iiinova — where your digital self keeps evolving

Reposted by Jane Dodds

Farrukh @implausibleblog.bsky.social · 27/03/2025

Good morning, a glasswing butterfly sat on a bird of paradise ☺️ Always search for beauty in our world, happy Thursday 🙏

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Jane Dodds @janedodds.bsky.social · 09/02/2025

Which lives are being ruined? Patients, doctors or PAs? It is very difficult for you as the mother of a PA to be clear about this. Anyway I am willing to bet your daughter’s life is not being ruined. You know a PA who was responsible for a death is still working in another practice?

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Jane Dodds @janedodds.bsky.social · 08/02/2025

I doubt that this will happen as people are only becoming aware of it now and I think the lobby against lowering standards in healthcare will grow. This isn’t ’hateful’ ‘bullying’ or ‘bigoted’ it is simply preferring a qualified doctor over a PA or AA. It is about knowledge,standards and safety.

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Jane Dodds @janedodds.bsky.social · 08/02/2025

I can see how you would like this debate to go away and for those who are opposed to the unsafe practice of replacing doctors with vastly less trained PAs and AAs to be silenced.

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Jane Dodds @janedodds.bsky.social · 07/02/2025

Also if you think I have the wrong case please enlighten me with the case we are referring to?

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Jane Dodds @janedodds.bsky.social · 07/02/2025

Wow. I am an apologist for hate speak and bullies because I believe you need to be a qualified doctor to insert and bolt into a persons head without their being able to consent? Nope. Where I am from that is so obvious it is called common sense.

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Jane Dodds @janedodds.bsky.social · 06/02/2025

On the contrary I’m v concerned. Procedure done by PA- under Consent Form 4 ie patient could give not consent- also signed by PA And no evidence of senior involvement for a Left Frontal Bolt insertion in a patients head. Forgive me if I chose to be concerned for the patient.

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Jane Dodds @janedodds.bsky.social · 06/02/2025

What was this PA doing? ‘What qualifications and trainings does the PA have to place something inside someone's skull.’? It is terrifying that PAs who have 2 years training are performing brain surgery! Look it from the other side if you can.

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Reposted by Jane Dodds

Phil Whitaker @pwhitakerwriter.medsky.social · 03/02/2025

The curious case of Sarah and her sinuses, and what it reveals about the lamentable wrong-headedness among the leadership of England's NHS. My piece in this week's @newstatesman.com www.newstatesman.com/politics/hea...

newstatesman.com

NHS England has no idea about GPs

Reform will only happen when the organisation confronts how lamentably wrong-headed it has been.

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Jane Dodds @janedodds.bsky.social · 02/02/2025

I seriously doubt doctors are worried about their status.

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Jane Dodds @janedodds.bsky.social · 02/02/2025

I really haven’t seen the vilifying you are speaking about but I do think there is an issue with PAs being paid band 7 at the get go when far more qualified staff who are held responsible and are regulated are paid less - midwives ANP, paramedics and doctors etc

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Jane Dodds @janedodds.bsky.social · 02/02/2025

It is now the Royal Colleges (representing 1000’s of doctors and responsible for standards) highlighting the problem not just a small group. People who are not doctors and who only have two years education are dangerously replacing doctors GPs anaesthetists, surgeons it cannot continue safely.

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Jane Dodds @janedodds.bsky.social · 02/02/2025

Can’t you see this is a smear? You are saying doctors are trying to frighten the public, and just worried about their jobs and status.

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Jane Dodds @janedodds.bsky.social · 02/02/2025

I think people would want the job. It is very well paid. Most science graduates do not get paid that much.

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Jane Dodds @janedodds.bsky.social · 02/02/2025

I think they should retrain with GEM. That way they would be properly qualified.

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Jane Dodds @janedodds.bsky.social · 02/02/2025

Ask PAs what sort of degree they have &where they got it from and if they applied for medicine first. PAs who go onto GEM say their first degree was of little to no consequence. PA is a two year course, easy to get on I can’t see how you think this makes them well qualified professionals.

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Jane Dodds @janedodds.bsky.social · 01/02/2025

I certainly won’t be happy if people are left with nothing but I do not see that what is happening now can continue.

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Jane Dodds @janedodds.bsky.social · 01/02/2025

I expect those in permanent posts in GP practices will remain but will have to work to scope/ be redeployed but again work to scope which seems correct to me.

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Jane Dodds @janedodds.bsky.social · 01/02/2025

This is from the president of the RCGP not RCP.

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Jane Dodds @janedodds.bsky.social · 01/02/2025

You have seen this haven’t you?

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Jane Dodds @janedodds.bsky.social · 01/02/2025

Can you find that post for me?

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Jane Dodds @janedodds.bsky.social · 01/02/2025

Are you suggesting a doctor wrote a post suggesting all PAs should be shot?

