Reference Quantity: ST0518

Particulars of ordinary

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 have to work with a devoted medical supervisor, however are in a position to work autonomously with applicable assist. They are often discovered working in GP surgical procedures, accident and emergency departments, care properties and hospitals. Doctor associates are medically educated to offer all points of well being care to sufferers, together with: session, evaluation, therapy and administration of their well being care. They’ll 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 apply.

Doctor associates means to practise drugs 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 focus on circumstances, give recommendation and attend to sufferers if mandatory. On this means, doctor associates improve the numbers of the medical workforce and improve entry to high quality look after sufferers. They act in an enabling function, serving to to cut back the healthcare staff’s workload, and produce new expertise to the NHS, including to the talent combine throughout the groups. Doctor associates may fit in specialist fields of medication however all the time preserve their generalist information and abilities. They provide continuity and stability.

Obligations and duties of the function

A Doctor Affiliate (PA) can:

  • take medical histories from sufferers
  • carry out proof primarily based 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 choices primarily based on affected person centred assessments
  • decide the path 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 assessments 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 data of scientific resolution making and actions
  • adhere to data governance necessities

Typical Job titles: Doctor affiliate 

Qualification necessities:

Apprentices might be required to finish a Stage 7 Diploma or MSc ecognized by the Royal Faculty of Physicians, School of Doctor Associates.

Entry necessities: 

Sometimes, 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.

Stage 7


Sometimes 30 – 36 months

Evaluation 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 mandatory, present applicable 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 apply, and throughout the scope of apply of your supervising medical practitioner.
  • Keep 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.
  • Keep confidentiality always


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Affected person centred historical past taking and bodily examination

1.1   Carry out specialised medically primarily based 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 considerations, 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 complicated interacting psychological and social elements

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

1.1   The vital ideas, strategies and necessities of a affected person centred and medically primarily based evaluation

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

1.3   How you can construction and conduct proof primarily based consultations to acquire affected person considerations, expectations and understanding

1.4   How you can take a affected person historical past and it’s sensible software to complicated interacting psychological, physiological and social elements

1.5   The vary of proof primarily based examinations and assessments you might be required to carry out

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


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Scientific resolution 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 primarily based on complicated goal and subjective knowledge

2.3   Apply specialised scientific resolution making methods to pick a analysis primarily based on the out there perception

2.4   Critically consider and justify scientific choices in circumstances with complicated wants that contain many interacting elements

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

2.1   The criticality of scientific resolution making processes with the intention to safeguard the supply of top quality care

2.2   Essential evaluation of complicated findings from investigations and find out how to apply this specialised perception to ship a top quality care end result for the affected person

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

2.4   How you can assess and decide the path of affected person administration to deal with many interacting elements

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 together 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 information of the complicated indications, contraindications, problems and methods

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 circumstances

3.4   Decide and implement applicable specialised therapeutic interventions and/or prescriptions utilizing scientific resolution making methods and medical judgement

3.5   Formulate and implement a administration plan with the affected person, carers and healthcare professionals that takes under consideration complicated interacting elements

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 drugs used within the scientific setting (inside medical delegation clauses)

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

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

3.6   How you can critically consider and adapt affected person administration methods/therapy in response to altering circumstances

3.7   The event and implementation of administration plans that takes under consideration complicated interacting elements


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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 choices

4.2   Talk and interact successfully with all sufferers and carers no matter age, gender, sexuality, ethnicity, social class, incapacity and so forth

4.3   Actively contain sufferers and carers of their care and assist 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 statement methods, and apply medical judgement throughout the sufferers’ life span

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

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


4.1   Totally different theoretical and proof primarily based approaches to constructing and sustaining the clinician-patient relationship

4.2   Knowledgeable affected person selection and negotiated care choices

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

4.4   How you can allow the affected person to evaluate choices and make decisions throughout the context of many interacting elements

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, statement methods and medical judgement which are required throughout the sufferers’ life span

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

4.8   The guiding ideas, proof primarily based apply and newest developments within the NHS (incl scientific governance) in relation to your space of apply

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 interact in self-directed studying to overview and enhance medical apply throughout the scope of the function

5.2   Work collaboratively to guage and meet the training and improvement wants of different well being professionals

5.3   Act as a task mannequin and mentor

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

5.2   The applying of educating and studying theories and fashions

5.3   How you can consider and meet studying wants for well being care

File retaining and data governance

6.1   Produce clear, legible and contemporaneous data concerning affected person consultations and all points of scientific and non-clinical work

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

6.3   Adhere to all points of knowledge governance necessities

6.1   Authorized and organisational necessities for file retaining and data governance

6.2   Your accountability for producing clear, legible and contemporaneous data

6.3   Your accountability in direction of fulfilling and sustaining Info governance coverage

*Examination and procedural abilities throughout the total 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 (in keeping with the FPA Competence and Curriculum Framework and Matrix of Core Scientific Circumstances)

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