Skip to main content

The Anaesthesia Associates and Physician Associates Order 2024

Re: The Anaesthesia Associates and Physician Associates Order 2024
Notes and links on this area of concern. This is a open working document, full of links. At first it won't make sense to the normal reader, but spend time looking deeper.  Contact Sam at www.dsoundz.co.uk for more information.  Chur!

-------------------------------------------------------------------------------

First, what is the definition of a MAP (PA, AA etc) ? it's a "nondoctor". What is a nondoctor ?


you can also find the definition of a "nondoctor" in various dictionaries. 

What is the definition of a PA ?

https://www.fparcp.co.uk/about-fpa/news/physician-associates-background-to-the-profession

The physician associate is an innovative new health professional, who works with the clinical team to provide quality health care across the NHS.

Question for you...  Can a PA/AA/MAP access my clinical records and is there data protection in place ?
Here's what parliament says :


here's what NHS says:


and now, here's the very little information there is on the subject for PAs:



and the Faculty itself say's PA's can access patients records (hmm?) 


Qualification:

Okay, so now you need to be qualified and have a "regulated qualification" in the UK by OfQual


so what is the qualification marks for a PA, what does the certification look like ? and is it regulated in the UK to be a recognised qualification ?

I have found it at Level 7 (MSc / PDip) but I can't find any on the OfQual website, and nor can OfQual find any PA courses regulated by them.


UCAS has this info on a course in the UK :


worth reading about what is taught. I can't figure out if they ARE teaching it as a Doctors course even though it's very fast tracked and vague looking. But it DOES carry this WARNING !!

A UK Physician Associate qualification does not currently entitle graduates to work as Physician Associates outside of the UK. Please note, the Physician Associate qualification may not currently be recognised in some countries.

Training:

Trom the training, I am confused. Why? well, what biomedical model are you taught? there's two. See if you can spot the differences and work out which one is tught and why (clue, it's not the 1st scientific one).

https://www.ncbi.nlm.nih.gov/books/NBK230283/#:~:text=A%20biomedical%20model%20is%20a,therapeutic%20intervention%20in%20human%20diseases.

https://en.wikipedia.org/wiki/Biomedical_model

https://en.wikipedia.org/wiki/Biopsychosocial_model

Okay, so which biomedical model(s) are taught, as a science? well, it's the Biopsychosocial model, developed by George Engel in the 1970's which is now considered as pseudoscience. 

so why are people trained in this ? pseudoscience are forms of health fraud and shams.

What does the GMC say on Confidentiality ? it's worth a read if you are training to be a PA / AA / MAP or a GP


your own legal duties are to act within the law


Information Governance (GMC) :


what you aren't taught on any course as a PA, AA, MAP is what laws you HAVE to follow.

If you are not sure how the law applies in a particular situation, you should consult a Caldicott or data guardian, or seek independent legal advice.

Law:

so let's have a look at the laws...





Other Laws:

Medical Act 1983







Gov documents :




MPTS :




BMA (Union):


Here's what the BMA say about the use of Doctor titles, it's an important read to AAs, PAs and MAPs are you aren't included. in the words of the BMA... "you aren't Doctors!".

But the BMA has written this "safescope report" about MPAS in the NHS (not in private practice) as advide to the NHS.


Read this report from the BMA



GMC :

GMC Corporate Governance :



GMC anti-Fraud documents:



GMC f2p questions - applying to be registered guide:



*this guide hasn't been updated since Nov 2020, and is only for GP's and nobody else*

Here is what Doctors have to tell the GMC about "concerns":


yet there's nothing for PA's.

Here's how to apply to the GMC if you are a GP/Doctor:


okay GMC, now show me the version for PA's, there isn't one right ?

To be a registred doctor/gp in the UK, you FIRST have to take this and follow the guidence:


hmmm, interesting :


which states..

