GP, keen interest in education and IT in healthcare.
Joined April 2010
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So: you contacted surgery with problem, surgery offered you appointment that day, you decided it wasn’t important enough to attend. Sounds like the problem is with you…
The NHS is just a big old farce.
Did an "eConsultation" thing on the NHS app with my GP.
GP asks if I can come in at 4.45 today. I said no I'm not available but I can do tomorrow around 4pm.
GP tells me the diary is not open for tomorrow. Got to ring first thing in the morning.
So the GP wants to see me, but I can't book the appointment.
The NHS is probably the worst health service in Europe.
It is not fixable.
Dustyn Saint retweeted
Gillian Leng :
‘It isn’t safe for PAs to see undifferentiated Pts in GP because they haven’t studied the depth and breadth of medicine. Plus, simple isn’t always simple’
Also Gillian Leng :
‘ PAs can see undifferentiated pts’
Both statements can’t be correct .
Dustyn Saint retweeted
Prof Leng's core finding: PAs are assistants, not Drs, & shouldn't see undifferentiated patients. Streeting accepted these findings. So why the sudden pivot? Backroom deals have no place in patient safety. We need transparency. What will really be left of the review's findings?
Dustyn Saint retweeted
As a reminder?
A group of clinicians got together as part of an executive team.
Mis-represented data at @RCPhysicians EGM to help sway a crucial vote around PAs.
Was caught out by all and sundry- and lost the vote they didn't want passing through.
The vote in question?
"The college call for caution and restrict the expansion of PA numbers until critical medicolegal issues—such as regulation, standards, and scope of practice—were fully addressed"
An issue of incompetence at best, probity at worst.
2-3 people took the fall and left- no apologies of course.
The rest continued to hold senior positions - with refusal to investigate...themselves.
At present-scope and standards haven't been addressed yet
Work on which was supposed to be by the same clinicians who didn’t want that vote to pass.
And that?
Is where leadership is at within health circles at the moment.
Dustyn Saint retweeted
It’s a very slow burn - as predicted post @lengreview and @rcgp volteface
Throw in @nhsengland @DHSCgovuk acceptance of Leng Review
And am afraid this is no longer a viable career - as previously promised made by many in leadership roles
Folks- you were sold a pup.
And those who did?
Are now nowhere to be seen
#PhysicianAssistants
pulsepcn.co.uk/arrs/total-ar…
Dustyn Saint retweeted
GP tech just got properly interesting 👀 A clinician-built Medicus extension surfaces red flags, capacity & monitoring at a glance — no AI, no patient data sent. Watch. @dave_dlt @DustynSaint @MFAminGP @drfariahmad @PrimaryCareNHS @NHSEngland @NHSCandM #GPtech #PrimaryCare
Dustyn Saint retweeted
📹 Thank you to everyone who joined our "Updated QOF Tools" webinars in EMIS and SystmOne! The webinars showcased updates to our QOF tools in both systems & how practices can use them to support QOF achievement through the year.
Watch the webinars here: primarycareit.co.uk/general-…
Dustyn Saint retweeted
1 year on from Wilmslow Health Centre becoming the first EMIS practice in the UK to go live with Medicus 🎉
A big moment for GP tech, frontline teams & the future of primary care.
Blockers… your time is done 👀
@doctor_katie @BMA_GP @NHSEngland @digitalhealth2 @drfariahmad @egplearning @DrSelvarajah @dave_dlt @DustynSaint @Parody_RCGP @rcgpnorth @rcgp @DHSCgovuk @drfariahmad @MFAminGP @SKinnock @jamesmurray_ldn @martingcurley1 @JohnSheehan_ @DrSteveTaylor @medicaccountant @karinsmyth @GillianMerron #Medicus #NHS
Dustyn Saint retweeted
The attempts of the @RCPhysicians to cling on to the vestiges of what they once supported is quite ...amazing
The requirements to be... Certificate in Geriatric Medicine Knowledge-Based Assessment Lead includes being a PA for 7 years.
I predict this is a degree anyone can do and be equated to specialist training in near future too.
