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1699274

registered interest
date	27/03/2024
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Physician Associates
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, further to the Written Answer by Lord Markham on 25 March (HL2978), why they have specified how physician associates (PAs) are to be used, specifically with undifferentiated patients, rather than allowing GP practices to make their own decisions about the use of PAs.
tabling member printed	Baroness Bennett of Manor Castle
uin	HL3652
answer	answer is ministerial correction date of answer 05/04/2024 answer text <p>Physician Associates (PAs) work within a defined scope of practice and limits of competence. NHS England has provided recent guidance on the use of PAs in general practice (GP) teams. As set out in the Network Contract Directed Enhanced Service, PAs should be adequately supervised by a GP when providing care for undifferentiated patients.</p><p>In terms of employment choices, GPs are self-employed contractors to the National Health Service, and it is largely up to employers to determine how best to staff their primary care network or GP, to best meet the needs of their population.</p> answering member printed Lord Markham question first answered 05/04/2024 13:32:33 answering member 4948 label Biography information for Lord Markham
tabling member	4719 label Biography information for Baroness Bennett of Manor Castle

1696559

registered interest
date	18/03/2024
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Physician Associates
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, in view of the expected growth in the supply of physician associates (PAs) to 10,000 by 2036–37 under the NHS Long Term Workforce Plan, how many PAs are expected to work in each setting.
tabling member printed	The Lord Bishop of Chelmsford
uin	HL3316
answer	answer is ministerial correction date of answer 25/03/2024 answer text <p>Physician Associates (PAs) currently work in over 40 specialties across primary, secondary, and community care, each determined by local needs and decisions. The largest proportion of the PA workforce works with doctors and other colleagues in primary care, followed by emergency and acute medicine. Other specialties include geriatrics, stroke, community, dermatology, and ear, nose, and throat. We have not made a central assessment of where we expect PAs to work in 2036/37. PAs' work must be undertaken within local clinical governance rules, and under the supervision or oversight of a senior doctor.</p> answering member printed Lord Markham question first answered 25/03/2024 12:53:28 answering member 4948 label Biography information for Lord Markham
tabling member	4922 label Biography information for The Lord Bishop of Chelmsford

1696338

registered interest
date	14/03/2024
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Physician Associates
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what assessment they have made of the status of the guidance issued by the British Medical Association in its report Safe Scope of Practice for Medical Associate Professionals (MAPs) in relation to Physician and Anaesthesia Associates.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3284
answer	answer is ministerial correction date of answer 20/03/2024 answer text <p>The Government considers scope of practice guidance for Anaesthesia Associates (AAs) and Physician Associates (PAs) to be a matter for the Royal College of Anaesthetists (RCoA) and the Royal College of Physicians (RCP) respectively, in conjunction with key stakeholders including other medical royal colleges, the Faculty of Physician Associates (FPA), and the Association of Anaesthesia Associates.</p><p> </p><p>The current scope of practice guidance for AAs, which is applicable across the United Kingdom, is published on the RCoA website. The FPA, which is hosted by the RCP, has also published guidance documents relating to the PA curriculum, code of conduct, and supervision. We understand that both the RCoA and the RCP are currently developing further guidance in collaboration with stakeholders, in relation to supervision and scope of practice.</p><p> </p><p>Once regulation begins, the General Medical Council’s published learning outcomes for AAs and PAs will also apply. This sets out a pre-qualification education framework and the outcomes expected of newly qualified AAs and PAs, including professional behaviours and capabilities and minimum expectations for the knowledge and skills required. In addition, employers of AAs and PAs are responsible for ensuring that appropriate governance and supervision are in place, and that individuals within their employment are practicing within their competence.</p> answering member printed Lord Markham grouped question UIN HL3285 HL3286 HL3287 HL3288 question first answered 20/03/2024 16:50:03 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1696339

