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What is a 'clinician'? Am I being unreasonable??

(85 Posts)
Jess20 Thu 13-Feb-25 15:55:08

I've been trying to get help for a very painful ankle since August and going round in circles. From being very fit and active I'm now stumbling along unable to walk my dog properly. I was referred to Muscular Skeletal months ago and just been told I can have an appointment next month with a 'Clinician'. I asked if this was a doctor, nurse, physiotherapist, physicians assistant, etc and was told it was a 'Clinician', nothing else, not even what sort of clinician except they deal with my problem. I am sure this person must have some formal qualifications but I couldn't find out what they were and I'm not too happy being referred without knowing the expertise or speciality or qualifications of the person I'm seeing. Am I being unreasonable?

silverlining48 Tue 18-Feb-25 17:34:30

When you meet the clinician you can ask for their specific qualifications.
Or like most, you are just happy to have an appointment.
I have never been told specifically who I am seeing, the only information given on the letter is the name of the consultant in charge who you may or may not see.
As for ‘ getting the lowest person that just might be capable ‘ that is just ridiculous.

SallyatBaytree Tue 18-Feb-25 07:35:41

It may well be that the team you are referred to share out cases when they meet ( Multidisciplinary meeting) based on who is best qualified to deal with each individual case : in a former life I was in a MDT where referred in cases were discussed and allocated.

CariadAgain Sun 16-Feb-25 16:30:16

Rasamara

If it helps, when I was in the nhs (happily left last year) we all had the same job title but we all had different qualifications — and all of these were appropriate to allow us to do the job we were employed to do. Whomever did the bookings might know which individual would be assigned to you; whenever I met anyone I told them what version of the possible range I was.
My discipline is different to the OP’s condition — mental health not physical health — but the same principle applies I believe? The cynic in me, however, believes it is part of the process of ‘dumbing down’ the nhs by giving us all generic contracts (and don’t get me started on the constant lowering of pay bands for key team management roles). So I’m a highly experienced, very specialised child & adolescent psychotherapist (also have qualifications for adult work as well) but there I was a generic “mental health worker” and all of us were “clinicians”.
OP you have every right to know who is treating, and should definitely ask, but don’t let it stop you going. Only when you are there will you know if you are being treated by a physio with 20+ years experience or a wet behind the ears, not yet learned bedside manners, junior doctor… and both would be clinicians. Hope your ankle improves soon 🤗

Well that certainly makes it very plain - ie they've deliberately applied a general title and will try and get away with the lowest level possible person that might just be capable of the task in hand.

Though, obviously, there are people of differing skills levels at point on the spectrum - remembering the way there are three levels of people that deal with feet (from beautician level up to podiatrist) and it was a podiatrist that recently made a painful mess of partial nail avulsion (ie removing part of nail - to deal with ingrown toenail) and a lowest level woman subsequently that helped put right that bodge job to some extent.

Luckygirl3 Sun 16-Feb-25 15:43:32

Seems a shame they did not just answer your question.

Rasamara Sun 16-Feb-25 15:33:17

If it helps, when I was in the nhs (happily left last year) we all had the same job title but we all had different qualifications — and all of these were appropriate to allow us to do the job we were employed to do. Whomever did the bookings might know which individual would be assigned to you; whenever I met anyone I told them what version of the possible range I was.
My discipline is different to the OP’s condition — mental health not physical health — but the same principle applies I believe? The cynic in me, however, believes it is part of the process of ‘dumbing down’ the nhs by giving us all generic contracts (and don’t get me started on the constant lowering of pay bands for key team management roles). So I’m a highly experienced, very specialised child & adolescent psychotherapist (also have qualifications for adult work as well) but there I was a generic “mental health worker” and all of us were “clinicians”.
OP you have every right to know who is treating, and should definitely ask, but don’t let it stop you going. Only when you are there will you know if you are being treated by a physio with 20+ years experience or a wet behind the ears, not yet learned bedside manners, junior doctor… and both would be clinicians. Hope your ankle improves soon 🤗

mabon1 Sun 16-Feb-25 13:08:29

Find their name and look up the qualifications on Google or NHS website or ask your GP. It is disgraceful that you are not being informed.

Marydoll Sun 16-Feb-25 09:56:50

mae13

A Clinician? That's a broad description - could easily be just about anybody who's managed to get themselves a First Aid certificate.

The common definition of clinician is: a person qualified in the clinical practice of medicine, psychiatry, or psychology as distinguished from one specializing in laboratory or research techniques or in theory.