@GeriSoc - are you saying a Consultant of 3 years experience and a PA of 7 years experience are at par?
Cos that's....something
Link:
bgs.org.uk/vacancy-certifica…
Dustyn Saint retweeted
Dear @jamesmurray_ldn ,
General Practice delivers 90% of NHS activity on less than 10% of the budget.
34p per patient per day.
30 million+ appointments every month.
Still the only part of the NHS not routinely running a deficit.
Your government talks about “shifting care into the community” while starving the very service expected to deliver it.
If you want to save the NHS, fund its front door.
If General Practice collapses, the NHS collapses with it.
@NHSEngland @DHSCgovuk @TheBMA @rcgp @NHSConfed @TheKingsFund @NuffieldTrust @HSJnews @BBCFergusWalsh @ShaunLintern @bbclaurak @Peston @doctor_katie @dave_dlt @DustynSaint @Parody_RCGP @DrSteveTaylor @medicaccountant @ankitkant @DrSelvarajah #sl210x @medicalmodelbri @parthaskar @BBCHughPym @rcgpnorth @rcgp @BMA_GP @DHSCgovuk
Dustyn Saint retweeted
In a nutshell?
Anyone can be a Consultant working in primary care
Apart from a General Practitioner.
Which is what happens when a College forgets what their basic role is
And individuals champion themselves rather than serve who they are supposed to lead
#TuesdayTruth
Dustyn Saint retweeted
Why protecting patient data is the first thing that GPs are doing as part of collective action? Seems a little odd?
Until you realised that the Government is planning to take away the data controller role from GP practices
The same Government signing contracts with Palantir
GPs in England are launching collective action TODAY, after our GP committee voted that Government proposals don’t go far enough.
We’re taking action on data sharing agreements, because policy proposals have not gone far enough to convince GPs that the profession will be protected.
If you’re a GP in England, learn more: bma.org.uk/gpcontract @BMA_GP
ALT A blue graphic showing multiple figures standing together. White text reads: "Collective action by GPs in England starts 1 May."
Dustyn Saint retweeted
Any GPs want to come and work with me at the awesome @witleymilford ?
We’re hiring now, please do apply for a job where the team around you look after each other in an awesome bit of the world.
(And we have on site BBQ, Mr Whippy and Pizza ovens).
Dustyn Saint retweeted
Finally, the media is waking up to the worst scandal in British healthcare, exposing the insidious danger posed by ACPs.
Individual-level actors at departmental level, to national policy level by @DHSCgovuk and @wesstreeting, have a lot to answer for!
theguardian.com/society/2026…
Dustyn Saint retweeted
I must say...I am yet to understand what is the difference between a 'Neighbourhood Health Centre' or the need to have it.
Rather than resource GP surgery adequately and do things that way.
Unless this is just simply about 'We just dislike GPs' and want anyone else to lead it.
Dustyn Saint retweeted
Resident doctors told us that advanced practitioners were used on their rotas.
Our data shows this is the case, appearing to be in breach of NHS guidelines in England. NHSE says APs “should not replace the roles of doctors”, yet here we are.
theguardian.com/society/2026…
Dustyn Saint retweeted
Why newly qualified [insert any NHS ROLE] can’t get NHS jobs despite shortages?
It's down to the complete ineffectiveness of the NHS Workforce team. Their leader has destroyed countless careers, sent thousands of people to Australia at a massive loss and is still being celebrated
Why newly qualified midwives can’t get NHS jobs despite shortages - BBC News bbc.co.uk/news/articles/c4g6…
Dustyn Saint retweeted
Fuck yes!
GP leaders will vote on taking general practice 'outside the NHS' next month amid warnings that existing contracts are unworkable and that an 'Amazon-style' unlimited access model is driving unsustainable demand.
Full story: gponline.com/gps-debate-quit…
Dustyn Saint retweeted
🧵 A cautionary tale of a GP future not yet here:
The BMA says a safe working day for a GP is 25 patient contacts. Above that, diagnostic error rates rise, adverse events rise, burnout accelerates. It is a safety number, not a productivity number.
@doctor_katie @Parody_RCGP
