They go to their private doctors so it's 'I'm alright Jack' for them. It takes 10 years in total to put a GP in a surgery and the Tories have reduced that to 2.
The Tory NHS workforce plan has neglected doctors speciality training contracts for many years. Royal colleges have been crying out for funded posts but the government has refused. Associates will be needed because it'll take a decade to catch up to where we need to be. Within that time the NHS needs staff. Blaming labour for acknowledging this reality is short sighted when the blame is entirely workforce mismanagement by 14 years of Tory government.
@@zoe_blackmore Under different circumstances, as assistants to actual doctors and supervised, not pretending to patients that they are real doctors. Labour support any medical help they can get and that is already there on the ground in an NHS that has been so run down by the tories. Labour do not endorse them as decision makers, only working under supervision of proper doctors. Do not equate this to the fraudulent situation that the tories have started up here. The same tories that are not listening to junior doctors, not listening to their grievances. The tories who basically want to replace junior doctors with cheaper 'health professionals'. The same tories who have capped university places for doctors, when the NHS needs many more, not least because the population has grown! The same tories who prefer to 'buy in' ready trained doctors from abroad, rather than facilitate training Britons. This is the truth of the matter here. NOT that labour endorses any of this!
@@sebastianforbes1 I'm glad you appreciate the barriers to free trade that Brexit has brought and the loss of £100 billion each year in trade to the UK economy.
@@sebastianforbes1 I t ' s n o w o n d e r E n g l a n d i s i n s u c h a m e s s, y o u ' r e s w i m m i n g i n y o u r o w n s h * t f o r g o d s a k e !
@@sebastianforbes1 1 in 5 people in the UK are now considered to be in poverty. The town's and cities are in decay and you're swimming in your own excrement in England. Enjoy voting Tory!
@@sebastianforbes1 Without complaining? That'll be a first - this is UA-cam! Seriously: physician associates are a trick to "see more patients" without spending more money. Not treat patients, just see patients so that the stats go up. Like everything else the Tories do - If you're not one of us (rich enough to afford private healthcare) you're just a burden to be abracadabra'd into an opportunity for private investors to provide resources at a profit.
A sticking plaster for a destressed NHS. The same thinking that was applied to the Police with CSOs. "Doctors" on the cheap, just like "Coppers on the cheap".
Again, the government has been employing "Physics Associates" (GPs on the cheap), and unfortunately, the general public fails to notice the difference (dangerous)
i don't mind having the chemist add to a service, just not replace the service. I'm voting labour as its not a done deal they will win, and we need to get out and vote!!
The sooner the new Labour Government starts to breathe life back into OUR NHS to better. I hope that Wes Streeting reflects before continuing with the past Tory destruction on the NHS. Thank you Peter, as ever sounding the Alarm.
Streeting's desperate to privatise the NHS, he's already taken money from Israeli private healthcare providers and we'll never see our NHS as it was before the tories.
Remember- it takes years to train doctors & nurses, rightfully so. The most pressing issue is to reduce the horrendous waiting lists (people are dying unnecessarily) so using private health physicians is sensible. Labour have stressed this is not a permanent fix. I'm hoping these useless PAs will either get proper qualifications or be gone altogether.
You are so right! How dare they gamble our health... plus... What code of conduct, what interpersonal skills, what confidentiality, what health and safety will be applied??? This is DREADFUL...
At the beginning of this year, I saw someone who I thought was a doctor but wasn't. I had a swollen ankle and an itchy rash. I was prescribed antibiotics, which I didn't need, and a steroid cream, but the worst part was that she said that I had a heart condition that had caused my ankle to swell. She arranged for me to have urgent tests at the local hospital. The end result was that finally, I saw a real doctor who said there was no heart condition and that he felt that the treatment was "inappropriate." Apart from the stress it caused me, think about the waste of time and the inappropriate use of antibiotics. And now they want you to see your pharmacist first. It will be your window cleaner next.
I only want to be seen by fully trained medical staff. Streeting is as bad as the Tories. I hope that in Wales this will not apply. Patients should be told in advance if they are to be seen by staff who are not fully qualified,
Fully qualified, or sufficiently qualified? Exaggerated case. Would you need to be seen by a surgeon to fix a splinter in your finger.. Yeah, not helpful, but where is the line? Without self diagnosis how do you know what abilities your medic should have? And we all know what (real) doctors think of self diagnosis.
They are trained to be physician associates not drs. They are not drs. What don’t you get. If they trained for seven years they would call themselves drs
Central government has reduced payments to GP practices in real terms for providing services. Patients still need to be seen. There has been a push for years to triage patients within primary care to avoid GPs spending time on stuff other staff can safely manage. Funding has got so bad now that practices are forced into opting for the not-doctor staff out of financial necessity. Leading to the absurd situation of having a GP shortage in practice yet unemployed GPs because only noctors are being recruited. What started as sensible efficiency is now a dangerous race to the bottom in primary care.
