It comes after a Government review called for PAs to be banned from diagnosing patients that haven’t seen a doctor.
A bitter row has erupted between doctors and PAs with both the British Medical Association (BMA) and Royal College of General Practitioners (RCGP) raising concerns over their role.
There has also been resentment among doctors about PA salaries after years of pay erosion since the financial crash of 2008 which led to austerity measures.
PAs’ starting salaries come under the NHS Agenda for Change pay rate band 7, which means an annual pay of £47,810 for someone with two years or less experience.
NHS resident doctors outside Bristol Royal Infirmary (Photo: Ben Birchall/PA Wire)
That can increase to around £55,000 for a PA with five or more years’ experience working a weekly shift of 37 to 42 hours.
The salary is for an average of 48 hours per week and rises to £44,439 in the second year.
The top of the basic pay scale is £73,992 for best-paid resident doctors, or specialty registrars.
“The BMAs failure to deal with their quality of life and remuneration over a 20-year period has nothing to do with a synergistic workforce that has worked as much as it has to facilitate patient care,” he said
Why are doctors striking?
A five-day walkout by resident doctors in England started on Friday, with members of the British Medical Association (BMA) manning picket lines across the country.
However, the BMA says resident doctors’ salaries will be 20 per cent lower in real terms than in 2008 despite the increase and says they have not had a “credible pay deal” for 2025-2026.
Resident doctors have taken part in 11 strikes for fairer pay and working conditions since 2023.
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The union leader also hit out at the Government for “placating the British Medical Association by restricting our scope of practice and our ability to do our job just before strikes”.
“We are still being asked to staff and protect patients and work within our qualification scope of practice, and I think PAs have to do what they can live with in that situation.”
Leng review findings
Mr Streeting ordered the Leng review into PAs and anaesthesia associates (AAs) after concerns were raised over whether they were safe and the impact on the training of junior doctors.
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One high-profile death involved Emily Chesterton, 30, who died from a pulmonary embolism. She was misdiagnosed by a PA on two occasions and told she had anxiety.
Physician associates should also be part of a team led by a senior doctor and wear badges, lanyards and clothing to distinguish them from doctors
“Legitimate concerns about patient safety have been ignored for too long – that’s why I sought out the very best clinical advice to review physician associates and anaesthesia associates’ roles in the NHS.”
In a message to members, the union said “we DO NOT accept the recommendations of the Leng Review” which was “unable to substantiate a legitimate patient safety concern and relies on conjecture”.
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