Why are 'fake doctors' diagnosing patients? | LBC

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  • Опубліковано 10 чер 2024
  • Physician Associates are able to diagnose and manage patients. They are able to make referrals to both in-house specialties and arrange for outpatient appointments or GP reviews. Physician associates are able to admit or discharge patients.
    Recently in the UK there's been growing unrest towards them as some deem them 'unqualified' to diagnose patients. LBC's Iain Dale hears from callers to get their views.
    Listen to the full show on Global Player: app.af.globalplayer.com/Br0x/...
    #IainDale #Doctors #MedicalCare #PhysicianAssociate #NHS #UK #LBC
    LBC is the home of live debate around news and current affairs in the UK.
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КОМЕНТАРІ • 266

  • @monkeyboy8424
    @monkeyboy8424 3 місяці тому +83

    The General Medical Council has effectively given up on any professional and ethical oversight.

    • @umeriqbal8269
      @umeriqbal8269 3 місяці тому +10

      Give it few more years, NHS will cease to exist.

    • @jibjub2121
      @jibjub2121 3 місяці тому +1

      That’s exactly what they ARE doing with physician associates though?

    • @jibjub2121
      @jibjub2121 3 місяці тому +2

      @@umeriqbal8269 thanks to the British public! Turkeys voting for Christmas

    • @umeriqbal8269
      @umeriqbal8269 3 місяці тому +6

      @@jibjub2121 As an immigrant myself i can tell you one thing, UK leadership has sold out this beautiful nation.

    • @Robertsmith001
      @Robertsmith001 3 місяці тому +1

      @@jibjub2121Tories love PA, that speaks volumes itself

  • @hmgkt
    @hmgkt 3 місяці тому +34

    PAs are not associate doctors.

  • @rnanerd6505
    @rnanerd6505 3 місяці тому +19

    Can you imagine the same concept applied to other professions? Eg a pilot associate? Yes the pilot associate could handle the autopilot in a routine flight and communications with ATC, but in am emergency? Or a scientist associate? I had to get two degrees and years and years of experience before I could call myself a professional scientist. Yes of course a trainee could do some very valuable work for me in the lab or in terms of say a literature search, but it’s me who makes the big calls, writes the papers and grants. It’s a muddying of the waters, it’s a recipe for chaos and problems, confusing roles. Train more doctors and nurses, invest properly in the health system

    • @scarred10
      @scarred10 2 місяці тому

      Dude,nobody involved in medicine or PA profession thinks they are doing a doctors job so the comparison is invalid, they can see more straightforward cases with regular supervision.

    • @rnanerd6505
      @rnanerd6505 2 місяці тому +3

      @scarred10 mate, I'm in the know. The GMC is very concerned about PAs. It's a recipe for disaster and so-called supervision is already showing signs of being patchy. Train more actual doctors and nurses, fund the NHS properly, not sticking plaster solutions destined for chaos

    • @JP-tb3tq
      @JP-tb3tq Місяць тому

      @rnanerd6505 So i suppose you're fully opposed to nursing associates then.. or assistant radiographic practitioners? Were you even aware that those roles existed? .. i doubt it. im also certain that you are not aware that plenty of existing qualified healthcare professionals INCLUDING nurses train as PA's in the hope of clinical progression and bring those skills with them. You sound clueless!

    • @rnanerd6505
      @rnanerd6505 Місяць тому +1

      @@scarred10 1. The concern is that as the NHS is collapsing they *will* be asked to do more of the things that doctors do, and 2. If they need so much supervision, does that not ring alarm bells? Would he you have your airliner piloted by a pilot associate with only 2 years’ training with the captain supervising or would you not prefer to train more captains?
      But more fundamentally: who’s to say what’s a “routine case”? The point is that a GP, with years and years of training, can spot the non routine from the routine, do you think a PA with two years of “training” is able to do that?

    • @rnanerd6505
      @rnanerd6505 Місяць тому +1

      @@JP-tb3tq I sound clueless? I refer you to GPC England. A nursing associate etc is a totally different thing. Inform yourself about the real concerns of doctors, and of patients. Also, what are your credentials? Since you question mine…

  • @shaunmiller7370
    @shaunmiller7370 3 місяці тому +5

    A personal assistant has no right under any medical or supervisory position to do examinations or give explanations of illness to anybody. They haven’t stood the test of seven years training to become a doctor. How utterly and totally reckless human lives how far down as this country got to go before, it’s totally and utterly broken

    • @mizlopi
      @mizlopi 15 днів тому

      If you compare how many 'mistakes' PAs have made leading to death of a patient compared to doctors you will be very surprised

  • @ObsidianKnight90
    @ObsidianKnight90 3 місяці тому +26

    In my experience the issue is that PAs are conducting examinations and then doctors are signing their work as 'supervisors' without actually reading the documents. It's the equivalent of bringing your car into the shop for maintenance, only for one of the tire guys to eyeball it for a minute without even lifting the hood, then tell the trained car repairman with an engineering degree that the car is fine, then said repairman signing a document that he thoroughly inspected the car and found it was in perfect shape.

