SImon Butler @SImonBu14712300 Twitter profile

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SImon Butler

@SImonBu14712300

1 year

I just became a member of the European Movement, the only organisation with the courage to reverse the calamity of Brexit. Join me and thousands of others at @euromove here >>>

European Movement

www.europeanmovement.co.uk

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SImon Butler

@SImonBu14712300

1 year

@OcoRory @r1chardf1tzg3r1 @SteveBarclay @AACE_org @ParamedicsUK @wesstreeting @TheBMA @rcgp @TheBHF @TheStrokeAssoc @RCollEM In EEAST, we have introduced our own apprenticeship MSc in urgent care and pay band 8a when they qualify with prescribing. We have a dedicated directorate providing community urgent care to keep staff and provide a better service @EEAST_UrgCare

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SImon Butler

@SImonBu14712300

1 year

@OcoRory @Meghpai @Parody_RCGP @gmcuk Thank you Rory. Incidentally, the article was intended for a staff newsletter on International Paramedics' Day.

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SImon Butler

@SImonBu14712300

1 year

@DrHuw @doctorsp194 @r1chardf1tzg3r1 @SteveBarclay @AACE_org @ParamedicsUK @wesstreeting @TheBMA @rcgp @TheBHF @RCollEM Agreed. Working at LEVEL of SpR, not being the same as. Seeing undifferentiated patient, assessing, making clinical decisions, creating a plan and prescribing as necessary unsupervised but with access to senior advice. No claim to be as expert as specialist.

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SImon Butler

@SImonBu14712300

1 year

@OcoRory I have a proper doctorate (not an honorary one on the basis of two undergraduate degrees) from a Russell Group university so I am entitled to use the title. I 'm happy to evidence any of my statements so if you have a challenge, let's have it.

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SImon Butler

@SImonBu14712300

1 year

@doctorsp194 @r1chardf1tzg3r1 @SteveBarclay @AACE_org @ParamedicsUK @wesstreeting @TheBMA @rcgp @TheBHF @TheStrokeAssoc @RCollEM Advanced practice training (MSc) leaves a competent paramedic or nurse working at registrar level. Arguable then, that being assessed and treated by them is better than the average FY1 doctor. Doctors should see complex cases and ACPs less so.

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SImon Butler

@SImonBu14712300

1 year

@doctorsp194 @r1chardf1tzg3r1 @SteveBarclay @AACE_org @ParamedicsUK @wesstreeting @TheBMA @rcgp @TheBHF @RCollEM I do NOT think anything of the sort about PAs and didn't even mention them. They are not registered HCPs (yet) and it's your profession that's promoting them (see RGP allowing them to become hon. fellows). T

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SImon Butler

@SImonBu14712300

1 year

@1stPioneerCo @doctorsp194 @r1chardf1tzg3r1 @SteveBarclay @AACE_org @ParamedicsUK @wesstreeting @TheBMA @rcgp @TheBHF @RCollEM I think it's clear that I do know what becoming a registrar involves.

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SImon Butler

@SImonBu14712300

1 year

@r1chardf1tzg3r1 @SteveBarclay @AACE_org @ParamedicsUK @wesstreeting @TheBMA @rcgp @TheBHF @TheStrokeAssoc @RCollEM Article fails to appreciate that some experienced and skilled EMTs are competent to deal with cardiac arrests and that the extra skills paramedics bring aren't evidence-based.

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SImon Butler

@SImonBu14712300

1 year

@talthegooner @AnnonMedic36970 What a sweeping statement! I personally don't agree with allied health professions being used to replace doctors, especially PAs who currently have no registration, but we need to take a sensible approach to risk and utilising doctors appropriately.

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SImon Butler

@SImonBu14712300

1 year

@kyletoc_o @OcoRory @r1chardf1tzg3r1 @SteveBarclay @AACE_org @ParamedicsUK @wesstreeting @TheBMA @rcgp @TheBHF @RCollEM @EEAST_UrgCare We are establishing specialist tier for the many unscheduled rather than emergency patients that call ambulances. If paramedics call 111/GPs, they wait for hours if answered at all. Need to pass over to ACPs to get them back dealing with emergencies.

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SImon Butler

@SImonBu14712300

1 year

@ClipboardUK @r1chardf1tzg3r1 @SteveBarclay @AACE_org @ParamedicsUK @wesstreeting @TheBMA @rcgp @TheBHF @TheStrokeAssoc @RCollEM @EEAST_UrgCare Fixing the career pathway with offer of advancement in clinical practice. Improvements with the other things you mention are coming to fruition. All ambulance services need to up their gain though.

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SImon Butler

@SImonBu14712300

1 year

@MedRegoncall1 @r1chardf1tzg3r1 @F01681527 @SteveBarclay @AACE_org @ParamedicsUK @wesstreeting @TheBMA @rcgp @TheBHF @TheStrokeAssoc @RCollEM Tell that to the doctors to who paramedic work on HEMS.

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SImon Butler

@SImonBu14712300

1 year

Annoyingly, I've just seen that I have two profiles! My proper one is @SJB293 which clearly has my proper title and bio. Happy to carry any arguments over to be proper accounts as I'm going to delete this one.

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SImon Butler

@SImonBu14712300

1 year

Hi all you lovely Cambs & Peterbro ambulance clinicians! Call Before You Convey is now open 08:00 to 20:00. Where else can you get instant advice from an ED consultant or funny old man?

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SImon Butler

@SImonBu14712300

1 year

@JannetBrownn @r1chardf1tzg3r1 @DrSteveTaylor @SteveBarclay @AACE_org @ParamedicsUK @wesstreeting @TheBMA @rcgp @TheBHF @TheStrokeAssoc @RCollEM I'm a paramedic and have done one years training in dermatology. I bet most GPs haven't.

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SImon Butler

@SImonBu14712300

1 year

@_pinkerton__ @doctorsp194 @r1chardf1tzg3r1 @SteveBarclay @AACE_org @ParamedicsUK @wesstreeting @TheBMA @rcgp @TheBHF @RCollEM I take it you're an old-school consultant who remembers being woken up in the middle of the night to flush a cannula. A great use of a doctor's time! I'm only speaking in terms of contract/scope.

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SImon Butler

@SImonBu14712300

1 year

@Henry_C_Agbor @GaryStrong18 @tracyniks @ParamedicsUK What a lovely picture and a lovely sentiment x

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SImon Butler

@SImonBu14712300

1 year

@1stPioneerCo @doctorsp194 @r1chardf1tzg3r1 @SteveBarclay @AACE_org @ParamedicsUK @wesstreeting @TheBMA @rcgp @TheBHF @RCollEM I once examined candidates on an MSc in urology. You'd be shocked.

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SImon Butler

@SImonBu14712300

1 year

@ishsulin @JannetBrownn @r1chardf1tzg3r1 @DrSteveTaylor @SteveBarclay @AACE_org @ParamedicsUK @wesstreeting @TheBMA @rcgp @TheBHF @RCollEM Indeed, and why not. I have Red Whale and GP Notes open on my desktop when I'm working and often Symptom Sorter too not to mention PCDS! :-)

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SImon Butler

@SImonBu14712300

1 year

@MedRegoncall1 @kyletoc_o @r1chardf1tzg3r1 @F01681527 @SteveBarclay @AACE_org @ParamedicsUK @wesstreeting @TheBMA @rcgp @TheBHF @RCollEM My patients don't seem to care to be honest and I have good feedback in my portfolio. Don't need a medical degree to help patients with minor ailments.

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SImon Butler

@SImonBu14712300

1 year

@Mr_EJB_ @1stPioneerCo @doctorsp194 @r1chardf1tzg3r1 @SteveBarclay @AACE_org @ParamedicsUK @wesstreeting @TheBMA @rcgp @TheBHF @RCollEM @parthaskar I haven't experienced or lived testicular torsion, but that doesn't mean I don't know what it is

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SImon Butler

@SImonBu14712300

1 year

@toast36742904 @AnnonMedic36970 @OcoRory I didn't really. I became an ACP because the freedom to do more for patients (scope), job satisfaction, science background so study interesting to me, better pay, better hours and too old for emergency care. Also has three of the four pillars of advanced practice.

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SImon Butler

@SImonBu14712300

1 year

@rheumipainmask @OcoRory @Meghpai @Parody_RCGP @gmcuk Are you deliberately failing to misunderstand here PS? I did NOT say I'm more qualified than GPs. My mentors are GPs because they have higher qualifications and more diverse experience. I know what I'm good (and bad) at!

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SImon Butler

@SImonBu14712300

1 year

@Meghpai @Parody_RCGP @gmcuk But I'm a proper doctor Meg and legally entitled to use the title. The GMC can't/wouldn't crack down on doctors using the title doctor, however, purporting to be a physician when not on the other hand...

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SImon Butler

@SImonBu14712300

1 year

@classprofession Really pleased to see a draft of the new Primary Care book!

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SImon Butler

@SImonBu14712300

1 year

@DominicMarley @doctorsp194 @r1chardf1tzg3r1 @SteveBarclay @AACE_org @ParamedicsUK @wesstreeting @TheBMA @rcgp @TheBHF @RCollEM Should have explained myself better. There is no way I would compare a nurse or paramedic as being at the level of a SpR in a specialism, more generally emergency medicine or unscheduled care.

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SImon Butler

@SImonBu14712300

1 year

@AnnonMedic36970 @OcoRory Oh, and when working in minor injuries, I tippexed my title out, despite that fact that it's, well, by title.

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SImon Butler

@SImonBu14712300

1 year

@1stPioneerCo @doctorsp194 @r1chardf1tzg3r1 @SteveBarclay @AACE_org @ParamedicsUK @wesstreeting @TheBMA @rcgp @TheBHF @RCollEM I'm deleting this account now. Happy to carry on the debate @SJB293 . I will try to find employers evidence that an ACP shouls be able to work at registrar LEVEL as explained perviously, not to say as well trained and experienced.

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SImon Butler

@SImonBu14712300

1 year

@toast36742904 @AnnonMedic36970 @OcoRory How do you know I'm subpar? I may be very good. I agreed about 30 years ago with a GP friend & BASICS that he was a frustrated paramedic and me a frustrated doctor. Happily, we both overcome our frustrations to help people @SJB293

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SImon Butler

@SImonBu14712300

1 year

@MedRegoncall1 @r1chardf1tzg3r1 @F01681527 @SteveBarclay @AACE_org @ParamedicsUK @wesstreeting @TheBMA @rcgp @TheBHF @TheStrokeAssoc @RCollEM Do you still need to see a doctor to look in your ears and prescribe abx? I bet you would be annoyed being asked to see a patient with a simple chest infection. If it's potentially complicated, I see a GP. If not, I'm happy to see a paramedic or nurse.

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SImon Butler

@SImonBu14712300

1 year

@TreforR Really? Are we talking about GP who are former consultants in dermatology? Isn't the normal pathway med school (touching on the subject), a 6/12 junior role in dermatology if chosen, CPD in pharmacology or part of FRCGP? Sorry if wrong and happy to be corrected?

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SImon Butler

@SImonBu14712300

1 year

@OcoRory @Meghpai @Parody_RCGP @gmcuk Bless you!

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SImon Butler

@SImonBu14712300

1 year

@firstaidr @Meghpai @Parody_RCGP @gmcuk Love it!

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SImon Butler

@SImonBu14712300

1 year

@AnnonMedic36970 @OcoRory Nope. It sometimes appears on my credentials, which I change when I can (AccuRX etc), but I make it clear that I am an advanced paramedic and when receptionist make appointments for patients, I'm "Our paramedic, Simon."

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SImon Butler

@SImonBu14712300

1 year

@ClipboardUK @r1chardf1tzg3r1 @SteveBarclay @AACE_org @ParamedicsUK @wesstreeting @TheBMA @rcgp @TheBHF @TheStrokeAssoc @RCollEM @EEAST_UrgCare - that's precisely what we're doing to retain paramedics, give them a clinical career pathway and provide an appropriate service to the many patients who out of desperation dial 999 as they can't get GP appointments.

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SImon Butler

@SImonBu14712300

1 year

@BMA_James_Steen Good point. However, the worse (vitriolic) critics haven't got the guts to identify themselves!

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