Heather Ryan

It's Cost Improvement Programme season in NHS Trusts. Departments are scrabbling to please organisational leadership by upping their budgetary efficiency. Let's use the Job Evaluation Handbook and save some money! TL;DR: you're overpaying your PAs. Long 🧵 incoming... 1/

I will do a breakdown on the full report - a mixed bag as expected but some important points. @wesstreeting has to acknowledge the review says PAs are significantly less trained, skilled, and able than F1 doctors. Why is an F1 paid 30% less than a PA, who provides less service?

What this review does offer is a route back into medical leadership at a Royal College level. It is imperative that members engage, we set standards using our professional organisations, we self police, hold ourselves accountable, and we lead the vision of what the medical care…

I do think there is a role for the completion of tasks generated by doctors who have seen patients. The patient should be clerked by a doctor. The patient should have the plan tailored with a doctor. The patient should be seen by a doctor in clinic. The patient should be…

I think the Leng review is unfinished business with next steps but it certainly does a good job at capturing a lot of the issues. It admits it is not conclusive and not the end but a moment to consolidate the debate. The next steps are dependent on strong medical leadership…

It is incredibly alarming and certainly good justification for the immediate cessation of assessment for undifferentiated patients. Ward based tasks generated by patient-doctor interactions is sensible way forward.

Fantastic leadership from Dr Mighty, who I'm sure will go on to great things ❤️

Also this idea that “minor ailment” and “simple presentation” can be determined upfront needs to be removed from the conversation. We can only say in retrospect something was simple and uncomplicated, and doctors are trained to spot subtle red flags.

4/ The “no undifferentiated patients” recommendation? It contains a glaring exception: “minor ailments in adults”. Many life-threatening conditions start that way — breathlessness, cough, headache, rash. This loophole is dangerous.

The #LengReview recommends that #PhysicianAssociates should work within a tightly-defined scope of practice in GP - not seeing undifferentiated patients, instead providing health checks & lifestyle support. But IMO the maths doesn't work - why pay Band 7 salary for a Band 3 role?

Enjoying 10 minutes in the back garden between meetings. The weather is perfect in Formby - 22°C and sunny. Earlier this afternoon I dialled into @rcgp Governance Committee. It's such an honour to be able to represent the member voice at the highest levels of the College ❤️

I’ve thought a lot about whether it’s the right thing to talk about Rachel Reeves crying at PMQs. Because crying is not something we should be ashamed of, or something we should be judged for. Because crying is something associated with women - and in particular this misogynistic…

I spent a good chunk of the @rcgp Summer Reception with the @TheBMA contingent. I am very pleased by how closely the current RCGP Officer team is working with @BMA_GP - it can only be a good thing for the profession.

Fab session by @ashcgp at local trainers' group (which I attend as PCME) discussing use of AI in GP training, referring to @rcgp AI guidance & resources by @egplearning @drgandalf52. Reflecting on whether reliance on AI may be a barrier to learning by reducing critical appraisal

Thank you ⁦@DrHFRyan⁩ for sharing your journey via ⁦@pulsetoday⁩ -this was incredibly helpful & informative 🙏🏾 #TeamGP Dr Heather Ryan: How my own GLP-1 journey has reshaped patient consultations - Pulse Today pulsetoday.co.uk/views/clinical…

My wife coming back from Costco and displaying all the stuff she bought on our kitchen counter

Unnecessary blood test = time to review results = equivocal results leading to more action Blood tests are cheap The cascade of consequences may be expensive

Thank you for sharing this @DrHFRyan . RCGP is the professional home of all GPs and there are other nationally elected roles coming up this year as well. Details below. College is strong because of its members and the leadership they and their representatives elect.

Have been enthused by RCGP willingness to get surveys into every 14Fish Only RCGP can deliver quantitative data to drive evidence here BMA qualitative is excellent but we need more data and fast

The six candidates for Chair and Vice-Chair roles in this summer's @rcgp elections: ⭐Chair of Council - @michael_mul1 and @VictoriaTzB ⭐Vice Chair Policy - @DrSelvarajah and Munro Stewart ⭐Vice Chair Member Standards - @ArtfulDoctor and me (@DrHFRyan)