I don't think having a First Aid certificate qualifies. wink

mae13 Sun 16-Feb-25 06:11:54

A Clinician? That's a broad description - could easily be just about anybody who's managed to get themselves a First Aid certificate.

theworriedwell Sun 16-Feb-25 03:05:12

When I had an ankle issue it was initially dealt with by a nurse practitioner, she had me x-rayed and strapped it up and referred me to physio for follow up. Very efficient she was too.

theworriedwell Sun 16-Feb-25 03:02:39

jude2006

I needed a medication review last week, and was told that I was booked to talk to a clinician over the phone.
I too was wondering what a clinician was so looked it up and fortunately in my case it was a pharmacist, and he did introduce himself as such.
However it can be anyone with medical training, but they should introduce themselves to you.
Good luck Jess20 and I hope you can get the treatment you need.

At my surgery it would be a paramedic. Really nice guy who'd had enough of shifts and emergencies so uses his skills in another way.

theworriedwell Sun 16-Feb-25 03:00:29

NotSpaghetti

welbeck
It would be wasting their time with pointless queries.

I don't think it's pointless.
I must be "one of those patients" - one of those who want to know what's going on.

Not everyone is comfortable in a hospital environment you know. If you are someone who needs to know, then you need to ask.
I'm saying what I'd do.

The person on the phone might not know. Appointments for my local hospital are dealt with in another town so the person on the phone might know you are down to see Miss Smith but she doesn't know Miss Smith from Adam and has no idea of her qualifications. Asking Miss Smith on the day will be the best way to find out.

Scottiegran999 Sat 15-Feb-25 20:05:19

WTF. You’re entitled to know who you’re seeing. Certainly not unreasonable.

Casdon Sat 15-Feb-25 18:16:24

Clinician is the generic name for health professionals within the NHS, it never was just for doctors. I think it was a term widely used internally, which maybe the public didn’t recognise.

BeverleyJB Sat 15-Feb-25 17:54:04

wibblywobblywobblebottom

In the NHS a clinician is usually a doctor.

Unfortunately no longer so - there is an increased use of Physician Associates, whose only “qualification” is a two year course. These people are tasked with diagnosing patients, even serious illnesses such as cancer. Qualified nursing staff have more knowledge & experience, it's appalling.

Allira Sat 15-Feb-25 17:46:05

wibblywobblywobblebottom

In the NHS a clinician is usually a doctor.

You'd think so, but not any longer, apparently.

wibblywobblywobblebottom Sat 15-Feb-25 17:43:39

In the NHS a clinician is usually a doctor.

jude2006 Sat 15-Feb-25 17:05:13

I needed a medication review last week, and was told that I was booked to talk to a clinician over the phone.
I too was wondering what a clinician was so looked it up and fortunately in my case it was a pharmacist, and he did introduce himself as such.
However it can be anyone with medical training, but they should introduce themselves to you.
Good luck Jess20 and I hope you can get the treatment you need.

Norah Sat 15-Feb-25 16:56:18

Given I happily go to frequent physio, pain lessens, I'm content.

If my physio is a clinician, my TKR pain was over quickly.

Allira Sat 15-Feb-25 16:51:08

RedRidingHood

Charleygirl5

A clinician in my experience is usually a doctor.

No. Could be a nurse, physio or physician associate.
I think a physio might be the best person for you OP.
I would go along and ask the person. They should clearly tell you their role and should have a badge.

I think Charleygirl5 knows what she is talking about.

The definition of clinician was a doctor who dealt with patients but seems to have morphed now to cover many medical professionals. Perhaps it is an attempt to assure patients that their case is being dealt with more speedily than it is.

NotSpaghetti Sat 15-Feb-25 16:39:42

... posted to soon,
Sorry.
..it tallies with Mwdebbie's comments

RedRidingHood Sat 15-Feb-25 16:39:10

Charleygirl5

A clinician in my experience is usually a doctor.

No. Could be a nurse, physio or physician associate.
I think a physio might be the best person for you OP.
I would go along and ask the person. They should clearly tell you their role and should have a badge.

NotSpaghetti Sat 15-Feb-25 16:35:28

That looks quite straightforward Elusivebutterfly
Thank you.

Allira Sat 15-Feb-25 16:31:29

Thank you Mwdebbie, and as many of us suspected
atm referral to a ‘muscular-skeletal service’ (usually a physio) is currently used as a way of managing the overwhelming volume of patients needing orthopaedic referrals- a bit of a delaying tactic.

All fine as long as you are told who it is you are seeing and you are not led to believe you are seeing a doctor when the person is not, is rather dishonest.
Telling a patient they have an appointment with a Consultant or one of his/her team would lead most people to believe they are seeing a qualified doctor.

Libbee Sat 15-Feb-25 16:28:33

You are right to ask what a clinician is. My sister attended an appointment and was told she would see a clinician. Asked what a clinician was, she was told a trainee doctor with 2 years of training. They are supposed to be monitored when seeing a patient but very rarely are. I honestly think that it is a dangerous way of trying to cut waiting lists.

arum Sat 15-Feb-25 16:17:58

Take a look at the site "interview guy.com", an article "Clinician Job Description [Updated for 2025]"