Partha S Kar 🇮🇳🇬🇧🏏🎥

Consultant Diabetes, @PHU_NHS
GIRFT Clinical co-lead, Diabetes @NHSEngland
IMG- From Kolkata 🇮🇳
Bengali

Rest? Click link!!

Motto?
He who is brave? Is Free

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

Formal email sent to @DHSCgovuk and @NHSEngland

Regards PA protocols @lengreview

1. No role for PA to see undifferentiated patients. The supervisory time asked for is not available - and thus will lead to lesser supervision than planned and thus safety issues

2. Absolute no regards Resident Doctors holding responsibility. If anyone as a senior wants to be a liability sponge? Do it yourself- not lean on RDs

3. Given present suggested protocol- review of pay bands as not cost effective - in environment of other staff being de-banded.

That will be position with respect to @RCPhysicians and @gmcuk too

You may not agree with it- but in a democracy- I am allowed to have an opinion

And that’s mine as a senior clinical leader with years of work as a trainer- and leading on safety issues.

You give yours and let’s see what comes out as the final one.

@djnicholl @thomasdolphin @mmamas1973 @DrNeenaJha @BMAResidents

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

@medicalmodelbri @Megsenmumdr @physicianassoci @DHSCgovuk @NHSEngland @lengreview @DrLKVaughan @DrJoFranklin @RobLaurensonD4P @DrSteveTaylor @Rezaidi @DrSelvarajah @DrAsifQasim @respirologist @AlisonGeorge10 @doctor_katie I have had a few others.

I recall similar happening after my Ma died.

I can’t help people who lack basic education & decency.

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

Formal email sent to @DHSCgovuk and @NHSEngland

Regards PA protocols @lengreview

1. No role for PA to see undifferentiated patients. The supervisory time asked for is not available - and thus will lead to lesser supervision than planned and thus safety issues

2. Absolute no regards Resident Doctors holding responsibility. If anyone as a senior wants to be a liability sponge? Do it yourself- not lean on RDs

3. Given present suggested protocol- review of pay bands as not cost effective - in environment of other staff being de-banded.

That will be position with respect to @RCPhysicians and @gmcuk too

You may not agree with it- but in a democracy- I am allowed to have an opinion

And that’s mine as a senior clinical leader with years of work as a trainer- and leading on safety issues.

You give yours and let’s see what comes out as the final one.

@djnicholl @thomasdolphin @mmamas1973 @DrNeenaJha @BMAResidents

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

Something poignant about being in Philadelphia

And the Rocky statue

Life has dealt a fair few hard knocks
And here I am

At the 1st #T1D specific conference @BreakthroughT1D

As a faculty

“But it ain’t about how hard ya hit.
It’s about how hard you can get hit and keep moving forward”

And I am trying- with the love & kindness of many- to move forward 💙

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

@Gerogrios Works every time

Both the prediction

And baiting clowns on the twitter sphere.

‘Bro’

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

Called it.

It’s going as predicted.

Call me Stephen.

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

Prediction time- and a bookmark for those who fancy it.

There will be attempts to fudge the PA protocols and dilute by the pro “PA are just differently trained doctors” lobby.

Absolute lock on that Leng will be under heavy pressure to be part of that

Organisations such as Royal Colleges will try to manage it internally and “find a middle ground”

(Colleges will mostly do as asked- unless the uproar is too much to handle)

They will eventually come in the public domain
There will be uproar and much debate as Fellows and Members see them.

The NHS Long Term Workforce Plan will try- again - to shoehorn PAs in.

The basic strategy?

“Let’s find a middle ground”- based on a belief that people are tired of this and will accept.

And a hope that enough has been given to the BMA - pay structures, IMG sacrifice etc for them to sign up

As ever?
The key sits with the supervisors.

Will YOU as a Doctor- agree to taking lesser trained people on and put your liability on the line.

And will you have the time once METR lands.

Policy is one thing - involves much of politics

Implementation?
Needs wide support.

Ask those who tried to force the whole PA project through first time around.

@lengreview @RCPhysicians @rcgp @gmcuk @TheBMA @AoMRC @AoMRCTrainees @rcpsych @JanetEastham

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

@JustAlice41 @physicianassoci @DHSCgovuk @NHSEngland @lengreview @DrLKVaughan @DrJoFranklin @RobLaurensonD4P @DrSteveTaylor @Rezaidi @DrSelvarajah @DrAsifQasim @respirologist @AlisonGeorge10 @doctor_katie All of these anon PA accounts

“Hate you”

Well, stop following me then.

Move on.
Get a life.

Not my fault you were sold a pup by all these ‘leaders’

Go be angsty at them.

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

@physicianassoci @DHSCgovuk @NHSEngland @lengreview @DrLKVaughan @DrJoFranklin @RobLaurensonD4P @DrSteveTaylor @Rezaidi @DrSelvarajah @DrAsifQasim @respirologist @AlisonGeorge10 @doctor_katie stop following my tweets and my account

It will help save you any angst

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

@DrJoFranklin @VincentVanGrump @DHSCgovuk @NHSEngland @lengreview @DrLKVaughan @RobLaurensonD4P @DrSteveTaylor @Rezaidi @DrSelvarajah @DrAsifQasim @respirologist @AlisonGeorge10 @doctor_katie thing is these are now not economically viable at the levels even this document suggests.

Apart from the debate about the name- the court has thrown out all things- so not quite sure what this is all about and why this attempt to resurrect by a select few

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

@rcsloggett Who that now

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

@rcsloggett but we aren’t productive - so what’s the point

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

@ExplosiveEnema2 @DrJoFranklin I have made that point to the PRCP.

Bring transparency

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

#Friday

Life nowadays…

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

@andyburnham That’s helpful..

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

@valhumphreys51 @DrJoFranklin @marion_mcnaught @COPDdoc the arc isn’t complete

Till I call time on it.

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

@valhumphreys51 @DrJoFranklin @marion_mcnaught @COPDdoc there is that. And we will come back to that someday too - won’t we RCP

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

@JustAlice41 @DrJoFranklin @COPDdoc @DrLKVaughan most certainly would have Nick & @DrAsifQasim in there - never to forget @djnicholl

Absolute stars

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

@SandipP61970438 @PhilSmithIsBack there’s little much else to lose in life when I put things in perspective

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

@JustAlice41 @DrJoFranklin @COPDdoc not any more.

Now all will give views- I have faith in a few in Council to ensure there is no shenanigans

Me & @DrLKVaughan were old veterans of this game.

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

@G_D_Phillips1 that’s just madness that people think so.