The document summarizes information about physician associates in the North West region. It provides details on: - Physician associates are a new type of healthcare professional who work under physician supervision to provide holistic care. They complete a 2-year medical education program after obtaining a life sciences degree. - 157 physician associates are graduating from various universities in January 2020 to work in the North West region. Many will enter direct preceptorships in primary and secondary care settings. - The document outlines workforce plans from the NHS People Plan and Long Term Plan to support physician associates and address staffing needs through new models of care.

1. The Workforce Matter; North West
Physician Associate programme
December 2019
Kate Burnett (Head of Physician Associate School, ILM Executive
Performance Coach and ICF Organisational and Relationship
systems coach)

2. Physician Associate
New type of healthcare professional who, while not
a doctor, work to the medical model, with the
attitudes, skills and knowledge base to deliver
holistic care and treatment team under defined
levels of supervision.

3. Medical School
2yrs Basic Sciences
3 years Medical
(Clinical) Education:
Breadth & Depth
Enter Foundation
Years
3
PA Studies
3 year BSc Life Sciences,
e.g. Biomedical Sciences
2 years Condensed Medical
Education
Focus: Breadth: all systems
Depth: Common &
Important Conditions
Enter Preceptorships

4. A National Curriculum
(c.f. medicine)
– Competence and Curriculum
Framework for the Physician Assistant
– 2006 / 2012 / updated 2018
• Competencies
• Procedural Skills
• Common Presentations
• Programme Specification
– 3200 Hours over 2 years
» 50% clinical; 50% theory
4

5. The Matrix of Core Clinical Conditions
– Lists the common and important conditions
relevant to PAs at qualification, i.e., this is the
starting point at entry to the profession
– Significant role in Diagnosis
• 1A: with management
• 1B: learning management
– Significant role in Management
• 2A: learning diagnosis
• 2B: No significant role in Dx or Mx of condition yet
5

6. Respiratory EPA

8. University
(Total NW
intake for 2019
-190)
Intake January
2019
September
2019
January 2020
Edge Hill 30
UCLAN + (west
Lakes )
5 30 +15 Start of
undergraduate
programme 4
years
Chester 29 30
Manchester 60
Bolton 20
157 Physician Associates graduating January 2020

9. WORKFORCE: The career aspirations and
expectations of -student -physician associates in
the UK. Burnett K, et al . Future Healthcare Journal, 01 Feb 2019

10. Employment (2019 NW graduates)
• Direct Primary/ secondary care
• LIFT 2
• Respiratory QI programme
Total Number of North-
West Graduates 153

11. Direct Preceptorship – Primary Care
14
11
2
20
14
3
Cheshire andMersey STP
Greater ManchesterSTP
Lancashire and SouthCumbriaSTP
Number ofPAs/GP Practices by STP NW
Numberof PAs GP GPPractices

12. Direct Preceptorship – Secondary Care

13. Foundation
Doctor
Foundation
Doctor
Foundation
Doctor
Speciality
7/10 training in specialities 3x4 month
Speciality Speciality
3/10 Continuous in Primary Care
Physician
Associate
Physician
Associate
Physician
Associate
LIFT 2 Programme

14. NHS People Plan;
• 1. Making the NHS the Best Place to Work
• 2. Improving Leadership Culture
• 3. Tackling the Nursing Challenge
• 4. Delivering 21st Century Care
• 5. A New Operating Model for Workforce
• 6. Developing the Full People Plan

15. NHS Long Term Plan;
1. A New Service Model for the 21st Century
2. More Action on Prevention and Health
Inequalities
3. Progress Care Quality and Outcomes
4. NHS Staff get backing what they need
5. Digital
6. Getting the most out of Tax-Payers money

16. kate.burnett@hee.nhs.uk