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The evidence on physician associates is low quality, limited, and inconsistent—Gillian Leng

  1. Kamran Abbasi, editor in chief,
  2. Mun-Keat Looi, international news and features editor
  1. The BMJ

Gillian Leng led NICE for 20 years and now serves as president of the Royal Society of Medicine. Her landmark review into physician and anaesthesia associates (PAs and AAs) proposes a new direction for their integration in the NHS.1 Here, she speaks to BMJ editor in chief Kamran Abbasi about what the evidence showed, how she approached the task, and what must happen next

Kamran Abbasi: How did you go about the review and what did you find?

Gillian Leng: “I wanted it to be based on the best available evidence. I wanted us to be comprehensive in looking at that evidence base, informed as much as it could be by engagement with all the relevant groups: the physician associates and anaesthesia associates themselves, the doctors, patients and their families, and managers, so very, very comprehensive. I think that’s the most important thing to emphasise.”

What did the published evidence you examined show?

“It was sadly not as helpful as it might have been. It didn’t provide a definitive answer. It was limited in terms of the quality—and in terms of most quality classifications that were used it was either low or very low quality. It was limited in terms of the scope that it covered and generally inconsistent. For instance, in the evidence base in secondary care there was nothing for anaesthesia associates. In terms …

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