Christopher (Taylor’s version) @haemopoiesis Twitter profile

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Christopher (Taylor’s version)

2 years

@TheBlackEcho @AmarHujan @timricketts_ Five F-F-P! Four pools of platelets, three packed red cells, two Beriplex and some cryo for the D-I-C 🎶 🎄 🎅🏻

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Christopher (Taylor’s version)

@haemopoiesis

3 months

@StGeorgesUni Being a PA isn’t a protected characteristic. Stop co-opting the language of people who experience genuine discrimination with (rightful) criticism of the PA role and how it is being utilised.

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Christopher (Taylor’s version)

@haemopoiesis

2 months

@IncogAssociate It is right to call out the inappropriate use of poorly trained substitutes taking on doctor’s roles. If PAs find their role being questioned distressing then that’s on PA leadership. Putting in vexatious complaints about someone raising these concerns is entirely different.

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Christopher (Taylor’s version)

@haemopoiesis

7 months

@JohnMcManusDU @cannula_service @LeanneHPatrick @GaryNosam @Advclin Exactly. I’m a doctor, not a charity worker - I shouldn’t have to work for free or have my wages suppressed over the past decade to keep the NHS machine running

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Christopher (Taylor’s version)

@haemopoiesis

13 days

@moribunddr Interesting how many non-medical HCWs are happy taking on doctors’ roles (on doctors’ rotas, holding specialty bleeps etc.) but seem to vanish into the ether when a discharge letter needs completed.

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Christopher (Taylor’s version)

@haemopoiesis

3 months

@telswood The same ‘family’ who write “Doctor informed at XX:XX” every time something goes wrong.

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Christopher (Taylor’s version)

@haemopoiesis

2 months

@timricketts_ Because it’s not their job that’s being replaced.

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Christopher (Taylor’s version)

@haemopoiesis

10 months

@HelenCocks5 @fessdoc @ENT_UK Speaking of “unconsidered” - this looks to be an official ENTUK document - were the contents agreed and signed off by the exec committee/trustees/council including a PA being referred to as “the best SHO we’ve ever had” and referring to a “rotating carousel of junior doctors”?

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Christopher (Taylor’s version)

@haemopoiesis

3 months

@IncogAssociate Hierarchy is always an issue until something goes wrong and then it’s “doctor informed”. We should all demand the highest standards when it comes to who cares for us and our loved ones - if that makes me elitist and protectionist then so be it.

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Christopher (Taylor’s version)

@haemopoiesis

8 months

@TVRJDC @BucksHealthcare Awaiting the “admin error”/“this isn’t us”/“one team” scripted apology in 5, 4, 3, 2, 1….

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Christopher (Taylor’s version)

@haemopoiesis

1 month

@IncogAssociate @RCPhysicians @rcgp “Bullying” from the @RCPhysicians who hosted the PA faculty for almost a decade? Really?

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Christopher (Taylor’s version)

@haemopoiesis

5 months

@InfoPars Being a PA isn’t a protected characteristic. No one is entitled to practice medicine without going through the proper, rigorous training.

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Christopher (Taylor’s version)

@haemopoiesis

6 months

@quackophage @NHSGrampian In what way is an “intern PA” qualified to teach medical students?

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Christopher (Taylor’s version)

@haemopoiesis

1 month

@JimBethell @rcgp Unelected hereditary peer unhappy with the result of a democratic vote. Ironic, no?

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Christopher (Taylor’s version)

@haemopoiesis

9 months

@pulsetoday Hi @pulsetoday - this is the third time you have posted a link to this opinion piece. Why?

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Christopher (Taylor’s version)

@haemopoiesis

2 months

@timricketts_ I brought this up in the 🧵 yesterday - it was almost funny seeing the same consultants who shouted junior doctors down/dismissed concerns re the “registrar equivalent” ACP role but were outraged at the consultant ACP/EPIC equivalent which appeared shortly afterwards.

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Christopher (Taylor’s version)

@haemopoiesis

7 months

@SuzRankin @DrLindaDykes @JoshuaSoane @DrPeterFahey @CV_UHB @BMA_WJDC @JenneyMeriel Respectfully, can we receive assurance action is going to be taken against the “workforce hub” - a group of individuals who tried to imply that striking doctors could receive GMC referrals? It seems not a day goes by that those in NHS management are shamed on social media (1/2)

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Christopher (Taylor’s version)

@haemopoiesis

10 months

@SImonBu14712300 @doctorsp194 @r1chardf1tzg3r1 @SteveBarclay @AACE_org @ParamedicsUK @wesstreeting @TheBMA @rcgp @TheBHF @TheStrokeAssoc @RCollEM An MSc in advanced practice does not give training equal to medical school, 4+ years of postgraduate medical training and membership exams (which you need to progress to registrar level). It’s quite frankly insulting to even suggest that it does.

