Taskification and substitution in the NHS - a hypothetical case of how splitting up pt care into "tasks" misses the diagnosis & costs more: A recently married 45 yr old Pt develops bloody diarrhoea over 4 weeks. "The protocol" says they need a blood test, stool MCS & FIT test 1/

I can't begin to wrap my head around the implications of this statement. Fundamentally misunderstands: - intimate connection between clinical decision making and task - how professionals are trained - what professionals DO - what regulators do (regulate professionals!)

Thinking about the supervision that consultants and SAS doctors will be expected to give to PAs. I’ve been an ES/CS to resident doctor colleagues at all levels for >30 years. I’ve been lucky to work with smart, well trained residents and supervision has generally involved 1/n)

Imagine someone nicks £40 from your £100. They give you £20 back, then call you greedy for asking for the rest. That’s what doctors are facing. They are being paid 20% less in real terms than they were in 2008. Full pay restoration is not an unreasonable demand.

The bottom line with all NHS staff, not just doctors, is that unless you make the NHS a decent place to work, with a decent enough salary to be able to pay off your debts and afford to buy a house near where you work, or at least know where you’re going to be working in the next

I can explain the divide. Since Doctors trained & became Consultants or GPs in the 20th century - the “deal” has progressively got worse. • Medical students stopped getting maintenance grants. • Then they had to pay tuition fees - which have risen sharply over 20 years. •

It's always weird to see these bizarre claims that the committee is "hard left" or "corbynistas". This is a wave of young people aged typically between 23-35 who see Broken Britain for what it is. Raising rent, raising house prices, raising energy prices, raising leisure

A recently qualified consultant on LBC today. “Your senior clinician will not have got to medical school in five to ten years time”

Let's keep it simple: Do we need doctors? Yes Is this a job any of us can do? No Is it a highly skilled job requiring rigorous training? Yes Should we pay doctors fairly? Yes Should we also pay other workers fairly? Hell yes. It's not a race to the bottom. Solidarity ✊

No doctor today is worth less than they were 17 years ago. Watch Dr Ross Nieuwoudt correct some misconceptions around resident doctors pay in England 👇

This is a discussion that needs to happen. If not addressed this will lead to increasing conflict within departments. Is this really what the government wants for the NHS? The BMA Resident Doctors James Steen Department of Health and Social Care Wes Streeting reddit.com/r/doctorsUK/s/…

Here is an example of what is coming. The whole of Medicine, broken down into tasks and tiers. No need for knowledge. No need for expertise. Brought to you by HEE. Lets take a look at the new(ish) Framework for Asthma (May 2025).🧵 1/

In short, the Government’s 10 year NHS plan is to replace doctors with other HCP at scale.