Scandalous from the Tories. I hope Labour will regulate such a practice from the point of view of skill, the seriousness or otherwise of the patient's condition and the effectiveness of each 'physician associate'. Certainly the Tories have brought the NHS to the point of collapse in the UK.
In Wales in my Health Authority PAs are all we get to see now in cardiology. In diabetes the practice nurse is the highest qualified. In both disciplies the prescribing has nearly killed me. And yes I do know the difference, as I used to teach medical students. Pensioners in particular are considered unworthy of the more expensive resources.
My niece has been constantly training to be a consultant, although she is still a junior doctor. A science degree and two years training is NOT enough and the public needs to know this.
Peter from personal experience, a family member was failed at the Doctors surgery recently that ultimately may result in a terrible outcome. Whilst I appreciate that appointments are a scarcity it’s time that the whole process is revisited Doctors are essential but only if they are suitably qualified or supervised otherwise it’s no better than google. Come on Wes Streeting and labour we don’t want pseudo labour a lefty Tory party we want a proper socialist labour there for all.
As an NHS junior doctor about to become a consultant, thank you for pointing out the key flaws in how the previous government, as well as now the current government are proceeding with this dangerous debacle.
It’s ironic that GPs are now coming out against this because they are losing their jobs so cheaper staff can be employed. About 11 years ago my local GP surgery became a business unit and decided to divert patients to nurses to ease the workload on the GP. This happened to me and went on for nearly 3 years until I demanded to see a GP as the problem was not getting better, who immediately saw the problem that had been misdiagnosed by the Nurse, and I was urgently referred to hospital for assessment leading to a major operation. If left for a few more years it would have been fatal. The idea was apparently that nurses would spot anomalies that needed further work and refer patients to the GP but the nurses didn’t have the training to diagnose the problem and seemed to be worried about unnecessary referrals making them look unable to do their job. Since then rather than learn their lesson things have got a lot worse and it’s very difficult to see a GP at all. It obviously makes sense for minor issues to be treated by nurses but the issue needs to be assessed by a GP first and then either treat the patient themselves, pass the treatment to a nurse or refer the patient to hospital.
Torie's version of people are sick of experts. Now Tories did it, people really get sick OFF experts. Well played Toris, well played. But coming 4th of Juli game's over 👋
A beauty therapist can not do teeth whitening and is just to put a solution in your teeth and blue light but we can see a doctor that is not a doctor 😂 go figure
I got called into my local surgery about 6 weeks ago for a mental health check up with one of these people. Now, bear in mind I'm an outpatient with an assigned crisis team (they're for the most part utterly inept btw) so there's no reason for my local surgery to be involved in that aspect of my healthcare. The whole experience was bizarre. I was pretty much told to shut up when I started to talk about the issues my bungling "crisis team" have caused. "Don't say things like that, we put in long hours & it's so discouraging to hear these sorts of things." What's discouraging is being deeply mentally ill in this country. Living like that is deeply discouraging & some of the experiences I've had as a MH patient beggar belief. Sorry if some of this sounds ungrateful, it's not meant that way, but incompetence is incompetence & needs to be called out when it's encountered. Anyway, various other things were spoken about, she said she'd do this, look into that blah, blah, blah. Still not heard anything from it. The whole thing left me feeling confused, alarmed & gaslit. Not a good outcome from a mental health appointment at all. I won't see her again for any reason after that. Big own goal by my local surgery there.
Where is the management of the situation that the NHS is in? A full review of the causes of poor health outcomes, such as poverty, as well as how we deliver the best system (personally getting to know your local people by time taken with a G.P.) is only useful if we connect all of the dots which target cause and effect. G.P.'s must be the people who are first to see a person, and who get to know those people, as well as their families, and their personal situations. As a retired G.P., both in Canada and the U K, it became clear that the more time getting to know a person was an investment in their health and my ability to make time saving and making accurate diagnoses. It all boils down to investment of energy and then savings in the long term. We need long term solutions and investment in that now. Get politicians out of the way so that management decisions are made by first class managers. This is what is sorely missing in the U K.
Wait till these new physicians are over worked, go on strike for better conditions and pay. Might as well just use professional doctors in the first place. All those lovely cases of incompetence by untrained physician's.
They've done this in education. Teaching 'assistants' teaching whole classes and taking over lots of the work that would have been done by people qualified in their own field. All about cost-cutting, instead of investing in the education and training of qualified professionals and paying a decent salary. PS My daughter's a TA in SEND. She's very good at her job, but is often asked to do things that are, literally, above her pay scale.
