Ann Frolics

calling out noise polluters

[platinumpizza™ @Xeon4f145d96s1]

President of the RCGP having a live meltdown on Twitter defending PAs whilst her colleagues are unemployed…

[Dr Sarmy™️🩺🏏 @Dr__Sarmy]

I have debriefed PAs as a GP & I shocked that after 2yrs training they are allowed to see undifferentiated pts in primary care, with poor supervision, even remote in some cases.

They are well out of their depth despite what you say.

I am not anon. There is no dishonesty in my claim & experience.

Local practices are using them as GP replacements. Partners have admitted they wish they could employ a GP, but opt for a PA as they are “cheaper”. This is cost-cutting healthcare - own it for what it is!!

[The BMA @TheBMA]

Thanks to Dr Dan Poulter MP for securing last night’s important adjournment debate on Physician Associates (PAs), and for outlining serious patient safety concerns over the expansion of these roles.

[Pelham @Resist_05]

4 months and the world still doesn’t hear the cry’s, while our governments watch and supports their killers…🇵🇸💔

[James Steen @BMA_James_Steen]

This letter has no force or effect.

Platitudes without effective action don’t address doctors’ concerns to protect patients.

Its time to;
🔹reverse the name changes
🔸nationally define a restrictive scope
🔹ban their use on doctors’ rotas
🔸regulate them elsewhere to the GMC

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

Don’t ever tell me- change can’t be brought

We @RCPhysicians recently met with @NHSEngland @NHSE_WTE

Here is the response

I would encourage you all to read this carefully & closely

Especially NHS trusts @NHSEmployers @NHSProviders

Thank you

Link:

https://t.co/bj14L8OOqn

[Vaish's Family @VaishFamily]

Hi Everyone, hope you are all well. Will be posting about what went wrong with Vaish's training. Details will follow soon. Please look after yourself and your colleagues.

[Dr Sarmy™️🩺🏏 @Dr__Sarmy]

Still waiting on the @rcgp to comment & clarify as to why they have been promoting the use of Locum PAs as GP replacements under the ARRS scheme.

The silence is deafening.

[Farrukh @implausibleblog]

Chris Mason, "Prime Minister Rishi Sunak chose to deliver a political punchline about trans people in the presence of Brianna's mother"

Jeremy Hunt, "No, you are taking his comments out of content.. He made it clear the respect he has for Brianna Ghey's mother"

CM, "The PM has used a line about trans people as a political punchline, in the presence of a grieving mother"

JH, "That is not what happened and you know that"

CM, "She was in the chamber, in Parliament, and the Prime Minister has used that line"

JH, "Chris, that is not what happened"

CM, "Should the Prime Minister apologise?"

JH, "I've answered that question"

CM, "So he's not going to?"

JH, "I've answered that question"

[Dr Rachel Clarke @doctor_oxford]

I'm afraid I don't buy this for a moment. These are hollow words when PAs are, right now, openly being used to replace doctors on on-call rotas (& other settings). Actions are what matter, not words. What do these words actually mean when PAs are, literally, replacing doctors?

[𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮 @UKGastroDr]

With regards to the PA issue….

My prediction for 2024. (Still
pending an EGM & RCP guidance on scope)

We will have clear statements &
guidance from NHSE, RCP, and perhaps even GMc, stating that: “PAs must not replace Doctors”

However, senior clinicians running services, short staffed, on tight budgets will choose PAs over Drs (trainees, LEDs, SAS etc) as an easy way out of a problem.

Ultimately we will all have to hold senior clinicians & trusts to account over the decisions they make.

[Vivek @Leedsviv]

I spent half an hour with a distraught patient today. They waited 9 months for OPA to be seen by a PA. PA couldn’t understand the recent scan result and the patient was no further forward in their treatment and symptoms not addressed. The NHS is being diluted all around us.

[Dr Linda Dykes has moved to Bluesky @DrLindaDykes]

Very welcome ⬇️ but who’s going to police making Primary Care retreat from having ARRS PAs seeing unselected patients with minimal/remote/delayed supervision, which surely is almost by definition using them as doctor substitutes?

[Dr Sarmy™️🩺🏏 @Dr__Sarmy]

Thank you
Thank you
Thank you

Now GP practices need to STOP 🛑 using PAs as replacements for GPs.

[Partha S Kar 🇮🇳🇬🇧🏏🎥 @parthaskar]

Been through a particular case
I REALLY think the public should ask who they are seeing

IF its a Physician Associate?

Who is supervising them & how close they are for advice/help etc?

This is-categorically-a patient safety issue
I say so as one of the national #Diabetes leads

[Iona Collins.DOCTOR. @Doc_IonaCollins]

In a nutshell 👇

[James O'Brien @mrjamesob]

Just watch it. All of it.

[Ann Frolics @frolics26]

So @RishiSunak is the reason the government has wasted £2billion more than it needed to by prolonging the strikes.

Great.

Our prime minister, everybody.

@10DowningStreet @DHSCgovuk @TheBMA

[Dr Done @Dr_Done_]

The world is watching how @RishiSunak & @VictoriaAtkins are treating UK healthcare workers

And the world is doing a great job poaching us under their noses, offering us adequate compensation for the years of our lives we give up

Spotted in Waterloo Station, London.