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Christopher (Taylor’s version)

@haemopoiesis

12 days

@iDrSunny The insult to state that FY1s even at the end of their first year of training aren’t level with PAs and that PAs are somehow more competent than specialist registrars at the start of their training. Shame on the @RCPhysicians and their Clin Med Journal for publishing this drivel.

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Christopher (Taylor’s version)

@haemopoiesis

2 months

@pepemac27 “Other members of the team may become frustrated” Other members of the team are welcome to help write the discharges then or is that a “medical task” that non-doctors are reluctant to take on?

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Christopher (Taylor’s version)

@haemopoiesis

7 months

@NHSHandSan Agreed. It is infuriating and bad faith arguments when people equate an unbanded PA 9-5 salary vs a CT1 salary of 48 hours per week + nights + weekends + late cover. I’m yet to see any of the pro-PA folk successfully justify it either.

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Christopher (Taylor’s version)

@haemopoiesis

4 months

@IncogAssociate We should all be elitist when it comes to who delivers our healthcare.

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Christopher (Taylor’s version)

@haemopoiesis

1 year

@drgarethroberts Parts of the inguinal canal which, like the offside rule in football, I am physically incapable of memorising.

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Christopher (Taylor’s version)

@haemopoiesis

8 months

@parthaskar @AskJeevesWij I can fully envisage the next generation of doctors just refusing to train or supervise PAs/AAs. If the next steps aren’t carefully managed there’s going to be a complete interprofessional breakdown and two tiered healthcare.

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Christopher (Taylor’s version)

@haemopoiesis

8 months

@FrankCoffey26 @Dr_Done_ A post FY2 CTF is still in a much better position to teach clinical medicine to medical students than a PA.

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Christopher (Taylor’s version)

@haemopoiesis

2 months

@Xeon4f145d96s1 Or giving hepatology advice for a tertiary paediatric transplant unit.

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Christopher (Taylor’s version)

@haemopoiesis

1 month

@IncogAssociate @gmcuk @rcgp The RCGP isn’t under any obligation to facilitate the employment of PAs though. It’s not bullying to deny you and your colleagues the dreams, job plan and scope you were (mis)sold by PA leadership and their enablers. Take it up with them.

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Christopher (Taylor’s version)

@haemopoiesis

8 months

@DrJPGannon @MrTimLane I’d rather be paid fairly than revered, thanks.

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Christopher (Taylor’s version)

@haemopoiesis

1 month

@drmattuk So grateful to you and a few other accounts who were brave enough to raise their head above the parapet at a time when the majority of medtwitter were trying to gaslight/threaten work + GMC referrals for raising concerns - the silence from these people now is staggering.

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Christopher (Taylor’s version)

@haemopoiesis

7 months

@Kate727663761 @Effiedeans Feel free to try graduate entry medical school then Kate.

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Christopher (Taylor’s version)

@haemopoiesis

7 months

@ExplosiveEnema Likewise with prescribing/IR requesting. It’s seen as a right rather than a responsibility.

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Christopher (Taylor’s version)

@haemopoiesis

9 months

@ExplosiveEnema @FPARCP @parthaskar @Dr_Done_ @mouseter_chef @TomStocks1982 @doctor_katie @mmamas1973 @AlisonGeorge10 @Doc_IonaCollins @iDrSunny @actor_joshua Would be interested to find out who has deemed these reviewed patients as “not requiring supervision” of the PA.

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Christopher (Taylor’s version)

@haemopoiesis

7 months

@Roddy_Neilson Much like the “senior” PA (no one has yet explained to me what or how one becomes a senior PA) lecturer who disables comments on every post.

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Christopher (Taylor’s version)

@haemopoiesis

7 months

@silvervoicesuk I still fail to see how a delay in a discharge letter is a sign of ageist attitudes in the NHS? Have you ever shadowed a junior doctor or any idea regarding their workload?

