Patient Safety Group

This is an informal group interested in the views of MRCPs and FRCPs on the PA role and patient safety

[Neena Jha @DrNeenaJha]

“Let PAs take a simple history, examine & then discuss with a GP”

Short 🧵 to explain why this wouldn’t work…

GPs are highly trained diagnosticians. With no immediate investigations to hand, the diagnostic skill we use IS history taking & examination.

1/n

[Joe Pick @isitsleepytime]

@LordPhilofBrum This is why comprehensive nationalised standards are required for these roles and why the RCP’s apparent favoured policy of scope being defined locally is so dangerous. We at medics have to satisfy extensive postgraduate assessment before being let loose. Why compromise?

[Joe Pick @isitsleepytime]

@LordPhilofBrum With the greatest respect, if someone asked me to go onto the consultant rota next week I’d say no. This is because I recognise my limitations and the rigorous standards to fulfil a role. This concept appears alien to some.

[Dr Asif Qasim MA PhD FRCP @DrAsifQasim]

I’m pleased to see this: it is as a direct result of our call for #RCPEGM - it was only in the days before the meeting that @RCPhysicians @NHSEngland formally agreed with our statements that PAs are not doctors and must not replace doctors

Time to support Trusts and PAs whilst some of the positions are rectified

Working with many including
@djnicholl @drmattuk @TYoungstein @trishgreenhalgh @mark_toshner @martinmckee @ExplosiveEnema2 @Dr_Done_ @DaganLonsdale @bolton_char @charlot_summers @Zudin_P @kidneydoc101

[platinumpizza™ @Xeon4f145d96s1]

I think they may have misunderstood what the sign was for. Or maybe they just couldn’t think of anything? 🤷🏼.

Credit to @megsenmumdr

[Escoffier’s love child 🦀 (🗑️ 🔥) @mouseter_chef]

I reckon @JanetEastham has done more for patient safety in the last 8 weeks than a lot of the highest medical leadership have done in the last two decades

And before you @ me I know that’s not hard but credit where credit’s due!

[Doctors’ Association UK @TheDA_UK]

Deeply disturbing DAUK survey findings from Torbay & South Devon NHS Trust (@TorbaySDevonNHS).

PAs are overstepping boundaries, putting patient safety at risk, and impacting doctors' training. This is shocking in itself, but made far worse by recent events at the RCP. /1

[platinumpizza™ @Xeon4f145d96s1]

It was only a matter of time, I suppose.

[Mark Toshner @mark_toshner]

I’ve left it a few hours to comment but I think the thing that most defined the #RCPEGM was presenting likert scales like they thought just giving us the data would be too complicated for FRCPs to understand (and in an absurdly cherry picked way)

[Escoffier’s love child 🦀 (🗑️ 🔥) @mouseter_chef]

Question from the floor

@DrAsifQasim (legend ❤️)

“If we continue in this basis we will have long officer responses with little opportunity for actual discussion”

[Mark Toshner @mark_toshner]

So having had a ‘challenging’ time getting our 5 motions for the RCP EGM agreed, and after 6 months of not very much, the politics have move very quickly around them. 4 are agree. 1 is contested by the RCP leadership. It might help you to think about what it actually is🧵

[ExplosiveEnema @ExplosiveEnema2]

I can't quite believe what I've just watched

Doctor raises serious patient safety concerns about PAs with applause from the room...

AND THEY SKIP ANSWERING THE QUESTION!

Every patient safety group should be all over this!

[Dr Done @Dr_Done_]

OUTRAGEOUS

Look at the STATE of this‼️

Possibly the single most important question, asked by a senior respected doctor

They aren’t even trying, because they know there’s no justification

Response to difficult questions:
‘We’re short of time’ and proceeds to ignore

Pathetic…

[platinumpizza™ @Xeon4f145d96s1]

This meeting is cooked.

A VONC is needed.

[Dr Asif Qasim MA PhD FRCP @DrAsifQasim]

Let's not forget that @gmcuk and @drcolinm a couple of months ago were saying local governance would determine the scope of PAs

Yet now @NHSEngland and @RCPhysicians and @rcgp have made it clear PAs should not replace doctors or be on doctor rotas

Looks like time for @gmcuk to update their guidance on this and scope in general

@ExplosiveEnema2 @Dr_Done_ @Xeon4f145d96s1 @drmattuk @DrSteveTaylor @trishgreenhalgh @mmamas1973 @djnicholl @EmergMedDr @mark_toshner @trentconsultant @TomStocks1982 @RobLaurensonD4P

[Dr Asif Qasim MA PhD FRCP @DrAsifQasim]

@RebeccaAn5ell @trishgreenhalgh …get your FRCP and help us change it

Please encourage FRCP colleagues to vote for all 5 motions

[Dr Asif Qasim MA PhD FRCP @DrAsifQasim]

PA Schools @schools_pa have a lot to answer for - the way they position their courses is pure fiction

PA masters courses are not an intense compressed medical school clinical course, they are narrow and shallow clinical courses sufficient for an assistant to a doctor working under a doctor's supervision

[Dr Robert Laurenson @RobLaurensonD4P]

How must the board of trustees be feeling right now?

When will the first one jump?

[platinumpizza™ @Xeon4f145d96s1]

There is no war in Ba Sing Se.

#medicineisbrilliant