This is not the latest approved version of this apprenticeship. View the latest version

This apprenticeship is in revision

This apprenticeship standard is in the process of being revised and is available for information only. The current version 1.2 is available for new starts until 12 December 2024. Further details of this and other occupational standards in revision are available in the revisions status report.

Overview of the role

Working alongside registered doctors providing medical care as an integral part of a wider healthcare team.

Details of standard

Occupation summary

This occupation is found in a range of employers across the NHS and Primary Care. Physician associates are a healthcare profession regulated by the General Medical Council in the UK (as of 13th Dec 2024). They currently work in over 40 specialties across GP practices, hospitals and community care, with roles determined by local need and decisions. The largest proportion of Physician associates work with doctors and other colleagues in primary care, followed by emergency and acute medicine. Other specialties include geriatrics, stroke, community and dermatology.

 

Physician associates are generalist healthcare professionals who work alongside doctors and provide medical care as part of the multidisciplinary team. They always work under the supervision and ultimately direction of a named senior doctor. A Physician associate delivers aspects of patient care through defined tasks and procedures. This may include:

  • taking medical histories from patients
  • performing physical examinations
  • managing and diagnosing illnesses
  • performing diagnostic and therapeutic procedures
  • analysing test results
  • developing management plans
  • providing health promotion and disease prevention advice for patients.

Physician associates work in teams, and rely upon collaboration and supportive working relationships with their supervising doctors, with whom they can discuss cases, seek advice and review patients.

Physician associates must always operate within the limits of their competence. The General Medical Council specifies the knowledge, skills and behaviours required to practise safely at the point of registration, but an individual Physician associate’s scope of practice may change over time as their knowledge, skills and experience develops.

Typical job titles include:

Physician associate

Entry requirements

Entry requirements for the apprenticeship will be agreed between the employer and the GMC approved programme provider.

Occupation duties

Duty KSBs

Duty 1 Be an accountable professional, manage resources effectively and behave according to statutory, ethical and professional principles seeking support from colleagues and supervisors as necessary.

K1 K2 K3 K4 K5 K6 K7 K8 K9 K10 K11 K12

S1 S2 S3 S4 S5 S6 S7 S8 S9 S10 S11 S12 S13 S14 S15 S16

B1 B2 B3 B4 B5 B6

Duty 2 Work in partnership, supporting decision making with patients, and where appropriate, their relatives, carers or other advocates to provide holistic and integrated care to promote health and prevent illness.

K13 K14 K15 K16 K17 K18 K19 K20 K21 K22

S17 S18 S19 S20 S21 S22 S23 S24 S25 S26 S27 S28 S29 S30 S31 S32 S33 S34 S35 S36 S37 S38 S138

B1 B2 B3 B4 B5 B6

Duty 3 Communicate, openly and honestly with patients, their relatives, carers or other advocates, and with colleagues, applying patient confidentiality appropriately.

K23

S39 S40 S41 S42 S43 S44 S45 S46 S47

B1 B2 B3 B4 B5 B6

Duty 4 Recognise and identify factors that suggest patient vulnerability and take action in response.

K24 K25 K26 K27

S48 S49 S50 S51 S52

B1 B2 B3 B4 B5 B6

Duty 5 Learn and work effectively as a team member in ways that best serve the interests of patients.

S53 S54 S55 S56 S57 S58 S59 S60 S61 S62 S63 S64 S65 S66 S67 S68 S69 S70 S71 S72 S73 S74 S75 S76 S77 S79

B1 B2 B3 B4 B5 B6

Duty 6 Work collaboratively with patients and colleagues to diagnose and manage clinical presentations safely making competent clinical judgements and decisions with a patient, based on the available evidence, in collaboration with colleagues and their supervising doctors or healthcare professionals.