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Christopher (Taylor’s version)

@haemopoiesis

10 months

@AlexPanton1 @Matt_Bodell Hi Alex, I see these are some of the tweets that you’ve liked over the past week including one referring to striking junior doctors and consultants as “scum” by Kelvin McKenzie - something you want to get off your chest?

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Christopher (Taylor’s version)

@haemopoiesis

2 months

@bentley_a1 @DrEilidhMaria Working as a nurse or physiotherapist for 5-10 years isn’t medical experience.

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Christopher (Taylor’s version)

@haemopoiesis

10 months

@TAkbar @ShaunLintern Are your patients specifically consented that their “advanced procedure” is being performed by a physician associate (an unregulated professional) and not a doctor?

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Christopher (Taylor’s version)

@haemopoiesis

6 months

@LukeAmos__ Perhaps a small advantage of PAs/AAs being regulated soon is that they might stop being so liberal with GMC referral threats when they in turn can get referred and they see the impact it causes.

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Christopher (Taylor’s version)

@haemopoiesis

1 month

@Dr_Done_ I joined Twitter/X in 2022 and was shocked at the behaviour of these accounts (who ironically would behave in the same manner they criticise anon accounts for) - threats to employers/bullying/QTs and tagging their “allies” to instigate pile ons. The silence now is deafening.

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Christopher (Taylor’s version)

@haemopoiesis

9 months

@VirtueOfNothing Non-doctors arguing against medical primacy are more than welcome to accept equal responsibility/complaints when something goes wrong/harm occurs/closely avoided. The buck has to stop somewhere.

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Christopher (Taylor’s version)

@haemopoiesis

2 months

@PolitlcsUK @ElectCalculus @findoutnow The Tories will propose harvesting organs from young people and gifting them to pensioners when they see this poll result.

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Christopher (Taylor’s version)

@haemopoiesis

8 months

@ChrisWoodPhysio A perfect example of #BeKind being weaponised to silence criticism of deficient care and a PA equating herself to a doctor.

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Christopher (Taylor’s version)

@haemopoiesis

5 months

@Xeon4f145d96s1 “We are not journalists but we’re trained in the investigative journalism model”

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Christopher (Taylor’s version)

@haemopoiesis

6 months

@_BH_6582 @FrankCoffey26 @parthaskar @RCPhysicians @FPARCP @NHSEmployers @mmamas1973 @trishgreenhalgh @UKGastroDr @DrLKVaughan @iDrSunny @AntonEmmanuel2 @Rezaidi @DrAsifQasim @RowanHarwood @NHSE_WTE “Vibes and feelings”.

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Christopher (Taylor’s version)

@haemopoiesis

2 months

@ESHTNHS @medicalmodelbri “Generalist healthcare specialist trained in the medical model” is a meaningless word salad.

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Christopher (Taylor’s version)

@haemopoiesis

2 months

@isitsleepytime Many boomers seem to think that they personally stormed the beaches in France back in the 1940s.

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Christopher (Taylor’s version)

@haemopoiesis

2 months

@medicalmodelbri This! Like what is the point in this role - it’s basically just duplicating work load for doctors.

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Christopher (Taylor’s version)

@haemopoiesis

8 months

@parthaskar @AskJeevesWij Your leadership and speaking up is really appreciated (when I’m sure you already have lots of commitments).

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Christopher (Taylor’s version)

@haemopoiesis

7 months

@Xeon4f145d96s1 Also important to highlight that many of these accounts partook in the same behaviours that they criticise anon accounts for - QTs to instigate pile ons/tagging likeminded accounts for the same purpose, threatening to inform employers/GMC etc. The silence now is staggering.

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Christopher (Taylor’s version)

@haemopoiesis

7 months

@srturaga @Effiedeans I was waiting on the inevitable “I could have been a doctor” to appear at some point in the blog and wasn’t disappointed.

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Christopher (Taylor’s version)

@haemopoiesis

13 days

@ishsulin @moribunddr Exactly - it’s a complete lack of insight into the workload of doctor that they’re no doubt harassing, as well as a failure to recognise that interruptions/“friendly” reminders just cause further delays and increase the risk of errors.

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Christopher (Taylor’s version)

@haemopoiesis

2 years

@anonPA5 @drmattuk I don’t think as a PA you’re qualified or able to judge who is struggling with their role of being a doctor since you’re *checks notes* not a doctor yourself.

