review, diagnose and implement a comprehensive treatment plan, including gaining informed consent for surgery and listing patients for surgical intervention.

➡️The post involves autonomously working in an operating theatre environment – both in procedure rooms and main theatres – to perform surgical procedures independently and to lead the theatre team to deliver safe surgical care for the patient.

➡️ Assume responsibility for individuals within a clinical setting /caseload under remote Consultant supervision.

Here is the job advert:
https://t.co/5we93ELFI7
(i have saved content in case it mysteriously goes down)

[MHG @MHG1910]

@medicalmodelbri @Molly2323232323 @julietteemurray If you listen to the video she discovered him, her belief in him kept him going, she was inspirational, opened doors to SCP Plastics & he’s followed her to Forth to do Urology now
Appears to be her willing pet project to prove her ‘Advanced roles’ ideas & further her own career

[MHG @MHG1910]

@medicalmodelbri @5_5mith @NHSForthValley @surgeonsnews @RCSEd Because Juliette MD had personal promotions & titles to chase (and she has) on the back of furthering ‘advanced practice’ for years to the detriment of her profession, colleagues and, most importantly, patients. Dean appears to have moved in her wake & been her ‘success’ story

[MHG @MHG1910]

@medicalmodelbri @NHSForthValley Exactly
It is easy to be very clear to patients about these details
Choosing not to be is deliberate
It should be a disciplinary matter for management & clinical staff who do this
There should be legal recourse for patients

[MHG @MHG1910]

@Mary_Tom11 @medicalmodelbri @NHSForthValley @falkirk_herald @Daily_Record @stirlingnews @thecourieruk @heraldscotland @TheScotsman @CentralFM @Euan4Falkirk @chriswkane Local media or a savvy legal firm should use media/ SM to inform local past pts re this
If any pts only gave their consent as they believed the person who did their surgery was a Dr there may be hundreds of patients who wish to pursue the Trust
It is being deliberately hidden

[MHG @MHG1910]

@medicalmodelbri @NHSForthValley How is it right that 2 NHS pts
paying the same NI etc
going for the same surgery in different Trusts
can now get such vastly different staff/standards of care
And
Not have right to be told
Not able to give informed consent
Not given a choice to decline/go elsewhere to see a Dr

[Ollie Burton @ollieburtonmed]

@drokane @kcisc Q: Why must the RDs rotate?
A: To gain sufficient experience and knowledge to become mere SHOs, of course.

Q: So nobody who doesn't do that can do what SHOs, let alone registrars do right?
A:...
Q: Right?!
A: No sorry that would make staffing difficult and we can't have that.

[Dr Melissa Ryan 🦀 @Melissa_S_Ryan]

Doctors, sign the petition today!

The medical reform needs a serious rethink. We’re calling for:
- separate registers for PAs and reduction of blurred lines
- title protection for doctors
- no increase in the GMC powers of appeal
- new powers for PSA to demand info when needed

[The BMA @TheBMA]

The GMC reforms that are on the table won’t fix what’s broken.

Doctors are being let down by a system that lacks fairness, patients are feeling the impact too. We need to see real change. Sign the petition👉 https://t.co/Fl8qX7Uj7K