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Phil Smith
4,703 posts
Phil Smith
@PhilSmithIsBack
Views entirely my own and do not represent anyone else. RT does not mean agree. Apologies for typos.
Joined March 2024
- Taskification and substitution in the NHS - a hypothetical case of how splitting up pt care into "tasks" misses the diagnosis & costs more: A recently married 45 yr old Pt develops bloody diarrhoea over 4 weeks. "The protocol" says they need a blood test, stool MCS & FIT test 1/
- Way back in 2015 when Twitter/X and social media was not as big a thing as it is now, back in 2015, there were lots of concerns how #PAs where being pushed forward by @RCPhysicians whilst junior doctor strikes were on the horizon 1/x
- Replying to @PhilSmithIsBackPlease be kind to the good, nice #PAs who have been sold a lie. Please hold those who made this disaster happen, despite warnings, accountable. I am sadly retired now. Keep fighting for your patients, even if they try to discredit you as 'troublemakers'
- The @RCPhysicians has been run into the ground. No lessons have been learnt. The leadership is out of touch. This is #NotMyRCP and this decision against @parthaskar must be rescinded immediately
- Replying to @PhilSmithIsBackBut this is what, in my opinion, is what is happening in the NHS. Better at diagnosis? Nope. Better care? Nope. More unnecessary tests? Yes. I know it sounds old fashioned but a good history & examination by fully medically trained workforce is what is needed. Not gimmicks end/
- The longer this goes on @gmcuk, the more embarrassing it is & the more the more it shows you don't follow your own guidance regarding candour, transparency & probity. It demonstrates you don't want to listen. @doctor_oxford's reach is enormous & this is the "Streisand effect" 1/2Day 30 of asking.
- If you don't feel upset and angry that many doctors are going to be unemployed, whilst cheaper, less trained staff are brought in to replace them, I question why? Maybe the powers that be have already won, or maybe you never cared in the first place? Either way it is very sad.
- I sat opposite @DacreJane in 2015 (in a Hilton Warwick) & told her the term "associates" would cause confusion. I had already told her it was a bad idea in a RCPL trainees meeting. She did not listen & facilitated its progression. Will there be a sorry now from her & others?Physician associates who assist doctors in GP surgeries and hospitals will now be known as assistants. Health Secretary Wes Streeting says this "better describes the role that they do". Read more ➡️ trib.al/aKsx2Nx
00:00 - Replying to @PhilSmithIsBackNote: In today's NHS the outcome of this case at a morbidity (nearly mortality) MDT would be "followed protocol", all good. That is how messed up everything is.
- I don't know how the UK has avoided a mass walk out by Drs? I am being serious. How much worse does it have to get? "Leaders" have let you down SO badly over the course of at least 10 years *whilst* promoting your substitution and accepting worse T&Cs. When is #EnoughIsEnough?
- The senior Consultants rolling their eyes at potential @BMAResidents strikes (if Gov fails to negotiate a fair deal) are exactly the reason why pay was allowed to degrade so far that Drs are on as little as £17/hr - the culture of "shutting up and putting" up is over #ThankGod
- Replying to @PhilSmithIsBackIt also struck me there was no insight into how a doctor has done 5-6 med school, 2 years FY, 2-3 CMT and then ST posts with ARCPs, exams, hurdles galore, to lead ward rounds, do procedures etc, but somehow a #PA could achieve the same level of competency after any science 16/x
- Replying to @PhilSmithIsBackBUT, crucially THEY did not listen to us ........ and 10 years on a group of Anon accounts such as @Xeon4f145d96s1 @ExplosiveEnema @Dr_Done_ and others and the irrepressible @DrEilidhMaria @mattster have pushed this matter to the fore in a way that was not possible in 2015 25/x
