The ultimate cost isn’t to doctors’ careers. It’s to the diagnostic safety net that catches the atypical presentations - the ones that don’t fit the protocol, where pattern recognition from 1000s of cases matters. That’s what’s being quietly dismantled in an effort to save costs.

What’s more disappointing is seeing senior clinical leaders backing this to the hilt - endorsing scope creep, signing off inadequate supervision models, staying silent on MAPs/ACPs - rather than taking a moral stand and demanding better for the profession.

Treasury constraint is probably a simpler explanation - cheaper roles are attractive regardless of ideology. But institutional inertia and genuine belief in “taskification” narratives among policymakers shouldn’t be underestimated.

That rhetoric and those protests are happening in the UK right now, which is why I am worried about the tide shifting.

I agree not everyone with conservative views is far right. But there’s an important distinction: wanting controlled immigration or lower taxes is mainstream right wing. Calling refugees “invaders”, pushing “replacement” conspiracies and attacking hotels housing asylum seekers is far right…

Perhaps. But it feels that there tide is slowly creeping in that direction can that’s reflected in the rhetoric, protests and polls at the moment. Polls indicate may share the sentiment.

There has to be hope – ways to counter the lies and rebuild something better. What keeps you fighting for this country and countering the hateful spite coming out of far-right protesters at the moment?

13/ We didn’t just raise concerns - we submitted detailed, verifiable evidence which could have been followed up. DAUK’s submission was ignored in full. Not even cited. That tells me all I need to know about how seriously frontline doctors were taken in this review.

12/ I want to share a tangible concern: what's to stop a PA in gastro from doing scopes? Nothing. Now add credentialled prescribing - and you have non-doctors sedating patients for invasive procedures...