LondonEMDoc

10 min later, some quiet buzzes and text alerts and then they all trooped out in silence. Clearly; parents had been assembled. Very small place, Belfast. Also: the Kennedy Centre is my favourite shopping centre.

A paramedic running a type 2 diabetic clinic in GP … checking weight/ diet/ HbA1C / meds …..with extra training ….would fit the brief of GP assistant role A paramedic seeing a limping child in a ‘minor ailment’ clinic is not an assistant role!!

I think a major contribution was the front loading of all tests at the front door due to the long ED waits before a clinical assessment. An 8 hour delay with test results available beats an 8 hour delay with tests not even started🤷🏻‍♂️

People in the UK expect teachers and doctors to serve them for less. Well, good luck to a country that is so miserly when it comes to investing in education and healthcare.

I want someone that has undergone medical training, foundation program & and a general practice speciality program with standardised, regulated training and professional exams. Considerate and kind? That should be standard from the receptionist to the gp - but only one I want

Yes. The more scrutiny of CUMAPs, GMC, DHSC the better. There are no parts of the PA project that stand up to a detailed examination, and there are a lot of ‘leaders’ who will want things to stay buried. I am confident that making more of this public will be a good thing

It will be interesting to see what documents are revealed as part of this review and what other skullduggery is discovered. All those totally redacted emails on FOIs etc. has anyone seen the UMAP submission to Leng? Who is financing it?

Was at the cinema today in West Belfast. Some tween boys in the back row were throwing sweets. A da from the front walked calmly up to them and said, quietly. “You should all leave. Now”. No, they weren’t for leaving. “Fine. I know your da’s.” He went back to his seat.

Also if a bunch of resident doctors walking out for 5 days (2 of which are the weekend anyway, so on call cover not routine) has allegedly caused that much damage, surely they deserve to be paid fairly because they contribute A LOT?

Resident Doctors or the lack of them for a few days is NOT the reason why: Waiting lists aren’t coming down Emergency care isn’t good Cancer targets are missed Hospitals can be unsafe Maternity outcomes are poor Etc That’s all I can say as a senior clinician in the #NHS…

The problem lies with the definition of GP ‘minor ailment ‘…….which has no definition ……and will depend on the GP reception staff on that day to triage to GP or other staff……who may have slots free😬😬

Right. So that’s very different from a paramedic being the person seeing an undifferentiated patient in general practice. Because in general practice they won’t be passing the patient on for someone else to assess and diagnose? Was that not the point of contention?

If strikes are banned you're going to get an immediate, indefinite "work to rule" that'll be just as disruptive. You can't ban all forms of industrial action, and it's silly to try. People aren't indentured servants. Solve the problem by making them feel appreciated.

We are now losing 20K Drs/yr -some of them post CCT Drs Since pandemic 6 Consultant friends have left for Oz, UAE, India. 2 of my husband’s colleagues left NHS to work fully Pvt My GP colleague who competed training this already applying for Oz Treat staff poorly they leave 4/n

I have worked in NHS for 20yrs. in 2010’s post austerity I have seen so many college leave. As a junior Dr I have worked in rotas where I have done 2Drs jobs in a shift due to rota gaps & neared burnout for eroding pay. No wonder so many colleagues who trained with me left UK 3/n

You probably need to look at history of NHS-one of the objectives of its formation was to aid economic recovery post world war.They realised for recovery we need a healthy working population.They paid competitive rates to attract staff into NHS. We don’t do that,we lose staff 1/n

NHS is free at point of access & comprehensive at point of access Healthcare in Australia is not comprehensively free at point of access - some treatments are available only for those who can pay. I come from India- we have a 2 tier system 1/n

UK public want comprehensive free at point of access healthcare-Go out of UK & u will soon realise it’s a privilege. You cannot force staff to work in health service by forcing them to work for poor pay & working conditions.

If UK can only afford to pay Drs &Nurses “a low wage”they cannot afford NHS. If they r not allowed to strike for better pay & working conditions,they will leave NHS in drones-there is global shortage of medical professionals&NHS will collapse Many cannot afford pvt healthcare 1/n

This is a campaign against 14 years of pay erosion by a monopsony employer. 1) International comparisons 2) NHS comparisons (physicians assistants) 3) historical comparisons All point to our pay being throttled as it’s an easy lever to pull.