@Burnt2020 Avatar @Burnt2020 Burnt Toast

Burnt Toast posts on X about gmc, if you, in the, this is the most. They currently have [-----] followers and [---] posts still getting attention that total [-----] engagements in the last [--] hours.

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Social Influence

Social category influence automotive brands 16% technology brands 2% countries 1% travel destinations 1% social networks 1%

Social topic influence gmc #386, if you 9%, in the 8%, this is 4%, education 4%, ortho 4%, what is 3%, safe 3%, have the 3%, staff 3%

Top accounts mentioned or mentioned by @medicalmodelbri @littlepersondoc @marytom11 @parthaskar @mancunianmedic @2manypeople4me @anisocyte @cannulaservice @shaunlintern @idrsunny @chonkubine @drlkvaughan @kirstychallen @cmwilliams99 @cathjw @thebma @bmaresidents @fletchjack @shrnottingham @drjofranklin

Top Social Posts

Top posts by engagements in the last [--] hours

"This is something I have not seen discussed by @The_HCPC or @nmcnews - what is their position on ACPs working in roles normally performed by other healthcare professionals (not doctors) e.g. ACP physio taking on a ward pharmacist role or vice versa. Can they only replace doctors @benn_elisbenn @anaesthetic_spr @The_HCPC @nmcnews is currently debating how they should regulate nursing advanced practice and we dont know how they will address nurses working outside of nursing roles - e.g. would they support a nurse ACP working in a role usually occupied by a physio or pharmacist @benn_elisbenn"
X Link 2026-01-31T19:07Z [----] followers, [----] engagements

"@Molly2323232323 @DrNickDalmon They should be left to get on with it and face the full consequences for their decisions and actions. They should not hide behind anyone and doctors should only be involved in clearing up their errors"
X Link 2026-02-10T23:31Z [----] followers, [--] engagements

"@TheBreakster @Cray_tweets1 @Shr_Nottingham @Mary_Tom11 @Tanni_GT In theory. In practice literally anyone can. Look at the minimal level of qualifications required to get on a PA course look at how awful many of those courses were look at the ACP online master's with open-book exams. The GMC UK courts and politicians have made sure of this"
X Link 2026-02-11T01:17Z [----] followers, [---] engagements

"@TheBreakster @Cray_tweets1 @Shr_Nottingham @Mary_Tom11 @Tanni_GT If someone with a homeopathy 'degree' becomes a PA who can then work at SpR in any medical specialty without any other formal education training and objective exams/assessments and it is allowed by the GMC all standards have been abandoned and regulation has disappeared"
X Link 2026-02-11T01:21Z [----] followers, [----] engagements

"@LittlePersonDoc @MashlanWendy @anaesthetic_spr I think the NHS is cooked when you have people who argue that a child with a potentially life-threatening condition should not be seen by a doctor when they present to the ED and that any AHP with a master's should be allowed to assess and treat them"
X Link 2026-02-11T16:37Z [----] followers, [---] engagements

"@BlackM1710 @medicalmodelbri @LittlePersonDoc @BDChadwick @RCPhysicians @GeriSoc I think theyre different parts of the same problem. Defund deprofessionalise. Look at Hunts book and the IEA manifesto that PA leader Watkins helped write. Its part of the overarching political strategy for the NHS. Its working"
X Link 2026-02-11T21:36Z [----] followers, [--] engagements

"@rallybird2 @Molly2323232323 @2manypeople4me @m4ggiesimpson @HarryHo26956660 @DrJoFranklin @MedRegoncall1 @nhsswipecard @Paramedic_LDN But if it were happening and if the entire ACP system were designed to enable it to happen do you think that would be problematic What are the minimum entry criteria for your program in terms of professional qualifications and number of years post-graduate experience"
X Link 2026-02-11T22:16Z [----] followers, [---] engagements

"@Shr_Nottingham @valhumphreys51 @benn_elisbenn So as a consultant anaesthetist a privatised system will benefit you in many (not all) ways and you will be able to make sure your family is well cared for. If I were in the UK I would also be looking at medicolegal expert work because there will be a growing need for it"
X Link 2026-02-11T22:26Z [----] followers, [---] engagements

"@valhumphreys51 Par for the course Id say. No u see standing of how to read a paper and critique it. Very good at spinning facts to suit his agenda"
X Link 2026-02-12T13:44Z [----] followers, [--] engagements

"@Anisocyte @999Daedalus007 But that is not his aim nor that of Lintern and other journalists. Its about how headlines and publicity can shape a narrative and before you know it a paper from the famous Cochrane stable is being quoted as direct evidence to support medical role substitution by Leary et al"
X Link 2026-02-12T20:52Z [----] followers, [---] engagements

"Its like taking data from Kwik Fit RAC roadside recovery a battery replacement company windscreen repair service and MOT providers and acting as if they are the same e.g. replacing a windscreen is the same as changing a tire or analysing vehicle emissions"
X Link 2026-02-13T10:21Z [----] followers, [---] engagements

