Josh Soane @JoshuaSoane Twitter profile

Last Seen Profiles

@sinag1989

@hsieh_seli81949

@kav____

@ivyphobic

@LX_icheng

@GAME_KNIVES_OUT

@xixiri669991988

@MartyMcFly808

@HashtagBars

@nawako123

@TchiKSD

@AxSeru_

@ymrxx_

@SevereGaming

@nasnos54

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@thecanadianleft

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@ometv

@bs_miiine

@KanakoTsuk71708

@yuuri1783398448

@NasiralHanbali

Josh Soane

@JoshuaSoane

3 months

I know Twitter is often a place for disagreement but I’m sure we can all agree that scones should only be served with cream FIRST then jam!

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Josh Soane

@JoshuaSoane

29 days

It feels like the tide has begun to turn this weekend. Mass public attention on just how ridiculous and blatant the PA project is. The battle is far from over, but there is now significant momentum building, to the point where this farce simply cannot continue for much longer.

Dr Rachel Clarke

@doctor_oxford

1 month

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

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Josh Soane

@JoshuaSoane

5 years

absolute scenes that this lad yanked a 5ft Narwhal’s tusk off the wall in fishmongers hall to go and fight the terrorist, what a bloke #LondonBridgeAttack

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Josh Soane

@JoshuaSoane

5 months

The purpose of the creation of the GMC in 1858 was 'to enable the public to distinguish between qualified & unqualified practitioners', yet nowadays the GMC actively pursues policy which blurs the line & makes this distinction increasingly difficult. Is it really fit for purpose?

GMC

@gmcuk

5 months

🧵The updated #GoodMedicalPractice2024 uses the term ‘medical professionals’ as a collective term for doctors, physician associates (PAs) and anaesthesia associates (AAs), rather than listing out each individual role for every reference. We haven't removed doctors from the

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Josh Soane

@JoshuaSoane

4 months

the night before a med school exam is insane, drawing the circle of willis with one hand and googling the names of acetylcholinesterase inhibitors with the other, while singing the cranial nerves mnemonic

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Josh Soane

@JoshuaSoane

5 months

Hi @OperoseHealth why do your Physician Associates need to "be able to justify choice of medication" and "adhere to the practice prescribing formulary, local and national guidelines" - when they aren't prescribers?

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Josh Soane

@JoshuaSoane

4 months

This is why I’m concerned that Labour will just continue the dangerous PA rollout. Large sections of the left believe that physician-led healthcare is elitist and that opening up medicine to PAs is something which promotes EDI (despite no evidence that this is the case).

Liam 🏴🚩

@liamlfc64

4 months

@JujuliaGrace Also the idea that only people who went through the 5 years at uni can learn medical skills and deliver good care to patients is just Dr exceptionalism and proves that the Dr’s in the UK genuinely have massive Egos. If you see someone do the PA course you’ll know it’s so intense

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Josh Soane

@JoshuaSoane

29 days

@ActAsOneBDC Not just a simple mistake though, is it? This went through multiple levels of approval and you’re suggesting that not one person realised the glaring issue? It’s pretty clear this was a botched, illegal, and insulting attempt to obfuscate the role.

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Josh Soane

@JoshuaSoane

4 months

Don’t let the media tell you that there aren’t enough doctors. The government is making a conscious decision every year to not train enough specialists.

Tim Ricketts

@timricketts_

4 months

There’s been a 5000% ⬆️ in the numbers of people in the U.K waiting for longer than a year for a neurology appointment. Training changes mean fewer neuro appointments will be available per full time neurologist Number of neuro training spots in the South West this year? Zero

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Josh Soane

@JoshuaSoane

5 months

As a Bart’s student I am contractually obliged to mock Imperial at any given opportunity and have to say this is so awful it’s just hilarious.

Professor Azeem Majeed

@Azeem_Majeed

5 months

My university, Imperial College, has gone through a rebranding and come up with a new logo. In my view, it looks terrible and is much worse than the logo it replaced (which at least mentioned we were a college and based in London). A complete waste of money.

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Josh Soane

@JoshuaSoane

7 months

@dog_rates Starting to suspect the dogs are good every week 🤔

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Josh Soane

@JoshuaSoane

5 months

@joncstone @Samfr Intentionally injured someone to the point of serious disability. Avoiding jail time is a miscarriage of justice in itself, let alone the pathetic compensation and a driving ban of only two years. The judge should hang their head in shame.