registered interest
date	14/03/2024
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Physician Associates
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government whether they will issue guidance to the NHS on whether the Government endorses the British Medical Association’s report Safe Scope of Practice for Medical Associate Professionals (MAPs) in relation to Physician and Anaesthesia Associates.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3285
answer	answer is ministerial correction date of answer 20/03/2024 answer text <p>The Government considers scope of practice guidance for Anaesthesia Associates (AAs) and Physician Associates (PAs) to be a matter for the Royal College of Anaesthetists (RCoA) and the Royal College of Physicians (RCP) respectively, in conjunction with key stakeholders including other medical royal colleges, the Faculty of Physician Associates (FPA), and the Association of Anaesthesia Associates.</p><p> </p><p>The current scope of practice guidance for AAs, which is applicable across the United Kingdom, is published on the RCoA website. The FPA, which is hosted by the RCP, has also published guidance documents relating to the PA curriculum, code of conduct, and supervision. We understand that both the RCoA and the RCP are currently developing further guidance in collaboration with stakeholders, in relation to supervision and scope of practice.</p><p> </p><p>Once regulation begins, the General Medical Council’s published learning outcomes for AAs and PAs will also apply. This sets out a pre-qualification education framework and the outcomes expected of newly qualified AAs and PAs, including professional behaviours and capabilities and minimum expectations for the knowledge and skills required. In addition, employers of AAs and PAs are responsible for ensuring that appropriate governance and supervision are in place, and that individuals within their employment are practicing within their competence.</p> answering member printed Lord Markham grouped question UIN HL3284 HL3286 HL3287 HL3288 question first answered 20/03/2024 16:50:03 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1696340

registered interest
date	14/03/2024
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Physician Associates
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government whether they will discuss the implications for Physician and Anaesthesia Associates of the British Medical Association report Safe Scope of Practice for Medical Associate Professionals (MAPs) with the United Medical Associate Professionals.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3286
answer	answer is ministerial correction date of answer 20/03/2024 answer text <p>The Government considers scope of practice guidance for Anaesthesia Associates (AAs) and Physician Associates (PAs) to be a matter for the Royal College of Anaesthetists (RCoA) and the Royal College of Physicians (RCP) respectively, in conjunction with key stakeholders including other medical royal colleges, the Faculty of Physician Associates (FPA), and the Association of Anaesthesia Associates.</p><p> </p><p>The current scope of practice guidance for AAs, which is applicable across the United Kingdom, is published on the RCoA website. The FPA, which is hosted by the RCP, has also published guidance documents relating to the PA curriculum, code of conduct, and supervision. We understand that both the RCoA and the RCP are currently developing further guidance in collaboration with stakeholders, in relation to supervision and scope of practice.</p><p> </p><p>Once regulation begins, the General Medical Council’s published learning outcomes for AAs and PAs will also apply. This sets out a pre-qualification education framework and the outcomes expected of newly qualified AAs and PAs, including professional behaviours and capabilities and minimum expectations for the knowledge and skills required. In addition, employers of AAs and PAs are responsible for ensuring that appropriate governance and supervision are in place, and that individuals within their employment are practicing within their competence.</p> answering member printed Lord Markham grouped question UIN HL3284 HL3285 HL3287 HL3288 question first answered 20/03/2024 16:50:03 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1696341

registered interest
date	14/03/2024
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Physician Associates
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what assessment they have made of whether the adoption of the British Medical Association’s report Safe Scope of Practice for Medical Associate Professionals (MAPs) would restrict the role of Physician Associates.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3287
answer	answer is ministerial correction date of answer 20/03/2024 answer text <p>The Government considers scope of practice guidance for Anaesthesia Associates (AAs) and Physician Associates (PAs) to be a matter for the Royal College of Anaesthetists (RCoA) and the Royal College of Physicians (RCP) respectively, in conjunction with key stakeholders including other medical royal colleges, the Faculty of Physician Associates (FPA), and the Association of Anaesthesia Associates.</p><p> </p><p>The current scope of practice guidance for AAs, which is applicable across the United Kingdom, is published on the RCoA website. The FPA, which is hosted by the RCP, has also published guidance documents relating to the PA curriculum, code of conduct, and supervision. We understand that both the RCoA and the RCP are currently developing further guidance in collaboration with stakeholders, in relation to supervision and scope of practice.</p><p> </p><p>Once regulation begins, the General Medical Council’s published learning outcomes for AAs and PAs will also apply. This sets out a pre-qualification education framework and the outcomes expected of newly qualified AAs and PAs, including professional behaviours and capabilities and minimum expectations for the knowledge and skills required. In addition, employers of AAs and PAs are responsible for ensuring that appropriate governance and supervision are in place, and that individuals within their employment are practicing within their competence.</p> answering member printed Lord Markham grouped question UIN HL3284 HL3285 HL3286 HL3288 question first answered 20/03/2024 16:50:04 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1696342