"@VirtueOfNothing WTF is going on in the UK and why are all the institutions who are supposed to represent physicians and uphold standards of care so silent and complicit in not challenging nonsense like this"
X Link 2026-02-13T18:36Z [----] followers, [---] engagements

"@mancunianmedic @rojaha58 Its almost as if its an ineffectual organisation that has ceased to do anything useful for doctors and patients that the government has decided is so supine they can write whatever they want and claim it comes from them without fear of any significant opposition"
X Link 2026-02-14T12:54Z [----] followers, [--] engagements

"@HowardCatton @ICNurses @WHO Can you clarify how they were able to control for such disparate patient populations illnesses management strategies levels of supervision treatment protocols and outcomes Should a meta analysis be used to compare similar data or totally different datasets"
X Link 2026-02-14T13:15Z [----] followers, [---] engagements

"@medicalmodelbri @HillsBekki15323 @JaneEBall But they are afraid to campaign to support those roles and want to claim that opposition to the PA/ACP debacles mean people are against experienced professionals extending the scope of their role. They should be standing with us not gaslighting us"
X Link 2026-02-15T12:20Z [----] followers, [---] engagements

"@cacophanyofcow @caspertown42 They are entitled to their views. I dont find it to be offensive and they may have a different experience of nurses involved in research to me. Im also at the point where I think we need to push back harder against role substitution and the lies that are being touted as facts"
X Link 2026-02-14T19:23Z [----] followers, [--] engagements

"@CanesDavid @upenn Were having another first case on-time starts drive. I get an email demanding to know why I was in the room at 7:32am with a 200lb autistic teenager who needed an IM premed while my next case took an hour to come from the ED and the equipment for the case after was contaminated"
X Link 2026-02-14T15:20Z [----] followers, [---] engagements

"@CanesDavid @upenn Yes. Something that is easy to measure and lots of people for managers to blame. Every time they do it the leading cause is patients showing up late. Recently they changed from telling them to come 1.5hrs before surgery to 1hr for patient convenience and guess what happened"
X Link 2026-02-14T20:56Z [----] followers, [--] engagements

"@JackAndrewsMD @CanesDavid @dr_coops @upenn Or when the incentive is more work is added to your room if you finish on time or early people will slow down towards 3pm"
X Link 2026-02-15T16:21Z [----] followers, [--] engagements

"With all the discussion we are seeing around advanced roles and medical role substitution it is vital that doctors have a chance to express their views and describe their experiences. The BMA survey is here: please fill it in if you are a UK doctor https://bit.ly/ACPSurvey26 https://bit.ly/ACPSurvey26"
X Link 2026-02-09T20:04Z [----] followers, [---] engagements

"Its all about creating a narrative that becomes embedded in peoples minds. It is propaganda and is why these journalists were so keen to tell the story in a particular way. I guarantee this will be referenced by the NHS in the near future to support medical role replacement"
X Link 2026-02-14T00:55Z [----] followers, [---] engagements

"@nursewigglytuff @LittlePersonDoc Yes. We are told to be kind while the leaders of other professions are visibly anti-doctor in their approach to workforce planning and clinical roles. It really is time to re-establish the primacy of the medical profession when it comes to practicing medicine"
X Link 2026-02-16T20:34Z [----] followers, [--] engagements

"@mgtmccartney It is notable that this was fed to multiple news organisations who ran with an interpretation that furthers the medical role substitution agenda. These are not stupid people its deliberate and the journalists and supporters of dr replacement really dont like being called out"
X Link 2026-02-15T17:51Z [----] followers, [---] engagements

"RT @Shr_Nottingham: Every profession has outliers & they should be identified Its easy for journalists to throw individuals under a 🚌 aft"
X Link 2026-02-01T21:41Z [----] followers, [--] engagements

"Great example of the hypocrisy displayed by nursing leaders. @JaneEBall is very clear that professional nursing qualifications are needed to work as a nurse but cannot bring herself to say that those working as doctors should be medically qualified. @theRCN what do you think Criticising one form of substitution while championing another is a logical fallacy however fervently one tries to deflect & deny it Long-standing qualifications to do a safety critical job dont just disappear Leadership needs to be more common sense & less about agenda https://t.co/z7Qpqq4PAW Criticising one form of"
X Link 2026-02-08T17:40Z [----] followers, [----] engagements

"I was going to look at this at the weekend. No need to now. This is also embarrassing for the Cochrane group who have demonstrated a lack of understanding of a basic tenet of comparing data which is are you comparing like with like using consistent outcome measures Wow that Cochrane review on nurse vs doctors is actually REMARKABLY bad. So it's obviously an interesting question and I was totally suprised to see there have been [--] RCTs comparing mortality between nurses and doctors (). And the reported CI is tight RR [----] (0.87 to 1.21)+ Wow that Cochrane review on nurse vs doctors is actually"
X Link 2026-02-13T10:02Z [----] followers, [----] engagements

