Seventy Nine %

Did she say the quiet part out loud?! You decide. In this episode we revisit a series of official engagement webinars held during Professor Gillian Leng's independent review of Physician Associates and Anaesthesia Associates.Published by the Department of Health and Social Care in June 2025, these recordings offer a fascinating opportunity to hear Professor Leng discuss professional competition, medical training, the value of experienced PAs, the limitations of safety evidence and the controversy surrounding the review — before her final recommendations were published.More than a year later, with the consequences of those recommendations still being felt across the PA profession, we return to her own words and ask whether the conclusions that followed adequately reflected the evidence and concerns she acknowledged.Recordings featured in this episodeThe following extracts appear in the order discussed:Professional competition — Physician Associates webinar, 35:41. Leng discusses doctors potentially perceiving PAs as professional competition.Social media influence — Anaesthesia Associates webinar, 49:52. Leng reflects on whether the review would have happened without social media.Consultants' enthusiasm for PAs — Healthcare Professionals webinar, 56:17. The value of continuity and established clinical relationships.Experienced PAs and medical training — Resident Doctors webinar, 43:57. Consultants' assessments of experienced PAs and their clinical capabilities.Training opportunities versus patient safety — Resident Doctors webinar, 50:35. Leng acknowledges the importance of distinguishing these issues.The 'most important group' — Resident Doctors webinar, 53:45. Leng discusses the significance of resident doctors' contributions to the review.BMA survey concerns — Physician Associates webinar, 25:15. Questions about organised responses and the reliability of survey evidence.The limitations of safety evidence — Resident Doctors webinar, 38:22. Leng discusses the difficulties of establishing whether PA practice is safe or unsafe.The human consequences — Physician Associates webinar, 38:41. Employment uncertainty, livelihoods and the impact on PA wellbeing.Career progression — Physician Associates webinar, 48:06. The importance of opportunities for professional development.All timestamps are approximate and refer to the original webinar recordings.Original sourcesOfficial webinar recordings:https://www.youtube.com/playlist?list=PLvaBZskxS7tzinI--pvzgq3mNWUaeQiMmDepartment of Health and Social Care — Leng Review:https://www.gov.uk/government/collections/independent-review-of-physician-associates-and-anaesthesia-associatesThe Leng Review — Final Report, 16 July 2025:https://www.gov.uk/government/publications/independent-review-of-the-physician-associate-and-anaesthesia-associate-roles-final-reportAll extracts are presented for criticism, review and discussion. We encourage listeners to watch the complete recordings, read the published report and draw their own conclusions. As always you can tell us what you think at [email protected] find us on socials.

UMAPs has been granted permission to take key parts of its judicial review to a full substantive hearing.In this episode, we break down what actually survived, what didn’t, and what happens next.We also look at the wider context around the Leng Review — because although the court has refused to let the “appeasement” argument proceed, that does not mean the hostile professional and industrial environment surrounding PAs simply disappears from the story.And after years of decisions being made about our profession, some of those decisions will finally have to be defended.Better late than never.Discretion always advised.Complaints and compliments to [email protected]

Interested in the judicial review? We explain UMAPs' challenge to the Leng Review, the arguments on each side, what happened on the 8th September at the permission hearing and what could happen next. An independent 79% explainer drawing on public sources, including UMAPs' statements. UMAPs had no involvement in producing this episode. Its account of the hearing is not a judicial review finding. Listen with discretion - as always. [email protected]

If you look at X you'll understand this song. Amusement.Pure satire. Pure mischief. Please close your browser occasionally.Complaints and compliments to [email protected] you don't receive an appropriate response, please write to [email protected]

Hope this amuses you as much as it did us :)A tiny Friday-night reminder that sometimes the only reasonable response to professional chaos is a little mischievous satirical joy. 🎶Complaints and compliments to [email protected] If you don't receive an appropriate response, please write to [email protected]