David Hopkins @drdavehop Twitter profile

Last Seen Profiles

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@senveseytanlsr

@Zaki_0800

David Hopkins

@drdavehop

7 months

@BMASevernJDC @gloshospitals Looks like an SpR position being offered to PAs straight out of PA school. Frightening.

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David Hopkins

@drdavehop

2 years

@johnwiththatcat @georgegalloway @TwitterSupport That's pretty conclusive to be fair. Got to side with Twitter on this one.

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101

David Hopkins

@drdavehop

1 year

@Jopo_dr Ress carried on working for the trust until 2018 until bailing just before the arrest. Doesn't look like taking responsibility.

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David Hopkins

@drdavehop

7 months

@drcolinm @Dr_Done_ GMC will continue to enable PAs to decieve. "Hi I'm one of the Medical Consultants......" Doctors should be distancing themselves from this absolute mess. Time for a new regulator for doctors?GMC no longer fit for purpose.

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David Hopkins

@drdavehop

8 months

@DrAsifQasim @NHSEngland How can a barely trained pseudo-doctor be the "lynch pin" of the MDT? Frightening that this is being normalised.

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David Hopkins

@drdavehop

7 months

@HartlandJoseph This feels like a bit of a strawman argument. Assessing medical students should be done by doctors. Assessment and eduction is not the same thing. PAs are not doctors, not trained to assess doctors and have a fraction of the training - they shouldn't be assessing.

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David Hopkins

@drdavehop

6 months

@BMA_Consultants Really suprised it was that close with that weak offer.

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David Hopkins

@drdavehop

8 months

@SisterScrappy A very sensible point. Fast tracking the least trained of all AHPs to medical qualifications makes no sense. There is no shortage of people wanting to go to med school as it stands and there is Graduate Entry Med for those with an existing degree.

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David Hopkins

@drdavehop

8 months

@CbaNhs70109 @Xeon4f145d96s1 @BucksHealthcare @NMacdonaldBHT @AndrewMcLBHT Ouch. I'm not surprised they cut them out!

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David Hopkins

@drdavehop

7 months

@IncogAssociate @DocShivSharma @Doctors_Vote @Xeon4f145d96s1 @MichelePaduano @TomStocks1982 @Doc_IonaCollins @DocAnonX @DrPhilBanfield Absolutely not. You wouldn't see a flight attendant examine a pilot, not even an experienced one.

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David Hopkins

@drdavehop

7 months

@lymi66 @ExplosiveEnema Practice being fleeced by or perhaps just wanting to cheap out and provide substandard care to patients on the cheap letting PAs play doctor? Using ARRS cash instead of their own budget?

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David Hopkins

@drdavehop

8 months

@NHSE_WTE Graduate Entry Medicine exists already. If you can't get into GEM then you're not good enough. Creating a pathway to being a doctor for those that don't have the ability for the job is insane.

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David Hopkins

@drdavehop

7 months

@IncogAssociate @Dr_Done_ There's no evidence to say toddlers make more errors than MBBS doctors when providing medical care, but we don't let them play doctor do we? Same should apply to to PAs. Barely trained pseudo-doctors with no insight should not be let loose on patients.

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David Hopkins

@drdavehop

6 months

@IncogAssociate @TheBMA The GMC is the regulator for doctors, established so it is easy to distinguish qualified from unqualified medical practitioners. Bring PAs under the umbrella of the GMC is doing the exact opposite of that.

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David Hopkins

@drdavehop

7 years

@Jeremy_Hunt A sad, complex case of a man causing the NHS to suffer as the result of his abuse.

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David Hopkins

@drdavehop

6 months

@TheSalariedPA A few bad eggs sure, but 1200 incidents in one trust isn't FTP concern level, it's a systemic problem.

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David Hopkins

@drdavehop

6 months

@Xeon4f145d96s1 Not even touched on Paeds whilst learning "the medical model" and yet PAs working on the paeds wards and seeing them in primary care? This is going to end badly.

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David Hopkins

@drdavehop

8 months

@AkbaniUmair Paid less than your assistant, make it make sense.

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David Hopkins

@drdavehop

7 months

@AlisonGeorge10 @rcgp @ClareGerada care to gaslight GPs some more about how there's enough work for everybody?