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Christopher (Taylor’s version)

@haemopoiesis

5 months

@trishacurran23 @medicalmodelbri @parthaskar It’s not a two year intensive course in medicine. You’re either uninformed or intentionally trying to obfuscate.

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Christopher (Taylor’s version)

@haemopoiesis

2 years

@putasinghonit 💀💀💀

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Christopher (Taylor’s version)

@haemopoiesis

2 years

@NatashaAght @ZainKhanMed @MHA_92_

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Christopher (Taylor’s version)

@haemopoiesis

10 months

@Neuro_Matt @AlkadhiO @A03580132276 @veggieequallife @RooDoherty @markr1004 @PenfoldJohanna Be kind = be quiet/be compliant or face the consequences. Tired of this weaponisation against doctors in training raising concerns.

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Christopher (Taylor’s version)

@haemopoiesis

9 months

@liambarker I have extreme left-right confusion. This is why I don’t do surgery. Thankfully blood is almost everywhere in the body.

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Christopher (Taylor’s version)

@haemopoiesis

1 month

@Megsenmumdr @doctor_dru_ @profjimspeaks Don’t expect an answer. The entire PA experiment seems to be built on a foundation of deceit and poor academic practice.

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Christopher (Taylor’s version)

@haemopoiesis

1 month

@VictoriaAtkins Doctors are taxpayers too, Victoria.

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Christopher (Taylor’s version)

@haemopoiesis

8 months

@Roddy_Neilson @drcolinm I’m torn whether it is just sheer incompetence or whether there is a more malicious purpose to all of this (devaluing British medical degree ➡️ creating a captive workforce of “associates” and “practitioners”).

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Christopher (Taylor’s version)

@haemopoiesis

8 months

@isitsleepytime @hkg294 💯%. Some PAs who previously justified their starting salary on the basis of “limited progression/wage stagnation” are now pushing for career progression and increased scope - e.g. “I don’t want to be doing FY1 jobs forever”.

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Christopher (Taylor’s version)

@haemopoiesis

3 months

@medicalmodelbri @19MW98 @TheBMA @BMA_James_Steen @RobLaurensonD4P @NHSEmployers @ClareGerada “Working at ST3+/registrar level” You cannot function at registrar level without medical school, foundation and core training and MRCS. Shame on the seniors who enable this equivalence nonsense.

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Christopher (Taylor’s version)

@haemopoiesis

10 months

@clacon98 @oliverdevine @trishgreenhalgh I think it maximised at the 200 mark - I tried to sign and it wouldn’t let me after the 200 had been reached.

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Christopher (Taylor’s version)

@haemopoiesis

5 months

@ElshadKarbasi Much like the “senior PA lecturer” in primary care who locks down replies in every post…

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Christopher (Taylor’s version)

@haemopoiesis

9 months

@CheGuevera27 @doctor_dru_ @therawlucy Hierarchies are undesirable until something goes wrong and then we see the people who want to flatten them become their biggest proponents.

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Christopher (Taylor’s version)

@haemopoiesis

8 months

@IncogAssociate @ExNHSorthopod @gmcuk Respectfully, how can you enforce appropriate utilisation when the GMC has stated that it’s up to individual trusts to define scope. This is what has lead and will lead to eg PAs on registrar/consultant rotas, PAs holding tertiary centre referral pages etc.

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Christopher (Taylor’s version)

@haemopoiesis

2 months

@NotAdoctor0000 The same public which voted (largely) for Conservative governments for 14 years and are now reaping the consequences.

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Christopher (Taylor’s version)

@haemopoiesis

1 month

@ExplosiveEnema2 @BritSocHaem @Roddy_Neilson As a haematology trainee, I was embarrassed by that statement from BSH.

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Christopher (Taylor’s version)

@haemopoiesis

10 months

@jamessumnerNHS @Xeon4f145d96s1 @LivHospitals Respectfully, I hope part of the “looking into” process will include consequences for and actions taken against the person or group of people who decided to unilaterally ban junior doctors from accessing a kitchen, drinking water and toilets on their shifts? 1/

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Christopher (Taylor’s version)

@haemopoiesis

5 months

@LordPhilofBrum PAs also need to accept personal responsibility and criticism if they accept roles or duties beyond their training (occupying spots in registrar rotas, holding specialty bleeps etc). I agree that trusts should absolutely be criticised for misusing them, however.