I have suffered at the hands of a physician associate. I had a cataract removed, the follow up appointment was with a physician associate, he told me everything was fine, I thought he was a doctor, it wasn’t made clear he wasn’t a doctor. It was only when I saw an optician to get new glasses that my concerns that everything was not ok were confirmed. The optician made an emergency referral back to the hospital, I am still receiving treatment 12 months later
Look at Labour's record over the decades with regards to the NHS. It is the Tory party who regularly run it down, who have higher waiting lists, fewer operations and recently, a marked decrease in life expectancy, that comparable countries do not have! Why does this not get noticed by somebody, who calls themselves silversurfer? Are you quite sure you want to have a pop at Labour in advance of them being in government even? Yes of course it will take time and effort to sort out the Tory mess, but oh boy! You really should look at how much worse things have got under the Tories, instead of taking a preemptive pop at Labour!
This is a really important topic. The public are ignorant of this scandal. They usually are employed in private heath centres, which used to be run by the state, but couldn’t make ends meet due to government underfunding. There should be a ratio of qualified doctors per physician associates but because these practices are privately run it’s all about profit. Wes Streeting must not get elected on this basis alone !! Plus he’s in favour of private medicine, he does little for his constituents and there is a superb independent candidate standing. Vote for her. PS I do not live in his constituency but I have seen interviews with the young lady independent
Oh yes it f****ing is! I'm really ill and instead of getting a doctor it's been specialist nurse practitioners. One I had to tell THEM what I needed, another misdiagnosed me, a whole department put me on the wrong wait list! Now 2 years on you can imagine how things are ✌
Its been the same in schools, the increasing use of Advanced Assistants (or what ever they are called), in place of qualified teachers, so they can pay them less. GREAT, say the privatised academies, who, under tory law, are not required to employ qualified teachers.
This is a profession that cannot be de-skilled, the government should just pay the Doctors and the physicians the money they deserve to keep them here and stop messing about trying to divert money elsewhere for dubious reasons.
I mostly agree with you Michael, I was given a GP appointment with what I thought was a Doctor. The only thing that made me wonder about them was that they took my blood for a test which I have never, ever, in over 70 years, known a doctor to do. They usually send you to the group nurse or phlebotomist. I discovered the truth on our GP web site. The PA has been excellent, better than most GPs I have been seen by, and I am quite happy to continue in their care. But I will keep an extra eye out and ask for a second doctor opinion if I am at all worried. I think we have to be radical in getting the NHS back in order. Oh yes, a few months ago I landed up for 18 hours in hospital for a bladder infection. Another Paleo or similar took my details but a doctor talked to me.
A nurse undergoes 3 years of training and is supposed to be subordinate to someone with 2 yrs study into something? A paramedic online yesterday claimed he could deputise for a GP. Disgraceful behaviour by the tories. Break the health service and fix it with sticking plaster.
This is tory budget cutting, pure and simple. Done so they can GIVE public money to their cronies and donors, instead of spending it on services. Get them out and NEVER let them back.
How did several commentators fail to listen, No it will not change under a Labour Government, you clearly pointed out that Wes Streeting and Labour (the Red Tories) are on the record of supporting the use of pysician associates.
I've always found this perspective quite odd. One side is very obviously commenting on it by allowing and encouraging it, and that is bad, but since the other side hasn't commented at all, they too are bad? You're not going to get everything you want from either side, what should matter is which more closely aligns with your views.
AI is coming so it is not going to get any better, particularly as the providers are corporate US. AI triage is already being installed in GP surgeries. Note that there are Advanced Care Practitioners (ACP) and Physician Associates (PA). The ACP is medically qualified and to a much higher level than a PA.
Not good doing blood test either I had blood test by physian associate took her longer do then managed loose my blood sample had go another test this time by nurse who told me make fist put arm on pillow physian associate didn't ask me do this one error noticed also now been diagnosed with anemia very high cholesterol which is quite concerning got be careful with anemia if not treated can course oxygen problems but looking at eating more green vegetables as helps with enemia
I had a new trainee nurse spend half an hour digging around in my arm with a needle before asking the senior nurse to help, then he also failed with the other arm as the first was bruised and swollen and numb by that point. Never had a problem getting my blood taken before that. Mind blowing how bad they both were.
The key issue is whether PAs perform any worse than doctors in general practice. This should be possible to establish. With facts a productive discussion might be possible. Not that GPs would want to feather their own beds...
I suggest everyone contact their GP practice and ask how many Physician Associates are employed aT their practice. I am writing to my Practice Manager to askand hope to get a response in writing.
