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Review calls for curbs on role of NHS physician associates

The Guardian

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July 16, 2025

NHS physician associates should be banned from diagnosing patients who have not already been seen by a doctor, a government review has concluded.

- Rachel Hall

The review calls for the government to overhaul the role of physician associates (PAs), which it warns have been substituted for doctors to fill staffing gaps despite having significantly less training.

Wes Streeting, the health secretary, ordered the review of the role of the more than 3,500 PAs and 100 anaesthesia associates (AAs) after six high-profile deaths of patients who were misdiagnosed by PAs.

Prof Gillian Leng, the president of the Royal Society of Medicine, spoke to more than 1,000 people for the review, and concluded there were "no convincing reasons to abolish the roles of AA or PA" but there was also no case "for continuing with the roles unchanged".

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