Reference Quantity: ST0518

Particulars of normal

Occupational profile

Doctor associates are healthcare professionals who work alongside registered docs and supply medical care as an integral a part of a wider healthcare staff. They’re dependent practitioners, which implies that they need to work with a devoted medical supervisor, however are capable of work autonomously with acceptable help. They are often discovered working in GP surgical procedures, accident and emergency departments, care houses and hospitals. Doctor associates are medically educated to supply all points of well being care to sufferers, together with: session, evaluation, therapy and administration of their well being care. They will take medical histories, carry out bodily examinations, request and interpret investigations, diagnose and handle sufferers, and carry out an in depth vary of specialized procedural abilities inside their scope of follow.

Doctor associates capability to practise medication is enabled by collaboration and supportive working relationships with their medical supervisors, which means that there’s all the time a registered physician who can talk about circumstances, give recommendation and attend to sufferers if needed. On this method, doctor associates improve the numbers of the medical workforce and improve entry to high quality take care of sufferers. They act in an enabling function, serving to to scale back the healthcare staff’s workload, and convey new expertise to the NHS, including to the talent combine throughout the groups. Doctor associates may match in specialist fields of drugs however all the time keep their generalist data and abilities. They provide continuity and stability.

Tasks and duties of the function

A Doctor Affiliate (PA) can:

  • take medical histories from sufferers
  • carry out proof based mostly bodily examinations on sufferers, for instance listening to a affected person’s coronary heart and lungs, i.e. coronary heart and lung auscultation
  • make scientific selections based mostly on affected person centred assessments
  • decide the course of affected person administration and care
  • formulate, implement and critically consider a affected person administration plan
  • carry out specialised diagnostic and therapeutic interventions, for instance carry out and interpret an electrocardiogram (ECG)
  • request and interpret specialised diagnostic research for sufferers, for instance requesting blood exams and deciphering the outcomes
  • construct and maintain the clinician-patient relationship
  • present well being promotion and illness prevention recommendation to sufferers
  • develop and mentor different well being care professionals (together with different PAs in coaching)
  • produce information of scientific choice making and actions
  • adhere to data governance necessities

Typical Job titles: Doctor affiliate 

Qualification necessities:

Apprentices shall be required to finish a Diploma or MSc in Doctor Affiliate Research. 

Apprentices with out degree 2 English and maths might want to obtain this degree previous to finishing the end-point evaluation.

For these with an schooling, well being and care plan or a legacy assertion, the apprenticeships English and maths minimal requirement is Entry Degree 3 and British Signal Language qualification are an alternative choice to English {qualifications} for whom that is their major language.

Entry necessities: 

Usually, entry necessities are a bioscience-related first diploma or a Nursing and Midwifery Council Registered Nurse or Midwife, or a Well being and Care Professions Council Registered Allied Healthcare Skilled.

Skilled Registration

Apprentices are required to register with the Managed Voluntary Register (PAMVR) which is held by the School of Doctor Associates and anticipated to switch into the agreed statutory register.

Degree 7


Usually 30 – 36 months

Assessment Date

after 3 years

Values and Behaviours


  • You may be caring, compassionate, trustworthy, conscientious and dedicated.
  • You’ll worth individuals as people, and respect equality and variety.
  • You’ll recognise the significance of individuals’s rights in accordance with laws, insurance policies and procedures, and the place needed, present acceptable problem.

Behaviours and probity

  • Constantly behave with integrity and sensitivity.
  • Behave as an envoy for the function, appearing professionally and behaving considerately in direction of different professionals and sufferers.
  • Recognise and work throughout the limits of your skilled competence and scope of follow, and throughout the scope of follow of your supervising medical practitioner.
  • Preserve efficient relationships with colleagues from different well being and social care professions.
  • Inform sufferers, carers and others of the character of your scientific function.
  • Contribute to the effectiveness of a scientific studying atmosphere.
  • Preserve confidentiality always


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Affected person centred historical past taking and bodily examination

1.1   Carry out specialised medically based mostly assessments to tell the event of a person medical administration plan

1.2   Design and ship affected person centred consultations which allow the affected person and carers to specific their issues, expectations and understanding

1.3   Take, and critically consider, a affected person historical past related to the scientific state of affairs and apply this perception to assessing advanced interacting psychological and social components

1.4   Carry out the complete vary of proof based mostly examinations and assessments tailor-made to the  calls for of the scientific state of affairs*

1.1   The vital rules, strategies and necessities of a affected person centred and medically based mostly evaluation

1.2   The affected person shows specified within the Division of Well being Matrix and Competency and Curriculum Framework (

1.3   construction and conduct proof based mostly consultations to acquire affected person issues, expectations and understanding

1.4   take a affected person historical past and it’s sensible software to advanced interacting psychological, physiological and social components

1.5   The vary of proof based mostly examinations and assessments you’re required to carry out

1.6   How to attract on a various vary of information and demanding considering in your decision-making to find out a person medical administration plan


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Scientific choice making

2.1   Interpret the findings from a affected person centred session and assess the necessity for additional investigation, affected person administration and referral

