Lord Hunt of Kings Heath

On 16 July 2025, Professor Gillian Leng published her review into physician associates and anaesthesia associates, now to be renamed physician assistants and physician assistants in anaesthesia.

Professor Leng set out 18 recommendations that will give much-needed clarity, certainty, and confidence to staff and patients. The Government is accepting these recommendations in full. Some actions will be implemented immediately, whilst others will require wider input, with benefits being fully realised over time.

The Department, alongside NHS England, royal colleges, and other system partners, including representatives of doctors, physician assistants, and physician assistants in anaesthesia, will develop a detailed implementation plan to address the review’s 18 recommendations.

The principle question of the Leng Review was to assess whether the roles of physician and anaesthesia associate, which we recommend should now be known as physician assistants and physician assistants in anaesthesia, are safe and effective. The review’s findings were clear that, with changes in line with its recommendations, there remains a place for these roles to continue as supportive, complementary members of medical teams.

NHS England has written to National Health Service trusts, integrated care boards and primary care networks reiterating their responsibilities to their staff as employers, including providing pastoral support where required. Importantly, it has also written directly to staff most affected by the recommendations setting out where they can find support if required. Whilst decisions about recruitment are a matter for individual NHS employers at a local level, physician assistants and physician assistants in anaesthesia will continue to play an important role in the NHS.

Our forthcoming 10 Year Workforce Plan will look at how to get the right people, in the right places, with the right skills to deliver the best care and we will consider the findings of the Leng Review when developing the plan.

The principle question of the Leng Review was to assess whether the roles of physician and anaesthesia associate, which we recommend should now be known as physician assistants and physician assistants in anaesthesia, are safe and effective. The review’s findings were clear that, with changes in line with its recommendations, there remains a place for these roles to continue as supportive, complementary members of medical teams.

NHS England has written to National Health Service trusts, integrated care boards and primary care networks reiterating their responsibilities to their staff as employers, including providing pastoral support where required. Importantly, it has also written directly to staff most affected by the recommendations setting out where they can find support if required. Whilst decisions about recruitment are a matter for individual NHS employers at a local level, physician assistants and physician assistants in anaesthesia will continue to play an important role in the NHS.

Our forthcoming 10 Year Workforce Plan will look at how to get the right people, in the right places, with the right skills to deliver the best care and we will consider the findings of the Leng Review when developing the plan.

The Department does not hold data on evictions from care homes as a result of raising concerns about standards of care.

Guidance on complying with the Consumer Protection Act issued by the Competition and Markets Authority advises that discrimination or victimisation against complainants, including through an eviction, is likely to breach consumer law. Where providers fail to treat residents and their representatives fairly and infringe consumer law, enforcers, residents, and other compliance partners may take action against them.

In addition, by law, all health and social care services must have a procedure for dealing efficiently with complaints, and anyone who has seen or experienced poor-quality care has the right to complain to the organisation that provided or paid for the care. If they are not satisfied with the way a provider or local authority has dealt with a complaint, they may escalate it to the local government and Social Care Ombudsman who can investigate individual concerns.

The Care Quality Commission (CQC) also encourages the public to share their experience through an online feedback mechanism, called give feedback on care, which allows individuals to raise concerns about the services they receive from providers. While the CQC does not have power to intervene in decisions providers’ make to issue a ‘notice to quit’ they do review how providers handle complaints as part of their assessments. The CQC takes this matter seriously, and continues to look at ways to improve both their analysis of provider data and the incorporation of individual feedback into their assessments.

The Department does not hold data on evictions from care homes as a result of raising concerns about standards of care.

Guidance on complying with the Consumer Protection Act issued by the Competition and Markets Authority advises that discrimination or victimisation against complainants, including through an eviction, is likely to breach consumer law. Where providers fail to treat residents and their representatives fairly and infringe consumer law, enforcers, residents, and other compliance partners may take action against them.

In addition, by law, all health and social care services must have a procedure for dealing efficiently with complaints, and anyone who has seen or experienced poor-quality care has the right to complain to the organisation that provided or paid for the care. If they are not satisfied with the way a provider or local authority has dealt with a complaint, they may escalate it to the local government and Social Care Ombudsman who can investigate individual concerns.

The Care Quality Commission (CQC) also encourages the public to share their experience through an online feedback mechanism, called give feedback on care, which allows individuals to raise concerns about the services they receive from providers. While the CQC does not have power to intervene in decisions providers’ make to issue a ‘notice to quit’ they do review how providers handle complaints as part of their assessments. The CQC takes this matter seriously, and continues to look at ways to improve both their analysis of provider data and the incorporation of individual feedback into their assessments.

The Department does not hold data on evictions from care homes as a result of raising concerns about standards of care.

Guidance on complying with the Consumer Protection Act issued by the Competition and Markets Authority advises that discrimination or victimisation against complainants, including through an eviction, is likely to breach consumer law. Where providers fail to treat residents and their representatives fairly and infringe consumer law, enforcers, residents, and other compliance partners may take action against them.

In addition, by law, all health and social care services must have a procedure for dealing efficiently with complaints, and anyone who has seen or experienced poor-quality care has the right to complain to the organisation that provided or paid for the care. If they are not satisfied with the way a provider or local authority has dealt with a complaint, they may escalate it to the local government and Social Care Ombudsman who can investigate individual concerns.

The Care Quality Commission (CQC) also encourages the public to share their experience through an online feedback mechanism, called give feedback on care, which allows individuals to raise concerns about the services they receive from providers. While the CQC does not have power to intervene in decisions providers’ make to issue a ‘notice to quit’ they do review how providers handle complaints as part of their assessments. The CQC takes this matter seriously, and continues to look at ways to improve both their analysis of provider data and the incorporation of individual feedback into their assessments.

The Department does not hold data on evictions from care homes as a result of raising concerns about standards of care.

Guidance on complying with the Consumer Protection Act issued by the Competition and Markets Authority advises that discrimination or victimisation against complainants, including through an eviction, is likely to breach consumer law. Where providers fail to treat residents and their representatives fairly and infringe consumer law, enforcers, residents, and other compliance partners may take action against them.

In addition, by law, all health and social care services must have a procedure for dealing efficiently with complaints, and anyone who has seen or experienced poor-quality care has the right to complain to the organisation that provided or paid for the care. If they are not satisfied with the way a provider or local authority has dealt with a complaint, they may escalate it to the local government and Social Care Ombudsman who can investigate individual concerns.

The Care Quality Commission (CQC) also encourages the public to share their experience through an online feedback mechanism, called give feedback on care, which allows individuals to raise concerns about the services they receive from providers. While the CQC does not have power to intervene in decisions providers’ make to issue a ‘notice to quit’ they do review how providers handle complaints as part of their assessments. The CQC takes this matter seriously, and continues to look at ways to improve both their analysis of provider data and the incorporation of individual feedback into their assessments.