Conversely, John Bell is locked into a way of thinking about drugs and tech as the solution to everything. His citing inclisiran was very telling - a novel drug with no proven clinical efficacy being pushed for political purposes. Proper Drs right not to inflict it on their pts

Personal opinion The Royal College of Physicians Draft scope- now that its in the public domain? Post all amends? Should be released to Members & esp Fellows-who will be the PA Supervisors Then have a vote as to whether they accept the RCP version (amended) or BMA Let the supervisors decide

I don’t see myself as having any sort of voice I’m a total introvert which is why I started posting as a 🐭 Not to abuse anonymity, which is a sin, but just for me I’m Luke and this is what’s wrong with 🇬🇧 medicine and #medtwitter 🧵

This is the damage that the UK’s idiotic fiscal rule does: the government ends up borrowing more expensively and less efficiently because it doesn’t count against the self-imposed and badly constructed rule that debt just be falling by five years’ time (which never arrives).

✅️Traffic Light System ✅️3 phase scope based on experience ✅️Induction - 1:1 ✅️ASA3+ cases - 1:1 ✅️Spinal anaesthesia - 1:1 ✅️Remote & Deep Sedation - 1:1 ✅️Max 2:1 supervision for ASA1 & 2 ✅️Supervisor accessible in 2mins Well done to RCoA!

Alison Moore I had not… also, one phrase stuck out. Is it really the job of HCPs’ various regulators to support the workforce ambitions of the sitting government? Because I thought their job was protecting patients.

Very excited to see our work on mining footprints of fossil and clean energy cited by Hannah Ritchie for Our World in Data! To recap: - Nuclear power has the lowest material footprint - Coal requires much more earth moved through mining than solar, wind, or nuclear power

On that point about transference of responsibility reflected in supervisor-supervisee pay: Even after the doctors pay deal only ST3+ (min 5th yr after graduation) will doctors pay be above a day 1 PA. And a London PA with more than a couple yrs experience will need to find ST6+.

There are enough GPs. NHS England/DHSC just won't fund NHS primary care to employ them. You can bypass NHS England and pay directly to see a GP privately.

I've been asked to share this survey widely by the PSA. The PSA oversees 10 health-related regulators, including HCPC, NMC, GMC, GDC among others. They want views from a wide range of people. Please can you re-tweet? Many thanks. Iona surveymonkey.com/r/G6DBZB7