K28 K29 K30 K31 K32 K33 K34 K35 K36 K37 K38 K39 K40 K41 K42 K43 K44 K45 K46

S78 S80 S81 S82 S83 S84 S85 S86 S87 S88 S89 S90 S91 S92 S93 S94 S95 S96 S97 S98 S99 S100 S101 S102 S103 S104 S105 S106 S107 S108 S109 S110 S111 S112 S113 S114 S115 S116 S117 S118

B1 B2 B3 B4 B5 B6

Duty 7 Use information effectively and safely in a medical context, and maintain accurate, legible, contemporaneous and comprehensive medical records.

K47

S119 S120 S121

B1 B2 B3 B4 B5 B6

Duty 8 Practice safely and participates in and promotes activity to improve the quality and safety of patient care and clinical outcomes.

K48 K49 K50

S122 S123 S124 S125 S126

B1 B2 B3 B4 B5 B6

Duty 9 Apply scientific method and approaches to medical research and integrate these with a range of sources of information used to make decisions for care.

K51

S127

B1 B2 B3 B4 B5 B6

Duty 10 Take responsibility for their own learning and deliver teaching, mentoring and training, making use of opportunities to learn, reflect on their practice and seek and respond to feedback.

S128 S129 S130 S131 S132 S133 S134 S135 S136 S137

B1 B2 B3 B4 B5 B6


KSBs

Knowledge

K1: That patients’ needs and safety are central to the care process. Back to Duty

K2: Ethical reasoning and decision-making and how to apply these skills. Back to Duty

K3: The impact of fatigue on their work and the range of strategies that can be used to limit the impact of fatigue on their own health and on patient care. Back to Duty

K4: The principles of the legal framework in which medicine, health and social care are practised in the jurisdiction in which they are practising and have awareness of where further information on relevant legislation can be found. Back to Duty

K5: Recognise that there are differences in healthcare systems across the four nations of the UK. Back to Duty

K6: Duties and responsibilities as a regulated profession by the General Medical Council. Back to Duty

K7: The organisational structure of the NHS and independent sector and their role in the wider health and social care landscape. Back to Duty

K8: Hospital and departmental management structure. Back to Duty

K9: The processes of commissioning and funding, and that all healthcare professionals have a responsibility for stewardship of healthcare resources. Back to Duty

K10: Accountability of the NHS in its context as a publicly funded body, and the need to ensure the most effective and sustainable use of finite resources. Back to Duty

K11: The resource implications of personal actions, minimising unnecessary/wasteful use of resources. Back to Duty

K12: Cost implications of common treatments in terms of money, equipment and human resources. Back to Duty

K13: The principles and values of integrated care. Back to Duty

K14: Factors that contribute to illness, the course of the disease and the success of treatment. Back to Duty

K15: Issues relating to health inequalities and the social determinants of health, the links between occupation and health, and the effects of poverty and affluence. Back to Duty

K16: The prolonged and historical trauma that some groups are subject to racism, misogyny, homophobia, transphobia, and other discrimination in population health and how this affects their trust in the medical professions. Back to Duty

K17: The existence of biases within the healthcare system which could affect health inequalities. Back to Duty

K18: Primary and secondary health promotion, barriers to health promotion and concordance issues. Back to Duty

K19: The incidence and prevalence of common diseases and how environmental, social, behavioural and cultural factors influence health and disease in different populations. Back to Duty

K20: How epidemiological data is used to manage healthcare for the individual and the community with awareness of the clinical and cost effectiveness of interventions. Back to Duty

K21:  The principles of sustainable healthcare and global health. Back to Duty

K22: The role of environmental and occupational hazards in ill-health and the impact of climate change on health, and ways to mitigate their effects. Back to Duty

K23: The risks, professional responsibilities and appropriate safeguards of remote consultations when using new and emerging communication technologies or approaches. Back to Duty

K24: The needs of, and support required, for people with a learning disability and or people with mental health conditions Back to Duty

K25: The professional responsibilities in relation to procedures performed for non-medical reasons, such as female genital mutilation and cosmetic interventions. Back to Duty

K26: The relevant health legislation that may result in the deprivation of liberty to protect the safety of individuals and society. Back to Duty