    • @belindamay8063
      @belindamay8063 3 місяці тому +3

      @ObsidianKnigh. It’s not a short term solution. It will inevitably become “normal”. The government finds it cheaper to import foreign doctors than to educate our own. Why would there be a shortage ? Truth is, education is being cut back severely on purpose - 2 reasons. 1) to make vote-winning tax-cuts. 2). An educated electorate isn’t so easy to manipulate.

  • @joeblog-yw9tn
    @joeblog-yw9tn 3 місяці тому +42

    If it’s not safe to drive with no licence then how can it be safe to practice medicine without being fully qualified ?

    • @belindamay8063
      @belindamay8063 3 місяці тому +2

      @joeblog-yw9tn. Our old family doctor ( who was there when I was born) would have been horrified. He and his sort were brilliant at diagnosis ,with 5 minutes conversation. Talk about efficiency! Now they look at their smart phone and hand over a prescription. Job done ! It’s a travesty of a great tradition.

    • @mikedonnarumma5337
      @mikedonnarumma5337 3 місяці тому +1

      not having a driving license has nothing to do with how safe your driving is

    • @JP-tb3tq
      @JP-tb3tq Місяць тому

      Physician associates are qualified. They undertake an intensive 2-yr post graduate degree and attain (traditionally) a PG-cert or (more recently) an Msc. All physician associates must also be listed on a mandated register to practice, pay professional registration fees and maintain a continuous log of clinical development. Other than currently lacking the legal grounding that full regulation provides -legal regulation will start as of dec '24 - in every other sense PAs are regulated. As employed members of the NHS they are also held to the same standards of professional conduct that every other HCP must adhere to.

    • @joeblog-yw9tn
      @joeblog-yw9tn Місяць тому +1

      @@mikedonnarumma5337 can’t get a driving job without one though ! you have the unqualified doctor if you want but don’t force me to have to follow your dangerous example

    • @mikedonnarumma5337
      @mikedonnarumma5337 Місяць тому

      @@joeblog-yw9tn your scraping the bottom of the barrel now joe, chucking in any thing ,plus fabrication for a win,

  • @drsethranking5894
    @drsethranking5894 3 місяці тому +54

    How can PAs work on the same level as junior doctors whereas junior doctors study 5-6 years of an intense course versus PAs who do 2 years of messing about

    • @cynthiamorris1874
      @cynthiamorris1874 3 місяці тому +2

      They are supposed to be working under the supervision of doctors, whether that is what happens I don’t know, maybe they are putting too much pressure on Physician Associates.

    • @psps2034
      @psps2034 3 місяці тому +5

      Junior doctors have also been WORKING as a doctor for anywhere between 1 and 20 years !!

    • @psps2034
      @psps2034 3 місяці тому +4

      Theyre not "messing about " for 2 years, but what they study and DO as a job can never compare to a doctor, so why are they seeing patients in GP surgeries and other parts of the hospital ? Its total nonsense. Being a GP is hard enough as a doctor, having to synthesise huge bundles of information from any medical speciality in 10 mins without immediate access to bloods or imaging is very difficult, they dont always know the answer......now imaging doing that when you arent evern a doctor

    • @drsethranking5894
      @drsethranking5894 3 місяці тому

      and ur point?
      @@psps2034

    • @drsethranking5894
      @drsethranking5894 3 місяці тому

      of course they are - they hardly do clinical sciences in the 2 years - its most like a 2 year apprenticeship in the hospital - they get used to the admin side of things that junior doctors do such as requesting blood tests and scans and chasing results but they are not ready to make clinical judgements@@psps2034

  • @annread859
    @annread859 3 місяці тому +4

    I never get to see a GP I am always fobbed off with a Physician Associate. They never read my notes first I always have to go through my Cancer notes since 2021 when I was diagnosed so my 10 minute appt is taken up while they read my notes. They can't give prescriptions until you have to wait for it to be signed off by GP which can take 3-4 days to arrive at your nominated pharmacy. All I want to see is a normal GP that has read my notes and will listen to how I am feeling.

  • @drsethranking5894
    @drsethranking5894 3 місяці тому +37

    I have seen a PA whose background degree was sculpture and arts 🤣🤣🤣

  • @KingsCounsel
    @KingsCounsel 3 місяці тому +9

    When you make an appointment ask to be seen by a GP!

  • @qweqwe-ld4bj
    @qweqwe-ld4bj 3 місяці тому +5

    It is not commonly realised that the GMC has changed drastically in the last 20 years. It used to be run at the senior level by experienced doctors who had moved to medical administration. This has gradually but clearly changed to having senior highly paid managers in these positions. There are a couple of doctors with honorary titles but the overall management and direction of the GMC is not controlled any longer by qualified doctors. The GMC and the BMA are both now very "woke" organizations with a profound left wing bias in their output. (in my opinion). However the GMC is a very powerful organization in terms of licensing and control of the medical profession, as they can use legal powers which the BMA does not have. Managers know this very well and use what sometimes amounts to kangeroo courts to discipline doctors. This is very little reported by the mass media and I don't see this situation improving in the slightest. The GMC's governance restrictions are one major reason for doctors of all types retiring early, when they could have continued on a part-time basis for many years. This isn't really possible any longer for many. This is also why they are being forced to employ non-doctors to clinical roles which they are not well trained for. Once the GMC became a non-professional organization, this was likely to happen. The senior doctors in the GMC warned of this at the time that reforms were forced through.