A good way to know if you are seeing a GP is by the office itself, a physician would be using a treatment room, could be a diff one each time but a GP generally has a permanent room, photos etc on wall. Handy if you are like me and "don't like to ask" 😂
PLEASE GOD HELP US MY BEAUTIFUL SON WIFE MUMMY PASSED ALONE AND THEY WERE PARTYING don't know how they sleep at night GOD BLESS her and GOD BLESS all the people it happened to Margo 🎉🎉🎉
I work with some excellent anaesthesia associates who provide very safe care within their scope of practice. They work on a 2 associates: 1 supervising consultant basis. This isn't cheaper than having 2 actual doctors, because you need to pay 3 salaries for 2 theatre lists. But AAs are trained in 2 years + 1 newly qualified year vs 12 years for a doctor anaesthetist (the majority of which is spent providing cheap labour service provision). Many patients needing an anaesthetic can safely be cared for by an associate. Hence, why Streeting is right. Associates will be needed. The Tories have engineered this situation by appalling workforce management. Royal colleges cannot really object on safety grounds when reality means massive staff shortfalls over the next decade (while labour trains meaningful numbers of doctors) vs accepting associates to help plug gaps. Some staff is better than no staff. GP associates are a different kettle of fish. They work more solo and there is more opportunity for things to go wrong without being recognised.
Sounds like a good move to me, you have to understand about 95% of people are just wanting medical help for a non serious issue. So a very good move in my opinion, let's free up doctors to see people that need to be seen by them. Let's not stay mired in the past and move forward with new ideas.
Please actually find out what a physician associate is. They are trained to the medical model. Investigate what they actually train for before you release videos stating mistruths as fact.
If I sue for malpractice how will the case go if I admit I didn't ask to see paraDoctor' s medical degree? I assumed I was speaking to a doctor but is the onus on then me to carry out due diligence on the person treating me? Again the Tories create the legal wild-west and abrogate themselves of any responsibility. It's merely a vehicle to start Doctor Associate agencies and suck at the public teat for those on the inside who are "best placed to deliver effective and targeted care".
I used to work in the machining trade, which is an extremely dangerous profession, and near the end a new plant manager was brought in to "economize," which he interpreted as a mandate to shorten the lengthy training process. It wasn't pretty.
You can bet your life none of these Tories would ever go to a physician associate for their medical needs.
They go to their private doctors so it's 'I'm alright Jack' for them. It takes 10 years in total to put a GP in a surgery and the Tories have reduced that to 2.
Sadly ....Wes Streeting & Labour also support the use these physician associates
No, they have PRIVATE healthcare you bet.
The Tory NHS workforce plan has neglected doctors speciality training contracts for many years. Royal colleges have been crying out for funded posts but the government has refused. Associates will be needed because it'll take a decade to catch up to where we need to be. Within that time the NHS needs staff. Blaming labour for acknowledging this reality is short sighted when the blame is entirely workforce mismanagement by 14 years of Tory government.
@@zoe_blackmore Under different circumstances, as assistants to actual doctors and supervised, not pretending to patients that they are real doctors. Labour support any medical help they can get and that is already there on the ground in an NHS that has been so run down by the tories. Labour do not endorse them as decision makers, only working under supervision of proper doctors. Do not equate this to the fraudulent situation that the tories have started up here. The same tories that are not listening to junior doctors, not listening to their grievances. The tories who basically want to replace junior doctors with cheaper 'health professionals'. The same tories who have capped university places for doctors, when the NHS needs many more, not least because the population has grown! The same tories who prefer to 'buy in' ready trained doctors from abroad, rather than facilitate training Britons. This is the truth of the matter here. NOT that labour endorses any of this!
Keep exposing this bull ... Thanks Peter
morning Peter...I expect nothing other than "duplicitous" from these Tories...
@@sebastianforbes1Are you trying to deflect from what the Tories have done?
@@sebastianforbes1 I'm glad you appreciate the barriers to free trade that Brexit has brought and the loss of £100 billion each year in trade to the UK economy.
@@sebastianforbes1 I t ' s n o w o n d e r E n g l a n d i s i n s u c h a m e s s, y o u ' r e s w i m m i n g i n y o u r o w n s h * t f o r g o d s a k e !
@@sebastianforbes1 1 in 5 people in the UK are now considered to be in poverty. The town's and cities are in decay and you're swimming in your own excrement in England. Enjoy voting Tory!
@@sebastianforbes1 Without complaining? That'll be a first - this is UA-cam!
Seriously: physician associates are a trick to "see more patients" without spending more money. Not treat patients, just see patients so that the stats go up. Like everything else the Tories do - If you're not one of us (rich enough to afford private healthcare) you're just a burden to be abracadabra'd into an opportunity for private investors to provide resources at a profit.
Fully supportive, Peter...thank you, as ever, for shining the light.
well pointed out Peter,please keep saying it
Next patients will be seeing Larry the Cat for diagnosis and treatment! 😮
A sticking plaster for a destressed NHS. The same thinking that was applied to the Police with CSOs. "Doctors" on the cheap, just like "Coppers on the cheap".
