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For ACPs: will you relieve doctors of all supervisory responsibilities? If you’re not replacing doctors there should be no need for supervision from doctors. Same if you are autonomous. Should medical supervision be removed and the risk assumed by ACPs?
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How many people think that, to practice medicine, a medical degree is the most basic qualification the public should demand? If this is a polarizing view then lets polarize people, why should we pander to people demanding to lower standards?
Today I learnt that saying only people with a medical degree should work on doctors’ rotas is an extreme, polarising view 👀
Which is weird because I always thought that should be blatant common sense…
…or else what’s the point of medschool?
🤷♂️
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The UK is debating whether to replace healthcare professionals with people who lack the required qualifications. Bizarrely, every other professional group's leaders will claim it is unsafe to replace them, while at the same time actively supporting their members replacing doctors
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Refused to answer the question and blocked me to prevent any further debate. It is difficult to discuss medical role substitution with people who have no understanding of the issues yet think they do and will not listen to those of us who understand exactly what is at stake
Do you support nurses, physios, pharmacists, OT, dieticians, etc being replaced by people without their qualifications? It is a yes or no answer. I would say no personally, but if you support ACP/PAs replacing doctors the answer has to be yes.
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Fits in perfectly with the lack of candour regarding financial COIs we saw with the PA project. We have also never been able to discover how much cash the RCPL made out of their support of PAs. There’s always something
The RCEM benefits massively financially from ACPs in membership and in credentialling. The president has therefore got a huge conflict of interest. Figures are ai estimates and not actual figures to illustrate the point.
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It's taken the wider profession a long time to wake up to what is going on. Doctors need to do a better job of standing up for our profession. That doesn't mean we need to denigrate others, just make it clear that we are a distinct profession that cannot be replaced#protectdoctor
Concerns have been raised across the medical profession about unhelpful and inappropriate blurring of the distinction between doctors and non-medically qualified staff.
Our new report details safety concerns we have received relating to advanced practitioners.
You can read the full report on our website bma.org.uk/our-campaigns/all…
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Glad to see a story about this. There is a huge difference between experienced health care professionals extending their scope of practice within their own profession vs those who are actively replacing doctors without any of their qualifications, and minimal extra training
🚨 EXCL: Patients are being harmed and dying because the NHS is replacing doctors with 'advanced practitioners', medics have warned.
GIFT LINK ⬇️
telegraph.co.uk/gift/ca90b76…
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I find it incredible that nurse leaders can't see how their justified campaign to stop nurses being replaced by unqualified staff is driven by the same principles/issues that apply to replacing doctors with unqualified staff. Their refusal to acknowledge this is embarrassing
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Can’t reply to @debreddingtonRE as she bizarrely blocked me after telling me to get back to her. My point was the outcome is the same if the jury is not unanimous in its decision. Still, I suppose she’s hoping for a retrial to bring in the $$$$
That may be true. The only reason we know is because of the attempts at intimidation of jurors from the defense. However, it makes no difference if it was 11-1, 6-6, or 1-11. That’s how the system works. Let’s hope this ends now and a deal is reached and a retrial is not needed
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If you anaesthetise children and are treating laryngospasm, do not give a massive dose of propofol if they become hypoxic/bradycardic. They need to be paralysed, and your intubating dose of propofol wastes time and could push them from peri-arrest into cardiac arrest
Management of laryngospasm
From the PUMA guidelines for tracheal extubation
Free full text forever in @Anaes_Journal
associationofanaesthetists-p…
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This is from an advert for a ‘consultant practitioner’ can anyone tell us which part of their training is equivalent t to having gone to medical school and passed all the exams to get a medical degree, which is literally the most basic qualification of an ST3 doctor
How are these factors to be evidenced?
There is no standardisation.
RCEM credentials are specific to ED environment surely, not a transferable skillset?
It truly has become ridiculous in UK healthcare.
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#protectnurse is a campaign that most doctors will fully support. The problem is that the nurses from the RCN they have speaking to the media and publicly campaigning are actively damaging their own campaign by behaving like this.
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This is crazy. There must be some sensible nurses involved in this mess, or do they really think that nurseries will need to change their names??
Protected in hospital/medical environments surely you know that 🤷🏻♂️
There are other ‘Nurses’, nursery nurses, nurses in Vets, nursing mothers
I agree with ‘Protect Nurse’ but must be specific to medical environments
You are protecting ‘Nurse’ in the medical environment
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Hypocrisy of this degree must be embarrassing for people associated with the NMC and other nurse leaders. This just makes it clear to any outside observer that these nurses are as much anti-doctor as they are pro-nurse.
Well won’t you look at this . The infamous trio @caspertown24 @alisonleary1 and @LeanneHPatrick want to #protectnurse but don’t want Drs to be able to protect their own titles.
@DrLKVaughan @Melissa_S_Ryan @ERunswickBMA
nursinginpractice.com/latest…
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I am a doctor with decades of clinical experience. Would these people agree that if I took an ACP course I could do a physio’s job?
Fact: since the 1970s physiotherapists in the UK are regulated to act as autonomous clinicians. They don’t need a doctor to refer to them, assess a patient for them or direct treatment. They are trained and regulated on that basis. More
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Revisiting this in light of a well-respected senior doctor @DrLKVaughan being referred to the GMC for using the term ‘Noctor’. This is ridiculous, and now it becomes a term we should deliberately use to enable a simple, robust defence against GMC bullying.
I stopped using the term when people told me they found it offensive. But I do wonder why a term that is a contraction of ‘Not a doctor’ offends people who are not doctors, particularly those who are replacing doctors (I appreciate that not all advanced roles are doing that)
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