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Christopher (Taylor’s version)

@haemopoiesis

4 months

@ElshadKarbasi @Xeon4f145d96s1 Likewise when “management” refuse to source a locum or pay locum rates when there is a gap and just expect the already rostered doctors to absorb the extra work.

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Christopher (Taylor’s version)

@haemopoiesis

8 months

@Xeon4f145d96s1 Can fully see the next generation of postgrad DiTs just refusing to train PAs/AAs when they become consultants.

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Christopher (Taylor’s version)

@haemopoiesis

7 months

@SuzRankin @DrLindaDykes @JoshuaSoane @DrPeterFahey @CV_UHB @BMA_WJDC @JenneyMeriel If this was issued without your go ahead - who drafted it? Who reviewed it? Were senior medical staff consulted and agreed with the content? Is there ill-feeling towards junior doctors from management or are they just plain incompetent? (2/2)

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Christopher (Taylor’s version)

@haemopoiesis

4 months

@NotAdoctor0000 @VishwajeetP4t3l Still remember the days of “we’ll write another letter to the Health Secretary to let him know about how jolly well cross we are” being the limit of what the BMA did for its members.

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Christopher (Taylor’s version)

@haemopoiesis

3 months

@DrLindaDykes Yes - I asked a respiratory sister this very Q last October who was pontificating about much more “useful and knowledgeable” PAs were compared to junior doctors - never got an answer…

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Christopher (Taylor’s version)

@haemopoiesis

8 months

@ShayanAshjaei @RobLaurensonD4P Personal attacks and abuse are absolutely unacceptable, however, no person or profession is above criticism or satire. Threats of GMC referrals for voicing the latter two do not reflect well on you or your colleagues.

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Christopher (Taylor’s version)

@haemopoiesis

2 months

@stephenrhughes @Burnt2020 @FrankCoffey26 @davehartin This occurred on X maybe 1-2 years ago. There was discussion regarding a job advert re a “reg equivalent ACP” (not dissimilar). Several consultants dismissed and shouted down the concerns. Same consultants were outraged when a consultant equiv ACP advert appeared days later.

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Christopher (Taylor’s version)

@haemopoiesis

2 months

@langerhanssell @timricketts_ “Anyone can do your job but ABSOLUTELY NO ONE ELSE can do mine”.

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Christopher (Taylor’s version)

@haemopoiesis

4 months

@DrTweXet “Work independently under supervision” - I honestly can’t.

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Christopher (Taylor’s version)

@haemopoiesis

3 months

@BMA_James_Steen It’s giving

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Christopher (Taylor’s version)

@haemopoiesis

8 months

@LittlePersonDoc @iDrSunny @sleepymedic8535 @parthaskar @AskJeevesWij Me too, Jenna. I randomly joined X/Twitter as an ST6 last year and literally was oblivious to all of this until then.

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Christopher (Taylor’s version)

@haemopoiesis

10 months

@Neuro_Matt Very much this.

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Christopher (Taylor’s version)

@haemopoiesis

11 months

@ProfJuneG @ShaunLintern There have already been two corrections made to it already. “Factual” wouldn’t be the first adjective that springs to mind.

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Christopher (Taylor’s version)

@haemopoiesis

2 months

@GorillaGardner @Xeon4f145d96s1 @davehartin @drokane ‘Working at registrar level’ but can’t run the department overnight?

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Christopher (Taylor’s version)

@haemopoiesis

2 months

@geriatricsdoc @parthaskar @gmcuk @NHSE_WTE @DrAsifQasim @DrLKVaughan @AntonEmmanuel2 @mmamas1973 @trishgreenhalgh @doctor_oxford @ShrillaB @sasbanerjee @OrthopodReg @RoshanaMN What specifically do you need a PA for?

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Christopher (Taylor’s version)

@haemopoiesis

3 months

@Dr_Done_ @ExplosiveEnema2 @UMAPsUK @parthaskar @DrAsifQasim @DrLKVaughan @iDrSunny @mmamas1973 @RoshanaMN @UKGastroDr @TomStocks1982 @Doc_IonaCollins @DrSteveTaylor “Trained in the legal model”

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Christopher (Taylor’s version)

@haemopoiesis

7 months

@NHSHandSan 💯 not asking for anyone to be paid less. It’s just scandalous that doctors’ pay has eroded so much. I mean more people who justify it on basis of “wage stagnation” and “lack of progression” as factors in the salary disparity when we see now PAs pushing for career progression.