Just like all of the remaining public services on the cheap. Too many people still don't realise that.
And Teaching Assistants running classrooms in place of qualified teachers
Same thing they do in Adult Social Care. No wonder that sector is in the state it is...
We'll soon be back to the point when we see a red and white barbers pole and pop in to see the "doctor". 😂
Like Doctor Sweeney Todd.
Aren't we already encouraged to see the pharmacy first, rather than 'bothering' the GP?
Again, the government has been employing "Physics Associates" (GPs on the cheap), and unfortunately, the general public fails to notice the difference (dangerous)
i don't mind having the chemist add to a service, just not replace the service. I'm voting labour as its not a done deal they will win, and we need to get out and vote!!
The sooner the new Labour Government starts to breathe life back into OUR NHS to better. I hope that Wes Streeting reflects before continuing with the past Tory destruction on the NHS. Thank you Peter, as ever sounding the Alarm.
Streeting's desperate to privatise the NHS, he's already taken money from Israeli private healthcare providers and we'll never see our NHS as it was before the tories.
Remember- it takes years to train doctors & nurses, rightfully so. The most pressing issue is to reduce the horrendous waiting lists (people are dying unnecessarily) so using private health physicians is sensible. Labour have stressed this is not a permanent fix. I'm hoping these useless PAs will either get proper qualifications or be gone altogether.
Health care on the cheap will cost lives
They don't care about the plebs lives 😢
The filthy rich crooks will see a real doctor.
The new breed of poorly educated British doctors cost lives.
You are so right! How dare they gamble our health... plus... What code of conduct, what interpersonal skills, what confidentiality, what health and safety will be applied??? This is DREADFUL...
At the beginning of this year, I saw someone who I thought was a doctor but wasn't. I had a swollen ankle and an itchy rash. I was prescribed antibiotics, which I didn't need, and a steroid cream, but the worst part was that she said that I had a heart condition that had caused my ankle to swell. She arranged for me to have urgent tests at the local hospital.
The end result was that finally, I saw a real doctor who said there was no heart condition and that he felt that the treatment was "inappropriate."
Apart from the stress it caused me, think about the waste of time and the inappropriate use of antibiotics. And now they want you to see your pharmacist first.
It will be your window cleaner next.
Keep telling it like it really is, thanks for your dedication
I only want to be seen by fully trained medical staff. Streeting is as bad as the Tories. I hope that in Wales this will not apply. Patients should be told in advance if they are to be seen by staff who are not fully qualified,
They are trained
@@debbiecollard889 They are not FULLY trained - that takes 7 years.
Problem then is, in my area you get to see NOBODY! IT'S REALLY BAD where I live
Fully qualified, or sufficiently qualified?
Exaggerated case.
Would you need to be seen by a surgeon to fix a splinter in your finger..
Yeah, not helpful, but where is the line?
Without self diagnosis how do you know what abilities your medic should have? And we all know what (real) doctors think of self diagnosis.
They are trained to be physician associates not drs. They are not drs. What don’t you get. If they trained for seven years they would call themselves drs
More shame on the tories and dangerous
Shame on the people that enabled the Tories. They are the dangerous ones. Now they want to vote for the frog Farage.
And their starting salaries are far higher than doctors' starting salaries.
I understand that there is more funding for those positions, that for the doctors, who struggle to find the place to practice.
I vote for the NHS .
Thank you for pointing this out.
I don't understand how their can be a simultaneous shortage of doctors whilst at the same time 80% of GP Locums are unable to find work.
Funding. De-fund and cheapen. Same reason there aren't enough training places. It's not 'their' health service.
Same with IT and any office work for that matter. they outsource, and make a virtue of hiring based on diversity.
Central government has reduced payments to GP practices in real terms for providing services. Patients still need to be seen. There has been a push for years to triage patients within primary care to avoid GPs spending time on stuff other staff can safely manage.
Funding has got so bad now that practices are forced into opting for the not-doctor staff out of financial necessity. Leading to the absurd situation of having a GP shortage in practice yet unemployed GPs because only noctors are being recruited. What started as sensible efficiency is now a dangerous race to the bottom in primary care.
Scandalous from the Tories. I hope Labour will regulate such a practice from the point of view of skill, the seriousness or otherwise of the patient's condition and the effectiveness of each 'physician associate'. Certainly the Tories have brought the NHS to the point of collapse in the UK.
Sadly...Wes Streeting & Labour also support the use these physician associates
In Wales in my Health Authority PAs are all we get to see now in cardiology. In diabetes the practice nurse is the highest qualified. In both disciplies the prescribing has nearly killed me. And yes I do know the difference, as I used to teach medical students. Pensioners in particular are considered unworthy of the more expensive resources.
My niece has been constantly training to be a consultant, although she is still a junior doctor. A science degree and two years training is NOT enough and the public needs to know this.
