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Chamber and committees

Question reference: S6W-25492

  • Asked by: Colin Smyth, MSP for South Scotland, Scottish Labour
  • Date lodged: 12 February 2024
  • Current status: Answered by Neil Gray on 1 March 2024

Question

To ask the Scottish Government what its response is to the concerns of BMA Scotland regarding the proposal that the General Medical Council rather than the Health and Care Professions Council should regulate anaesthesia associates and physician associates.


Answer

The Scottish Government is aware of the BMA Scotland’s views that anaesthesia associates (AA) and physician associates (PA) should be regulated by the Health and Care Professions Council (HCPC) rather than the General Medical Council (GMC).

The Scottish Government is satisfied with the suitability of the GMC as the regulator. AAs and PAs are educated in curricula aligned to the medical model and work complementary to and under the supervision of doctors, a common regulator ensures consistent standards, providing doctors with better assurance when delegating clinical tasks. It also ensures a consistent approach across professional groups in relation to adverse events, particularly where fitness to practise concerns arise.

Furthermore, the Department of Health and Social Care published a UK-wide consultation in 2017 which clearly demonstrated a majority preference for the GMC as the regulator (59% in comparison to 20% for the HCPC).

With regard to the BMA Scotland’s concerns that GMC regulation will confuse patients as to a practitioner’s professional status, current guidance issued to Health Boards by the Scottish Government stipulates that patients should always be told when they are being treated by an AA or PA, rather than a doctor. Once regulated, the roles will also become subject to the principles in Good Medical Practice to always be open and honest about their role and ensure that they are working within the limits of their qualifications and experience.