2.2   Formulate a analysis based mostly on advanced goal and subjective knowledge

2.3   Apply specialised scientific choice making strategies to pick a analysis based mostly on the out there perception

2.4   Critically consider and justify scientific selections in circumstances with advanced wants that contain many interacting components

2.5   Seek the advice of along with your devoted medical supervisor to tell scientific choice making the place required

2.1   The criticality of scientific choice making processes in an effort to safeguard the supply of top of the range care

2.2   Essential evaluation of advanced findings from investigations and tips on how to apply this specialised perception to ship a top quality care consequence for the affected person

2.3   assess and decide follow-up investigations utilizing specialised investigation standards

2.4   assess and decide the course of affected person administration to handle many interacting components

2.5   The related nationwide and native tips to use to the formulation and supply of a justifiable analysis

2.6   How, and when, to seek the advice of along with your devoted medical supervisor

Scientific planning, procedures and therapeutic interventions

3.1   Carry out an in depth vary of specialized procedural abilities*

3.2   Carry out specialised scientific procedures utilizing data of the advanced indications, contraindications, issues and strategies

3.3   Critically consider and assess adjustments in a affected person’s situation and adapt affected person administration methods/therapy inside a timeframe appropriate to the altering situations

3.4   Decide and implement acceptable specialised therapeutic interventions and/or prescriptions utilizing scientific choice making strategies and medical judgement

3.5   Formulate and implement a administration plan with the affected person, carers and healthcare professionals that takes into consideration advanced interacting components

3.1   The vary of specialized procedural abilities* and scientific procedures that you’re required to carry out

3.2   The vary of specialized therapeutic interventions related to your function

3.3   The therapeutic and prescription medicines used within the scientific setting (inside medical delegation clauses)

3.4   confidently and competently write prescriptions and apply British Nationwide Formulary (BNF) and native formularies

3.5   Your duty for affected person concordance for the proposed drug regime as prescribed by the supervising clinician

3.6   critically consider and adapt affected person administration methods/therapy in response to altering situations

3.7   The event and implementation of administration plans that takes into consideration advanced interacting components


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The clinician-patient relationship



4.1   Construct and maintain a clinician-patient relationship to foster knowledgeable affected person selection and negotiated care selections

4.2   Talk and have interaction successfully with all sufferers and carers no matter age, gender, sexuality, ethnicity, social class, incapacity and so on

4.3   Actively contain sufferers and carers of their care and help them in managing their very own well being, wellbeing and sickness

4.4   Present well being promotion and illness prevention recommendation to sufferers and carers

4.5   Design, implement and critically consider specialised evaluation and commentary strategies, and apply medical judgement throughout the sufferers’ life span

4.6   Escalate issues to a senior physician when a scientific state of affairs is outdoors the boundaries of scientific competence for the function

4.7   Handle the protection of sufferers, carers and different people by means of safeguarding and administration of danger


4.1   Completely different theoretical and proof based mostly approaches to constructing and sustaining the clinician-patient relationship

4.2   Knowledgeable affected person selection and negotiated care selections

4.3   Specialised engagement and communication strategies that help the clinician-patient relationship

4.4   allow the affected person to evaluate choices and make decisions throughout the context of many interacting components

4.5   The sensible and conceptual supply of affected person schooling and well being promotion related to the scientific situation and affected person wants

4.6   The specialised evaluation, commentary strategies and medical judgement which are required throughout the sufferers’ life span

4.7   apply nationwide and native tips, and authorized necessities related to your space of follow (together with difficult and reporting poor follow)

4.8   The guiding rules, proof based mostly follow and newest developments within the NHS (incl scientific governance) in relation to your space of follow

4.9   The boundaries of scientific competence for the function and when to escalate for senior medical help

4.10 Safeguarding and the administration of danger


Studying and mentoring

5.1   Assess personal studying wants and have interaction in self-directed studying to evaluation and enhance medical follow throughout the scope of the function

5.2   Work collaboratively to judge and meet the educational and improvement wants of different well being professionals

5.3   Act as a job mannequin and mentor

5.1   Your function, duty and motivation to handle your individual studying; the vary of instruments and strategies that can be utilized to direct personal studying, set targets and consider studying

5.2   The applying of instructing and studying theories and fashions

5.3   consider and meet studying wants for well being care

Document retaining and data governance

6.1   Produce clear, legible and contemporaneous information relating to affected person consultations and all points of scientific and non-clinical work

6.2   Full affected person information and justify the administration plan and outcomes of the scientific choice making course of(es)

6.3   Adhere to all points of data governance necessities

6.1   Authorized and organisational necessities for report retaining and data governance

6.2   Your duty for producing clear, legible and contemporaneous information

6.3   Your duty in direction of fulfilling and sustaining Data governance coverage

*Examination and procedural abilities throughout the complete vary of the medical mannequin together with for instance:

  • cardiovascular system
  • neurological
  • respiratory system
  • gastrointestinal system
  • musculoskeletal system
  • eyes
  • feminine reproductive system
  • renal and genitourinary system
  • pores and skin
  • diagnostics and therapeutics (based on the FPA Competence and Curriculum Framework and Matrix of Core Scientific Situations)

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