    • @HTOP1982
      @HTOP1982 3 місяці тому

      They are too far left because they allow anyone in.
      And too right wing because they are all for deregulation.
      Just call itwhat it is. They are unfit.

  • @Star-qf7ls
    @Star-qf7ls 3 місяці тому +3

    Very scary situation 😢

  • @danascully292
    @danascully292 3 місяці тому +13

    Non doctors have displaced GPs and taken their jobs, as they are seen as 'cheaper! Cost is coming before patient safety and quality of care.

    • @cynthiamorris1874
      @cynthiamorris1874 3 місяці тому +2

      Doctors from overseas with 3 years training are now being employed in this country.

    • @therona23823
      @therona23823 3 місяці тому +2

      You are half right. Cost is coming before patient safety. What you need to understand is that more doctors would be better, but we actually have an abundance, but many do not want to work in primary care and many also do not want to work in the NHS. General practices are not NHS, they are private entities, contracted by the NHS to provide primary community care. What you’ll find is that the GP contract that was agreed to some years ago heavily favoured GPs in the fact they do not have to work unsocial hours. No evenings, no nights, no weekends. Many GPs do of course, but not as part of their core hours, this is done as overtime with very very lucrative financial reward. Doctors working in primary and urgent care have the system over barrel and basically dictate the rules. The status quo at the moment is, pay us more or we will go elsewhere (another country). So they get paid more. Some have demanded £140ph to work weekend shifts last minute, because they know if they offer to work last minute they can their way more often than not… because services like 111 need the clinician when they are routinely short staffed. Do you know how this is being tackled?? Upskilling the existing workforce of nurses and allied health professionals - who might I add can be just as competent. Hey may not complete a 5 year medical course off the mark, but they typically do a 3 year BSc and go on to work many years with continued on the job learning, CPD and up skulking, before they get to a position in which they ‘take the job of a GP/doctor’

    • @premojha979
      @premojha979 3 місяці тому

      @@cynthiamorris1874those Doctors still have a medical degree and have had to pass a registration exam (PLAB, now will be called the UKMLA) that assesses their competencies to make sure they are operating at a similar level to other doctors graduating from UK medical schools. They are still an order of magnitude above PA’s in competency.

    • @cynthiamorris1874
      @cynthiamorris1874 3 місяці тому +1

      @@premojha979 A three year course is not the same as a 6 year course though. The only PA’s I know have done a 3 year course in either something like diagnostic or therapeutic radiology, or nursing, BSC (Hons), leading to a MSc (Hons), then leading to UK Faculty of Physician Associate National Examination. I have never heard of anyone with a degree in languages becoming a PA, unless they did a medical/science undergraduate degree as well. However that may well be true, and I would not be happy with it. However I think people are now making statements that are not true. A terrible mistake was made, but don’t forget many doctors have also made mistakes.

    • @sunusidambatta1614
      @sunusidambatta1614 3 місяці тому

      What do you mean????

  • @psps2034
    @psps2034 3 місяці тому +14

    The country needs more doctors . The country needs more doctors specialising in GP. The country needs more doctors who have jobs to end up becoming a consultant. The country does not need to train more PAs, i.e. people who are not doctors. There is NOTHING a PA can do which a Doctor can't do. A doctor of any grade is infinitely more skilled and trained than a PA. A PA will always answer to and be under the supervision of a doctor.
    A GP has studied for 5 years at medical school to become a doctor and THEN worked for a further 5 years as a fully qualified doctor and completed highly prestigious royal college exams to become a GP. How on earth can that compare to someone who isnt even a doctor seeing patients at your local GP surgery?

    • @cynthiamorris1874
      @cynthiamorris1874 3 місяці тому

      Some PA’s work and keep on training for years and THEN lecture others on specialised knowledge they have, even some trainee doctors sit in on these lectures. There is too much generalising going on here. Most PA’s work in hospitals alongside doctors, in such places as A@E so they are working with doctors not instead of doctors.

    • @psps2034
      @psps2034 3 місяці тому +3

      @@cynthiamorris1874 What do you mean by trainee doctors? Medical students or doctors? The knowledge the PAs acrue is by virtue of having worked on the same ward/in the same dept for a long time. That still doesnt compare to the generalist knowledge of a doctor ,whether or not the doctor specialises in something or not. Yes, the PAs work in A&E which I odnt understand cos how can they possibly have the same body of knowledge as a doctor to see undifferentiated patients? They havnt worked as a doctor prior to their job, so they will never be able to pick up on subtle features in the history the way that a doctor can.

    • @cynthiamorris1874
      @cynthiamorris1874 3 місяці тому

      @@psps2034 I have NEVER advocated that PA’s are on par with doctors. I have NEVER said they have the same medical knowledge as doctors. Of course PA’s can work in A&E, just as nurses work in A&E. It’s a shame that they earn a little more than junior doctors for a short time, it seems for many on this thread that that is what it’s all about.

    • @psps2034
      @psps2034 3 місяці тому +1

      @@cynthiamorris1874 Nurses dont do the job of a doctor. PAs are , however, doing the same role of a doctor where they are seeing patients and treating them. You have acknowledged that doctors havse more knowledge than a PA. Therefore, with this in mind, how can you with an honest heart advocate PAs to see patients hand in hand alongside doctors knowing the care a patient received by a doctor will be better due to the greater knowledgebase?

