Dr Rachel Clarke Profile picture
Jun 15 11 tweets 3 min read Read on X
I’m simply horrified to see @NHSEngland now literally breaking the law in how it misrepresents physician associates & other allied health professional - who are NOT doctors - to the public.

These posters are from the Bradford District & Craven Health & Care Partnership. 1/n
Image
Image
I downloaded the posters from their website, here:

“Physician” is a title that’s protected in law - to protect you, the public, from the dangers of fake doctors masquerading as the real thing. 2/nbdcpartnership.co.uk/download/96/gp…
Legally, only a qualified doctor with a medical degree can call themselves a physician.

And, though it’s not a legally protected term, I don’t believe anyone who’s not a senior doctor with specialist training in oncology should call themselves a “cancer specialist” either. 3/n
Yet here we have an NHS body openly (& dishonestly, & illegally) presenting PAs to the public as “physicians” - doctors - when they are no such thing.

Far from having a 5 year medical degree, they’ve only completed a 2 year PA course whose exit exam with a 100% pass rate. 4/n
Just as bad, they’ve suggested general practices have “cancer specialists” yet these staff are not oncologists or even doctors at all.

They know full well many people regard “cancer specialist” as synonymous with oncologist. And clearly intend to misread the public. 5/n
I think this is breathtakingly unscrupulous from @NHSEngland, @gmcuk, @DHSCgovuk & everyone else involved in this project of confusing & bamboozling the public into believing they’ve seen a doctor when they’ve been fobbed off with someone less well trained & experienced. 6/n
@NHSEngland @gmcuk @DHSCgovuk I never dreamed these folk would literally resort to illegal misrepresentation of non-doctors as doctors - but here we are, at a new & dismally low bar.

Way to go in earning the public’s & the profession’s trust @NHSEngland & @gmcuk 👏👏👏

7/n
@NHSEngland @gmcuk @DHSCgovuk Now in no sense am I suggesting the various professional groups in the wider MDT don’t bring immeasurable strengths to NHS care.

I work, for example, with the most brilliant specialist palliative care nurses whose particular skill set is so extraordinarily important. 8/n
@NHSEngland @gmcuk @DHSCgovuk But the government & @NHSEngland are currently engaged in a completely non-transparent project of substituting swathes of doctors in a huge variety of roles with non-doctors.

Without discussion. Without risk analysis. Without evidence. Without public debate. 9/n
@NHSEngland @gmcuk @DHSCgovuk This runs entirely counter to the NHS duty of candour.

Its dishonest.

It’s taking huge risks with patient safety.

And today we’ve discovered it involves @NHSEngland being at ease with breaking the law to achieve its ends.

How staggeringly low can you go?

Ends/
@NHSEngland @gmcuk @DHSCgovuk I believe you may have first drawn attention to these posters, @tess1728? If so, my heartfelt thanks for highlighting such concerning practice from an NHS body.

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Dr Rachel Clarke

Dr Rachel Clarke Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @doctor_oxford

Jun 11
Well, I’ve read the @Conservatives manifesto on health so you don’t have to.

Aside from the expected unfunded nonsense on those 40 fictitious new hospitals, cutting managers & using AI to ‘free up’ doctors & nurses etc, here’s a stand out out example of its vacuousness. 🧵 Image
What even is this verbiage? A ‘plan’ to prevent cancer from occurring, but also to give patients the best possible care? When over 235,000 cancer patients have had their treatment delayed in the last 3 years?

Come on, @Conservatives, this is offensive. Image
Quite apart from the fact that this is an old policy, announced last year & repackaged as new, it glosses over the unforgivably bad treatment cancer (& other) patients are receiving on your watch, @Conservatives.
pulsetoday.co.uk/news/clinical-…
Read 5 tweets
Jun 9
BREAKING/

This is a scandalous moment in UK medicine.

Over 80 Fellows of @RCPhysicians have just declared their lack of confidence in the College.

Why?

Because they believe its stance on physician associates (PAs) is recklessly failing patients.

Pls read - this matters. 🧵 Image
The Fellows - over a quarter of whom are professors - are appalled by @RCPhysicians' role in in enabling the government's project of replacing doctors with cheaper & less well-trained doctor substitutes (PAs) in an extraordinary array of medical jobs across the NHS.
.@RCPhysicians has persistently ignored, belittled & silenced the widespread concerns of its Members and Fellows over its enthusiastic embrace of the govt’s agenda of using doctor substitutes in the NHS.
Read 9 tweets
May 29
The GMC have tweeted this in response to widespread alarm from doctors at a video showing an 'AA' (anaesthetic associate) openly bragging about using "local governance" to get away with less supervision by doctors.

I find the GMC's position deeply concerning.

Here's why. 🧵
The video in question was recorded at a GMC conference in 2022.

AAs, like PAs (physician associates), are not doctors.

They have neither a medical degree nor anything like the depth & breadth of doctors’ training, yet are being used increasingly as doctor substitutes.
Incredibly, to date, PAs & AAs have been entirely unregulated.

It’s been a patient safety wild west.

You can find them on doctors' on-call rotas, as de facto GPs, carrying the emergency stroke bleep, & even performing cholecystectomies.

With NO REGULATION.

It’s astonishing.
Read 13 tweets
May 13
Astonished to see @timspector doubling down on his reckless comments re: boosting 'cancer immunity' by stopping using SPF year round.

The study on which he bases his claim is in mice, not humans - & one of the study's own authors has publicly disputed Spector's conclusions. 1/3 Image
As a doctor, how can he possibly imply we should use less sunscreen in order to reduce cancer risk?

Vit D deficiency from lack of sunshine can be addressed by diet.

But fatal skin cancers, as I know all too well in palliative medicine, cannot. 2/3 Image
Why did he not provide in his post the vital, balancing context that SPF use in general demonstrably lowers your risk of skin cancers?

All doctors have a duty to be provide the public with accurate, impartial health information.

This was grossly irresponsible. 3/3
Read 4 tweets
Mar 30
🧵 Whatever your views on assisted dying, one thing I’d hoped we’d all agree on is that the topic is ethically fraught & complex.

Not so Matthew Parris.

For him, it’s simple. Old & frail people *should* be killed - to save society the cost of looking after them. 1/n Image
In no sense am I twisting Parris’s words.

Here he rehearses an argument often used by opponents of AD to fight legal change - that with time, it will lead to people feeling pressured to end their lives prematurely (for it would be socially irresponsible of them not to). 2/n Image
Parris, you’ll have noted, takes that argument to a chilling extreme. He imagines compulsion/coercion being used - a world in which AD would be “urged upon” people.

And far from rejecting that world, he positively embraces it. 3/n Image
Read 15 tweets
Mar 21
Dear 🇬🇧,

The current state of UK medicine - a brief 🧵

Exactly 1 week ago, I felt I had no choice but to resign from giving a keynote speech at this year's @RCPhysicians annual conference.

The behaviour of the College leadership left me no choice. 1/n

The @RCPhysicians had been forced by its Fellows to hold an Extraordinary General Meeting - the third ever held in its >500 year history.

Fellows were appalled at the College's key role in driving through the government's plans to replace doctors with cheaper substitutes. 2/n
@RCPhysicians Doctors like me are deeply concerned about the risks to patient safety of replacing doctors with physician associates.

Here's one heartbreaking example. A young woman who died from a blood clot, missed by a PA.

Emily believed she'd seen a doctor. 3/n

Read 15 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us!

:(