Every single thing they do is to our detriment.
This happened to me. I thought he was a Dr and didn’t listen to me. I ended up in hospital
The dumbing down of health care started a while ago , HCA doing nurses jobs to start with medicine on the cheap
Medical degrees have been dumbed down for decades.
Peter from personal experience, a family member was failed at the Doctors surgery recently that ultimately may result in a terrible outcome. Whilst I appreciate that appointments are a scarcity it’s time that the whole process is revisited Doctors are essential but only if they are suitably qualified or supervised otherwise it’s no better than google. Come on Wes Streeting and labour we don’t want pseudo labour a lefty Tory party we want a proper socialist labour there for all.
Tory and dishonest go hand in hand.
A bit like pharmacists asking to discuss medication over the phone.
They can ask, but that’s it.
I went to deliver a pizza at a surgery the other day and was given the job on the spot as a pretend Doctor what a result.......................😛
As an NHS junior doctor about to become a consultant, thank you for pointing out the key flaws in how the previous government, as well as now the current government are proceeding with this dangerous debacle.
It’s ironic that GPs are now coming out against this because they are losing their jobs so cheaper staff can be employed. About 11 years ago my local GP surgery became a business unit and decided to divert patients to nurses to ease the workload on the GP. This happened to me and went on for nearly 3 years until I demanded to see a GP as the problem was not getting better, who immediately saw the problem that had been misdiagnosed by the Nurse, and I was urgently referred to hospital for assessment leading to a major operation. If left for a few more years it would have been fatal. The idea was apparently that nurses would spot anomalies that needed further work and refer patients to the GP but the nurses didn’t have the training to diagnose the problem and seemed to be worried about unnecessary referrals making them look unable to do their job. Since then rather than learn their lesson things have got a lot worse and it’s very difficult to see a GP at all. It obviously makes sense for minor issues to be treated by nurses but the issue needs to be assessed by a GP first and then either treat the patient themselves, pass the treatment to a nurse or refer the patient to hospital.
Torie's version of people are sick of experts. Now Tories did it, people really get sick OFF experts. Well played Toris, well played. But coming 4th of Juli game's over 👋
Have "Kwik Fit" taken over the running of GP's surgeries?
A beauty therapist can not do teeth whitening and is just to put a solution in your teeth and blue light but we can see a doctor that is not a doctor 😂 go figure
And qualified locums are fleeing the country in droves.
These P A s will all be allowed to carry out capacity for work assessments. I already have my black triangle tattoo.
That’s the Tory world we are living in 2010 to 2024
Then, surely, it is up to the patient to start asking the question "Are you a Doctor?" and refuse to be treated by anyone who is not.
Because after you've waited 3 years to be seen, being told you'll have to ask for another referral in that case is definitely the solution..
I got called into my local surgery about 6 weeks ago for a mental health check up with one of these people. Now, bear in mind I'm an outpatient with an assigned crisis team (they're for the most part utterly inept btw) so there's no reason for my local surgery to be involved in that aspect of my healthcare.
The whole experience was bizarre. I was pretty much told to shut up when I started to talk about the issues my bungling "crisis team" have caused. "Don't say things like that, we put in long hours & it's so discouraging to hear these sorts of things."
What's discouraging is being deeply mentally ill in this country. Living like that is deeply discouraging & some of the experiences I've had as a MH patient beggar belief. Sorry if some of this sounds ungrateful, it's not meant that way, but incompetence is incompetence & needs to be called out when it's encountered.
Anyway, various other things were spoken about, she said she'd do this, look into that blah, blah, blah. Still not heard anything from it. The whole thing left me feeling confused, alarmed & gaslit. Not a good outcome from a mental health appointment at all. I won't see her again for any reason after that.
Big own goal by my local surgery there.
Most likely not happening in the private sector.
Where is the management of the situation that the NHS is in? A full review of the causes of poor health outcomes, such as poverty, as well as how we deliver the best system (personally getting to know your local people by time taken with a G.P.) is only useful if we connect all of the dots which target cause and effect. G.P.'s must be the people who are first to see a person, and who get to know those people, as well as their families, and their personal situations. As a retired G.P., both in Canada and the U K, it became clear that the more time getting to know a person was an investment in their health and my ability to make time saving and making accurate diagnoses. It all boils down to investment of energy and then savings in the long term. We need long term solutions and investment in that now. Get politicians out of the way so that management decisions are made by first class managers. This is what is sorely missing in the U K.
This is seriously scary!
THANKYOU FROM THE BOTTOM OF MY HEART FOR TELLING US THE TRUTH PLEASE STOP PLEASE GOD HELP US TO GET HONESTY AGAIN Margo 🎉🎉🎉🎉
They have Physicians Associates in the USA. It's Medical care on the cheap. Austerity and Brexit the Silent Killers in our Midst.
