People ask me why I’m so concerned about PAs working in GP… It’s because it’s one of the highest risk areas in medicine We work independently & have no immediate investigations to aid diagnosis Patient safety is purely reliant on the competency of individual clinician alone
@DrNeenaJha Nonsense - PA's will act in most cases like GP's- if they do not understand the symptoms (or do understand but cannot do anything about it )they will refer the patient to a specialist
@DrNeenaJha a lot of patients come back to us after seeing PAs with seriously missed diagnoses... I know that this is just 'anecdotal' evidence... But the fact is we're seeing it across the country in primary care....
@DrNeenaJha It is concerning that PAs may try and emulate GPs without the necessary experience. It's important for PAs and GPs to understand each other in order to work together safely.
@DrNeenaJha I don’t think some politicians understand. Rushi should know better, but may be he rarely saw a GP on the NHS.
@DrNeenaJha 100%. My 87 mom, stroke survivor,AF sufferer,servere oedema in lower legs waited days to get to talk to a GP. She finally did, they said they would come out to her, a PA came and completely missed fluid on her lungs. Later in the day after a 111 call she was admitted to hospital
@DrNeenaJha Daughter is a clinical med. Solr. I just ask if you're qualified!!.
@DrNeenaJha It also doesn’t save money - PAs work half as fast as GPs (and cost half as much) and even then need additional GP input.
@DrNeenaJha That is so true. There’s no handover. Nobody follows the patient overnight. No nurse. No observations done. Anything can happen. And if the GP didn’t consider all the possible differentials, how to safety net the patient?