registered interest
date	14/03/2024
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Physician Associates
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what assessment they have made of whether the adoption of the British Medical Association’s report Safe Scope of Practice for Medical Associate Professionals (MAPs) would undermine established governance and frameworks.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3288
answer	answer is ministerial correction date of answer 20/03/2024 answer text <p>The Government considers scope of practice guidance for Anaesthesia Associates (AAs) and Physician Associates (PAs) to be a matter for the Royal College of Anaesthetists (RCoA) and the Royal College of Physicians (RCP) respectively, in conjunction with key stakeholders including other medical royal colleges, the Faculty of Physician Associates (FPA), and the Association of Anaesthesia Associates.</p><p> </p><p>The current scope of practice guidance for AAs, which is applicable across the United Kingdom, is published on the RCoA website. The FPA, which is hosted by the RCP, has also published guidance documents relating to the PA curriculum, code of conduct, and supervision. We understand that both the RCoA and the RCP are currently developing further guidance in collaboration with stakeholders, in relation to supervision and scope of practice.</p><p> </p><p>Once regulation begins, the General Medical Council’s published learning outcomes for AAs and PAs will also apply. This sets out a pre-qualification education framework and the outcomes expected of newly qualified AAs and PAs, including professional behaviours and capabilities and minimum expectations for the knowledge and skills required. In addition, employers of AAs and PAs are responsible for ensuring that appropriate governance and supervision are in place, and that individuals within their employment are practicing within their competence.</p> answering member printed Lord Markham grouped question UIN HL3284 HL3285 HL3286 HL3287 question first answered 20/03/2024 16:50:04 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1693160

registered interest
date	04/03/2024
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Physician Associates
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government why the NHS England’s Network Contract Directed Enhanced Service specifies that physician associates employed under the Additional Roles Reimbursement Scheme have key responsibility for providing first point of contact care for patients presenting with undifferentiated, undiagnosed problems.
tabling member printed	Baroness Bennett of Manor Castle
uin	HL2978
answer	answer is ministerial correction date of answer 25/03/2024 answer text <p>Physician Associates have been part of the National Health Service workforce for a number of years. They are an important part of clinical teams across the NHS, providing support to thousands of patients every day, under the supervision of doctors.</p><p>The Additional Roles Reimbursement Scheme provides funding for a number of additional roles, including Physician Associates, to help create bespoke, multi-disciplinary teams. All these roles are in place to assist general practice (GP) doctors in reducing their workload and assisting patients directly with their needs, allowing doctors to focus on more complex patients and other priorities, including continuity of care. Physician Associates work alongside GPs and the wider practice team to provide care as part of the multidisciplinary team.</p> answering member printed Lord Markham question first answered 25/03/2024 12:07:11 answering member 4948 label Biography information for Lord Markham
tabling member	4719 label Biography information for Baroness Bennett of Manor Castle

1686222

registered interest
date	31/01/2024
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Physician Associates
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if she will make an assessment of the potential merits of changing the title of Physician Associates to Physician Assistants.
tabling member constituency	Ynys Môn
tabling member printed	Virginia Crosbie
uin	12350
answer	answer is ministerial correction date of answer 05/02/2024 answer text <p>The Physician Associate (PA) title has been well established in the United Kingdom since 2014 and the role has been part of the National Health Service workforce for more than twenty years. The title reflects the fact that they are part of a multidisciplinary team of healthcare professionals, working together to deliver coordinated patient care.</p><p> </p><p>It is the responsibility of professionals and their employers to ensure professional titles are used appropriately. As set out in National Institute for Health and Care Excellence guidelines, all healthcare professionals should introduce themselves and explain their role to the patient regardless of their job title, with PAs being no different.</p><p> </p><p>The General Medical Council has published interim standards for PAs in advance of regulation which make it clear that professionals should always introduce their role to patients and set out their responsibilities in the team.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 05/02/2024 15:43:15 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4859 label Biography information for Virginia Crosbie

1681528

registered interest
date	11/01/2024
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Physician Associates
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what recent guidance her Department has issued to NHS Trusts on the integration of physician associates into healthcare teams.
tabling member constituency	Slough
tabling member printed	Mr Tanmanjeet Singh Dhesi
uin	9267
answer	answer is ministerial correction date of answer 17/01/2024 answer text <p>NHS England has worked with royal colleges and the General Medical Council (GMC) to develop appropriate curricula, core capability and career frameworks, standards for continued professional development, assessment and appraisal and supervision guidance for the physician associate (PA) role.</p><p>NHS England continues to work with partners, including the GMC and medical royal colleges, to ensure that PAs can be effectively trained and integrated into teams across a range of specialties through the ongoing development of national standards, a defined scope of practice, and assessment of educational capacity.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 17/01/2024 17:33:02 answering member 4044 label Biography information for Andrew Stephenson
tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi