Question to the Department of Health and Social Care:

To ask His Majesty's Government what steps they are taking to ensure that NHS staff have sufficient capacity to supervise and support new associate staff.

Anaesthesia Associates (AAs) and Physician Associates (PAs) are supervised by a designated senior doctor, in the role of a consultant, registrar, or general practitioner. The NHS Long Term Workforce Plan sets out plans to increase the PA workforce to 10,000 by 2036/37, and the AA workforce to 2,000 over the same period. The plan also calls for 60,000 more doctors, for a factor of five to one in favour of more doctors, which will contribute to the sustainable implementation of this multidisciplinary model and deliver increased capacity to supervise and support new associate staff.

NHS England is working with the relevant professional colleges and regulators to ensure the use of associate roles is expanded safely and effectively, and that they are appropriately supported, supervised, and integrated into multidisciplinary teams.

The introduction of regulation by the General Medical Council (GMC) will provide a standardised framework of governance and assurance for the clinical practice and professional conduct of AAs and PAs, and make it easier for employers, patients, and the public to understand the relationship between these roles and that of doctors.

As set out in National Institute for Health and Care Excellence’s guidelines, all healthcare professionals should introduce themselves and explain their role to the patient regardless of their job title. In addition, the GMC has published interim standards for AAs and PAs in advance of regulation which makes it clear that professionals should always introduce their role to patients, and set out their responsibilities in the team.