All doctors were on strike

Apart from a Christmas Day service and yet it really does not seem to be making much impact with the media or public.  I rather fancy the NHS is so fooked anyway that people barely notice cancelled appointments and surgery any more they just expect it.  

You’re probably right. I’m coming to the conclusion these strikes are doomed. The consultant one will fizzle out and the juniors will limp on leaving a lashing disaffected workforce who are actively looking to emigrate. 

Crypto I am sure a significant minority are looking to emigrate but the ties of friends and family are stronger than the lure of a bigger pay packet for the majority and always will be

True but we are already pretty hard up and it doesn’t take many leaving to cause serious shortages. The people coming from overseas are not, IMO, as good as they were years ago when we had legions of excellent Indian and African Drs to prop us up. Those people are either staying at home or going stateside. 
 

The government’s solution seems to be these physician associates who are pretending to be Drs. All I will say is to keep paying your BUPA. 

All I will say is to keep paying your BUPA. 
 

I understand that many private practitioners are moving to cash-only, because of the shoddy rates paid by insurers.

I’ve heard that but my understanding is that most private practice in the U.K. is insured patients. Psych may be an exception but once you start needing scans, labs, and procedures it becomes very costly. 
 

Hard to know where we can escalate from here. I’m actually a little surprised at how little movement there’s been from the government after such sustained action but I don’t see giving up as an option. 

The government’s solution seems to be these physician associates who are pretending to be Drs.
 

And yeah, this is a scandal in the making. How you can turn people with such little training and experience loose on the general public I have no idea. I take imaging requests from them in ED (under the aegis of the ED consultant), and the level of knowledge and ability leaves something to be desired.

Heh. The whole thing is a disgrace and I think some of these people are misleading pts into thinking they’re Drs. I don’t have a problem with the concept but I do have a problem with saying they’re the “equivalent” of a SHO (or even Reg!).