PA and AA regulation

In July 2019, the Department of Health and Social Care (DHSC), with the support of the four UK governments, asked us to regulate two groups of medical associate professions (MAPs) – physician associates (PAs) and anaesthesia associates (AAs). These changes are dependent on new legislation - the AA PA Order - which was laid in Westminster and Scottish parliaments in December 2023. We're designing the processes and policies needed to make regulation possible and will consult on these next year. We expect regulation to begin before the end of 2024.


Questions and feedback

If you have any questions about how the professional standards for PAs and AAs will apply when regulation begins you can email standards@gmc-uk.org.

Please note that we are not able to provide advice on individual situations in your current workplace until regulation commences. You may wish to contact your employer, representative professional body or defence organisation.



PA prescribing:

https://www.gmc-uk.org/pa-and-aa-regulation-hub/map-regulation/prescribing


Fitness to practice :


Contact the GMC outreach team about concerns:


John Davey


Contact the GMC here and ask about how they deal with Fraud, especially reported by patients to them:


The current chair of the GMC is



While president of the RCOphth, MacEwen helped to develop the Ophthalmic Common Clinical Competency Framework and commissioned The Way Forward.[6][7] The former, published in 2016, sets the standards and guidance for the knowledge and skills required for non-medical healthcare professionals to deliver patient care.[8][9] The latter, published in 2017, aimed to share best practice to facilitate local service redesign.[10] She was the chair of the Academy of Medical Royal Colleges between 2017 and 2020.[6] In this role, MacEwen, in an interview with The Times in February 2020, urged doctors to take responsibility in leading improvements in patient care and not "sit on their hands" and blame the government alone. She suggested an example of this was if an IT problem was delaying patient care in a clinic then doctors should arrange for this to be fixed.[11]

MacEwen served as acting chair of the GMC between August 2021 and May 2022 before being appointed as the chair by the Privy Council. She is the second woman to hold the position since its founding in 1858.[12] In a speech at the Royal College of Physicians and Surgeons of Glasgow in October 2021, she set out the GMC's vision on how they would help to improve doctors' wellbeing with a shift from "stepping in when things go wrong to fostering supportive environments that stop harm from happening in the first place". MacEwen said that the GMC would do this by conducting more research and data collection and further development of their equality, diversity, and inclusion programme. She would also aim to reduce disproportionality between BME and white doctors in fitness-to-practice referrals by employers and attainment in undergraduate and postgraduate education.[13] MacEwen oversaw the consultation on the review of Good Medical Practice, the main guidance document for UK doctors' standards, in 2022, which was updated in January 2024.[14][15]


Fake Lawyers the GMC "supports" :


this company seems to good to be true.

GMC PA Map (new advice):


Areas of Law (part 2) :

Access to Medical Records Act


  • [F1“health professional” has the same meaning as in the Data Protection Act 2018 (see section 204 of that Act);]


Provisional registration.

(1)This section shall have effect for enabling persons wishing to complete an acceptable programme for provisionally registered doctors to participate in such a programme.

Provisional registration.(1)Th


The GMC’s power to investigate misconduct

The GMC’s power to regulate the medical profession and investigate concerns is derived from the Medical Act 1983. Where an allegation is made about a doctor, section 35C provides that a doctor’s fitness to practise may be considered to be impaired by reason of misconduct.

There is a body of a case law which provides that misconduct in this context does not just concern clinical matters, but extends to conduct described as “morally culpable”, occurring both in and outside of professional practice and which risks damaging the reputation of the profession.

GMC on Charities Commission :

https://register-of-charities.charitycommission.gov.uk/charity-search/-/charity-details/3964969/governing-document


Data Protection Act 2018


Meaning of “health professional” and “social work professional”

(3)In subsection (1)(a) “registered medical practitioner” includes a person who is provisionally registered under section 15 or 21 of the Medical Act 1983 and is engaged in such employment as is mentioned in subsection (3) of that section.





These laws are worth looking up:

MEDICAL ACT 1983 AS AMENDED, IN PARTICULAR BY THE MEDICAL (PROFESSIONAL PERFORMANCE) ACT 1995 AND THE MEDICAL ACT 1983 (AMENDMENT) ORDER 2002.