    • @cynthiamorris1874
      @cynthiamorris1874 3 місяці тому

      @@psps2034 I have no idea really what you are talking about, PA’s are qualified to do the job they are trained for and that is working under the supervision of a junior doctor or a GP. You are aware that you can be seen by a Nurse Practitioner in a surgery or health centre, the same rules apply, there. If it is deemed a doctor is needed then that will be the course of action taken.

  • @HTOP1982
    @HTOP1982 3 місяці тому +3

    Imagine going to a restaurant, and being told that the Chef's Associate is cooking your meal.
    But that person only has 40% of the training, and basically anyone was let into their course

    • @maielego1354
      @maielego1354 2 місяці тому

      So a demi chef...

    • @HTOP1982
      @HTOP1982 2 місяці тому

      @@maielego1354 just call them that.
      Demi doctors.

    • @maielego1354
      @maielego1354 2 місяці тому

      But that's misleading. Theyre not doctors, they support the senior doctor.

    • @HTOP1982
      @HTOP1982 2 місяці тому

      ​@@maielego1354 Of course it is misleading.
      The whole thing is misleading, just call it what they are:
      "Cheaper than qualified people"
      Poundland Healthcare.

    • @maielego1354
      @maielego1354 2 місяці тому +1

      @@HTOP1982 But they are qualified, as PAs, which is why they're called Physician Associates. What's your point?

  • @zebedeerotten533
    @zebedeerotten533 2 місяці тому +1

    I WILL NEVER TRUST OR COMPLY WITH SOMEONE WHO UNDERMINES A GP

  • @MyDisavow
    @MyDisavow 3 місяці тому +1

    A law firm might be called 'named partners ... and associates' - when you get an appointment to see someone who is not a named partner, you assume you're still, at minimum, seeing a *lawyer* !

  • @psps2034
    @psps2034 3 місяці тому +19

    It infuriates me to know PAs would EVER compare themselves as equivalent to a doctor of any grade and even trick patients into thinking they are a doctor, even if they dont actively say they are. It is a total insult to doctors.

    • @mizlopi
      @mizlopi 15 днів тому

      Not one PA would do that. Why are you so insecure to think that they would do that?

  • @simonjohnston9488
    @simonjohnston9488 3 місяці тому +4

    A "short term solution"? Iain Dale seems to be telling us that he doesn't know how governments work. Especially Tory governments.

    • @michaelcoward1902
      @michaelcoward1902 2 місяці тому

      The people up toward the top of the pile never have to worry about how things work...that's what minimum wagers are for

  • @OG_2pence
    @OG_2pence 3 місяці тому +2

    See when you're entitled to a prescription and they tell you buy it. It's because they aren't qualified to give prescriptions. Found that out a few yrs ago. A blond lady was telling it all. Can't remember what platform I saw it on

    • @dangermouse2837
      @dangermouse2837 Місяць тому

      Not quite, but it might be an indicator yes. Obviously there are loads of meds GPs can prescribe that are available over the counter, so it's no different in cost or time for the patient to just buy it themselves.

  • @BOZ_11
    @BOZ_11 3 місяці тому +4

    Is Ian endorsing this? I didn't hear any condemnation

  • @drakeybryter5997
    @drakeybryter5997 3 місяці тому +1

    It's the same with schools employing Instructors and in social work - social work assistants - they made the professional bodies that oversaw professions and safeguarded protected titles that proceeded to water them down due to money and cost.

    • @belindamay8063
      @belindamay8063 3 місяці тому

      @drakeybryter. Let’s face it. We are now a Third World country. And when did it start ? Who has been in charge all this time.? You all know perfectly well.

  • @sadafaltaf7543
    @sadafaltaf7543 3 місяці тому

    I think more time requires data entry of patients in Surgery center .
    So help can be provided to gps for this help. It might decrease time spent on each patient. All assessments should be done by the GP.
    However there are lots of GPS sitting home waiting to get an offer for a job.

  • @nadeerasilva1115
    @nadeerasilva1115 3 місяці тому +1

    Luke is absolutely correct. There are many doctors in this country who are qualified in a different country and having much experience. They should get a chance to practice under consultant as the knowledge clinical training is much far better then of a PA

    • @bigbarry8343
      @bigbarry8343 День тому

      We also have to consider differences in health concerns between different regions/countries. Some doctors may have a lot of experience which is not relevant here.

  • @bigbarry8343
    @bigbarry8343 День тому

    I understand that the acute shortages of GPs are due to very limited GP training spots available, while the funding for PAs is made available (even though PAs command higher salary than junior doctors in the first 4 years). In fact, only 1 in 3 of medical school graduates who applied to train as GP is accepted. The proliferation of PAs while underfunding GP training spots will result in even worse GP availability, with PAs supported by standarised AI run from India with high cost of living arbitrage opportunities, will become the norm in this country.

  • @AAA-sx5ej
    @AAA-sx5ej 3 місяці тому +7

    Why dont they get experienced Paramedics to work in the Gps. Thats makes alot more sense?

