The Regulation of Medical Associate Professions in the UK

Closed 22 Dec 2017

Opened 12 Oct 2017


All four UK health departments recognise the important contributions that can be made to the delivery of safe, accessible and high quality care for patients through the enhancement of existing roles and the introduction of new roles.

Four of these existing roles can be grouped under the heading of ‘Medical Associate Professions’ (MAPs). These are:

  • Physician Associate (PA)
  • Physicians’ Assistant (Anaesthesia) (PA(A))
  • Surgical Care Practitioner (SCP)
  • Advanced Critical Care Practitioner (ACCP)

As these professionals become more widely employed in the health service, it is necessary to explore the options for professional regulation.

This consultation seeks your views on the following proposals: 

  • To introduce statutory regulation for PAs
  • To seek further evidence on the most proportionate level of regulation for PA(A)s
  • To seek views on the position that statutory regulation of the SCP and ACCP roles is not proportionate, and whether alternative options for professional assurance should be considered.

The consultation also seeks initial views on prescribing responsibilities and on the most appropriate healthcare regulator should the four UK health departments decide to take forward statutory regulation for any or all of the MAP roles.

A consultation document and a risk assessment profile from Health Education England (HEE) have been published alongside this consultation. These should be referred to when completing the survey.

What Happens Next

This consultation is now closed and we are currently analysing the responses we have received. We will aim to publish the outcome of this consultation within three months of the closing date at:


  • Voluntary groups
  • Community groups
  • Charities
  • Civil society
  • Advocacy or support organisations
  • GPs
  • Nurses
  • Health visitors
  • Clinicians
  • Managers
  • Commissioners
  • Directors of Public Health
  • Pharmacists
  • Doctors
  • Midwives
  • Healthcare scientists
  • Paramedics
  • Dentists
  • Art therapists
  • Dramatherapists
  • Music therapists
  • Chiropodists/ podiatrists
  • Dieticians
  • Occupational therapists
  • Orthotists
  • Orthopists
  • Prosthetists
  • Physiotherapists
  • Diagnostic radiographers
  • Therapeutic radiographers
  • Speech and language therapists
  • Childcare providers
  • Allied Health Professionals
  • Care-Givers
  • Ophthalmic Practitioners
  • Responsible Officers
  • Foundation Trusts
  • NHS Commissioning Board
  • Clinical Commissioning Groups
  • NHS quality improvement leads
  • NHS patient experience leads
  • NHS patient safety leads
  • clinical staff
  • patient groups and patient advocates
  • Regulatory body
  • Academic/ Professional institution
  • Employer representatives
  • Employee representatives
  • Trade union
  • Deaneries
  • Higher Education institutions
  • Royal Colleges
  • Local authority
  • Social care provider
  • Directors of Adult Social Care Services
  • Members of the public
  • Patients
  • individuals and families with experience of clinical investigations
  • Patients
  • Carers
  • Service users
  • DH staff
  • consultant ophthalmologists
  • opticians
  • optometrists
  • ophthalmic medical practitioners
  • ophthalmologists


  • Regulation