🧵 1/ NHS England’s Fit for the Future 10-Year Plan is set to transform postgraduate medical education. Flexibility, digital platforms & modular learning sound great, but what’s at stake? @drlkvaughan.bsky.social & I ask some important questions in a new paper in J Roy Soc Med

What's the future for Undergraduate Medical Education in England? @martinmckee.bsky.social and I look at what's in the 10 Year Plan and the implications. We think there is significant risk of the proposals devaluing degrees and the Profession. journals.sagepub.com/doi/10.1177/...

👇… Not right time for vote / when done - do properly! ….

The RCP is asking Fellows to vote on key constitutional reforms, including extending the franchise. A group of 27 Fellows tabled a motion saying reform should be slowed down + done properly. Not enough information. Too many questions. Our views here: tinyurl.com/ye5k2fa2

Time is running out! Less than 3 days left to vote in the @rcphysicians.bsky.social elections. Links to voting in email from Civica. Vote @drlkvaughan.bsky.social for Vice President!

Please encourage your FRCP colleagues to vote before Monday 14th April Vote Asif Qasim for President @drlkvaughan.bsky.social for VP @respirologist.bsky.social Dr Philip Pearson for Council @copddoc.bsky.social Prof Nick Hopkinson for Council #TimeForChange

I've talked to hundreds of Members and Fellows and their views are clear: we need to revitalise the RCP and restore the #VoiceOfPhysicians Vote Asif Qasim before Monday 14th April It's time to act: let's make the RCP something we can be proud of

Just off the Leng Review call. Once again it strikes me just how existential the issue of workforce substitution is and what is at stake. The root cause is not enough doctors. Historically, not enough in rural and remote places. With the coming 'Silver Tsunami', not enough 1/

I'm running for Clinical Vice President of the @rcphysicians.bsky.social! Lots of complex issues to grapple with at the moment. I have spent 20 years in the health policy space. Here's a quick tour of the work I have done. 🧵 1/

EVERYONE IN UK PLEASE RESPOND

Time is running out! The survey portion of the Leng Review closes on SUNDAY (30 March). So only a few days to let the Government know what you think about PAs and AAs. Critically important that concerned doctors respond! Link in reply.

@drlkvaughan.bsky.social @beans2er.bsky.social @mancunianmedic.bsky.social I seem to be finding that the longer-stay cohort are occupying a lot more AMU beds than they used to. The shorter-stay cohort: not much change.

I'm running for Clinical Vice-President of @rcphysicians.bsky.social! I have a long history of service to the RCP. First as an Invited Services Reviewer in *2009*. Have served almost continuously on various committees since then. Some not very glamorous. 1/

I am running for Clinical VP of the RCP. For those who don't know me, here is a potted bio. 🧵

I am running for Clinical VP of the RCP. Voting is now open! For those lacking time to read the long version, here is my short candidate statement.

Right RCP Fellows! Voting for elections is now open. I am running for Clinical VP. My election statement is here: 🧵

Re elections for @rcphysicians.bsky.social London, I will be voting for @drasifqasim.bsky.social as PRCP and @drlkvaughan.bsky.social as clinical VP. It’s time for a BIG change at the College to repair the damage, restore the workforce, rebuild the standards & re-establish reputation #VoteAsifQasim

Thanks for your support, David; and yes, I agree @drasifqasim.bsky.social for PRCP @drlkvaughan.bsky.social for Clinical VP @copddoc.bsky.social, @drbarrymonk1.bsky.social & @respirologist.bsky.social (me!) for Council #RCPTimeForChange

Thanks for your support, David; and yes, I agree @drasifqasim.bsky.social for PRCP @drlkvaughan.bsky.social for Clinical VP @copddoc.bsky.social, @drbarrymonk1.bsky.social & @respirologist.bsky.social (me!) for Council #RCPTimeForChange

Very happy to do so, Nick: we’ll need your insight. I think the best combination of candidates is: @drasifqasim.bsky.social for PRCP @drlkvaughan.bsky.social for Clinical VP @copddoc.bsky.social, @drbarrymonk1.bsky.social & @respirologist.bsky.social (me!) for Council #RCPTimeForChange

Because of her thoughtful policy analysis, I’ll be voting for @drlkvaughan.bsky.social for Clinical Vice-President 2/4

Apopros of the thread below, I took a look at the NHS Plan (A Plan for Investment. A Plan for Reform) of 2000. This is a critically important document. One could argue that most of what are faced with now wrt workforce can be traced directly back to it. A few highlights. 🧵 1/

The origins of the PA project have intrigued me. The conventional narrative is that various plucky heroes went off to the USA and were impressed by what they saw there with regard to PAs, AAs, SCPs etc. Brought the model home and persuaded others that it was A Good Thing. 1/

PAs are seen as an intervention to improve NHS efficiency. Efficient and cheap are not synonyms - so it is really important to understand the nature of the product being considered. @drlkvaughan.bsky.social comments about the nature of the 'medical assessment & care' product are very helpful.

Brilliant analysis of what is wrong with this latest ‘scope of practice’ document on physician associates in the UK. #healthpolicy

The issue of Scope is a vexed one. Here are a few thoughts on why the UMAPs scope is so problematic. 🧵 umaps.org.uk/base-scope-o... 1/

Let’s get BlueSky newbie @drasifqasim.bsky.social over 1000 followers. And if you’re eligible to vote in the Royal College of Physicians of London Presidential election, take a look at his website here asifqasim.co.uk/prcp. He will have my vote.

I guess only a few of my followers are Fellows of the Royal College of Physicians of London but, if you are, I’m strongly supporting @drasifqasim.bsky.social in the election for President. We desperately need a change and he is the person to make it happen asifqasim.co.uk/prcp

Hmmm. Who might be missing from discussions about the Future Workforce??? 🤔

I have a feeling of deja vu. The RCP actually conducted a review of training not even 18 months ago. Let's have a little look at it, shall we? 🧵 rcp.ac.uk/policy-and-c... 1/

Important thread from @drlkvaughan.bsky.social about doctor substitution, lowering of standards and training and why it is in our personal interest (as future users of health services) and our patients' interest to turn this ship round now

With Prof @parthaskar.bsky.social having withdrawn honourably, there are two candidates for Clinical VP: both can be assets in @rcphysicians.bsky.social , so I recommend voting for @drlkvaughan.bsky.social #TimeForChange #RCPTimeForChange

Powerful thread from @drlkvaughan.bsky.social on precisely why the PA issue is so crucial to current elections in two medical royal colleges. Well worth reading if you want to understand where NHS care could end up, without committed clinicians like Louella standing up for patients & standards 👏

Only in the foothills of 2 college elections (RCP + RCR) and already seeing: WhY aRE Pas aN iSSue? MoRe imPortAnt FinGs haPpeniG. Here's my response. 🧵 1/

Throwing my hat in the ring for RCP Clinical Vice President! Great to see so many excellent people putting themselves forward. Fellows, don't forget to get out and VOTE!