Asked by: Josh Fenton-Glynn (Labour - Calder Valley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what proportion of doctors accused of sexual misconduct were placed under interim suspension by the GMC between 2018 and 2025.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Department does not hold this information centrally.
The General Medical Council (GMC) is the regulator of all medical doctors, physician assistants, and physician assistants in anaesthesia, still legally known as anaesthesia associates and physician associates, practising in the United Kingdom. The GMC is independent of the Government, being directly accountable to Parliament, and is responsible for operational matters concerning the discharge of its statutory duties. The United Kingdom’s model of healthcare professional regulation is founded on the principle of regulators operating independently from the Government.
Asked by: Josh Fenton-Glynn (Labour - Calder Valley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether any doctors were erased or struck off due to sexual misconduct between 2018 and 2025.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Department does not hold this information centrally.
The General Medical Council (GMC) is the regulator of all medical doctors, physician assistants, and physician assistants in anaesthesia, still legally known as anaesthesia associates and physician associates, practising in the United Kingdom. The GMC is independent of the Government, being directly accountable to Parliament, and is responsible for operational matters concerning the discharge of its statutory duties. The United Kingdom’s model of healthcare professional regulation is founded on the principle of regulators operating independently from the Government.
Asked by: Peter Prinsley (Labour - Bury St Edmunds and Stowmarket)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps he is taking to help ensure trauma-informed education and training for all staff involved in fitness-to-practice cases within the Medical Practitioners Tribunal Service.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Medical Practitioners Tribunal Service (MPTS) is a statutory committee of the General Medical Council (GMC), the independent regulator of all medical doctors, anaesthesia associates and physician associates practising in the United Kingdom. The MPTS operates separately from the investigatory role of the GMC to make impartial decisions about whether doctors are fit to practise medicine. The MPTS is independent of Government, accountable to the GMC and Parliament.
The appointment, training and appraisal of tribunal members is undertaken by the MPTS to ensure independence of tribunal decision making. All tribunal members are required to take part in annual training. In 2024, this included decision making in sexual misconduct cases, supported by case studies, encompassing inappropriate sexual behaviours, sexual motivation and sexual harassment, rape myths and assessing demeanour.
The UK's model of healthcare professional regulation is founded on the principle of regulators operating independently from government. My Rt. Hon. friend, the Secretary of State for Health and Social Care, has not taken any steps to ensure trauma-informed education and training for all staff involved in fitness-to-practice cases within the MPTS.
Asked by: Peter Prinsley (Labour - Bury St Edmunds and Stowmarket)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what recent discussions he has had with the Medical Practitioners Tribunal Service on the revision of sanctions banding for sexual misconduct cases.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Medical Practitioners Tribunal Service (MPTS) is a statutory committee of the General Medical Council (GMC), which is the independent regulator of all medical doctors, anaesthesia associates, and physician associates practising in the United Kingdom. The MPTS operates separately from the investigatory role of the GMC to make impartial decisions about whether doctors are fit to practise medicine. The MPTS is independent of the Government, and is accountable to the GMC and Parliament.
In September 2025, subject to approval from GMC Council, the MPTS will publish a new set of Guidance to MPTS Tribunals, which will replace the current Sanctions Guidance. This updated guidance includes a new decision-making methodology and new sanctions bandings, to improve transparency and support consistent decision making.
The UK's model of regulation for healthcare professionals is founded on the principle of regulators operating independently from the Government. My Rt Hon. Friend, the Secretary of State for Health and Social Care has not had any recent discussions with the MPTS on the revision of sanctions banding for sexual misconduct cases.
Asked by: Aphra Brandreth (Conservative - Chester South and Eddisbury)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether his Department has considered allowing medical students in their second foundation year to apply for positions that are ring-fenced for physician associates.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
No such consideration has been made. The role of physician associates (PAs) is to work with and support doctors, not to replace them. To become employed as a PA, candidates will need to have completed a recognised PA qualification.
Regulation of PAs by the General Medical Council (GMC) began at the end of 2024. To join the register, PAs must meet the GMC’s requirements and pass both parts of the Physician Associate National Examination.
