The NHS equivalent of the Pcso

The majority of doctors who took part in a UK-wide BMA survey believe that the way in which physician associates (PAs) or anaesthesia associates (AAs) work present a significant risk to patient safety.

In what is thought to be the first survey of its kind, with over 18,000 responses, UK doctors are reporting overwhelming concern about patient safety in the NHS due to the current ways of employing physician associates and anaesthesia associates.

87% of doctors who took part said the way AAs and PAs currently work in the NHS was always or sometimes a risk to patient safety.

In addition, 86% reported that they felt patients were not aware of the difference between these roles and those of doctors, showing the immense scope for patient confusion about the level of care they are receiving. In a separate survey of the public, 29% of patients said they did not know whether or not they had been seen by a PA.

The results of these surveys are more evidence that the Government’s plan to regulate PAs and AAs by the GMC – the doctors’ regulator - are ill-thought-through and will likely further blur the lines between doctors and other roles in patients’ minds.

Encouraged by the BMA, over 10,000 doctors have so far written to their MP to urge them to oppose this damaging change.

Prof Philip Banfield, BMA chair of council, said:

“Doctors in the UK have been growing more and more worried about the consequences of the Government’s plan to expand the number of PAs and AAs in England. Here, at last, are numbers that show the shocking scale of that concern.

“If well-defined, associate roles can play an important part in NHS teams, but the Government has refused to give associate roles that definition. Patients deserve to know who is treating them and the standard of care they are going to receive. By blurring the lines and allowing a situation where PAs can act beyond their competence without the public understanding what they are qualified to do, both professions are demeaned and risk losing crucial public trust.

“This week Government has continued to press ahead with plans to regulate PAs as if they are doctors - using the GMC. At every stage we have been clear that the GMC is the wrong regulator for medical associate professionals: it is the body for regulating doctors, which these staff are not.

“The Government is encouraging a false representation. Patients being told that the people seeing them are regulated by the same body that regulates doctors will make them think they are receiving a doctor’s standard of care. Indistinguishable GMC numbers will make it difficult to tell if you have seen a doctor, even when patients ask. But there is no comparison between the two years of a PA’s training and the four to six of a qualified doctor. And by giving the impression that PAs can do what doctors can do, the Government is risking yet more patient safety incidents along the lines we have already seen.

“The creeping expansion of these roles and their central part in the Government’s workforce plan for the NHS has been undertaken against the advice and warnings of an entire profession. To change the nature of medical care in this country without the consent of the medical profession is utter folly and will be revealed as such.

“There is still time for the Government to reverse course and finally listen to the medical professionals who know what they are talking about. The BMA will continue to oppose this dangerous path every step of the way.”