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Christopher (Taylor’s version)

@haemopoiesis

2 months

@9nzmwjkxmyP @Molly2323232323 @stephenrhughes @Burnt2020 @FrankCoffey26 @davehartin Yeah - I’ve asked this Q before - if an ACP can be a registrar level/equivalent - why can’t they be a cons equivalent? What’s stopping them from becoming CD of the department? It seems to only be ‘protectionism’ from some perspectives when it relates to junior doctor jobs.

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Christopher (Taylor’s version)

@haemopoiesis

8 months

@LittlePersonDoc @iDrSunny @sleepymedic8535 @parthaskar @AskJeevesWij Feel like I’ve ingested the red pill in The Matrix 😂

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Christopher (Taylor’s version)

@haemopoiesis

3 months

@D__Melb @ExplosiveEnema2 @iDrSunny @caspertown42 @thatsnotmine125 @JamesLynchGTC @Erin_Dean_ @LeanneHPatrick @SaraTon08500527 @ProfGrahamTowl @ASiTofficial @RCPLTrainees @HSJnews @AnalysisDrawer @parthaskar @UKGastroDr @DrAsifQasim @DrLindaDykes @DrEilidhMaria @timricketts_ @ShafiAhmed5 @JanetEastham Who have precisely 0 days of lived experience of being a doctor between them.

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Christopher (Taylor’s version)

@haemopoiesis

7 months

@dgfull @drmattuk @DrEilidhMaria @drokane This is an incredibly poor take.

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Christopher (Taylor’s version)

@haemopoiesis

7 months

@GMCharlatan I hope the Salford junior doctor workforce remember this the next time they’re begged to cover a short notice overnight/weekend rota gap.

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Christopher (Taylor’s version)

@haemopoiesis

2 months

@ABarotchi1 @mouseter_chef @timricketts_ I think some of the people pushing for this also have significant COIs (have started MSc courses in advanced practice, honorary academic positions on said Advanced Practice courses, “lead consultant for ACPs” - presumably getting additional SPA time or for CEA points).

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Christopher (Taylor’s version)

@haemopoiesis

3 months

@D__Melb @thatsnotmine125 @ExplosiveEnema2 @iDrSunny @caspertown42 @JamesLynchGTC @Erin_Dean_ @LeanneHPatrick @SaraTon08500527 @ProfGrahamTowl @ASiTofficial @RCPLTrainees @HSJnews @AnalysisDrawer @parthaskar @UKGastroDr @DrAsifQasim @DrLindaDykes @DrEilidhMaria @timricketts_ @ShafiAhmed5 @JanetEastham This ++ I tried to respond directly but looks like I’ve been blocked. When PAs state that they’re “medically trained” “trained in the medical model” ie practicing within a subset of the profession that I’m actually trained for - it makes doctors more than qualified to comment.

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Christopher (Taylor’s version)

@haemopoiesis

2 years

@timricketts_ It would also be helpful to know whether this is Dr Clarke’s personal opinion or the official stance of the @RCPhysicians @RCPLondon if she is making these statements in her capacity as President.

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Christopher (Taylor’s version)

@haemopoiesis

7 months

@IncogAssociate @DrAsifQasim @DHSCgovuk @gmcuk And if the following 198 Qs are of a similar depth/standard? I don’t think this is the defence you think it is.

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Christopher (Taylor’s version)

@haemopoiesis

9 months

@HarryHo26956660 @Roddy_Neilson Warfarin - Wisconsin Alumni Research Foundation + arin I think reflects related to coumarin. Nystatin - New York State Health department.

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4

Christopher (Taylor’s version)

@haemopoiesis

6 months

@puppy_paw_shinn @medicalmodelbri @UMAPsUK Exactly. Waiting on all the “nice, sensible PAs who don’t believe they’re doctor equivalents” that we keep being told about calling this nonsense out. Tumbleweed currently.

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3

Christopher (Taylor’s version)

@haemopoiesis

12 days

@iDrSunny @RCPhysicians At least the authors stated their COIs I suppose - not a common finding in the pro-PA research 👀

1

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4

Christopher (Taylor’s version)

@haemopoiesis

8 months

@Bonivorlewis @RobLaurensonD4P Will be interesting if the BMA issue guidance on supervision/training of MAPs and how that will stand. Can envisage the next generation of consultants/GPs/SAS Drs etc just refusing to supervise or train them.

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4