Presentation is loading. Please wait.

Presentation is loading. Please wait.

Physicians Associate A CASE FOR CHANGE ? Bolton Community Practice

Similar presentations


Presentation on theme: "Physicians Associate A CASE FOR CHANGE ? Bolton Community Practice"— Presentation transcript:

1 Physicians Associate A CASE FOR CHANGE ? Bolton Community Practice
Dr A Dysart Karen Robinson ANP Dr A Talbot

2 A ‘New’ role for the Modern NHS?
European Working Time Directive (ewtd) Modernising Medical Careers Resources- reduction in funding; ageing population increasing expectation and medical complexity

3 What Is A Physician Associate?
‘ a new healthcare professional who, while not a doctor, works to the medical model, with the attitudes, skills and knowledge base to deliver holistic care and treatment within the general medical and/or general practice team under defined levels of supervision’ Department of Health 2006

4 A ‘new’ role for the modern NHS ?
What is a PA? Developed in USA in 1960’s to support the work of Dr’s in Health Care within the control of the medical team ( more than 4,500 PAs graduate from US schools each year) Work to the medical model and to a named medical supervisor Works in a dependant mode as opposed to an independent mode About 81,000 PA’s work in the USA in every clinical field in medicine

5 Physician Associates Are
Post Graduates- with requirement of having a science degree before starting the course Undergo a two year post graduate diploma programme split between clinical practice and theory Pass both institutional assessment and national examination of knowledge and skills

6 Physician Associate What are the Benefits?
Work under the supervision of doctors and will seek consultation appropriately Focus on the needs of the employer Fulfil different roles dependant on the needs of the team Continuity to team and patients in a continual changing challenging workforce Provide the ‘glue’ for the MDT acts as the link between nursing / medicine / allied health professionals Standardised training, so reliable quality, improved governance

7 Physician Associate V Advanced Practitioner
Autonomous Authority to order investigations/ interpret Specialist Non Medical Prescriber Registered professional Dependent- requires supervision Generalist Requires doctor time to sign prescriptions and request investigations on behalf of PA

8 Bolton Community Practice
Our Experience Opportunity arose for new role Working in General Practice is based around single individual consultation- there is supervision in General Practice but not the scope for the continued supervision that a PA requires Insufficient experience and exposure across the different speciality groups

9 Bolton Community Practice
Theoretical Knowledge was sufficient however, marked lack of clinical exposure Our expectations of role were unrealistic Address the role and put into place supervision, and design clinical frameworks. Physician Associate expectations were also unrealistic

10 Recommendations Recognise training programme to be undertaken in rotation hospital specialities/ general practice after qualification Recognised career structure Further qualifications and a national register of PA’s Non Medical Prescribing

11 Thoughts………………… Changing NHS, changing primary care
Shift of care from Secondary to Primary Care Increasing population expectations Managing medical complexity/ long term conditions ageing population The Three R’s - Recruitment- Retention- Retirement

12 Thoughts…………….. Embracing change, being creative in the way we work and use our workforce. Change in how we work has to happen- it is already Proactive rather than reactive Primary Care has an opportunity to shape how care is delivered

13 Any Questions ? Develop a diverse Primary Care workforce that reflects the diversity of the populations we care for…………….


Download ppt "Physicians Associate A CASE FOR CHANGE ? Bolton Community Practice"

Similar presentations


Ads by Google