Data Protection By Design : NHS CFA


great document around data protection and what the NHS has to follow.

NHS Data Security Protection Toolkit 2024 :



Other Questions to ask :

What is non clinical work ?


Reporting Concerns to the GMC, how and why ?


Why is there very little safeguarding info on the GMC website ?


This FOI becomes a interesting read 


Under the NHS License , would a GP practice etc be in breach of said license when employing a PA and who they give access to patients medical records via a EHR system ?



==========================

PDFs on PAs - to download







These GMC documents Generic and shared learning outcomes for PAs and AAs and Faculty of PA the PA Curriculum - describe what all newly qualified physician associates must know and be able to do. *

*but no mention of any laws to follow or NHS frameworks, hmm?


===========================

Are there unregulated PA organisations elsewhere in the world ? you bet!

NZ : https://nzpas.org.nz/ their faq section is quite an eyeopener and shows how PA's have disrespect for law and health and safety https://nzpas.org.nz/faqs/ , it seems that PA want changes to laws around the world, ,so that illegal activity can take place and affect people's health. 

===========================

If you are experiencing bad care from the PA / AA / MAP within the NHS, then please report them for FRAUD and Malpractice.  Here's who to contact:

NHS Counter Fraud


NHS Definitions about Fraud


Action Fraud (city of London Police)


============================

Here's a government document on your Medical health records and access to them and data protection of them:


Here's how to view your own GP medical record online


*if anyone or organisation asks to see your medical record, outside of your "direct care", please DO NOT SHARE your medical record !*
 
=====

Thanks for reading, more to follow and be added to this investigative working document.



Labels:

Comments

Post a Comment

Popular posts from this blog

Open Ai

  On Friday 17th November 2023, something strange happened to Open Ai , the well known #chatGPT Artificial Intelligence company with it's HQa in San Francisco. It's CEO was fired and others soon followed.  But here's what I know about the company and it's "Ai". I will keep on adding to this blog post over the coming days/weeks, as this unfolds. Please share this blog. You can contact me at my website : www.dsoundz.co.uk Note: Please click on the links you see in this document, as they will take you directly to and cite to plenty of evidence in this research document. Note: All research here is written by me - Sam Downie , please cite to me. Note: this document is in a draft stage so expect spelling errors until they get corrected. " Thinking about AI is the cocaine of technologists; i.e. it makes them needlessly paranoid." - Elon Musk , December 2015 -   https://news.ycombinator.com/item?id=10720176 First I'll start with a introduction and a few...
Read more

Heidi AI - NHS Ai Scam

 Heidi AI NHS AI Scam. An Ai thats unregulated and operating as a data scam in the UK. What is a ai enabled ambient scribing products First of all here's the NHS England long-read guidance :  https://www.england.nhs.uk/long-read/guidance-on-the-use-of-ai-enabled-ambient-scribing-products-in-health-and-care-settings/#3-key-considerations section 3.2 says: an ambient scribing product (the uses Ai for example) that is deemed to be a medical device needs to be registered with the Medicines and Healthcare products Regulatory Agency (MHRA) and regulated proportional to its risk classification. A UK Conformity Assessed (UKCA) certificate is needed for clinical use of medical devices in the NHS. A valid CE mark is equally acceptable until 30th June 2028 section A2.10 on Liability says this : liability for any claims associated with the use of AI-enabled products in NHS settings remains complex and largely uncharted, with limited case law to provide clarity as such, engage your legal t...
Read more

Project Garfield

Post in response to Dispatches (Monday, 20th October 2025) Channel 4  https://kalelproductions.com/portfolio/will-ai-take-my-job/ Made by KALEL Productions :  https://kalelproductions.com/ Commissioned by:  - Louisa Compton, Head of News and Current Affairs, Specialist Factual and Sport at Channel 4 - Adam Vandermark, Commissioning Editor for News and Current Affairs at Channel 4
Read more