    • @cynthiamorris1874
      @cynthiamorris1874 3 місяці тому

      Not really

    • @therona23823
      @therona23823 3 місяці тому +10

      I mean, this actually goes to show how Ill informed the public are…. Paramedics have been working in general practice surgeries for several years. Some practices have more than others, and yes, it does make sense… do you know the curriculum of a paramedics training, what their remit and scope of practice is? Do some research and come back with a more informed argument, where you may or may not then agree with your sentiments. Certainly, more doctors would be great. But would you rather a GP or a paramedic turn up to your house when you are in a healthcare emergency? Who do you think GPs call? 😅

    • @hmgkt
      @hmgkt 3 місяці тому +2

      Robbing Peter to pay Paul

    • @jibjub2121
      @jibjub2121 3 місяці тому +2

      @@therona23823yeah the standard of debate on this is absolutely dreadful. Many of the public have no idea how the healthcare system actually works. They’ll moan about the state of the nhs, then vote Tory and complain about any attempts to remedy the situation. Maybe the British public will get the healthcare they deserve, and with their criticism and the current state of the nhs, maybe they’re getting what they’re deserve after all. My advice to doctors, PAs, ACPs? Leave this country as it’s only going to get worse. Go to a country that appreciates you.

  • @bethanp3453
    @bethanp3453 3 місяці тому +5

    This presenter putting words in the caller's mouth. 'you don't think physician associates have any use at all?'. No physician associates are probably useful as physician associates and trained doctors are useful as doctors in the field they were trained in. It's not rocket science. Standardised practice exists for a reason. In large part to safeguard those in need of whatever services are required, but also to best maintain the standard and integrity of whatever practice is being used. People are trained for what they intend to do. Would you want a car mechanic performing spinal surgery on you or a spinal surgeon tinkering around with your car engine? No because they don't meet the standard specialist knowledge to perform that role as a professional. Maybe don't assume you know better than an established process that knows exactly what it has to do to deliver the best service to people and just trust that the people who know these institutions from the inside probably know more than you on how they operate. My word the hubris. I expect he has a journalism degree. I wonder if he likes it when 15 year old influencers claim they are his peers in the field of media commentators.

    • @justadude8369
      @justadude8369 3 місяці тому +4

      But no one has defined specifically what PAs should be doing to say they are 'useful as PAs'. The NHS has become a wild west where some PAs are just filling in forms and helping with administrative tasks on the wards and others are performing C-sections with no supervision. As with many things in the NHS, safety concerns are being swept under the rug and staff members careers are being threatened if they whistle blow.

    • @jibjub2121
      @jibjub2121 3 місяці тому

      @@justadude8369 again utter made up nonsense. Where is the evidence that PAs are performing unsupervised sections? Other than in your crazy little mind?

    • @lewisplayssaxophone
      @lewisplayssaxophone 3 місяці тому +1

      Unfortunately this logic doesn’t stack up, because physician associates don’t possess any skills that a doctor doesn’t have, yet lack most of the knowledge gained in a rigorous medical training programme

    • @jibjub2121
      @jibjub2121 3 місяці тому

      @@lewisplayssaxophone tell me what you know of the pa course?

    • @justadude8369
      @justadude8369 3 місяці тому +1

      @@jibjub2121 Its inferior to a medical degree in every way. And yet PAs are paid more than doctors. Every pound spent on PAs is a gross waste of taxpayer money which could be used to recruit more doctors, nurses, pharamacists, physios, paramedics, OTs, radiographers etc all of whom are established professionals who work synergistically with doctors. A doctor could not do the work of a nurse, physio,OT etc because they are different discliplines. PA is not a discipline and the role could be performed (at a higher level) by an actual doctor.

  • @ab8865
    @ab8865 3 місяці тому +1

    Dr bob gill explains it in detail

  • @danascully292
    @danascully292 3 місяці тому +18

    THERE IS NO SHORTAGE OF GPs! Thousands are currently sat at home, struggling to find work.

    • @gareth6326
      @gareth6326 3 місяці тому +4

      Any evidence of this?

    • @jibjub2121
      @jibjub2121 3 місяці тому +2

      @@gareth6326 This is UA-cam, so no evidence for any of these worthless opinions, naturally

    • @shahmirwaqas8734
      @shahmirwaqas8734 3 місяці тому

      @@jibjub2121please look at the competition ratios for GP training. There is a 2 for 1 competition ratio. So there is currently thousands of doctors who would love to be a GP but there is no training posts for that. Blame the government

    • @Robertsmith001
      @Robertsmith001 3 місяці тому +2

      @@jibjub2121Are you “part of the medical team”?

    • @julesxx23
      @julesxx23 2 місяці тому

      ​@@gareth6326 search competition ratio of GP and you will find thousands of Drs applied for this post but only a few will be appointed because it is cheaper to hire a PA!! To see a Dr in the future you will soon have to pay. The government is hiring cheap professionals to substitute Drs.

  • @soundproductionandadvice
    @soundproductionandadvice 3 місяці тому +3

    Now we go to Sarah in Harrow - Harrow Sarah.

    • @CG-fy9jz
      @CG-fy9jz 3 місяці тому +1

      I read this at the same time as he said it 😂😂😂😂

    • @officialultimatumc
      @officialultimatumc 3 місяці тому +1

      Nicely done

  • @ascgazz7347
    @ascgazz7347 3 місяці тому +5

    ….because your beloved Tory party have ruined our NHS, Ian.

