Matt Walker

Husband, dad of 2, EM HST/PHEM subspecialty trainee, average cyclist. All views are my own

[Matt Walker @MattWalkerEM]

@F18826973 @aled_fellowes @simontutt88 Knowledge and skills which complement each other and in some instances overlap can be really beneficial for patients which is surely the goal? But stating that paramedics can do the same as a GP demonstrates a lack of understanding of the training and scope of both professions

[Matt Walker @MattWalkerEM]

@aled_fellowes @simontutt88 Hi Aled, that’s just not true I’m sorry. I work on a great team with both paramedics and GPs in one of my roles and there is a huge amount that a GP can do (with a higher level of complexity) that a paramedic cannot. That doesn’t devalue what paramedics can do though

[Cambridge PCP @CamPreHosp]

NEW FORUM ALERT! In February we will discuss 'The Critically Ill and Injured Child' with Dr Jeremy Mauger and Dr Ben Stretch!
For more information: https://t.co/NgrWf0W3iD
To sign up IN PERSON: https://t.co/fqoujiOWtb
To sign up ONLINE: https://t.co/iNHk3z1W36

[Matt Walker @MattWalkerEM]

@Xeon4f145d96s1 I hope it came across as frivolously as it was intended. Filling internal relief posts on a temporary skills shortage visa is quite the holiday. But you know that you’re covering gaps and not training whilst accepting the better weather, pay and experience in a different system

[Matt Walker @MattWalkerEM]

@AlinaV_Psy @jobbinggasman That is how the GMC 2025 workforce report reads, acknowledging that non-UK PMQ recruitment has been vital to fill gaps. If choosing to apply for it, 70% enter training posts within 2 years and 90% within 4 of gaining a UK licence according to the report

https://t.co/Ue22xotDbY

[Alina V @AlinaV_Psy]

I was talking to a colleague about locum shifts, and she said there were fewer opportunities because trusts locally (Birmingham) are going abroad and “importing doctors”. Now I know what she meant.

This story is really shocking, considering that I need to send endless receipts and justifications even for a 1.65£ parking fee, trust reps apparently spent thousands to travel abroad and recruit doctors when local doctors can’t get jobs.

Then the dodgy pay through an intermediary company.

The exploitation of doctors who were paid less than local doctors. The avoidance of tax, calling them “students”

Taking large numbers of doctors from a country that has a doctors shortage.

All this while there has been a recruitment crisis for years, graduates can’t get into training posts, and there are bottlenecks throughout.

😡

[Matt Walker @MattWalkerEM]

@TheSnoozeDoctor Interested to know whether the pilot is prescribing in the traditional sense or the use of PGDs in a similar vein to Pharmacy First?

[prehospitalcare @FPHCEd]

New FPHC Consensus Statement
Updated guidance on pre-hospital care for critically ill or injured pregnant patients is now live, with clear recommendations for assessment, resuscitation, positioning and trauma care.
Read more: https://t.co/QPt44l84O3

[Ian Higginson @RCEMpresident]

NHSE’s winter plan is inadequate. 500k patients waited >12hrs in English EDs Jun-Sep alone. Our knackered ED teams are looking for lasting action so we have beds for our patients, not non-existent “quick wins,” job freezes, and managers playing “war games” https://t.co/DkRljop8pA

[Andrew Lees @ajlees]

Why don’t the government take heed of proper doctors like ⁦@dr_mattmorgan?
Its because they live in a world where escalation of promises is routine and believe doctors resent accountability and diminished control https://t.co/hOOtopyOVa

[Resuscitation @ResusJournal]

The European Resuscitation Council Guidelines 2025 are out now in Resuscitation!

🔗 Read the Executive Summary: https://t.co/QWoGv3nVgd

🧵 Explore all the chapters in this thread

#Resuscitation #RESUS25 #ERCGuidelines #Guidelines2025

[Matt Walker @MattWalkerEM]

@DrRJWebb @anaesthetic_spr That’s a really good point and it’s possibly amplified even more in pre-hospital vs in-hospital practice. Not much value in destabilising a well-lead team when you can bring active followership as a senior interventionist that assists the leader and the wider team

[Matt Walker @MattWalkerEM]

@iDrSunny @_BH_6582 @Molly2323232323 @EMManchester @docib @RCollEM Quite, although the cynic in me would say that the data is there and isn’t widely available as it perhaps wouldn’t support whatever is about to be announced in the updated workforce plan (although your thread excellently highlights the direction its heading in)

[Matt Walker @MattWalkerEM]

@iDrSunny @_BH_6582 @Molly2323232323 @EMManchester @docib @RCollEM I’m not personally endorsing the pilot as the answer to a workforce crisis, but that is what existed at the time it started.

Coming back to evidence - it’s been 10 years, it should be there re patient outcomes and cost effectiveness, I don’t think it is but have never seen data

[Matt Walker @MattWalkerEM]

@_BH_6582 @iDrSunny @Molly2323232323 @EMManchester @docib @RCollEM I agree. Although that is 165 over 10 years and the competition ratios when the ACP credentialling pilot started was 2:1 and there was a significant attrition rate. That situation doesn’t exist in 2025

[Matt Walker @MattWalkerEM]

@iDrSunny @Molly2323232323 @EMManchester @docib @_BH_6582 @RCollEM Have a good evening Sandeep

[Matt Walker @MattWalkerEM]

@_BH_6582 @iDrSunny @Molly2323232323 @EMManchester @docib @RCollEM Personal view - 165 is a very small part of the EM workforce. I don’t see a need for more ACPs when EM is now very far from a hard to fill specialty and good RDs want to train in it and can’t. The ACPs I’ve worked with have been great and safe, they know their limitations