Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps his Department plans to take to ensure the public is made aware of the change from Physician Associate to Physician Assistant.

The principal question of the Leng Review was to assess whether the roles of physician assistants (PAs) and physician assistants in anaesthesia (PAAs) (still legally known as physician associates and anaesthesia associates) 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.

The Review found that the majority of stakeholders, particularly patient groups, expressed concern that the name physician associate is confusing and that patients were unclear about who they were being treated by.

As set out in NHS England’s ‘Frequently Asked Questions’ document, the immediate action for organisations is to make changes to the way in which roles are referred to in the workplace, to ensure that patients are not under the misapprehension that they have seen a doctor. Any changes to official job titles should be done in accordance with the organisation’s local change management policy, with proper regard to employment law and involve affected members of staff and local trade unions.

The ‘Frequently Asked Questions’ document is available at the following link: https://www.england.nhs.uk/wp-content/uploads/2025/07/leng-review-nhs-england-faqs-on-actions-for-nhs-organisations.pdf.

The Government intends to commence consultation on a modernised legislative framework for the General Medical Council (GMC) by the end of this year. These proposals will include the change in role titles. Subject to parliamentary time, our expectation is that these changes will be put before the UK and Scottish Parliaments during 2026.

The Leng Review recommendations are far-reaching and require cross-system partnership working to develop a detailed implementation plan that effectively delivers on the Review’s recommendations, including national clinical protocols and professional standards and information for patients. This includes working together to consider how best to standardise identification of PAs, PAAs and other staff to support patients in recognising the staff caring for them.