Who in their right mind will re-elect Liz Truss as their MP, let alone as Party Leader...
Wait till these new physicians are over worked, go on strike for better conditions and pay.
Might as well just use professional doctors in the first place.
All those lovely cases of incompetence by untrained physician's.
support meaningful and worthwhile apprenticeships. not two bob training leads to failures look at plastic policing.
They've done this in education. Teaching 'assistants' teaching whole classes and taking over lots of the work that would have been done by people qualified in their own field. All about cost-cutting, instead of investing in the education and training of qualified professionals and paying a decent salary.
PS My daughter's a TA in SEND. She's very good at her job, but is often asked to do things that are, literally, above her pay scale.
I have suffered at the hands of a physician associate. I had a cataract removed, the follow up appointment was with a physician associate, he told me everything was fine, I thought he was a doctor, it wasn’t made clear he wasn’t a doctor.
It was only when I saw an optician to get new glasses that my concerns that everything was not ok were confirmed. The optician made an emergency referral back to the hospital, I am still receiving treatment 12 months later
They are receptionists.
GPs do not study for "upto 7 years". They do 4-5 years at med school, 2 years foundation programme and 3 years GP training. Thats minimum 9 years.
Great content as always Peter. Thank you.
Unfortunately things probably won't get much better, if labour get in.
Look at Labour's record over the decades with regards to the NHS. It is the Tory party who regularly run it down, who have higher waiting lists, fewer operations and recently, a marked decrease in life expectancy, that comparable countries do not have! Why does this not get noticed by somebody, who calls themselves silversurfer? Are you quite sure you want to have a pop at Labour in advance of them being in government even? Yes of course it will take time and effort to sort out the Tory mess, but oh boy! You really should look at how much worse things have got under the Tories, instead of taking a preemptive pop at Labour!
Still happening in schools. Classroom Assistants are teaching lessons that should be delivered by qualified teachers.
Ah, that'll be the race to the bottom to join the Utilities, Rail, Postal services then.
Streeting is lining his pockets with private health care. He needs to go for starters. Wake up people.
The BMA is concerned, the tories think it is a great idea to bring down the waiting list - who would you believe?
This is a really important topic. The public are ignorant of this scandal. They usually are employed in private heath centres, which used to be run by the state, but couldn’t make ends meet due to government underfunding. There should be a ratio of qualified doctors per physician associates but because these practices are privately run it’s all about profit. Wes Streeting must not get elected on this basis alone !! Plus he’s in favour of private medicine, he does little for his constituents and there is a superb independent candidate standing. Vote for her. PS I do not live in his constituency but I have seen interviews with the young lady independent
Its a real concern but my wife would have been glad to see anyone during her 9 hour wait in Frimley hospital last night
WTF! 😡
This explains why half the "GPs" at my local surgery are under 25...
This is a shocking and misleading development, two years medical training is a basic requirement for a newly qualified pupil nurse 🙀🤦
Oh yes it f****ing is! I'm really ill and instead of getting a doctor it's been specialist nurse practitioners. One I had to tell THEM what I needed, another misdiagnosed me, a whole department put me on the wrong wait list! Now 2 years on you can imagine how things are ✌
I will only see my named doctor. I want continuity of care from the doctor who knows me and has bothered to read my notes!
TRUTH
I see my GO for all my conditions, then clinicians with City Care. They are physios and don’t let me see a consultant doctor🥺🕊✝️🙏🏻
It's all Academic ..
But the NHS will never be the same again in my lifetime.
That makes me very angry .
Equality has no chance....
Its been the same in schools, the increasing use of Advanced Assistants (or what ever they are called), in place of qualified teachers, so they can pay them less. GREAT, say the privatised academies, who, under tory law, are not required to employ qualified teachers.
This is a profession that cannot be de-skilled, the government should just pay the Doctors and the physicians the money they deserve to keep them here and stop messing about trying to divert money elsewhere for dubious reasons.
Doctors are overpaid.
I mostly agree with you Michael, I was given a GP appointment with what I thought was a Doctor. The only thing that made me wonder about them was that they took my blood for a test which I have never, ever, in over 70 years, known a doctor to do. They usually send you to the group nurse or phlebotomist. I discovered the truth on our GP web site. The PA has been excellent, better than most GPs I have been seen by, and I am quite happy to continue in their care. But I will keep an extra eye out and ask for a second doctor opinion if I am at all worried. I think we have to be radical in getting the NHS back in order. Oh yes, a few months ago I landed up for 18 hours in hospital for a bladder infection. Another Paleo or similar took my details but a doctor talked to me.
A nurse undergoes 3 years of training and is supposed to be subordinate to someone with 2 yrs study into something? A paramedic online yesterday claimed he could deputise for a GP. Disgraceful behaviour by the tories. Break the health service and fix it with sticking plaster.