"Nobody would think these were reasonable comparisons but that is what the paper does and just mashes up different specialties procedures outcomes levels of supervision experience of clinicians involved and assumes they can be directly compared"
X Link 2026-02-13T10:32Z [----] followers, [---] engagements

"@HillsBekki15323 @medicalmodelbri @JaneEBall If the answer is that the same principles apply and drs cannot be replaced by people without their qualifications then surely she and other nurse-leaders should be actively campaigning against PA/ACP roles That is not the same as trying to end advanced practice in a profession"
X Link 2026-02-15T12:06Z [----] followers, [---] engagements

"Perhaps the good professor could explain why doctors need to go through medical school (very difficult to get in) and PG medical training with really tough exams assessments and huge competition ratios just apply to do a job that a nurse/AHP can do without any of these things @JaneEBall And of course I am advocating for my own profession qualifications and training programme. I believe its length depth and rigour keeps patients safe. I hope nurses think that of medicine too. @JaneEBall And of course I am advocating for my own profession qualifications and training programme. I believe its"
X Link 2026-02-17T00:07Z [----] followers, [----] engagements

"RT @DanNeidle: Yesterday evening Peter Mandelson told me "I've never owned property in Brazil and never will". Then we discovered the Bra"
X Link 2026-02-01T16:28Z [----] followers, [----] engagements

"No wonder they want to focus on the performance of a single surgeon. @ShaunLintern you must have the data were PAs working as part of the ortho team Were any patients harmed looked after by PAs filling gaps on surgical rotas This must have all been part of your investigation So despite NHSE and GMC and College AND trainee association statements that exactly this should not happen it happens anyway. Yet what will be the consequence Probably saccharine nonsense. London is famously very hard to find doctors to staff rotas I've heard. https://t.co/bUVgB5SxdH So despite NHSE and GMC and College"
X Link 2026-02-01T19:40Z [----] followers, [----] engagements

"So the comparisons are invalid before you even get to the data on who is doing what work in each scenario. Then you need to look at outcomes. If your windscreen is repaired the outcome wont involve CO emissions if you get a tire replaced should you look at battery charge"
X Link 2026-02-13T10:29Z [----] followers, [---] engagements

""A lie can run round the world before the truth has got its boots on Sir Terry Pratchett. This is why people like @ShaunLintern and @HSJEditor were so quick to promote this study. This is not a fair representation of the study results and the study is also crap (to be blunt) Nurses at least as good as doctors at giving hospital care https://t.co/B5D5PAaZLq https://t.co/Fai6VblnrJ Nurses at least as good as doctors at giving hospital care https://t.co/B5D5PAaZLq https://t.co/Fai6VblnrJ"
X Link 2026-02-14T00:50Z [----] followers, [----] engagements

"@Anongas33 They could try but I suspect trusts the GMC and the NHS/DHSC hold the power. If the RCoA/AAGBI issued a joint statement stating no AAs should be trained or supervised those other organisations would ignore them and threaten the career of anyone who doesnt comply"
X Link 2026-02-16T17:00Z [----] followers, [---] engagements

"@Anisocyte @skynetbuffering @iDrSunny @JaneEBall @ExplosiveEnema2 @medicalmodelbri I can see how there can be some overlap between specialist nurses and physicians e.g medication management with diabetes or asthma with CNS roles helping a lot with these. But it is bizarre to argue that this supports nurses replacing doctors but not NAs replacing nurses"
X Link 2026-02-17T13:44Z [----] followers, [---] engagements

"@ollieburtonmed @Chonkubine @cannula_service @Anisocyte @alisonleary1 @BCivil222445 @DrLKVaughan @iDrSunny @medicalmodelbri @DocEmUK @drmattuk @2manypeople4me @Molly2323232323 @SecretPhysician @ConsUltaNT_ACP @timricketts_ @NotAdoctor0000 @KirstyChallen @DavidMulvey5 @rheumipainmask @XelenX1 @mancunianmedic @Mary_Tom11 @jacqui_lewis18 @parthaskar @cmwilliams99 @LittlePersonDoc @cathjw @davehartin @RachelCB11 @Janeajnet @LucyGoBag @TheBMA @BMAResidents @fletchjack @RCollEM @UMAPsUK That is something that none of the proponents for PAs/ACPs have ever addressed. In the same way they all talk"
X Link 2026-01-07T12:27Z [----] followers, [---] engagements

"@LostDazes @cannula_service @KirstyChallen @2manypeople4me @mancunianmedic @DrLKVaughan @Chonkubine @medicalmodelbri @iDrSunny @Mary_Tom11 @parthaskar @cmwilliams99 @LittlePersonDoc @cathjw @TheBMA @BMAResidents @fletchjack In my day the FRCA examiners would have torn you apart if you showed such disregard for details and accuracy of language. If you said 'gas' instead of 'volatile agent' they'd beat you with an enflurane vaporiser"
X Link 2026-01-07T18:31Z [----] followers, [---] engagements