K27: The causes of health inequalities including the factors within the health service itself, and the principles of equality legislation in the context of patient care. Back to Duty

K28: How conditions may present or be experienced differently in different patient populations. Back to Duty

K29: How normal human structure and function and physiological processes applies, including at the extremes of age, in children and young people, during pregnancy and childbirth and variation in different groups. Back to Duty

K30: Relevant scientific processes underlying common and important disease processes. Back to Duty

K31: The importance of critical appraisal and analysis of clinical data. Back to Duty

K32: Basic principles of prevention, public health, promoting health and wellbeing, work, nutrition, exercise, and vaccination. Back to Duty

K33: The need to involve patients, their relatives, carers or other advocates in management decisions, making appropriate referrals and seeking advice from colleagues as appropriate. Back to Duty

K34: The clinical complexities, uncertainties and emotional challenges involved in caring for patients who are approaching the end of their lives. Back to Duty

K35: Medications and medication actions: therapeutics and pharmacokinetics; medication side effects and interactions, including for multiple treatments, long term conditions and non-prescribed drugs. Back to Duty

K36: The role of antimicrobial stewardship in safe prescribing. Back to Duty

K37: How to carry out an assessment of benefit and risk for the patient of starting a new medication, taking into account the medication history and potential medication interactions in partnership with the patient and, if appropriate, their relatives, carers or other advocates. Back to Duty

K38: How to provide patients, carers or others with appropriate information about their medications in a way that enables patients to make decisions about the medications they take. Back to Duty

K39: The risks of over-prescribing and excessive use of medications and how to apply these principles when suggesting or recommending new medications to a prescriber. Back to Duty

K40: How to agree a medication plan with the patient which they are willing and able to follow. Back to Duty

K41: How to calculate safe and appropriate medication doses and record the outcome accurately, of medication. Back to Duty

K42: How to prepare safe and legal prescriptions for a prescriber, tailored to the specific needs of individual patients, using either paper or electronic systems and using decision support tools where necessary. Back to Duty

K43: How to utilise reliable information about medications and use different technologies to support prescribing. Back to Duty

K44: How to communicate appropriate information to patients, carers and others about what their medication is for, when and for how long to take it, what benefits to expect, any important adverse effects that may occur and what follow-up will be required. Back to Duty

K45: How to monitor the efficacy and effects how to adjust medication, including how/when to stop medication with due support, care and attention if it proves ineffective, is no longer needed or the patient wishes to stop taking it. Back to Duty

K46: How to detect and report adverse medication reactions and therapeutic interactions and react appropriately by recommending the stopping or changing of medication to a prescriber. Back to Duty

K47: Professional and legal responsibilities when accessing information sources in relation to patient care, health promotion, giving advice and information to patients, and research and education. Back to Duty

K48: The principles and methods of quality assurance, quality improvement, quality planning and quality control, and in which contexts these approaches should be used to maintain and improve quality and safety including the use and prioritisation of resources. Back to Duty

K49: Basic human factors principles and practice at individual, team, organisational and system levels and recognise and respond to opportunities for improvement to manage or mitigate risks. Back to Duty

K50: The value of national surveys and audits for measuring the quality of care. Back to Duty

K51: Basic principles and ethical implications of research governance including recruitment into trials and research programmes. Back to Duty

Skills

S1: Demonstrate compassionate professional behaviour and their professional responsibilities in making sure the fundamental needs of patients are addressed. Back to Duty

S2: Demonstrate the clinical responsibilities and role of a Physician Associate. Back to Duty

S3: Takes personal and professional responsibility for own actions. Back to Duty

S4: Demonstrate insight by recognising and acknowledging their own personal and professional limits and by seeking help from colleagues and supervisors, when necessary, especially when they feel that patient safety may be compromised. Back to Duty

S5: Work collaboratively with their named supervising doctor or healthcare professional, including informing them about any concerns, issues or questions raised as part of managing their patients’ care. Back to Duty