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David Hopkins

@drdavehop

6 months

@IncogAssociate @DrEilidhMaria PAs are an experiment carried out on patients without due diligence beforehand. The role as it exists can't continue as it's clearly unsafe. Perhaps the role can continue to exist in name but it needs scoping back to the original assistant concept.

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David Hopkins

@drdavehop

8 months

@armyemdoc

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David Hopkins

@drdavehop

6 months

@DoctorPonglenis I get the impression these PA centric teams can't be arsed with training/supervision. They can pick their own PA "doctors" to reduce the inconvenience of training new docs. I bet their PAs have minimal supervision given that attitude.

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David Hopkins

@drdavehop

7 months

@Lover_Of_Neuro They add a sense of danger and risk, keeps things fresh!

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David Hopkins

@drdavehop

6 months

@SaraTon08500527 @carolvorders Doctors make errors prescribing, this isn't news. Letting PAs near prescribing with very little training, knowledge or experience is going to have predictably awful results. I'm not sure you're helping your cause.

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David Hopkins

@drdavehop

6 months

@physicianassoci @DrLindaDykes This is the crux of the issue. PAs should be supervised closely but if they are supervised then the role doesnt make any sense as part of an efficient workforce. So they end up not supervised adequately and scope creep makes this increasingly dangerous.

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David Hopkins

@drdavehop

8 months

@rcgp @KamilaRCGP @DHSCgovuk RCGP/GMC/NHSE all on a concerted campaign to drown out the concerns regarding PAs/AAs. Who cares about patient safety/scope creep right? Got to earn that OBE.

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David Hopkins

@drdavehop

7 months

@DrNeilStone They clearly aren't being used to help Doctors though are they? This is the source of the concerns being raised.

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David Hopkins

@drdavehop

8 months

@L101Mike @iDrSunny Ah yes that wonderful training the "the medical model" that happens "in medical schools". Bless you Mike.

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David Hopkins

@drdavehop

7 months

@TheSalariedPA The real question is why are there PAs in GP? What do PAs offer that the existing workforce did not? They are less well trained, less experienced, unregulated, PA courses are of dubious quality and PAs are not even particularly cheap. The whole idea is poorly conceived.

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David Hopkins

@drdavehop

7 months

@NickMattick @LittlePersonDoc @LBC @TomSwarbrick1 Interested in the mental gymnastics involved to reach this conclusion. We've got PAs playing GP, seeing undifferentiated patients in primary care, we've seen PAs on surgical and medical rotas. We're seeing PAs being paid more than doctors to cover vacancies on rotas.

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David Hopkins

@drdavehop

3 years

@RCPCHtweets Congenital Dermal Melanocytosis - why use such inaccessible language? It's a blue spot.

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David Hopkins

@drdavehop

5 years

@Jeremy_Hunt I would rather gouge my eyeballs out with a spoon, a rusty one, dear sir.

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David Hopkins

@drdavehop

8 months

@Dr__Sarmy @Dr_Done_ @ImperialNHS Can't do TTOs as they can't prescribe.

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David Hopkins

@drdavehop

7 months

@DBDouble @medicalmodelbri With ARRS funding for PAs there's no drive to fill a GP vacancy, just hire a load of PAs with ARRS cash.

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David Hopkins

@drdavehop

8 months

@marksmanship03 @VictoriaAtkins That'll help recruitment and retention, big brain move.

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David Hopkins

@drdavehop

7 months

@LukeAmos__ Do a course you can't fail, to do a job with no repercussions, being told you can have a play at anything you fancy, whilst being paid more than a doctor.

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David Hopkins

@drdavehop

11 months

@SteveBarclay No point in diagnostic hubs if the wait for treatment is endless. Just adding to the backlog isn't the solution.

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David Hopkins

@drdavehop

8 months

@IncogAssociate @itvnews @staceyitv Managed a science degree and 2 years of intensive training "in the medical model" at "medical school" but unable to understand the concept of a poll. Jesus wept...

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David Hopkins

@drdavehop

6 months

@TheSalariedPA This is true. To adequately supervise PAs the role become untenable. It exists because up until recently supervision has been allowed to be unsafe. Solution will either be reduction of PA use or scoping PA role back to simple lower risk tasks (assistant role). Simples.

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David Hopkins

@drdavehop

6 months

@DrNeilStone I suspect scope and regulation will result in dwindling use of PAs as adequate supervision and limited scope will make the role uneconomical.

