NHS Renal Replacement

Here to stop the NHS taking the piss.

[NHS Renal Replacement @NHS_RRT]

This story has inspired us to help doctors across the country to negotiate for each and every extra-contractual shift. Head to https://t.co/ur0ZOkYL4u to find out how. Enough is enough. 🧵

[Dr Laura Owler @LauraOwler]

Absolutely love to see this from my new TPD

[NHS Renal Replacement @NHS_RRT]

If true, a Staggering lack of insight. I have been convinced for some time that this account is a false flag designed to whip up anti-PA sentiment. I’m actually not willing to believe that anyone thinks they are infallible or haven’t made a mistake in a decade.

[Dr Ian Jackson 😷🏴󠁧󠁢󠁳󠁣󠁴󠁿🇪🇺🗿 @dr_ianjackson]

Thread for those who do not understand why I might be against Anaesthesia Associates or whatever they might want to call themselves.

Anaesthesia is high risk area - one colleague used to say my job involves giving sublethal doses of dangerous drugs & wakening you up at the end.

[NHS Renal Replacement @NHS_RRT]

Objectively one of the funniest tweets I have ever read. Kudos Mr. Li. Kudos.

[Arthur Li @Art_Li]

The dildo of consequences rarely arrives lubed.

[NHS Renal Replacement @NHS_RRT]

@InvCoriolis Agreed. I also hold a degree in a non medical subject (but health sciences related). I don’t pretend for one second that it contributes to my knowledge or skills as a doctor.

[NHS Renal Replacement @NHS_RRT]

This is the problem with getting high on your own supply. Nobody is buying this anymore because it is entirely non credible. There are arguments to be made for PAs, but claiming they have 5 years relevant training is just nonsense.

[NHS Renal Replacement @NHS_RRT]

@RobLaurensonD4P @Cray_tweets1 @Mike88881221 @AlderHey @ICOnews lol. We need plastics here ASAP to review this deep burn!

[Dr Robert Laurenson @RobLaurensonD4P]

@Cray_tweets1 @Mike88881221 @AlderHey @ICOnews Didn’t realise the budget cuts meant the NHS was going to be economical with the truth

[NHS Renal Replacement @NHS_RRT]

@iDrSunny I think they have to collect the whole set: https://t.co/Lwin65evdP

[NHS Renal Replacement @NHS_RRT]

@chriscraigCCC @TomStocks1982 @drphilhammond @gmcuk Could I not just have a couple more months of blissful ignorant hope? Lol.

[NHS Renal Replacement @NHS_RRT]

@drokane I get this all the time. You can tell when you are speaking to someone not medically trained, as the information just comes in a totally bizarre format with obvious information missing. It’s why I always go and see referrals from non-medics. Too risky not to.

[Life in the slow lane @drokane]

I take referrals all the time. There is a clear difference between a complex chat about risk with a GP or Med reg who calls me and a non medical trained person where I just say "Sure send them in" as I often have no idea what is going on. It is very different.

[Anaesthetists United @AnaesUnited]

A year ago AoMRC President was asked what kinds of procedures PAs would do. Her answer:- "Simple things like taking blood, putting cannulas, ways of gaining access into patients, sometimes doing ECGs, tracings of the heart, that kind of thing".

https://t.co/5Xny4cX3hY

[NHS Renal Replacement @NHS_RRT]

This is performative. Nothing more. Nothing less.

[GMC @gmcuk]

We’re looking forward to seeing all of these activities this week! 🎉 🙌 #SpeakUpWeek

[NHS Renal Replacement @NHS_RRT]

Will someone please for the love of god tell me how skipping a decade of training and exams makes you “registrar level”. Gives new meaning to homeopathic medicine! The less training you do, the more advanced you become!

[Mike @Mike88881221]

This exchange between an @AlderHey consultant and @alderheymeded highlights everything wrong with the organisation's culture that allowed a Physician Associate to work far beyond their training & perform child protection medicals.

"Other specialties have it so good"

@IanByrneMP

[Jamie Murphy @Microbedoc2]

This is seriously unbelievable.

[Life in the slow lane @drokane]

What is just so absent is the colleges and the PA leaders are never presenting the argument for PAs

None
No one

tells us what they are good for
why they are better than a doctor

SILENCE

What do patients get with folks with 20% of the training

It is not safety

@parthaskar

[Dr Rachel Clarke @doctor_oxford]

Doctors are speaking up. Over and over again. But you belittle, dismiss & ignore our concerns about doctors being replaced by PAs - & refuse to publish the results of your public survey on the issue.

This is repressing, not promoting, speaking up. It’s the antithesis of candour.

[NHS Renal Replacement @NHS_RRT]

Just to point out, that this isn’t regulation. This would be an example in fact of deregulating an industry. If you keep a list of names, and tell employers they can use them however they like, that isn’t regulation.

[Shaun Lintern @ShaunLintern]

The planned regulation by the GMC of PAs will leave local employers to decide what exactly PAs will be doing, as with nursing associates. Another example here of why local employers can't be trusted:

[NHS Renal Replacement @NHS_RRT]

Seeing the regulator actively troll the profession is absolutely incredible. 3 massive U-turns from royal colleges, bereaved family members having to raise concerns to the press because no one is listening, doctors presenting hard evidence via FOI.

[GMC @gmcuk]

We’re looking forward to seeing all of these activities this week! 🎉 🙌 #SpeakUpWeek

[Good Morning Britain @GMB]

'She thought she was a doctor.'

Marion and Brendan's daughter died as a direct result of being treated by a Physician Associate when she thought she was seeing a doctor.

Emily had a blood clot in her calf but was sent away with a beta blocker & a diagnosis of long Covid. She died three weeks later.

Emily's parents are calling for more clarity and regulation.