I'm delighted to launch the first Patient Safety Principles to unify the healthcare system in changing the culture to keep people safe – see

Leaders should consider adopting a safety management system, embedding continuity of care, and restorative practice

Leaders should ensure that the patient voice is central in the design of services, in obtaining fully informed consent, and in the implementation of shared decision making

Patients, workers, and communities should be encouraged and empowered to proactively identify and speak up about risks, hazards, and potential improvements - see the full set of principles and an implementation toolkit at

Ok. Thousands of doctors and patients have been shouting about the risks posed by the PA project and you have totally ignored them. Why should anyone listen to you if you will not even acknowledge concerns that are raised? What is your actual job?

Can we now have these enforced? Informed consent is already our legal, ethical and human right yet it is routinely neglected in @NHSEngland . A right is not a right if it’s not respected.

@PSCommissioner all of this talk is just waffle .I’ve tagged you in several posts about the dangers of Physician associates but no response from you so I will just leave these threads here

"...SHOULD...", "...SHOULD...", ".. SHOULD..." = all aspirational empty rhetoric. #patientsafety

@wesstreeting today admitted that there are “legitimate concerns” re PAs. When are you going to acknowledge and address these? Patients have come to harm because of non-drs practising medicine. Isn’t your raison d’être patient safety?

Patients are being killed by people pretending to be doctors and you’ve been working on…. A poster? 🤦‍♀️