    • @elliotwilliams7421
      @elliotwilliams7421 3 місяці тому

      Your beloved labour helped destroy the NHS in Scotland via dodgy PPI schemes yet starmer still takes to the media to attack the Scottish NHS. Dishonourable man, not to be trusted.
      What nation are you loyal to and why?

    • @dl4731
      @dl4731 3 місяці тому

      @elliot mate why do you think anyone anti tory is pro Labour?

    • @ascgazz7347
      @ascgazz7347 3 місяці тому

      @@dl4731 I wouldn’t waste your time mate. He’s an utter vacuum of personality.

    • @elliotwilliams7421
      @elliotwilliams7421 3 місяці тому

      @@dl4731 cause he has shown elsewhere he will defend labour to the end of earth

    • @belindamay8063
      @belindamay8063 3 місяці тому

      @@dl4731 Do you stop buying cars because you can’t afford an Audi ? You need one , so you get the best available.

  • @maielego1354
    @maielego1354 2 місяці тому +1

    Cut out anything but the negative side, tailor the discussion to generate relevance and anger, brilliant journalism LBC, absolute joke 😂

  • @cynthiamorris1874
    @cynthiamorris1874 3 місяці тому +2

    You can go into a health centre and just see a nurse practitioner, instead of a GP.

    • @PaulK-ve1pu
      @PaulK-ve1pu 3 місяці тому +4

      Not just. Three years basic training, five years clinical experience and most have additional, specialist qualifications. Even then, they don't diagnose and treat.

    • @belindamay8063
      @belindamay8063 3 місяці тому

      @@PaulK-ve1pu I don’t trust any of these made-up qualifications. Invented yesterday as a cover up.

  • @DQ940
    @DQ940 2 місяці тому +1

    The telegraph article today explains that courses like history, geography etc are being deemed as acceptable entry qualifications. Its terrifying.

  • @applepie8772
    @applepie8772 3 місяці тому +2

    The BMA aka the daily mail

  • @ageordieboy
    @ageordieboy 3 місяці тому +4

    There are some fantastic physician associates. But these are the ones who have prior medical knowledge…it’s right that people applying need to be vetted to have appropriate prior degrees and knowledge.
    I’m an advanced nurse practitioner who did a 2 year masters. But prior to that I did a 4 year degree in nursing and worked as a nurse for 7 years before I did my advanced training. It means I’m completely knowledgeable and competent to consult in many area’s independently the same as a doctor, with doctor support if needed.
    I think the PA pathway just needs to be tightened and ensure previous clinical knowledge and experience

    • @belindamay8063
      @belindamay8063 3 місяці тому

      @ageeordieboy. No need for all that malarkey ! Let’s just get back to what we had 20 years ago. And let’s face it : today’s “masters” aren’t worth a carrot. Same as in the US.

    • @ilikeeverybody7581
      @ilikeeverybody7581 3 місяці тому +1

      what absolute nonsense. Don’t compare yourself to a doctor who has done an actual medical degree just because you did a “Masters” 😂

    • @ageordieboy
      @ageordieboy 3 місяці тому

      @@ilikeeverybody7581
      I have many skills and competencies absolutely equal to a doctor.
      4 year degree, 7 years post qualification experience and an intensive 2 year advanced practical medical qualification. You then go on to be mentored and supervised.
      I can hold my own against many a doctor.
      I’ve solved cases that doctor colleagues haven’t.
      Unless you yourself work in this field….you know jack about it.

    • @ageordieboy
      @ageordieboy 3 місяці тому +1

      @@ilikeeverybody7581 my knowledge, training, experience and skills are comparable to a doctor.
      I prove it every day of my working life.
      End of story.
      Unless you work in this area, you are the one talking nonsense.

    • @belindamay8063
      @belindamay8063 3 місяці тому

      @@ilikeeverybody7581 We are following the US in this. Here, having an MA, really meant something once. But the crafty government have been handing them out like sweets - cutting the cost of intensive study. They aren’t maintaining the value of the qualification. They are undermining it. Shame on them.

  • @briankerrison8504
    @briankerrison8504 3 місяці тому

    Trainee ! 🫨🫨🫨

  • @hmgkt
    @hmgkt 3 місяці тому +2

    Blame your government for undermining and underfunding the medical profession. PAs (having worked with them and had them shadowing) are terrible diagnosers but can be useful in checklist thinking. By definition GPs deal with UNDIFFERENTIATED illness, PAs cannot without training can’t do very much and get paid better than junior doctors.

    • @jibjub2121
      @jibjub2121 3 місяці тому

      Broad brush and anecdotal evidence. How can you brand thousands of people the same after working with half a dozen? I thought as a clinician you were meant to have a basic understanding of statistics and inferring from incomplete data? Bit of a concern actually

    • @hmgkt
      @hmgkt 3 місяці тому

      @@jibjub2121 i’ve worked with and trained over a hundred PAs and the ‘training course’ is not fit to have some come out the other end to diagnose without supervision. My data comes from the LMC feedback that I am a part of. As for anecdotal evidence i’ll wait for someone to do the published science. As for the salary you can see the evidence on nationally published pay scales.