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Josh Soane

@JoshuaSoane

4 months

@SimpGanassi For sure, except this would genuinely be £1,500 a month in London.

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Josh Soane

@JoshuaSoane

5 months

@NuffieldTrust @Billy_Palmer_ @LucinaRolewicz Why only potential to expand to doctors and dentists? Why would such a policy not apply to those groups straight away?

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Josh Soane

@JoshuaSoane

5 months

@iDrSunny It's turned into a session for members to sing the praises of the poor PAs and tell off doctors for daring to speak up about their concerns.

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Josh Soane

@JoshuaSoane

2 months

Remember this 👇🏼 every time a politician tells you the reason why you can’t see a doctor is because there is a shortage.

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Josh Soane

@JoshuaSoane

5 months

@KhyjaMccalla @medicalmodelbri I’m sorry but that is simply untrue, there is no evidence that most PAs were previously AHPs.

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Josh Soane

@JoshuaSoane

11 months

@aidanthereup The other day I heard one call lasagna sheets ‘noodles’ and had to stay off my phone for a while

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Josh Soane

@JoshuaSoane

5 months

@EmergMedDr So they’ll spend £112k more on PAs but it’s okay because they don’t have to pay a junior doctor £43k anymore? If they hate junior doctors that much, they should just say it.

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Josh Soane

@JoshuaSoane

6 months

@ellorakamineni and how a PA feels confident seeing GP patients independently with little supervision after just two years training, I'll never understand

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Josh Soane

@JoshuaSoane

6 months

@guyadams The audacity 😂

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Josh Soane

@JoshuaSoane

4 months

@medicalmodelbri “Generalists (free to change specialties)” makes completely no sense

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Josh Soane

@JoshuaSoane

8 days

@ShaunLintern Move doctors under regional/national employer, meaning they won’t need to do ID checks/mandatory training/get emergency taxed, every year when they rotate to a new Trust.

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Josh Soane

@JoshuaSoane

1 year

@Xeon4f145d96s1 Why is medical staffing the FY1’s responsibility?

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Josh Soane

@JoshuaSoane

2 months

@mmamas1973 @RCPhysicians The RCP leadership must resign, this is beyond a farce now and cannot go on.

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Josh Soane

@JoshuaSoane

2 months

@IslingtonChap Have you got the numbers for this Friday’s euromillions, Tim?

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Josh Soane

@JoshuaSoane

7 months

@DocShivSharma @Doctors_Vote @Xeon4f145d96s1 @MichelePaduano @TomStocks1982 @Doc_IonaCollins @DocAnonX @DrPhilBanfield Could @Jcalcolado perhaps explain why a PA is deemed equivalent to a consultant in examining medical student OSCEs? And why both SAS doctors and other training grades are completely overlooked? We are told PAs fulfil a different role, so how do they assess the role of a Doctor?

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Josh Soane

@JoshuaSoane

6 months

@RCoANews You shouldn’t be supporting anything of the kind - your purpose is to uphold standards.

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Josh Soane

@JoshuaSoane

6 months

@ExplosiveEnema2 @RCoANews @TheCountessNHS @NSafeSedation Why would PAs, who earn more than the doctors going on this course, pay just a quarter of the price to attend? Got some questions to answer @TheCountessNHS

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Josh Soane

@JoshuaSoane

7 months

@medicalmodelbri . @KeeleyMP this GP practice has no doctors on site, staffed by PAs acting way beyond their scope, only supervised remotely by a single GP.

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Josh Soane

@JoshuaSoane

7 months

@manLikeTool Similar to a comment I saw the other day claiming the PA course is a full grad medicine course in 2yrs… who is telling them this??

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Josh Soane

@JoshuaSoane

7 months

@NHSEngland “Some of the greatest champions for Physician Associates have been Foundation Doctors” - yet you weren’t able to find any to feature in the video?

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Josh Soane

@JoshuaSoane

4 months

@ItsnotrightUK “PAs are fully trained” - in what exactly?

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Josh Soane

@JoshuaSoane

4 months

@medicalmodelbri @uclh I thought the reason why PAs were paid more than doctors was that they had no career progression? 🤔

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Josh Soane

@JoshuaSoane

1 year

@cjsnowdon This is the same public where just 23% understand what inflation is. Time to make GCSE economics mandatory.

