The #NHS also called the “jewel in the crown” Now- Built on a model of “don’t come to see us” And if you do? “Please leave quickly” Whether it be primary care or specialist care It’s called demand management OR not enough resources to deal with the need of the population.

I will say this- again. In a safety critical 'industry' like healthcare? Lesser trained staff usage-at scale-will cause harm. You will 'get away with it' a lot of times. Yet all it needs is 'one miss'. And the higher training reduces the chance of that 'one' - it's what training is all about. If you don't understand that? You fail safety issues And you fail as an educator and trainer. Thank you @JanetEastham for continuing to raise the issue. The irony? Every single person responsible for such decisions regards 'what the public can have' - reaches out to a doctor when they need help for their loved one. 'Cake for me. None for you.'

"It seems to me that a decision has been made to replace doctors and to remove distinctions between doctors and other professions. It's no coincidence that the NHS continues to struggle with efficiency, productivity, and safety problems while we progress further towards a blended workforce without the necessary training supervision or regulation." Via @bmj_latest bmj.com/content/393/bmj-2026…