We have uncovered a haphazard approach to the use of Advanced Practitioner (AP) roles by NHS trusts. Our investigation has revealed almost half of hospital trusts are using non-doctors to fill doctor rota gaps.
APs can play an important and valued role in patient care. But they should not be asked to substitute for doctors to address staffing gaps.
Patients shouldn’t have to worry about whether NHS managers have asked non-doctors to deliver care that only doctors can safely deliver.
Read the full story: https://t.co/kSI340ouIc
This is just what some doctors have reported. The truth is likely much, much worse.
Trusts cannot continue putting patient lives at risk to pinch pennies.
Locum rates must be escalated to fill gaps!
@TheCountessNHS@WUTHnhs
Stop putting your bottom line above patient care.
@DrBeckyl It’s often not a choice between a locum and a consultant; it’s a choice between a consultant and an empty rota. If a locum isn't available, someone has to keep the ward safe.
Yes, elective work is cancelled, but that’s the cost of a system with no slack.
In just 2 months, across 2 hospitals in our region:
→ 30+ consultants stepped down to cover ED resident gaps
→ 28 other individual reports on unfilled shifts reported
→ Up to 3 gaps left open per shift
Gaps when A&E departments are the busiest they have ever been! This is happening on non-strike days.
@TheCountessNHS@WUTHnhs, management what are you doing to address this?
Last year, 4,724 doctors were turned away from emergency medicine training.
Standing strong at the Royal today! 🪧🩺
The message is clear: Patients need doctors, and doctors need jobs. We are out here fighting for fair pay and the future of the NHS.
@DrBeckyl This specific portal is designed for staff to report clinical safety concerns, but patient feedback is vital. Patients can usually report similar concerns via the PALS or directly to the Trust’s management to ensure their voice is heard in the funding debate.
This Good Friday at Arrowe Park, whilst doctors were NOT on strike:
We received reports of patients needing critical treatments, including blood transfusions, waiting over 24 hours due to severe staffing shortages.
"NOBODY wants strikes in our NHS. Every time junior doctors walk out, it's patients who feel the impact — and other NHS staff left picking up the pieces."
@WesStreeting on how these strikes will mean delayed operations and families left waiting in pain.
More in @TheSun: https://t.co/09cRBBPqUZ
Over the coming days and weeks, we will be sharing further cases submitted to our safety portal, highlighting unsafe care across the region linked to funding cuts and management decisions.
Would a plane be allowed to take off without the appropriate cabin crew?
Medicine is a safety critical industry run by management disassociated from the clinical consequences of their failures.
@wesstreeting intervene now.
You can't say you didn't know.
Why is this becoming a new reality within the NHS?
@wesstreeting when will NHS funding be restored in Cheshire and Mersey to ensure we have adequate number of doctors to look after patients??