Evaluating the impact of introducing Physician Associates to cancer units of urology, breast surgery and colorectal surgery – Experiences from the Wessex Cancer Alliance, UK

Background: The National Health Service (NHS) faces a crisis in managing cancer patients in a timely manner. One proposed solution to this problem is through workforce expansion and diversification of professionals capable of treating patients. Physician Associates (PAs) are a relatively recent addition to the multidisciplinary team (MDT) who could be valuable in addressing this crisis. Objective: We determine the impact of six PAs following their introduction to the diagnostic pathways within urology, and breast and colorectal surgery over the course of their first year. Methods: The design of the study was qualitative in nature. The development of the PAs was monitored and assessed using review meetings, PA work logs and questionnaires completed by the MDT. Results: Results showed that within a relatively short time PAs undertook routine, mid-level specialist procedures, aided clinical service provision and engaged in tasks aimed to develop and improve services. PAs developed within a clearly assigned area of responsibility with adequate supervision enabling senior doctors to concentrate on more complex duties. Conclusion: This study concludes that PAs can effectively and sustainably support cancer teams, following initial investment into their training under adequate senior supervision. We show that even PAs with limited previous experience in the respective specialty positively impacted teams as early as six months into their appointment.