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David Hopkins

@drdavehop

8 months

@Doctor_Sleep_MD @AskJeevesWij He was the same in previous JD strikes. Smarmy, self serving, only out to progress his own career.

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David Hopkins

@drdavehop

6 years

@NHS_HealthEdEng Stooping to new lows, why are you commenting on individual cases on Twitter? Who is in charge of your Twitter account?

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David Hopkins

@drdavehop

6 months

@ExplosiveEnema2 @FPARCP @RCPhysicians Why would you call someone for an acute deterioration who can't prescribe or order imaging? Who hasn't had adequate training and isn't a doctor? It makes no sense.

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David Hopkins

@drdavehop

8 months

@TheSalariedPA @drsophiegp @Molly2323232323 @rcgp @KamilaRCGP @DHSCgovuk Who needs rigorous training when you can just fake it until you make it right?

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David Hopkins

@drdavehop

7 months

@ItsJamesPowers @carryonkeith What makes the offer fair? Looks pretty underwhelming to me (this doesn't include the 3% the Gov offered but that's not going to change the overall picture).

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David Hopkins

@drdavehop

8 months

@11teadubya @drcolinm @davidianpyle @drdernial @wendyburn It's worse than that. Take a PA with the 1 year online "doctorate" for instance: Patient: Are you a doctor? PA: Yup Patient: I mean, like a GMC registered doctor? PA: Yup Patient: Phew! I thought you were one of those charlatans PA: Don't you worry my love..... No lies told.

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David Hopkins

@drdavehop

1 year

@surashsurash Hadiza Bawa Garba's case showed how easy it is to shrug off culpability. Steve O'Riordan bailed out to Ireland and the Trust avoided criminal proceedings.

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David Hopkins

@drdavehop

7 months

@CorfieldGA I'm sure somewhere there is a secret rota coordinator code that says to do this on purpose 🤣

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David Hopkins

@drdavehop

7 months

@IncogAssociate @iDrSunny @Xeon4f145d96s1 @ExplosiveEnema @Molly2323232323 Doctors study 5 years medicine. GEM is 5 years of medicine compacted in to 4 years. PA course is 2 years of training in the "Medical Model" not medicine, they've not been to Med School, they're not doctors.

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David Hopkins

@drdavehop

7 months

@DrRichardPile @Meghpai Yes they absolutely do need to do 5 years at med school. If a nurse/physio/OT/HCA want to become a doctor they need to do GEM. PAs are no different, they haven't studied to be a doctor in their PA course.

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David Hopkins

@drdavehop

3 years

@robdavidson74 @RCPCHtweets If we just used common sense (the horror!) then how could we justify spending all that time time scoping this and forming committees and focus groups?

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David Hopkins

@drdavehop

8 months

@drbobgill @AskJeevesWij @gmcuk Jeeves was absolutely useless back in the JD strikes. Not shocked to see him continuing on this course now. Self serving to the end.

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David Hopkins

@drdavehop

1 year

@JonJHilton I'm sure every trust is able to find someone with aspirations to a middle management post keen to pose for pics.

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David Hopkins

@drdavehop

8 months

@L101Mike @iDrSunny No not at all. The GMC are regulating them but not defining their scope of practice. There is currently no pathway for PAs to obtain the ability to prescribe or order Xrays and regulation won't fix that any time soon (although has been suggested it may lead to that eventually).

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David Hopkins

@drdavehop

6 months

@Neuro_Matt @BMA_James_Steen Which is exactly why an effective assistant role would be brilliant. PAs doing the discharge letters, chasing results/scans, phone calls etc. But PAs are being driven into an unsuitable role, expecting career progression to middle-grade and above equivalence. It makes no sense.

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David Hopkins

@drdavehop

8 months

@drcolinm @Molly2323232323 @Xeon4f145d96s1 @VincentVanGrump @ukmat82 @GMC Prof this is a clown show. Post qualification training is where PAs/AAs are most dangerous and need regulation. These aren't doctors, they've had two years of the least rigorous training on offer in the medical field and you're enabling them to play doctor. Where is the insight?

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David Hopkins

@drdavehop

8 years

@Jeremy_Hunt Destroy psychiatry training as part of contract reform then tweet about mental health, only you Jezza could be so ignorant.

