MHG

You can bet the med reg, anaesthetist, ortho, paeds etc. being assigned extra duties here haven't been consulted about it. This is what happens. Management decide they won't pay to fill a gap, consultants decide who should pick up the pieces (not them) and juniors get f*cked.

If real, this situation is no less dangerous than before this email was sent out. I hope @RCEMpresident is made aware of where this is taking place and can look into it. That EM reg sounds like they’re being put in an impossible position, like we learnt nothing from Bawa-Garba.

I would like to know the "variety of reasons" salvaging this situation falls on trainees rather than consultants. I have a lot of sympathy for consultants being asked to cover for management's cost-cutting, but passing the buck to registrars is unacceptable.

There were PAs who retrained as Drs who did raise the alarm Most PAs just didn’t want to know - personal cost of the truth likely too great

It’s quite clear that the leaders of the GMC (or the GMC itself) have to be replaced No credible way out for them And every PA who has paid for registration (name on a spreadsheet) needs to be refunded, there is not a need for assistants to be registered

I am of her generation And I completely disagree UK resident doctors should strike for better T&Cs 100%

We should talk about the the inevitable q of how this mess happened. Prof Leng stated her review wouldn’t dwell on it. This is within her gift - the review is hard enough to land despite sticking to its precise question. But the question of how this happened cannot be ignored 1/

My 6 year old throws more constructive tantrums than this Every time @UMAPsUK issues a press release it makes the ongoing employability & feasibility of assistants more problematic It really is time PA’s found a constructive spokesperson to work with the medical profession

@lengreview said that all PA/PAAs must align with the new template job descriptions . @wesstreeting immediately accepted the Leng recommendations The template states that PA/PAAs must be @gmcuk registered . What happens to the ones who are working now but aren’t registered ?

We need more people to say this loudly. PAs were sold a lie. Those who sold the lies need to be held to account.

I totally agree! I got told this constantly on my PA course. I decided to compare the PA curriculum to the medical curriculum and immediately realised there is a vast ocean between them. I left the course after realising we were being sold a lie.

I had a degree in Pharmacology before training as a PA. Add in my PA degree and 9 months of clinical practice and I still hadn’t scratched the surface of what we covered in pre-clinical year of GEM. Pharmacology + PA course also doesn’t make me ready to prescribe

I fundamentally believe we now need a national inquiry into how the PA project got to the stage it did where it caused so much harm We need to hold the likes of @Jeremy_Hunt @AmandaPritchard @NavinaEvans @DacreJane @profjimspeaks @pa_StephenNash @ClareGerada @RCPhysicians et al…

Medicine needs an AC-12 team to go around looking for funny business 👀

Physician associate claims to have attended ‘medical school’ and studied 80% of graduate medicine in 2 yrs EIGHTY PERCENT! Is this what you’re teaching your PA students @CityStGeorges @CityStG_Health ?

the GP's triaging have interpreted it wrong unless hey are triaging simple adult cases as per RCGP guidance. this is national scope 'adopted immediately' as per NHS England. @NHSEngland they need to not be doing this tomorrow morning

Here's a fun new game Post below the most wacky workarounds that Trusts and GP practices have now put in place following Leng Let's document how they are trying to game the @lengreview recommendations 👇👇👇

I made a formal complaint to my GP practise in 2024 about the use of PAs to see undifferentiated patients. The complaint was brushed off. I have today written to the GP asking if they will implement the Leng recommendations in full.

The Leng review highlights the initial cause of the PA problem, Jeremy Hunt, 15 in GP at the time Despite concerns the roll out continued with limited safeguards & without regulation NHS leaders & Govt responsible for imposing on GPs & hospitals putting patients at risk

Nursing associates are not the same as or equal to Registered Nurses who are highly trained and skilled professionals. NAs should have also have their title changed to one that doesn’t cause confusion like PAs See many using the title “nurse associate” which is wrong!