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Medical Care Practitioners

#1
What happened to the plan to introduce Physician Assistants into the Army? I believe there were plans to send selected CMTs to Canada for training a few years back but nothing appears to have come of it.

Only asking because the Government has just announced plans to introduce Medical Care Practitioners (ie Physician Assistants) into the NHS.

MCPs will be a new breed of health professional performing similar duties to junior doctors under consultant supervision.

The new role of Medical Care Practitioner means that after rigorous additional training and under the continuous supervision of a physician, healthcare professionals will be able to:

Obtain full medical histories and perform appropriate physical examinations such as breast checks
Diagnose, manage and treat illnesses within their competence such as depression, gout and eczema
Request diagnostic tests such as ECGs and interpret the results
Provide patient education and preventative healthcare advice regarding medication, common problems and disease management such as diabetes care, chronic respiratory conditions and angina
Prescribe medications as appropriate
Decide on appropriate referral to, and liaison with, other professionals.
 
#2
What would their rank-range be? What capbadge would they be? what payscale would they be on?
those are probably a couple of the stumbling blocks theyve run into.
 

Ventress

LE
Moderator
#4
ibilola said:
What happened to the plan to introduce Physician Assistants into the Army? I believe there were plans to send selected CMTs to Canada for training a few years back but nothing appears to have come of it.
I think it got binned to make way for the On Board CMT Cruise course which takes 2 years to complete based in the Maldives.

I am so shocked too!
 
#6
ibilola said:
Obtain full medical histories and perform appropriate physical examinations such as breast checks
Diagnose, manage and treat illnesses within their competence such as depression, gout and eczema
Request diagnostic tests such as ECGs and interpret the results
Provide patient education and preventative healthcare advice regarding medication, common problems and disease management such as diabetes care, chronic respiratory conditions and angina
Prescribe medications as appropriate
Decide on appropriate referral to, and liaison with, other professionals. [/b]
From the Role profile above I would call that a Nurse Consultant.
 

Auld-Yin

ADC
Kit Reviewer
Book Reviewer
Reviews Editor
#8
Pox_Dr said:
ibilola said:
Obtain full medical histories and perform appropriate physical examinations such as breast checks
Diagnose, manage and treat illnesses within their competence such as depression, gout and eczema
Request diagnostic tests such as ECGs and interpret the results
Provide patient education and preventative healthcare advice regarding medication, common problems and disease management such as diabetes care, chronic respiratory conditions and angina
Prescribe medications as appropriate
Decide on appropriate referral to, and liaison with, other professionals. [/b]
From the Role profile above I would call that a Nurse Consultant.
Not quite Pox_Dr

See the Nursing profiles from Agenda for Change

http://www.dh.gov.uk/assetRoot/04/10/40/96/04104096.pdf

Diagnosing etc has still to be written into a profile
 
B

Biscuits_AB

Guest
#9
Filbert Fox said:
What would their rank-range be? What capbadge would they be? what payscale would they be on?
those are probably a couple of the stumbling blocks theyve run into.
That's what is driving his post. He is determined to reach WO without working for it.
 
#10
Auld-Yin said:
Diagnosing etc has still to be written into a profile
Beg to differ, As a Uniformed CNS I was diagnosing both on OPs & in MDHUs, as are colleagues still serving, this can be bourn out by those who know me or about the trade. Presently I am a GUM Nurse Cons in the NHS & my guildlines which include diagnosing are part of the BASHH national guildlines & used by the physicians that I work along side, so is every other NC that I am aware of.

The fact that it’s not in AfC doesn’t mean it doesn’t happen, as a lot of people are discovering. Although it is part of KSF which is linked to AfC & the appraisal process - In Dimension G2 Development & Innovation it quantifies development as "assessment, diagnosis, care & treatment."

However the main area of difference seems to be that MCP are generic & can cross over specialities where as NC are restricted to fixed specialist areas.

Good luck to them if this can be pulled together.

Although I would imagine that it will be many years before the services take this on board, probably as the NHS is phasing them out.
 
#11
And the original question did not merit an answer?

Incidently, what did happen to....... Physicians assistants?
In the same vein; what is happening with Paramedical qualification/certification?

Dr's saying no again?
 
#12
Letterwritingman said:
And the original question did not merit an answer?

Incidently, what did happen to....... Physicians assistants?
In the same vein; what is happening with Paramedical qualification/certification?

Dr's saying no again?
Your sounding as cynical as me! :wink:
 
#14
She/he/it is desperately looking for ways into the Mess without doing the time (PQWO, qualified Radiographers should be sgts, medical care practitioners etc...), as a TA officer radiographer she/he/it would have to join as a junior as there are no direct entry officers in the Regular Radiographer CEG.
 
#15
Portsmouth uni are running a civi doctors assistant course. The qualified person is then able to cannulae and take bloods on the ward when the nurses cannot or the doctors are busy.

In Birmingham there are civi doctors assistants who do this but also order investigation procedures i.e. CT scans as well as being a clerk for the doctors. They do not carry out examinations on patients or have prescribing powers.

From what I have seen this role is not an extension of the nurse but, as the title suggests a doctor’s assistant. As for having this role in the army, I can’t see it in this form.
 
#16
Ibolola bloody what-ever, is becoming a pain in the arrse. He/she/it is degrading us techies in the eyes of others in he/she/its desire to be comissioned! lets get real, this is what he/she/it wants! Obviously he/she/it hasn't been granted this hallowed position and wants it so badly!

Never mind lovey, maybe one day :wink:
 
#17
Pox_Dr said:
Auld-Yin said:
Diagnosing etc has still to be written into a profile
Beg to differ, As a Uniformed CNS I was diagnosing both on OPs & in MDHUs, as are colleagues still serving, this can be bourn out by those who know me or about the trade. Presently I am a GUM Nurse Cons in the NHS & my guildlines which include diagnosing are part of the BASHH national guildlines & used by the physicians that I work along side, so is every other NC that I am aware of.

The fact that it’s not in AfC doesn’t mean it doesn’t happen, as a lot of people are discovering. Although it is part of KSF which is linked to AfC & the appraisal process - In Dimension G2 Development & Innovation it quantifies development as "assessment, diagnosis, care & treatment."

However the main area of difference seems to be that MCP are generic & can cross over specialities where as NC are restricted to fixed specialist areas.

Good luck to them if this can be pulled together.

Although I would imagine that it will be many years before the services take this on board, probably as the NHS is phasing them out.
Physicans Assistants have been successfully employed in the Canadian Armed Forces for many years, so there's no reason why a similar scheme shouldn't work in our forces.

http://www.medicalpost.com/mpcontent/article.jsp?content=/content/EXTRACT/RAWART/3724/25A.html
 

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