But they didn't just abandon Drs They abandoned the PAs who they spent the past decade lying to. And now we have a cohort of graduates facing anxiety around job losses while College Leaders clink wine glasses in Grand Halls congratulating eachother for a job well done Cowards

At Worthing my Clinical Director, a Consultant in A&E, offered me a Physicians Associate because she knew I liked innovation. She said 'The PA will go to A&E and clerk patients so your Residents can do Discharge Summaries" I refused the offer.

- 19yo with disorder that makes him prone to blood clots - ⁠calls an ambulance with symptoms typical of a blood clot in the lungs - ⁠blood test to rule out blood clot not performed - ⁠discharged with antibiotics - ⁠reattended A&E later same day coughing up blood (red flag for blood clot). Discharged again. - ⁠saw GP a week later who sent to A&E as had obvious symptoms of blood clot - ⁠discharged with no investigation for blood clots from A&E again as doctor “forgot” to refer to be admitted for tests - ⁠attended later same day as symptoms worsening. WAS actually admitted but communication so poor and kept in waiting room on a chair after “admission” that he didn’t realise he’d been admitted and went home to sleep. - ⁠died next day at home His life would have been saved with a simple blood test at any of the FIVE separate encounters with medical professionals.

A FOI has just come back regarding the staff involved in the decision making in this tragic case . The death of 19 yr old Isaac Arrowsmith.

Bringing you the NHS’s latest awareness poster. A classic, reimagined. Instead of making sure only doctors practise medicine, we’ve simply reduced medicine down until everyone can have a go.

🚨NEW : @NHSEngland has paused issuing its Advanced Practice digital badge while an audit is under way. What prompted the audit? Have any patient-safety risks been identified? And why won’t NHSE release the audit report? whatdotheyknow.com/request/a…

@ashjamesphysio ‘ we don’t substitute Drs!’ Meanwhile… ‘I autonomously manage pts who present with anything from minor to major life-threatening conditions, through to admission or discharge. I believe the pts I see receive competent medical assessment and management’

The clown show regards healthcare in the NHS For shame @NHSE_WTE for the utter nonsense unleashed and poorer care for the population. Utter nonsense. Those with privilege can access better care Those without get the below. For shame.

We spend a lot of time & energy on here calling out unsafe practice of unqualified healthcare workers That extends to dangerous doctors too This has to be stopped - again, NHS recruiting processes have failed lancs.live/news/lancashire-n…

King’s College ED openly states ACPs are equivalent to ST3 but I wonder if @RCEMpresident will address this with the same vigour and enthusiasm as that taken when commenting on the BMA’s collaborative article with @Telegraph.

This is not going to go down well, asking a doctor to do overtime for as little as £24/h

Can’t make this shit up

Doctors can't use the title of "Dr" but any other healthcare profession can Bahahaha

“Why can’t a paramedic just do training in breast lumps & then see breast patients like a GP?” Thank you for asking this. This question underpins the lack of understanding of medical training & the very foundation of medicine. I’ll explain why this is so unsafe … 🧵 1/n

Advocating for paramedics to diagnose breast lumps!? Really? Next they'll be saying they can assess vaginal pathology What is this brain rot? Everywhere we turn, women's health is being downgraded

The @RCEMLearning and @RCEMpresident nailing their colours to the mast Good to know where they stand I'm sure all of their members are in full agreement

A very senior consultant told me that trainee ACPs were paid for by HEE but once they qualified they were paid for out of the resident doctors’ budget. Doctor substitution IS a thing just fyi, however you want to frame it. telegraph.co.uk/news/2026/09… @TheBMA #medtwitter

Managed decline. It's all part of the plan

Advanced practice deserves to be an advancement of our colleagues' base professions, using their valuable expertise. There are many longstanding examples of this working well. Doctor substitution is unsafe and unfair on everyone - patients and staff. It must end.