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Josh Soane

@JoshuaSoane

3 months

@ejtayloruk Scone like “own” rather than like “gone”

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Josh Soane

@JoshuaSoane

3 months

@Dr_Done_ I just don’t understand why any Trust would offer this role when they could just employ an ST3 level Clinical Fellow for the same cost or less, but able to do far more. There is clearly an agenda to replace doctors.

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Josh Soane

@JoshuaSoane

9 months

@LondonNewLibs The thing is, this was actually such a good idea: reducing connecting airport congestion, finally providing a connection between HS1/2 after the central link was scrapped & was fairly low cost and used a lot of existing track. Nonsensical not to take it forward.

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Josh Soane

@JoshuaSoane

4 months

@RobLaurensonD4P @TheBMA Thanks for your continued hard work on this, Dr Laurenson!

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Josh Soane

@JoshuaSoane

5 months

@WandaLe48805941 This is not true, Wanda, and you should retract this misinformation. GEM students cover exactly the same content as ordinary medicine students and sit the same final exams - they have gone through proper academic training.

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Josh Soane

@JoshuaSoane

3 months

@Ask_foradoctor The thing is, the contents of a medical degree ensure that every post-FY1 doctor is capable of working as an SHO in any speciality - above the level at which any PA should work. Doctors are more generalists than PAs will ever be.

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Josh Soane

@JoshuaSoane

5 months

@JanetEastham Performed an elective cystoscopy on someone with a CRP of 135, 3x what it was 24hrs ago? With clinical deterioration? Without once thinking of requesting senior review? This is horrendous.

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Josh Soane

@JoshuaSoane

6 months

@Xeon4f145d96s1 If an SHO agreed to hold the stroke consultant bleep and made a wrong call, they would rightly be dragged in front of the GMC. That there is no equivalent process for PAs is abhorrent.

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Josh Soane

@JoshuaSoane

5 years

@dogwithablog_69 Keeping it simple

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Josh Soane

@JoshuaSoane

6 months

@SeanMagee @doctor_oxford Doctors do have to pay their own professional registration fees, indemnity cover, Royal College fees, exam fees, course & conference fees out of that wage.

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Josh Soane

@JoshuaSoane

4 months

@TheBMA Excellent work from @Melissa_S_Ryan , leading the way here where GMC/Royal Colleges won’t.

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Josh Soane

@JoshuaSoane

21 days

@DanPheby It’s not even achieveable on a median graduate salary these days.

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Josh Soane

@JoshuaSoane

3 months

@ExplosiveEnema2 @NavinaEvans @Dr_Done_ @AliJaneMoore @AlisonGeorge10 @BMA_James_Steen @Doc_IonaCollins @DrAsifQasim @DrLKVaughan @DrSteveTaylor @parthaskar @UKGastroDr @iDrSunny @RoshanaMN Also referring to them as “To placeholders” - they are doctors, not placeholders ffs.

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Josh Soane

@JoshuaSoane

26 days

@rcgp What about the 1,000+ already working in GP? Is this safe?

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Josh Soane

@JoshuaSoane

6 months

@haggaisamuelson @bealejonathan @hmsdiamond What’s the cost of a Houthi drone hitting a commercial vessel?

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Josh Soane

@JoshuaSoane

1 year

@SteveBarclay @BMA_JuniorDocs A pay rise for junior doctors, of which there are only 75,000, would have zero impact on inflation and you know it.

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Josh Soane

@JoshuaSoane

3 months

@veggieequallife It’s despicable, it’s insulting, and it’s just not good enough. If the next government doesn’t fix this, the country will find itself with very few doctors at all.

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Josh Soane

@JoshuaSoane

5 months

@RobbieUriarte @cmwilliams99 *especially* if they say “I’m fine, my wife made me come in”

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Josh Soane

@JoshuaSoane

4 months

@hereforalaugh01 @_ewanjames @Zaeem_Mahmood1 Yes they do, Band 2 staff receive an 83% enhancement for all bank holidays.

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Josh Soane

@JoshuaSoane

2 months

@drmattuk @NCAlliance_NHS @BuryCO_NHS @TheBMA @DrVickiHowarth this is no way to treat locally employed doctors, there’s no excuse for this and it needs resolving.

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Josh Soane

@JoshuaSoane

5 years

“Never have I ever snorted cocaine...”

