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
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.
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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. 🧵
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.
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-…
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. 🧵
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.
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.
🧵 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
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
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