"@Lizardwizarde @cannula_service @LostDazes @KirstyChallen @2manypeople4me @mancunianmedic @DrLKVaughan @Chonkubine @medicalmodelbri @iDrSunny @Mary_Tom11 @parthaskar @cmwilliams99 @LittlePersonDoc @cathjw @TheBMA @BMAResidents @fletchjack Depends on what you mean by useful. You come away with a ridiculously detailed knowledge of the foundations of every aspect of anaesthesia which you then inevitably use as a framework to think about problems that arise both clinically and practically"
X Link 2026-01-07T21:15Z [----] followers, [--] engagements

"@Lizardwizarde @cannula_service @LostDazes @KirstyChallen @2manypeople4me @mancunianmedic @DrLKVaughan @Chonkubine @medicalmodelbri @iDrSunny @Mary_Tom11 @parthaskar @cmwilliams99 @LittlePersonDoc @cathjw @TheBMA @BMAResidents @fletchjack And knowing how to convert units was useful when I moved from the Uk to the US and understanding detailed pharmacokinetics of volatile agents is useful when I teach closed circuit anaesthesia including hand injection of volatiles into the circuit"
X Link 2026-01-07T21:17Z [----] followers, [---] engagements

"@Lizardwizarde @cannula_service @LostDazes @KirstyChallen @2manypeople4me @mancunianmedic @DrLKVaughan @Chonkubine @medicalmodelbri @iDrSunny @Mary_Tom11 @parthaskar @cmwilliams99 @LittlePersonDoc @cathjw @TheBMA @BMAResidents @fletchjack Pertinent to this debate is that the whole of the FRCA is underpinned by what we learn in medical school and beyond. There is a huge assumption of knowledge before you get anywhere near the first part of the primary. Its not just stuff you can pick up by hanging around doctors"
X Link 2026-01-07T21:31Z [----] followers, [---] engagements

"@Lizardwizarde @cannula_service @LostDazes @KirstyChallen @2manypeople4me @mancunianmedic @DrLKVaughan @Chonkubine @medicalmodelbri @iDrSunny @Mary_Tom11 @parthaskar @cmwilliams99 @LittlePersonDoc @cathjw @TheBMA @BMAResidents @fletchjack And I also think people supporting medical role substitution or at least those who claim it is not happening should ask why there has not been a massive increase in anaesthetists when waiting list reduction is government policy yet there was a massive expansion of AAs planned"
X Link 2026-01-07T21:37Z [----] followers, [---] engagements

"@Shr_Nottingham @well_brit @CraigMurrayOrg @isitsleepytime @VirtueOfNothing @ramey999 @cannula_service @DrHuw @dieracg @TheSnoozeDoctor I remain astonished about the level of expertise random people on twitter with no idea what they are talking about think they have when it comes to the world of medicine"
X Link 2026-01-07T22:33Z [----] followers, [---] engagements

"@DavidMulvey5 @cannula_service @KirstyChallen @LostDazes @2manypeople4me @mancunianmedic @DrLKVaughan @Chonkubine @medicalmodelbri @iDrSunny @Mary_Tom11 @parthaskar @cmwilliams99 @LittlePersonDoc @cathjw @TheBMA @BMAResidents @fletchjack Excellent. Shame about the title of the debate though unless the opponent can convince the audience that IM or inhaled inductions are a better way to perform an RSI they havent got much chance of winning 😂"
X Link 2026-01-08T14:37Z [----] followers, [--] engagements

"@Anisocyte @sandradyer_05 @medicalmodelbri @DrLKVaughan @LeanneHPatrick @jacqui_lewis18 @999Daedalus007 @EmmaGoldman1917 @DrJ_Haddock @mancunianmedic @LittlePersonDoc @alisonleary1 @cathjw @DrJoFranklin @Chonkubine @Mary_Tom11 @KirstyChallen @parthaskar @2manypeople4me @cannula_service @cmwilliams99 @davehartin @RachelCB11 @Janeajnet @LucyGoBag @TheBMA @BMAResidents @fletchjack @RCollEM @UMAPsUK @nmcnews HCPC states ACPs dont need any other regulation. The NMC says they do. Neither of them have ever explained how any of their members can work as a doctor without medical qualifications"
X Link 2026-01-09T13:16Z [----] followers, [---] engagements