Asked by: Baroness Bennett of Manor Castle (Green Party - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government how many physician associates currently working in the NHS or in private healthcare have not passed the Physician Associate National Examination; and whether they plan to ensure that physician associates currently working have passed it before the deadline for registering with the General Medical Council in December 2026.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department does not hold data on how many Physician Associates (PAs) currently working in the National Health Service or in private healthcare have not passed the Physician Associate National Examination (PANE).
Statutory regulation of PAs and Anaesthesia Associates (AAs) by the General Medical Council (GMC) has begun. The GMC has made it a mandatory registration requirement for all PAs to have passed the PANE. Under the Anaesthesia Associate and Physician Associate Order, PAs and AAs must join the GMC register or cease practising by December 2026.
Asked by: Adrian Ramsay (Green Party - Waveney Valley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what progress he has made on outlining the clinical scope of the (a) role and (b) duties undertaken by (i) physician and (ii) anaesthesia associates.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
On 20 November 2024, the Government announced that it had commissioned an independent review of physician associates (PAs) and anaesthesia associates (AAs), led by Professor Gillian Leng CBE. The review will consider the safety of the roles, and their contribution to multidisciplinary healthcare teams.
As set out in the published Terms of Reference, the review will be an end-to-end review of the PA and AA professions, covering selection and recruitment, training, day to day work, scope of practice, oversight, supervision, and professional regulation. The review will report in spring 2025.
NHS England has issued guidance on the deployment of PAs and AAs in the National Health Service, which describes the expectations of how organisations providing NHS care should deploy them, so that they can contribute to the delivery of safe and effective healthcare in a supportive environment. This guidance remains in place whilst the review is ongoing, and is available at the following link:
In the meantime, regulation with the General Medical Council has begun, and will help to ensure patient safety and professional accountability.
Asked by: Baroness Bennett of Manor Castle (Green Party - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government whether the independent review of physician associate and anaesthesia associate professions, led by Professor Gillian Leng CBE, will consider the impact of physician and anaesthetist associates on the availability of training places for junior doctors, the nature and structure of junior doctor training programmes, and the levels of remuneration for junior doctors.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
As set out in the published Terms of Reference, the Leng review will be an end-to-end review of the Physician Associate and Anaesthesia Associate professions, covering selection and recruitment, training, day to day work, scope of practice, oversight, supervision, and professional regulation.
As part of the deal agreed between the Government and the British Medical Association (BMA) Resident Doctors Committee, the Government has committed to work in partnership with the BMA and other health organisations to review the current system of training and rotational placements for resident doctors. This work is being taken forward outside the Leng Review.
The levels of remuneration for resident doctors are not in scope of the review, as the Review Body on Doctors' and Dentists' Remuneration advises the Government on rates of pay for doctors and dentists.
Asked by: Adrian Ramsay (Green Party - Waveney Valley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether legal costs associated with the case between the General Medical Council (GMC) and Anaesthetists United, regarding regulation of Physician and Anaesthesia Associates will be paid for by the Department of Health and Social Care or any other public body.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Government is funding the General Medical Council (GMC) to undertake the work required to introduce regulations for Anaesthesia Associates (AAs) and Physician Associates (PAs), to avoid doctors paying for this through their registrant fees.
A longstanding principle underpinning the introduction of statutory regulation for new professions is that all related-costs, including legal challenges to that work, should be funded by the Government, to avoid other professions cross-subsidising the work involved.
Once regulation of AAs and PAs becomes self-funding, the Government will cease funding the GMC.
Asked by: Baroness Bennett of Manor Castle (Green Party - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government whether they are funding or part-funding the General Medical Council's defence against the legal challenge to the registration of anaesthetist and physician associates; and if so, why.
Answered by Baroness Merron - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government is funding the General Medical Council (GMC) to undertake the work required to introduce regulation for Anaesthesia Associates (AAs) and Physician Associates (PAs), to avoid doctors paying for this through their registrant fees.
A longstanding principle underpinning the introduction of statutory regulation for new professions is that all related-costs, including legal challenges to that work, should be funded by the Government, to avoid other professions cross-subsidising the work involved.
Once regulation of AAs and PAs becomes self-funding, the Government will cease funding the GMC.