CopuimByDecree (@FunctionsZeta) header
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NOT a doctor. Anti-PA. Anti-scope creep. Podiatrists and optometrists aren't doctors. Behave yourself America.

Joined March 2016
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Replying to @uhbwNHS
@uhbwNHS you must be out of your minds! Clinically assess and examine a broad caseload of pts with a high degree of clinical skill & knowledge Suspected cancer and routine clinics,two clinics per week,and a weekly diagnostic biopsy list. PA WITH NO MEDICAL QUALIFICATIONS!
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An ACP examined a doctor who had had his tonsils removed and documented: “Tonsils seen” This is why medical school is a must. This could be a podiatrist seeing patients in GP. Also falsifying medical records.
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CopuimByDecree retweeted
just put the pills in the bag bro
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Replying to @EastLancsNHS
@EastLancsNHS is replacing Medical Consultant Dermatologists with band 8b Consultant ‘ Practitioners ‘ @BMA_Consultants @trentconsultant this needs addressing urgently . They came for the @BMAResidents jobs now they’re coming for yours too. beta.jobs.nhs.uk/candidate/j…
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So, @gmcuk PAs have been working as GP substitutes practising ‘medicine’ for years . Who is going to stop them now ? You? @CareQualityComm @prof_standards or do they just carry on as they are ?
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CopuimByDecree retweeted
The whole concept of an ACP role is mind-boggling How can almost every HCP: physio, OT, pharmacist, nurse, PA- ALL do the SAME course & work in the same role?! By definition that cannot be advanced practice in a base profession - it’s something new entirely.
Newgate Medical Group in #Worksop is advertising for a mish mash PCN ARRS ‘Clinician’ . Nurses , pharmacists , PAs , paramedics , physios all fighting for the same generic job as a replacement GP. @parthaskar predicted this. @rcgp @VictoriaTzB @BMA_GP you’re being replaced.
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CopuimByDecree retweeted
For an occupation so very concerned about the precise wording of their title, PAs seem rather careless about the use of terms such as 'GP trainee'
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So, we have consultant geriatrician Dr J Simms at @LG_NHS putting out a job advert for a PA to work on a Diabetes & geriatric ward . Diabetes Pts and the elderly are complex, vulnerable and not to be played with by quacks ! @parthaskar
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CopuimByDecree retweeted
***NHS staff should NOT be expected to fund the NHS with pay cuts*** NHS service provision is a national issue, as such, the pressure to fund it should be spread fairly across the population Why should NHS workers accept pay cuts year on year to prop up the NHS?!
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Replying to @parthaskar
@parthaskar @thomasdolphin Whilst we argue over PA clinical protocols ? @NHSEngland are steadily releasing PA jobs falling WAY OUTSIDE of these protocols X2 jobs at @MFTnhs beta.jobs.nhs.uk/candidate/j… @PrimaryCCareers beta.jobs.nhs.uk/candidate/j… @EPUTNHS beta.jobs.nhs.uk/candidate/j…
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CopuimByDecree retweeted
Good medical decisions absolutely are exclusive to doctors. Otherwise it’s all just a bit of blind luck and random trial and error isn’t it. Which is great until it isn’t. And then someone dies.
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RACP issues a strong document outlining their position on PAs racp.edu.au/docs/default-sou…
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CopuimByDecree retweeted
The anonymous contributor list to the latest PA document is so entirely on brand for a project mired in conflicts & opaque “evidence” since day 1 How can anyone in healthcare leadership bang the transparency drum whilst thinking this is ok? As appalling as it is unsurprising
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Relies on doctors, yet , doctors not invited to the party.
Replying to @TheBMA
The proposed protocols, if enacted, would effectively enable the NHS to continue to dangerously use PAs. We are clear - PAs must not assess, diagnose, or manage undifferentiated patients in any healthcare setting. Read the proposals here: cdn.intelligencebank.com/eu/…
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CopuimByDecree retweeted
PAs are legally dependent practitioners. They are not 'medically trained' They are not a 'distinct... profession' They must always be supervised by a doctor.
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CopuimByDecree retweeted
If these individuals felt their work represented an honest & safe evaluation of what PAs could do they would be proud to put their names to it Instead, this reeks of a stitch up where I suspect many of those with conflicts of interest are attempting to rescue their pet project
The BMA has written to Professor Leng objecting to draft clinical protocols permitting physician assistants to see patients who have not been assessed by a doctor.
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This is silly, expensive AND dangerous ‘practices employing PAs ‘must run an effective triage system’ that ensures PAs are only allocated pts ‘presenting with minor ailments’. PAs ‘should not hold sole responsibility for making a final diagnosis’ pulsetoday.co.uk/news/clinic…
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CopuimByDecree retweeted
The ‘noctor’ brigade assessing, diagnosing and treating patients in primary and secondary care is bad enough. Now young Ross has his own company offering the lot through private remote consultations. But he had a three-hour CQC interview, so that’s all just bloody fine, then! 🙄
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CopuimByDecree retweeted
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Let's play a game of Doctor or Not? 'Medical Lead' NHS 'Hello' badges... The pages mention 'clinicians' and 'medical professionals', 'practitioners' and indeed 'doctors'.
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CopuimByDecree retweeted
This is the reality of how the PA role started in the UK. It was not 'Royal Colleges' as some would have you believe.
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