"@iDrSunny @Anisocyte @HillsBekki15323 @LittlePersonDoc @sandradyer_05 @medicalmodelbri @DrLKVaughan @LeanneHPatrick @jacqui_lewis18 @999Daedalus007 @EmmaGoldman1917 @DrJ_Haddock @mancunianmedic @alisonleary1 @cathjw @DrJoFranklin @Chonkubine @Mary_Tom11 @KirstyChallen @parthaskar @2manypeople4me @cannula_service @cmwilliams99 @davehartin @RachelCB11 @Janeajnet @LucyGoBag @TheBMA @BMAResidents @fletchjack @RCollEM @UMAPsUK @nmcnews I think that is what they want and is an explanation as to why they changed their stance on regulating PAs. But crucially for them they want scope to be decided on"
X Link 2026-01-09T15:55Z [----] followers, [---] engagements

"@sandradyer_05 @DrJoFranklin @dean_susi @alisonleary1 @Janeajnet @LeanneHPatrick @mancunianmedic @cathjw @LittlePersonDoc @DrLKVaughan @Chonkubine @medicalmodelbri @Mary_Tom11 @jacqui_lewis18 @KirstyChallen @parthaskar @2manypeople4me @cannula_service @cmwilliams99 @davehartin @RachelCB11 @LucyGoBag @TheBMA @BMAResidents @fletchjack @RCollEM @UMAPsUK So advanced practice by nurses is not currently regulated by the NMC. Nursing practice clearly is but they do not have an adequate system to regulate advanced practice. It is a subtle difference but an important one that they have identified as a"
X Link 2026-01-09T21:47Z [----] followers, [---] engagements

"@sandradyer_05 @DrJoFranklin @dean_susi @alisonleary1 @Janeajnet @LeanneHPatrick @mancunianmedic @cathjw @LittlePersonDoc @DrLKVaughan @Chonkubine @medicalmodelbri @Mary_Tom11 @jacqui_lewis18 @KirstyChallen @parthaskar @2manypeople4me @cannula_service @cmwilliams99 @davehartin @RachelCB11 @LucyGoBag @TheBMA @BMAResidents @fletchjack @RCollEM @UMAPsUK Presumably the NMC will not be happy with a nurse working as a doctor needing to comply with Good Medical Practice guidelines from the GMC which would make the most sense but would remove them from NMC regulation"
X Link 2026-01-09T21:49Z [----] followers, [--] engagements

"@sandradyer_05 @DrJoFranklin @dean_susi @alisonleary1 @Janeajnet @LeanneHPatrick @mancunianmedic @cathjw @LittlePersonDoc @DrLKVaughan @Chonkubine @medicalmodelbri @Mary_Tom11 @jacqui_lewis18 @KirstyChallen @parthaskar @2manypeople4me @cannula_service @cmwilliams99 @davehartin @RachelCB11 @LucyGoBag @TheBMA @BMAResidents @fletchjack @RCollEM @UMAPsUK I have as well as the information provided by the NMC about the reason for their multi-year review. It's a mess. I've also read the GMC's GMP document which is more applicable to a nurse working as a medical registrar than any NMC regulations"
X Link 2026-01-09T21:51Z [----] followers, [---] engagements

"@lexiloo_h @Shr_Nottingham @irisstylosa Everything I have learned over the last couple of years about what has happened in the NHS tells me that your assumption may not be correct any more. That was the whole point of the GMC/NMC etc but now they have enabled people without medical qualifications to work as doctors"
X Link 2026-01-10T10:36Z [----] followers, [---] engagements

"@CoastingGP Is it woke to traffic people into the UK to be abused by the NHS"
X Link 2026-01-10T14:34Z [----] followers, [----] engagements

"@dieracg @_BH_6582 @Molly2323232323 @Shr_Nottingham @irisstylosa @lexiloo_h The organisation that is supposed to uphold this wants people with no medical qualifications to call themselves GMC registered medical professionals and says it has no enforceable statutory duty to protect patient safety"
X Link 2026-01-11T12:24Z [----] followers, [----] engagements

"No well established patient safety campaigners/groups have had the courage to say this is wrong and publicly denounce doctor replacement and the abdication of responsibility from the GMC. How can anyone take them seriously if they remain silent on such fundamental safety issues @dieracg @_BH_6582 @Molly2323232323 @Shr_Nottingham @irisstylosa @lexiloo_h The organisation that is supposed to uphold this wants people with no medical qualifications to call themselves GMC registered medical professionals and says it has no enforceable statutory duty to protect patient safety @dieracg @_BH_6582"
X Link 2026-01-11T18:20Z [----] followers, [----] engagements

"@DrJoFranklin @parthaskar @RCPhysicians It would be crazy if @RCPhysicians were involved in any way even peripherally in a scheme that defrauded the NHS of over 40m"
X Link 2026-01-11T21:06Z [----] followers, [--] engagements

"@Anisocyte @Mary_Tom11 @Shr_Nottingham Yeah it would need the colleges to refuse to cooperate and insist that entry criteria for their exams include a medical degree and not have the GMC be in charge of who gets a CCT"
X Link 2026-01-12T11:17Z [----] followers, [--] engagements