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Jane Dodds @janedodds.bsky.social · 01/02/2025

In it in the 2 years light vs 5 years heavy. They just do not have the solid base to replace doctors. I know you say they are not doing that but all the evidence I see shows they are often working way outside their education and are replacing doctors.

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Jane Dodds @janedodds.bsky.social · 01/02/2025

I have looked up mysticsid1 and he is clearly a far right loon and certainly not a doctor. I actually already had him blocked.

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Jane Dodds @janedodds.bsky.social · 01/02/2025

I see plenty of PAs doing that on Twitter. I find doctors are more reasoned and fact based normally. Doctors are interested in patient safety and maintaining gold standard medical education.

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Jane Dodds @janedodds.bsky.social · 01/02/2025

Will I see these bombs on your thread? Because I hear about such things but never see them.

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Jane Dodds @janedodds.bsky.social · 01/02/2025

You can’t say the argument is spurious in any meaningful way. If they were simply fulfilling a role on a MDT they would have a specific role and they would never be on dr rotas.

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Jane Dodds @janedodds.bsky.social · 01/02/2025

Well as there were under 200 PAs until 2015 your 20 years doesn’t amount to much. It is only since 2016 numbers have been rising rapidly and actually ARRS fees to GPs only since 2019.

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Jane Dodds @janedodds.bsky.social · 01/02/2025

Often seen further down page: ‘If you lack the formal academic qualifications needed to enter a postgraduate or post-experience degree, there are several alternative routes to follow - some based on experience. Contact the Future Students Enquiry Team for more information.’

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Jane Dodds @janedodds.bsky.social · 01/02/2025

I understand you don’t want to believe your daughter has been sold a pup but she has and so have the rest of us.

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Jane Dodds @janedodds.bsky.social · 01/02/2025

It really isn’t. It is happening and if you seriously research it you will find it is the case.

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Jane Dodds @janedodds.bsky.social · 01/02/2025

You are not really thinking about this from a patient perspective. We deserve qualified doctors surgeons and GPs.

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Jane Dodds @janedodds.bsky.social · 01/02/2025

What treated by unqualified staff. It is certainly is.

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Jane Dodds @janedodds.bsky.social · 01/02/2025

Well you haven’t tried applying - it is easier than you assume.

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Jane Dodds @janedodds.bsky.social · 01/02/2025

Doctors make mistakes following highly selective 5/6 year training followed by years of in work education training and difficult exams. So would less able and far less educated people be safer? What do you think?

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Jane Dodds @janedodds.bsky.social · 01/02/2025

From Kings College Hospital trust meeting minutes. 10 PAs work in the department, performing neurosurgical procedures, including ICP bolt insertion.

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Jane Dodds @janedodds.bsky.social · 01/02/2025

The Royal Collège of GPs who set GP standards must also be bigoted in your opinion as they have said that there should be no PAs working in GP.

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Jane Dodds @janedodds.bsky.social · 01/02/2025

Good faith is all very well in some places but it is not good qualifications and serious medical education is far more important in a patient context.

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Jane Dodds @janedodds.bsky.social · 01/02/2025

If anyone should be ashamed of themselves it is people who are pushing non doctors on an unsuspecting public. We are all guinea pigs to a dangerous experiment.

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Jane Dodds @janedodds.bsky.social · 01/02/2025

They are working as surgeons with a 2 year qualification and no post graduate exams. God help us all.

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Jane Dodds @janedodds.bsky.social · 01/02/2025

Oh yes let’s see these imaginary posts.

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Jane Dodds @janedodds.bsky.social · 01/02/2025

How is it bigoted to want to have qualified doctors on doctors rotas and in GP? How is it bigoted to want a qualified surgeon or anaesthetist operating on me? You are both rude and biased.

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Jane Dodds @janedodds.bsky.social · 01/02/2025

I could go on the information is there and easily obtainable.

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Jane Dodds @janedodds.bsky.social · 01/02/2025

This is from Swansea University: 2:1 undergraduate Bachelors or integrated Masters degree in a non-healthcare or non-biosciences subject, with relevant work experience and demonstration of values in line with the NHS constitution. These will be considered on an individual basis.

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Jane Dodds @janedodds.bsky.social · 01/02/2025

This is from NHS website on PAs note USUALLY and understand what that means: You’ll usually need a bioscience-related first degree to get onto one of the training programmes.

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Jane Dodds @janedodds.bsky.social · 01/02/2025

This is from Manchester Uni: Applicants with equivalent or non-standard qualifications will be considered on an individual basis.

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Jane Dodds @janedodds.bsky.social · 01/02/2025

I have stacks of evidence of PAs working in ways that are completely unjustifiable. This must be sorted out by the Leng inquiry. Your daughter should go to study medicine if she is able. She will be paid less but she will be better for patients and will be able to understand the difference.

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