  • @NMiller80666
    @NMiller80666 3 місяці тому +5

    The BMA is fighting for their profession, but attacking and denigrating PAs is so low.

    • @jibjub2121
      @jibjub2121 3 місяці тому +3

      Pretty disgraceful, going after and leading attacks on a profession they know doesn’t have a union and can’t fight back. They wouldn’t dare do this to nurses. It’s disgusting. Many people became PAs to help, and they’re just getting slandered and insulted. What happened to clap for carers?

    • @Robertsmith001
      @Robertsmith001 3 місяці тому +1

      @@jibjub2121PAs undermine and bully Doctors (whilst pretending they are Doctors to Patients)

    • @Robertsmith001
      @Robertsmith001 3 місяці тому +1

      @@jibjub2121Junior Doctors can’t fight back against PAs bullying them

    • @jibjub2121
      @jibjub2121 3 місяці тому +1

      @@Robertsmith001 the doctors unions are bullying them!! Are you mad

    • @jibjub2121
      @jibjub2121 3 місяці тому +2

      @@Robertsmith001 not to mention the doctors unions are bullying PAs because they know they don't have a union and can't fight back, that's the definition of bullying. Also, stop liking your own comments its cringe

  • @missqtii
    @missqtii 3 місяці тому +1

    You go to the doctors and they can’t tell you anything, it’s as though they don’t know what they’re doing… it’s scary, or they ask YOU what do YOU think is wrong .. like ☠️ it’s really weird. I don’t trust them.

    • @belindamay8063
      @belindamay8063 3 місяці тому

      @misstgirl. The GP is irreplaceable. His specialism is diagnosis - the basis of absolutely everything. He has vast experience, and he can see connections that even the patient isn’t aware of - in quite a short time. No PA or nurse can give that guarantee. Lose the GP and you will drag things out - and endanger the patient. Checking on a smart phone is criminal by comparison.

    • @melanievizard9339
      @melanievizard9339 3 місяці тому

      I had a suspected heart attack, after 8 hours in A and E the Cardiologist asked me what I thought was wrong!
      At that point I walked out…

  • @cynthiamorris1874
    @cynthiamorris1874 3 місяці тому +5

    The United States have had PA’s since the 1960’s.

    • @ZoeSummers1701A
      @ZoeSummers1701A 3 місяці тому +11

      Exactly why we shouldn’t have them.

    • @cynthiamorris1874
      @cynthiamorris1874 3 місяці тому +1

      @@ZoeSummers1701A I think the quality of healthcare in the States is high, if you can afford it. If PA’s had the correct education they would be an asset. Many of them do have the correct qualifications.

    • @Robertsmith001
      @Robertsmith001 3 місяці тому +1

      @@cynthiamorris1874You don’t know what you are talking about, American doctors/PA are completely different

    • @nkemjohn1231
      @nkemjohn1231 3 місяці тому

      In USA they are called Physician Assistants NOT Associates which is very deceitful

    • @belindamay8063
      @belindamay8063 3 місяці тому

      @@cynthiamorris1874 American doctoring is a racket. Just talk to ordinary Americans. Your contracts force you to pay for tests and things you don’t need.

  • @applepie8772
    @applepie8772 3 місяці тому +4

    BMA institutional bullying. And now one has committed suicide - blood on their hands BMA

    • @jibjub2121
      @jibjub2121 3 місяці тому +1

      Nasty vindictive organisation.

    • @Robertsmith001
      @Robertsmith001 3 місяці тому +2

      PAs bully other doctors though

    • @jibjub2121
      @jibjub2121 3 місяці тому +3

      @@Robertsmith001 proof? Nonsensical slander

    • @Robertsmith001
      @Robertsmith001 3 місяці тому +1

      @@jibjub2121Loads of proof, you just ignore it

    • @maielego1354
      @maielego1354 2 місяці тому

      ​@@jibjub2121You won't get it. Because it doesn't exist. But you'll see plenty of PAs spiraling close to the edge.

  • @evolassunglasses4673
    @evolassunglasses4673 3 місяці тому +6

    Look into the workers in care homes looking after granny. Straight off the boat.

    • @TonyEuston
      @TonyEuston 3 місяці тому +1

      That's the sort of government you have that doesn't care in the least about that

    • @andrewcarson5850
      @andrewcarson5850 3 місяці тому +13

      Why don't you look after your own granny?

    • @hmq9052
      @hmq9052 3 місяці тому +6

      You said Brits would wipe their bums after Brexit. Not so. Hence the boat people.

    • @moonshine9902
      @moonshine9902 3 місяці тому +2

      Be grateful. Such long hours and hard work at £5-6 an hour. Is your GP, dentist, optician, pharmacist etc white, or people of colour?

    • @cynthiamorris1874
      @cynthiamorris1874 3 місяці тому

      @@andrewcarson5850 Probably because they have to work to bring up a family.

  • @all4outdoor738
    @all4outdoor738 2 місяці тому +2

    Fake news

  • @jacknorman8236
    @jacknorman8236 3 місяці тому +1

    Uh oh! Here comes the latest round of Tory slagging off! Next up.. it’s doctors!

  • @scottrowntree7846
    @scottrowntree7846 3 місяці тому +2

    Most of the GP’s I’ve seen recently just look on google or the NHS website and just read it off. It’s all fake doctors now. Completely pointless going.