"@Daniel_Sugarman Sorry you went through this and thank you for not blaming the staff. The fault lies with politicians of all parties and civil servants. The NHS has been deliberately harmed by successive governments and they have taken an efficient safe service and decimated it over many years"
X Link 2026-01-14T18:28Z [----] followers, [----] engagements

"@DrSdeG Depends on the specialty. In anaesthesia everything is contemporaneous but if you miss the tick-box stuff you get reminder emails a couple of days later and have to sort them out within a week or so. It's all about billing not patient care which is why all EPRs are so crap"
X Link 2026-01-15T16:37Z [----] followers, [----] engagements

"@DrLindaDykes I was not but there was a thread about the then upcoming debate a few days ago. As a cantankerous pedant I objected to the wording of the debate motion and discussions surrounding TIVA and RSI as an RSI is by definition a totally intravenous anaesthetic induction"
X Link 2026-01-17T02:21Z [----] followers, [---] engagements

"@DrSteveTaylor @DrRosena @Keir_Starmer This would be an incredibly difficult role for her. To become a politician requires sacrificing so much of your integrity to become health minister would strip away what is left of it and also force her to reject everything she has learnt about safety ethics and patient care"
X Link 2026-01-17T15:18Z [----] followers, [---] engagements

"@AirwayMxAcademy We do the same. But Im not confident this would the best solution in our place"
X Link 2026-01-17T17:00Z [----] followers, [---] engagements

"@AnaesUnited Do you think they'll ask what the purpose of the @gmcuk actually is given their statement that they have no 'duty to protect patient safety' They could then dismiss them and demand a regulatory organisation with a duty to protect patients from quacks is created"
X Link 2026-01-18T21:54Z [----] followers, [---] engagements

"@Microbedoc2 Try having a whole day off every week. It is life changing"
X Link 2026-01-20T02:13Z [----] followers, [---] engagements

"@Dr_Done_ It would be difficult to be a clinical director if you do not have the education training and qualifications to understand the service you are directing. Maybe they have no input on clinical matters and it is purely an administrative role that requires no medical knowledge"
X Link 2026-01-21T14:52Z [----] followers, [----] engagements

"@PaulaMc007 No place for unprofessional or unpleasant comments. Constructive criticism is needed. However there is no culture of safety within the NHS and there are no patient safety organisations who take safety seriously enough to support thousands of doctors speaking out"
X Link 2026-01-21T15:23Z [----] followers, [----] engagements

"@alien4trump @popalorena That isnt relevant if youre talking about making noises as a distraction though. Its still a loud noise regardless of the reason why theyre doing it"
X Link 2026-01-22T13:26Z [----] followers, [--] engagements

"@valhumphreys51 Because the GMC is doing exactly what the politicians/civil servants want them to do. The only way they can create an NHS where anyone can work as a doctor is if you effectively deregulate the medical profession which is what they are doing"
X Link 2026-01-22T20:32Z [----] followers, [---] engagements

"@valhumphreys51 Yes. To con the public that the NHS remains a consultant led service where the public has access to medical expertise.real doctors will either have to work alongside these people without protest or work in the private sector"
X Link 2026-01-22T20:52Z [----] followers, [---] engagements

"@valhumphreys51 Agree. If you want high standards of care reducing the education and qualifications of those who deliver it makes no sense particularly in a world where medicine and science are becoming ever more complex. There must be other reasons for the way the government and GMC behave"
X Link 2026-01-22T21:41Z [----] followers, [---] engagements

"@Anisocyte @WoollerEmma @medicalmodelbri @RCPath @IBMScience @The_HCPC @wesstreeting I'm lost as to why we keep having to justify the need for medical qualifications to do our jobs. It's bonkers. When the job descriptions are interchangeable with consultant physicians yet do not require a medical degree and PG medical training there is clearly a problem"
X Link 2026-01-25T19:18Z [----] followers, [---] engagements

"@Anisocyte @WoollerEmma @medicalmodelbri @RCPath @IBMScience @The_HCPC @wesstreeting I'm really not sure where this contempt for medical education and training has come from. It has been aided and abetted by our colleagues in the colleges and GMC who have made it clear they don't think medical qualifications are needed to work as a doctor but still amazes me"
X Link 2026-01-25T19:24Z [----] followers, [---] engagements

"@kiityc @DHSCgovuk @HSC_NI Good question. It's never come up in my hospital as far as I know. We have processes for paper charting in the event of a massive computer system crash so we could do it. I just don't know where the charts would be stored and how they could be subsequently accessed"
X Link 2026-01-25T19:47Z [----] followers, [---] engagements

"@isitsleepytime Me too. The only way it is possible to keep the timeline sane is to keep blocking accounts that pollute it. It is a shame because it used to be the best platform for news/discussion/debate and the medical content could be genuinely good"
X Link 2026-01-26T14:25Z [----] followers, [--] engagements

