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Physician associates should be banned from diagnosing patients, says review

ENGLAND, JUL 16 – The review recommends renaming physician associates as physician assistants, restricting their diagnostic duties, and mandating two years' hospital training before primary care work, amid patient safety concerns.

  • Government-Ordered review finds PAs should not diagnose patients who haven't seen a doctor, recommending renaming and standardising roles in NHS care, led by Professor Gillian Leng.
  • With over 3,500 physician associates in the NHS, the review cites a lack of support from the medical profession and high-profile patient deaths as causes for the commission.
  • Data from the report showed the study reveals safety concerns focused on diagnosis and initial treatment by PAs, with only 29% of primary care doctors and 14% in secondary care supporting PA diagnoses.
  • Professor Gillian Leng recommends renaming PAs as 'physician assistants' and standardising their clothing, badges, and responsibilities to improve patient safety and role clarity.
  • On Wednesday, Mr Streeting will outline next steps in a statement to the House of Commons.
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The Independent broke the news in London, United Kingdom on Tuesday, July 15, 2025.
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