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David Hopkins

@drdavehop

7 months

@TheSalariedPA @D__Melb PA is 2 years and it appears almost impossible to fail. ANP with MSC is 3 years and much more robust.

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David Hopkins

@drdavehop

11 months

@Bonivorlewis @anonPA5 You realise this is BMA Scotland that secured a 17.5% payrise over 2 years and commitment to FPR.

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David Hopkins

@drdavehop

10 months

@Suhaila @acweyand Yup see a good few toddlers not eating any solids and have an Hb of <4. Stop the milk, appetite comes back and anaemia resolves.

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David Hopkins

@drdavehop

6 months

@nhsbourbon You too can get a garbage tier medical degree from a third rate uni that has lowered entry to the point where ability doesn't matter. Nobody will be allowed to fail as it's someone's pet project. It'll cost an absolute shed load which is money better spent on training able docs.

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David Hopkins

@drdavehop

8 years

@TheLastLeg @Jeremy_Hunt Wonderful beautiful people! You are heroes! #juniordoctors #dickoftheyear

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David Hopkins

@drdavehop

8 months

@Rob_Smithers @pulsetoday And be kind whilst doing all that.

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David Hopkins

@drdavehop

7 months

@ericandern2 @BMA_JuniorDocs @PHU_NHS Try calling a plumber tonight and see what they want to charge you, then come and talk to me about reality. Try getting a lawyer to pull a 12 hour night shift. There's no obligation on Consultants to cover these shifts. It's not a race to the bottom.

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David Hopkins

@drdavehop

7 months

@pitts_adrian @DrSteveTaylor @DominicRaab @VictoriaAtkins @andrealeadsom @DAUK_GP @doctor_katie @DrSelvarajah @BMA_GP @wesstreeting @rcgp @Parody_RCGP It quickly has turned into a GP replacement scheme at the cost of safety.

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David Hopkins

@drdavehop

8 months

@MStott88 It's the reliance on someone else to do your diagnostic workup when you should see the patient, take a history and examine, then use your experience to guide diagnostic tests (if needed).

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David Hopkins

@drdavehop

7 months

@4NaanJeremy "I could have been a doctor."

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David Hopkins

@drdavehop

7 months

@SaraTon08500527 The true colours come out. Classy.

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David Hopkins

@drdavehop

8 months

@ReddicalMedge An actual assistant role however would be valued by all and there is clearly a need for this, but that's far too sensible a solution.

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David Hopkins

@drdavehop

6 months

@Neuro_Matt @BMA_James_Steen But you can't let the ward HCA crack on with LPs because you deem them competent can you? What about the FY1 being left to do TTOs thay doesn't get the opportunity the do an LP - they get to prescribe the lignocaine and take the liability for its use?

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David Hopkins

@drdavehop

7 months

@RobertSyms @BenKentish The public sector can not solely bare the burden of inflation whilst Rishi brags about record wage growth in the private sector.

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David Hopkins

@drdavehop

8 months

@armyemdoc @nickopotamus @SamGoodhand He's not wrong.

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David Hopkins

@drdavehop

8 months

@L101Mike @iDrSunny Yes but not very much of it and not enough that a PA offers anything an FY1 doesn't (the FY1 can rather helpfully prescribe medicines and order Xrays).

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David Hopkins

@drdavehop

7 months

@Delilah15707758 @Moham1287 @KateBurkeNHS Wow you're going full Orwellian, quite disturbing.

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David Hopkins

@drdavehop

7 months

@BMA_JuniorDocs @PHU_NHS Even the pre-reduction rates are pretty poor.

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David Hopkins

@drdavehop

8 months

@gmcuk This is a mistake and only adds to the confusion and safety concerns. I'm disappointed and embarrassed that the GMC is enabling this mess despite all the concerns raised.

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David Hopkins

@drdavehop

8 years

@nhsemployers #juniorcontract its so very much fairer in fact that it's caused the entire junior doctor workforce to strike repeatedly

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David Hopkins

@drdavehop

7 months

@Dr_Done_ "I TRAINED IN THE MEDICAL MODEL!!!!"

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David Hopkins

@drdavehop

9 months

@MichelePaduano @ExplosiveEnema This feels like the consultant is there to provide senior input, the PG doctor is there to do the dog work and be a liability sponge and a PA gets to play out their fantasy of being a real doctor.

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David Hopkins

@drdavehop

8 months

@MarkDev20 @_VivekTrivedi @BucksHandExpert Doctors taking up their legal right to IA.

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David Hopkins

@drdavehop

8 months

@_Kanishka_6582 @goldstone_tony @BMA_Consultants Tragic to lose this, it was clearly effective in securing IA rates. It'll be a no from me.

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David Hopkins

@drdavehop

8 years

@DHgovuk @NHSEngland They're dumping the work of figuring out 7 day services on trusts why not get them to explain the magic behind it too.

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David Hopkins

@drdavehop

7 months

@ericandern2 @BMA_JuniorDocs @PHU_NHS Absolutely not. Many consultants are in the 60% effective tax bracket, am I going to work a 13 hour night shift, suffer the disruption to my life/health and professional risk of nights for £40/hr take home? Nope.

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David Hopkins

@drdavehop

7 months

@DrRichardPile @fareha2021 @Meghpai What this would create is a shortcut for just one specific group over many to a medical degree. PAs are not special and are not "half way there", the entry bar is low, the exams are laughable. Grad medicine is available to them already.

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David Hopkins

@drdavehop

11 months

@SteveBarclay You dislike "The BMA's hard-line stance" and yet stick you your "pay decision is final" trope. See an issue here Steveo?

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David Hopkins

@drdavehop

8 years

@Jeremy_Hunt It's interesting how many human rights you breach with #juniorcontract . Family life, rest and leisure, equality between sexes.

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David Hopkins

@drdavehop

6 months

@Microbedoc2 This is pretty much "my mate at the pub says I can do it" levels of robustness. Play GP? Sure. Baby checks? Why not. Assess ECGs? No worries mate.

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David Hopkins

@drdavehop

6 months

@Neuro_Matt @BMA_James_Steen The problem is not the procedure itself but the structure around PAs doing it. How are they judged competent? What happens if it goes wrong? Who carries the liability, the PA or the supervisor? Who has prescribed the Lignocaine for the PA and does that come with liability?

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David Hopkins

@drdavehop

8 months

@IncogAssociate @itvnews @staceyitv Managed a science degree and 2 years of intensive training "in the medical model" at "medical school" but unable to understand the concept of a poll. Jesus wept...

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David Hopkins

@drdavehop

8 months

@doctorwibble @hasyourregtried He's not the sharpest scalpel in the drawer (or pocket).

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David Hopkins

@drdavehop

6 months

@VictoriaAtkins The consultant body has rejected this Victoria, not the BMA. It was a crap offer, dividing people enough to almost get through though but not quite.

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David Hopkins

@drdavehop

7 months

@lymi66 @ExplosiveEnema That's exactly what many practises are doing using PAs over GPs. ARRS is forcing their hand in this matter.

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David Hopkins

@drdavehop

7 months

@GradMedic01 Because these degrees holders will be unwanted by the rest of the world. So it's an investment in staff that can't leave and can have their pay whittled away without recourse.

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David Hopkins

@drdavehop

7 months

@IncogAssociate @Dr_Done_ It's frankly offensive to medical students to be examined by a PA for a station such as this.

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David Hopkins

@drdavehop

7 months

@RobertSyms @BenKentish Which they'd be right to do. We don't value healthcare or health workers in this country.

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David Hopkins

@drdavehop

6 months

@iDrSunny "increase barriers to training for medical students, interns and registrars reduce numbers of GPs working in rural areas reduce support for the current primary care workforce if funding is diverted to support a new health professional role." Exactly what we are seeing!

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David Hopkins

@drdavehop

8 months

@neurosurgerySpR Was a no from me. Didn't address pay restoration adequately, SPA changes probably meaningless but didn't like the "implementing the workforce plan" guff and a pay cut for me.

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David Hopkins

@drdavehop

7 months

@BMA_James_Steen @Delilah15707758 @Moham1287 @KateBurkeNHS You're not alone, also blocked. Would like to know this person's background. I assume not a doctor.

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David Hopkins

@drdavehop

6 months

@SaraTon08500527 Patient safety > #bekind

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David Hopkins

@drdavehop

8 months

@DrGrumpy @SixSigmaCapital @NHSE_WTE @iDrSunny @gmcuk @TheBMA @GMCharlatan @DrEilidhMaria There were already plans to let them join ACCS. Probably just skip med school and Foundation Year and join speciality training.

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