"Perhaps this is something that ACPs and AHPs could answer. I cannot see why a physio or nurse could not move into a pharmacists role using their advanced training if they can move into a medical role particularly as the advanced training is designed for all AHPs"
X Link 2026-01-31T20:12Z [----] followers, [----] engagements

"@ShaunLintern Reading this job description for orthopaedic PAs @GreatOrmondSt and knowing they had PAs working on surgical registrar rotas and seeing the complication rates in the spinal surgery division rather suggests the entire department needs to be reviewed"
X Link 2026-02-01T21:32Z [----] followers, [---] engagements

"@SpineNeuro If you cant pilot a plane while tired then you cant pilot a plane. But then we dont expect pilots to fly having worked 100hr weeks or 24hr+ duty stints. The issue is the refusal of the medical profession to create systems that are safe for patients and good for training"
X Link 2026-01-16T14:50Z [----] followers, [----] engagements

"@parthaskar Being offered a brand new opportunity as the RCP and GMC finally decide to admit theyre two cheeks of the same arse and merge creating a single CEO role to run both organisations"
X Link 2026-01-27T21:41Z [----] followers, [---] engagements

"Translating safety-critical features from the aviation industry into medicine is fine until you realise that in the NHS they have decided that pilots aren't the only people who should fly planes. It all falls apart once the basic need for a professional qualification is gone My friend & colleague Capt Mike Davidson has just retired after 47yrs of flying including RAF fast jets & the huge Airbus A380 Been a privilege getting an insider view on pre-flight briefings contingency planning & other areas which we've translated & published for healthcare https://t.co/cGHlOHyRuf My friend & colleague"
X Link 2026-01-28T14:23Z [----] followers, [----] engagements

"@DrJoFranklin @valhumphreys51 @DrHuw Yes. Our CRNAs are great they are all ex-ICU nurses (Paeds and Paeds cardiac) and work under our direct supervision. There are significant issues with false claims of equivalence to doctors though"
X Link 2026-01-30T18:21Z [----] followers, [--] engagements

"@anaesthetic_spr This refers to ACCP's 'scope of practice under local governance'. This is another drive to allow trusts to replace doctors with people without medical qualifications and to embed the principle of locally controlled SOPs that are not limited by any national guidelines or controls"
X Link 2026-01-31T15:06Z [----] followers, [----] engagements

"@anaesthetic_spr This is exactly what the GMC and NHSE wanted for PAs. Local governance only no national guidelines or control over their roles and an ability for trusts to deploy them in any way they like without any limitations on practice. If this is supported by the FICM they are insane"
X Link 2026-01-31T15:08Z [----] followers, [----] engagements

"@kcisc @anaesthetic_spr Yes. There are huge differences in PhDs and how organisations award them too but nothing like the diploma mills that are used by AHPs (particularly in the US) to con patients into thinking they are doctors"
X Link 2026-01-31T16:33Z [----] followers, [---] engagements

"@mancunianmedic @anaesthetic_spr It's in the 10-year plan. The colleges need to decide if this is what they truly should be supporting and tell their members/fellows that they no longer support the primacy of the medical profession in practicing medicine because this is what it boils down to"
X Link 2026-01-31T18:04Z [----] followers, [---] engagements

"@benn_elisbenn @anaesthetic_spr They could. However currently advanced practice outside of a base profession is not regulated. For instance how would @The_HCPC handle a case where a podiatrist or dietician made errors managing an asthmatic child in an ED or even a paramedic causing harm working in an ICU"
X Link 2026-01-31T18:58Z [----] followers, [---] engagements

"@ClearThinker66 @kcisc @anaesthetic_spr Post nomials are DNP - Doctor of Nursing Practice but there are others too e.g. CRNA courses are being converted to doctorates to allow CRNAs to call themselves 'Dr' and they want to call themselves nurse anesthesiologists not nurse anesthetists. It is pathetic"
X Link 2026-01-31T23:31Z [----] followers, [--] engagements

"@isitsleepytime @ShaunLintern Good time for some more anti-doctor articles. How well are NHS execs and managers doing their job of providing surgeons with the best possible equipment facilities and staff to do their job to the best of their ability"
X Link 2026-02-01T09:52Z [----] followers, [--] engagements

"@iDrSunny [--] reasons. It doesnt sell papers and it doesnt fit with the stories their friends in the DHSC want them to print. In a decade or two there will be an exclusive dissecting the harm caused by medical role substitutes as they are themselves replaced"
X Link 2026-02-01T11:08Z [----] followers, [---] engagements

"@VincentVanGrump @iDrSunny Given that it has been enabled by doctors particularly those leading the profession it would provide ample opportunity to bash doctors. But I suppose the doctors doing their job bidding of politicians are not the doctors his bosses have been told to bash"
X Link 2026-02-01T13:48Z [----] followers, [--] engagements