    • @Robertsmith001
      @Robertsmith001 3 місяці тому +1

      You don’t understand, they are double checking the dose/ frequency of the treatment (not googling it)

    • @AAA19999
      @AAA19999 3 місяці тому

      drug formularies and guidelines are found online, it would be dangerous to try and remember all of these things

    • @belindamay8063
      @belindamay8063 3 місяці тому

      @@Robertsmith001 That’s the rose-coloured view.

  • @bregan7450
    @bregan7450 3 місяці тому +3

    It's a class problem.. not an ability issue.. the doctors wont allow people from working class backgrounds to get up the ladder. Why not have a conversion course to make up the alleged difference?.. of course that has been blocked by the Dr's, but happens all over the world, even as close as Scotland have the sense to offer a GP top up. Complete Class prejudice.

    • @gareth6326
      @gareth6326 3 місяці тому +5

      This is total nonsense.

    • @bregan7450
      @bregan7450 3 місяці тому

      So much 'nonsense' that it triggered your reply😂, If it wasn't true the medical schools wouldnt all have quotas for accepting people from poor backgrounds. Thats not my nonsense opinion, its fact@@gareth6326

    • @bregan7450
      @bregan7450 3 місяці тому

      @@gareth6326 4 doctors opinions no doubt 🤣

    • @Robertsmith001
      @Robertsmith001 3 місяці тому +1

      @@bregan7450 Fool

    • @belindamay8063
      @belindamay8063 3 місяці тому +1

      @bregan. I don’t quite understand your point. Fifty years ago we had a brilliant and wise family doctor. He came from a working class family in the poorest part of Glasgow. He was a cultured man - and courteous. So perhaps that’s what we are really talking about. Lack of the sensitivity and social intelligence that were very much the standard of those far-off days. Standards have dropped across the board.

  • @DaniOlive72
    @DaniOlive72 2 місяці тому

    PA position is problematic. They act like doctors, dress like doctors, 2 years of training/studying on a crash course masters, they earn more than junior doctors (even though they have several years experience). I do think the government wanted to cut corners to make up for the lack of doctors and nurses… but i feel like this position will cause issues in the future. Nurses are even more trained than PA’s but PA’s carry themselves as “junior doctors” which is misleading.

  • @chrissofpv3017
    @chrissofpv3017 3 місяці тому +6

    GP,s... =Overpaid Prima Donna's!..Triage nurses in effect.
    Hospital doctors= great,and worthwhile.

    • @johnharding7318
      @johnharding7318 3 місяці тому +6

      To become a GP you'll need to complete: a degree recognised by the General Medical Council which takes 5 years. a foundation course of general training which takes 2 years. general practice specialist training which takes 3 years.

    • @chrissofpv3017
      @chrissofpv3017 3 місяці тому +1

      True..but the way my GP(,s) have treated me(e.g.not referred me to specialists /consultants)the past 3 years...I cannot excuse sadly.=they never got to the bottom of my problem.They did here in Spain,albeit via private treatment,which isn't cheap,but didn't need a GP "blocking' my path.
      Obviously the NHS is in deep trouble....everyone knows that,here in Spain they know that as 3 doctors alone say they used to work for the NHS,and know the decline in service and customer diligence.

    • @elmtreemedicalcentre
      @elmtreemedicalcentre 3 місяці тому +5

      ​@@chrissofpv3017so because YOUR experience with YOUR GP wasn't great all GPs are the same. Give over

    • @johnharding7318
      @johnharding7318 3 місяці тому

      @@chrissofpv3017Sound like a problem between you and your GP.

    • @chrissofpv3017
      @chrissofpv3017 3 місяці тому

      @@johnharding7318 DEFINITELY John!.. hopefully things will sort themselves out this year.🙏

  • @tedtedtedtedted
    @tedtedtedtedted 3 місяці тому +4

    this is long overdue, the medical profession has been holding the taxpayer hostage for entry into the profession for far to long
    acting like a guild of old, which is all they are basically

    • @PaulK-ve1pu
      @PaulK-ve1pu 3 місяці тому +22

      I look forward to your next visit to A&E

    • @BradleyPitts666
      @BradleyPitts666 3 місяці тому

      So called Dr. Sebi, if alive, should be allowed to give medical advice and treat medical cases?

    • @PaulK-ve1pu
      @PaulK-ve1pu 3 місяці тому +16

      @@BradleyPitts666 The point is that if we had enough doctors in this country and paid them so they wouldn't go abroad, we wouldn't need this stop gap, second rate stuff.

    • @Gph0367
      @Gph0367 3 місяці тому +1

      ​@@PaulK-ve1pu
      Exactly. Well said👍

    • @cynthiamorris1874
      @cynthiamorris1874 3 місяці тому +1

      Apparently overseas ‘doctors’ with three years training, are now working in the UK.

  • @DoctorBastard
    @DoctorBastard 3 місяці тому +4

    It's absolutely outrageous that people can go around claiming they're doctors!
    What kind of person would even do that!

  • @LordWalsallian
    @LordWalsallian 3 місяці тому +10

    They have Nurse Associates now too…it’s just cheap labour because there aren’t enough nurses.