This is tory budget cutting, pure and simple. Done so they can GIVE public money to their cronies and donors, instead of spending it on services. Get them out and NEVER let them back.
How did several commentators fail to listen, No it will not change under a Labour Government, you clearly pointed out that Wes Streeting and Labour (the Red Tories) are on the record of supporting the use of pysician associates.
37,000 GPs in England are unemployed
I’m not hearing Labour saying anything about this and I really would like to. Yes that is the problem Labour is not opposed enough about this.
I've always found this perspective quite odd. One side is very obviously commenting on it by allowing and encouraging it, and that is bad, but since the other side hasn't commented at all, they too are bad? You're not going to get everything you want from either side, what should matter is which more closely aligns with your views.
@@mydogeatspuke Do you honestly think I am unaware of that fact.
@@sharonramsey715 yes. Otherwise you wouldn't have made your original comment. Hence my response. That's how this whole thing works.
AI is coming so it is not going to get any better, particularly as the providers are corporate US. AI triage is already being installed in GP surgeries. Note that there are Advanced Care Practitioners (ACP) and Physician Associates (PA). The ACP is medically qualified and to a much higher level than a PA.
*I'm sure Wes Streeting is a Tory* 🤬
❤
Chris Morris and Armando Iannucci comedy parody show The day today is much more suited to these times than 1994 when that first aired
Not good doing blood test either I had blood test by physian associate took her longer do then managed loose my blood sample had go another test this time by nurse who told me make fist put arm on pillow physian associate didn't ask me do this one error noticed also now been diagnosed with anemia very high cholesterol which is quite concerning got be careful with anemia if not treated can course oxygen problems but looking at eating more green vegetables as helps with enemia
I had a new trainee nurse spend half an hour digging around in my arm with a needle before asking the senior nurse to help, then he also failed with the other arm as the first was bruised and swollen and numb by that point. Never had a problem getting my blood taken before that. Mind blowing how bad they both were.
The key issue is whether PAs perform any worse than doctors in general practice. This should be possible to establish. With facts a productive discussion might be possible. Not that GPs would want to feather their own beds...
I suggest everyone contact their GP practice and ask how many Physician Associates are employed aT their practice. I am writing to my Practice Manager to askand hope to get a response in writing.
You can do that under the freedom of information act and they have to provide it
There are only approx 3,200 qualified physician associates in this country
A good way to know if you are seeing a GP is by the office itself, a physician would be using a treatment room, could be a diff one each time but a GP generally has a permanent room, photos etc on wall. Handy if you are like me and "don't like to ask" 😂
😡😡😡😡😡😡😡😡
PLEASE GOD HELP US MY BEAUTIFUL SON WIFE MUMMY PASSED ALONE AND THEY WERE PARTYING don't know how they sleep at night GOD BLESS her and GOD BLESS all the people it happened to Margo 🎉🎉🎉
I work with some excellent anaesthesia associates who provide very safe care within their scope of practice.
They work on a 2 associates: 1 supervising consultant basis. This isn't cheaper than having 2 actual doctors, because you need to pay 3 salaries for 2 theatre lists. But AAs are trained in 2 years + 1 newly qualified year vs 12 years for a doctor anaesthetist (the majority of which is spent providing cheap labour service provision). Many patients needing an anaesthetic can safely be cared for by an associate.
Hence, why Streeting is right. Associates will be needed. The Tories have engineered this situation by appalling workforce management. Royal colleges cannot really object on safety grounds when reality means massive staff shortfalls over the next decade (while labour trains meaningful numbers of doctors) vs accepting associates to help plug gaps. Some staff is better than no staff.
GP associates are a different kettle of fish. They work more solo and there is more opportunity for things to go wrong without being recognised.
Sounds like a good move to me, you have to understand about 95% of people are just wanting medical help for a non serious issue. So a very good move in my opinion, let's free up doctors to see people that need to be seen by them. Let's not stay mired in the past and move forward with new ideas.
Please actually find out what a physician associate is. They are trained to the medical model. Investigate what they actually train for before you release videos stating mistruths as fact.
If I sue for malpractice how will the case go if I admit I didn't ask to see paraDoctor' s medical degree? I assumed I was speaking to a doctor but is the onus on then me to carry out due diligence on the person treating me? Again the Tories create the legal wild-west and abrogate themselves of any responsibility. It's merely a vehicle to start Doctor Associate agencies and suck at the public teat for those on the inside who are "best placed to deliver effective and targeted care".
I used to work in the machining trade, which is an extremely dangerous profession, and near the end a new plant manager was brought in to "economize," which he interpreted as a mandate to shorten the lengthy training process. It wasn't pretty.
GP numbers have declined 7 per cent