"@benn_elisbenn @rheumipainmask @ShaunLintern @GreatOrmondSt Agree. But no doctor can have any faith in the system. Look at what is happening with the PA/ACP debacle. Why should any of us trust any systems the NHS introduces or indeed patient safety groups and journalists when thousands of us are ignored and gaslit all the time"
X Link 2026-02-01T18:21Z [----] followers, [---] engagements

"@benn_elisbenn @rheumipainmask @ShaunLintern @GreatOrmondSt Because people like Lintern and all these safety campaigners and patient safety groups are ignoring the concerns expressed by thousands of doctors and our representatives. So is Mackey. So are the GMC and the rest of the NHS hierarchy. Why should any of us trust them"
X Link 2026-02-01T18:39Z [----] followers, [---] engagements

"@DrSdeG @ShaunLintern Absolutely this. And look at what happens when thousands of doctors speak out about their safety concerns regarding medical role substitution they are totally ignored vilified by the GMC NHS and papers like The Times and Sunday Times"
X Link 2026-02-01T19:09Z [----] followers, [---] engagements

"@iDrSunny I presumed they were assisting him to do the endoscopy not doing them"
X Link 2026-02-02T00:23Z [----] followers, [---] engagements

"@dgraemestewart @DrJoFranklin @ShaunLintern @GreatOrmondSt Which is why institutions prefer to blame individuals. Journalists want to blame them too. This blokes CV looked ideal for a Paeds ortho surgeon so if he really was the only reason why these patients had poor outcomes every institution that trained him needs to be reviewed"
X Link 2026-02-02T13:24Z [----] followers, [--] engagements

"@Shr_Nottingham @medicalmodelbri @Megsenmumdr @GreatOrmondSt @lengreview @ShaunLintern In terms of the surgeon if he is really as bad as the reports say then this throws up huge questions about his training and the programs that signed him off as a resident and fellow as well as clinical governance at GOSH. It is a failure of multiple well-respected institutions"
X Link 2026-02-02T21:31Z [----] followers, [---] engagements

"@Shr_Nottingham @medicalmodelbri @Megsenmumdr @GreatOrmondSt @lengreview @ShaunLintern And you cannot say that he was absolutely fine as a resident and fellow with no concerns over his competence and then suddenly became an incompetent butcher. Thats not how these things work. The ortho dept at GOSH needs investigating as do all his training programs"
X Link 2026-02-02T21:36Z [----] followers, [---] engagements

"@ash192098 @ShaunLintern @lengreview We all wish he would publish about everything that has been uncovered about medical role substitution. I havent seen the full Inquiry I would like to. What did you think of GIS job description for PAs on the ortho service"
X Link 2026-02-03T10:27Z [----] followers, [--] engagements

"@pa_StephenNash @chrispat @Molly2323232323 @Anisocyte @ttimscottt @dieracg @andrewrixhome @pash22 @medicalmodelbri @RslewisSally @MDzi @DrSteveTaylor @sib313 @Jennife10651535 @NHSEngland @wesstreeting @ucl @HWWPotts @drmattuk @AAPAorg @parthaskar *Assistants. Nash is describing fully autonomous practice where doctors do not carry any liability. The GMC dont agree with that and their guidance and actions make that clear. All they have to say is the doctor delegated inappropriately and thats game over"
X Link 2026-02-06T10:47Z [----] followers, [----] engagements

"@valhumphreys51 I mean even the judge in her formal judgment got physicians and physician associates confused while agreeing with the GMC that it wasn't confusing"
X Link 2026-02-06T22:52Z [----] followers, [---] engagements

"@FrancesBoott This is supported by the GMC/NHS. It is also a position that had been endorsed by the royal colleges until real doctors challenged it. The opposition to this nonsense from the 'leaders' of the UK medical profession remains lukewarm and the Leng review has not been implemented"
X Link 2026-02-07T15:18Z [----] followers, [---] engagements

"@ShaunLintern Look at the job description for the GOSH spinal surgery PA. Could it be possible that this had anything to do with the problems https://www.whatdotheyknow.com/request/physician_associate_6/response/3043314/attach/4/Job%20Description%20and%20Person%20Specification%20JDPS.pdfcookie_passthrough=1 https://www.whatdotheyknow.com/request/physician_associate_6/response/3043314/attach/4/Job%20Description%20and%20Person%20Specification%20JDPS.pdfcookie_passthrough=1"
X Link 2026-02-01T20:27Z [----] followers, [---] engagements

"@benn_elisbenn @anaesthetic_spr @The_HCPC @nmcnews is currently debating how they should regulate nursing advanced practice and we dont know how they will address nurses working outside of nursing roles - e.g. would they support a nurse ACP working in a role usually occupied by a physio or pharmacist"
X Link 2026-01-31T19:04Z [----] followers, [----] engagements

"And the answer cannot be they cant because they dont have qualifications in pharmacology/physiotherapy etc because they have no qualifications in medicine and their masters doesnt provide them with that either"
X Link 2026-01-31T21:22Z [----] followers, [---] engagements

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