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Josh Soane

@JoshuaSoane

6 months

@mjv__1 Very odd, essentially just doing a medical degree and being paid the equivalent of £50k+ p.a. to be a ward clerk a few weeks in the year?

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Josh Soane

@JoshuaSoane

5 months

@manLikeTeaa “Understanding of clinical risk” is not even essential yet they decide how much they are supervised? Couldn’t make it up 🙃

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Josh Soane

@JoshuaSoane

3 months

@Ask_foradoctor Will be able to see undifferentiated patients in GP in a matter of weeks with effectively no supervision, yet still had to have heart valves and ACEis explained? A 2nd yr med student would understand that better, yet we’d never let them see undifferentiated patients unsupervised.

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Josh Soane

@JoshuaSoane

11 months

@zachary_tait Probably had to pay £5 more to customise it

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Josh Soane

@JoshuaSoane

4 months

I’m finding that shop workers seem to hit the ‘visibly over 25’ button a little too enthusiastically for me these days 😂

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Josh Soane

@JoshuaSoane

7 months

@Kate727663761 @Effiedeans If it’s that easy, I’ll see you at medical school then, Kate?

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Josh Soane

@JoshuaSoane

3 months

@drkeithsiau @RealVikramSena @ExplosiveEnema2 @RCHTWeCare @FPARCP @BritSocGastro @UKGastroDr @parthaskar @DrAsifQasim @DrLKVaughan @DrSteveTaylor @AlisonGeorge10 @Dr_Done_ @Doctors_Vote "The building was already on fire when I arrived, so I just let it carry on burning"

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Josh Soane

@JoshuaSoane

2 months

@timricketts_ If it happened, I suspect it would be grounds enough for a judicial review on the basis of unreasonableness/irrationality, since they would be left completely in limbo with provisional registration.

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Josh Soane

@JoshuaSoane

6 months

@medicalmodelbri Independent diagnostic cystoscopies is a terrifying thought.

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Josh Soane

@JoshuaSoane

1 year

@Kickflowdown @spectatorindex

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Josh Soane

@JoshuaSoane

6 months

@_VivekTrivedi @TTOTrainee @VictoriaAtkins @TheBMA @RobLaurensonD4P Would be good if some news outlets actually picked up on this. @ShaunLintern @HSJEditor

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Josh Soane

@JoshuaSoane

5 months

@iDrSunny @KhyjaMccalla @medicalmodelbri I was under the impression that the PA census figures referred to any previous healthcare experience. So this includes as a HCA / medical secretary / care home worker / hospital volunteer - all valued colleagues but not AHPs & most med students have similar experience.

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Josh Soane

@JoshuaSoane

5 months

@KhyjaMccalla @iDrSunny @medicalmodelbri Healthcare experience does not equal Allied Health Professionals. The census lists the majority of healthcare experience as care workers / HCAs.

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Josh Soane

@JoshuaSoane

7 months

@TheSalariedPA There’s no evidence to suggest large numbers of current PAs have an AHP background.

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Josh Soane

@JoshuaSoane

4 months

@tomdbutler @BSG @BSGTrainees PA endoscopists are given dedicated, funded & protected training time. Gastro trainees could only dream of this:

𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮

@UKGastroDr

4 months

A kind soul has forwarded my a FOI request they made to NHS England about the clinical endoscopist training programme. The replies are pretty shocking IMO. 5/

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Josh Soane

@JoshuaSoane

28 days

@pulsetoday @UMAPsUK Do you really think it is appropriate to publish this article after the revelations of the past few days? Especially since the author has a rather glaring conflict of interest too.

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Josh Soane

@JoshuaSoane

4 months

@DrEilidhMaria @Cleverclog67596 Sorry they don’t teach the cardiac cycle?? How can you properly interpret an ECG without awareness of the underlying physiology

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Josh Soane

@JoshuaSoane

3 months

@SecretPhysician @NHSBartsHealth “Not exactly brain surgery, is it?” Oh right, it is. Absolute disaster waiting to happen.

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Josh Soane

@JoshuaSoane

8 days

@quackophage According to the Medical Director of his hospital, “we were unable to recruit anyone to do his job from within the UK” - which makes you wonder what he is actually doing? Why couldn’t an SAS doctor or clinical fellow do the same role?

