Apple has decided not to bring its new Siri AI to iPhones and iPads in the EU, blaming the Digital Markets Act. The Commission’s reply was blunt: this is Apple’s choice, not Europe’s fault. No American multinational can blackmail 450 million consumers by saying: change your rules, or we keep innovation away. A carmaker would not refuse to export cars because Europe requires a speedometer. The same principle applies here. The DMA defends fair competition, consumer choice and digital sovereignty. In Europe, Big Tech does not write the law.
The draft GMC Order 2026 consultation just dropped. Buried in it is a fundamental change to who can be awarded a Certificate of Completion of Training (CCT).
This matters enormously. Let me explain why.
>Trump hikes China tariffs to 30% and then 84%
>China reciprocates
>Trump hikes tariffs to 145%
>China reciprocates
>Trump announces that he wants Xi to call him
>China does nothing
>Trump announces he would be ready to "make a deal"
>China does nothing
>Trump rolls back tariffs
1500 more GPs added to the workforce or have they?
@wesstreeting
The headline this week was 1500 more GPs have been added to the workforce since the change in the rules around recruitment of GPs in the Additional Roles Reimbursement Scheme (ARRS) allowed GPs to be recruited.
To become a GP, you need 10+ years of training. Yet we have other staff working in general practice that are working similarly to GPs by seeing high risk undifferentiated patients, but with only 2 yrs of medical training rather than 10.
We also have 1000s of GPs out of work who are having to sign up for benefits in order to make ends meet. This is because there are simply no jobs for them, as practices are hiring alternative staff whose salary is covered by the government under the ARRS scheme. This is not any individual’s fault, but rather a system that is exploiting staff and forcing them to work outside of their scope.
When I go into my local surgery, I want to see a GP. I want to see someone who has been specifically trained in general practice, and is best placed to manage my care.
It seems like @wesstreeting doesn’t want that for the general public.
The UK has a lower number of qualified Doctors and Nurses than most peer nations
The NHS is becoming less productive & is using a greater number of of less qualified & skilled staff
Additionally there is a higher attrition rate & failure to retain experience, knowledge & skills
This motion had been debated for over a year with multiple rewording, doctors and non-doctors involved to review legal and humanitarian considerations.
I’m not an IMG, I’ve lived in the UK for longer than in my home country, but I am still working in the NHS on a visa. (1/7)
POV:
🔹 You’re a new physician associate from 2021
🔹 By virtue of simply being not a doctor, you get featured on the ‘Breast Unit Consultant Staff’ page
🔹 Consultants bow before you and recognise ‘the importance of keeping my role interesting’
🔹 If you’d gone to medical school you’d be a YEAR 3 medical student;
🔹 BUT instead you’re doing independent operations under local anaesthetic, triaging new breast cancer patients and determining their wait times, operating with consultant surgeons, and ‘managing complications’
🔹 This is all after entering the workforce before even completing any national exams under the guise of another ambiguous ‘associate’ something or other
* meanwhile the ST8 breast surgeon with 8 years specialist training, 2+ years general training, and 5 years of medical school, is paid the same, has no ‘feature’ on the staff page, and is disposable *
THE NHS HATES DOCTORS
☠️☠️☠️
Whilst I would like to comment on the hopeful state of medicine within the UK this year, I cannot.
Whilst the atmosphere is not hopeful, I am, and I am glad to be a part of teams trying to make it better for future generations.
So here we go. Issues to highlight.
1/n.
There are many other issues and topics I could touch on but not today. Medicine as a career in the UK is dying before our eyes.
As I look to the new year, I’m cautiously hopeful.
The fight continues, but I for one am tired.
@DrSteveTaylor@wesstreeting Unable to book more than 2-3 GP locum sessions per week in Wales last 3 months despite massive pressure for appointments. Have worked last 10 years as full time locum - never experienced lack of offers. Off to Australia in January - no funding issue there
What kind of country lets bright, caring professionals train 7 years, with significant personal & financial sacrifice, only to leave them unemployed?
Shambolic workforce planning.
Utterly callous.
This is how the UK treats caring professionals.
Please fix it @wesstreeting