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Josh Soane

@JoshuaSoane

7 months

@medicalmodelbri @GMCharlatan @iDrSunny @ExplosiveEnema Completely meaningless word salad to cover up how grossly unqualified the PA role is in seeing undifferentiated patients.

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Josh Soane

@JoshuaSoane

6 months

@Niamh_F_Kielb Agree there is no place for personal attacks, but the drive to plough on with the PA project and unwillingness to address genuine concerns being raised, is just alienating more and more people to this point.

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Josh Soane

@JoshuaSoane

2 months

average reaction to a med school exam:

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Josh Soane

@JoshuaSoane

4 months

@bbchealth Why are you trying to gaslight the public? 87% of frontline doctors expressed concerns regarding patient safety, why not tell that story?

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Josh Soane

@JoshuaSoane

7 months

@medicalmodelbri Intrigued what arrangements there are if the sole supervising GP is off sick? If they can’t find a locum to cover, who is the responsible clinician?

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Josh Soane

@JoshuaSoane

5 months

@ExplosiveEnema2 It’s still never been explained how employing 2x Band 8a AAs & 1 Consultant anaesthetist is somehow more cost effective than 2x Cons anaesthetists

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Josh Soane

@JoshuaSoane

14 days

@DrNeilStone It achieved bringing the subject of strikes to the forefront of political debate - it came up at every election debate.

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Josh Soane

@JoshuaSoane

4 months

@ExplosiveEnema2 Name and shame the GP practice, the patients deserve to know and they need urgent inspection.

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Josh Soane

@JoshuaSoane

4 months

@Xeon4f145d96s1 Mic drop from BAOMS

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Josh Soane

@JoshuaSoane

10 months

@Medic_Russell Very good bit getting the 7 bins discourse in

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Josh Soane

@JoshuaSoane

6 months

@Dr_BellaR @DrEilidhMaria @drmattuk confirmed she was okay last night

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Josh Soane

@JoshuaSoane

6 months

@monicabeharding It makes perfect sense when you realise that the government subsidises GP surgeries to NOT employ GPs.

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Josh Soane

@JoshuaSoane

3 months

@NJ_Davies @TheIFS Police officers and the Police Federation warned about this for years, but Theresa May sneered at them and told them they were crying wolf.

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Josh Soane

@JoshuaSoane

4 months

@SecretPhysician @KamilaRCGP @ClareGerada @rcgp you have enabled this.

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Josh Soane

@JoshuaSoane

4 months

@DrPastry @PainPartnership @gmcuk @iDrSunny Where to even start with this word salad. The blatant arrogance…

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Josh Soane

@JoshuaSoane

4 months

@drmattuk @UMAPsUK Rightly so. Keep up the good work, Matt.

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Josh Soane

@JoshuaSoane

5 months

@KhyjaMccalla @medicalmodelbri The evidence you posted suggests otherwise: 8% of PAs were previously nurses, the other roles even less.

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Josh Soane

@JoshuaSoane

4 months

@drmattuk @NHSE_WTE Good to see a clear statement that PAs should not be on doctor rotas. Can only hope Trusts comply.

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Josh Soane

@JoshuaSoane

5 months

@natalieben @JimBethell @TheBMA @TheDA_UK @EveryDoctorUK One of the very first things I realised in medical school is how tough GP is - you’re expected to be an expert in risk management and juggling dozens of possible differentials to determine if they require additional review.

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Josh Soane

@JoshuaSoane

4 months

@LukeAmos__ Also given a grant for their travel and accommodation to the fully funded and protected training!

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Josh Soane

@JoshuaSoane

4 years

Got bored of lockdown & was missing Chinese takeaway too much so decided to make one at home... @Deliveroo sign me up x

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Josh Soane

@JoshuaSoane

6 months

@DrEilidhMaria White coats are surely an easy option for this

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Josh Soane

@JoshuaSoane

3 months

@aitchemcee283 Okay I can maybe get behind cream, jam, more cream…

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Josh Soane

@JoshuaSoane

6 months

@danny_mercer @JanetEastham @TheDA_UK @TheBMA Agree with all. And the HCPC even asked the government to be the regulator, they wanted to regulate PAs, why weren’t they chosen?

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Josh Soane

@JoshuaSoane

2 months

@drraja_ Less than what a physician assistant starts on at the very same Trust after their 2yr course. It’s insulting.

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