S6: Raise and escalate concerns through informal communication with colleagues and through formal clinical governance and monitoring systems about patient safety and quality of care, bullying, harassment and undermining and bias and discrimination leading to inequality of care for patients or inequitable opportunities for colleagues. Back to Duty

S7: Recognise the potential impact of their attitudes, values, beliefs, perceptions and personal biases (which may be unconscious) on individuals and groups and identify personal strategies to address this, escalating to their named supervising doctor or healthcare professional where needed. Back to Duty

S8: Meet General Medical Council standards and keep up to date with relevant guidance. Back to Duty

S9: Ensure own behaviour justifies the patients’ trust in them and the public’s trust in the profession, always acting with honesty and integrity, including about their experience, qualifications and current role, with patients and their families and carers and with colleagues and supervisors. Back to Duty

S10: Demonstrate openness and honesty in interactions with patients, their families and carers, colleagues and their employers if things go wrong. Back to Duty

S11:  Demonstrate awareness of own physical and mental wellbeing. Back to Duty

S12: Demonstrate awareness of the need to self-monitor, self-care and seek appropriate advice and support, including by being registered with a GP and engaging with them to maintain their own physical and mental health. Back to Duty

S13: Manage the personal and emotional challenges of coping with work and workload, uncertainty and change. Back to Duty

S14: Escalate any concerns about own wellbeing with their supervising doctor or healthcare professional. Back to Duty

S15: Develop a range of coping strategies, such as reflection, debriefing, handing over to another colleague, peer support and asking for help, to recover from challenges and setbacks. Back to Duty

S16: Manage the impact of fatigue on own work and the range of strategies that can be used to limit the impact of fatigue on their own health and on patient care. Back to Duty

S17: Establish and maintain partnerships with patients, carers and other advocates, including being able to treat patients as individuals, respect their dignity and privacy, treating patients fairly and with respect whatever their life choices and beliefs, support patients in caring for themselves to empower them to improve and maintain their health and to maintain confidentiality, even after a patient has died. Back to Duty

S18: Seek patient consent, or the consent of the person who has parental responsibility in the case of children and young people, or the consent of those with lasting power of attorney or independent mental capacity advocates if appropriate, for procedures that they are suitably trained/qualified to undertake and where they have sufficient knowledge of the proposed investigation or treatment, and the risks involved. Back to Duty

S19: Provide information about options for investigations, treatment and care in a way that enables patients to make decisions about their own care. Back to Duty

S20: Seek and record and or document informed consent within own competence for any recommended or preferred options for treatment and care. Back to Duty

S21: Assess the mental capacity of a patient to make a particular decision, including when the lack of capacity is temporary, and when and how to take action. Back to Duty

S22: Make the supervising doctor and healthcare team aware of any issues, questions or concerns about a patient’s consent. Back to Duty

S23: Demonstrate when managing and preventing disease that they have considered the care of the complete person. Back to Duty

S24: Recognise the complex medical needs, goals and priorities of patients, the factors that can affect a patient's health and wellbeing and how these interact including psychological and sociological considerations that can also affect patients’ health. Back to Duty

S25: Seek support from their supervising doctor or healthcare professional to help manage complex medical needs when appropriate. Back to Duty

S26: Recognise the impact of wider determinants of health and advise patients on preventative measures with reference to local and national guidelines. Back to Duty

S27: Recognise factors that contribute to illness, the course of the disease and the success of treatment and apply these to the care of patient. Back to Duty

S28: Recognise factors relating to health inequalities and the social determinants of health, the links between occupation and health, and the effects of poverty and affluence. Back to Duty

S29: Recognise the prolonged and historical trauma that some groups are subject to including racism, misogyny, homophobia, transphobia, and other discrimination in population health - and how this affects their trust in the medical professions. Back to Duty

S30: Have the clinical skills necessary to recognise conditions as they present in different population groups. Back to Duty

S31: Evaluate the social determinants of health and disease and variations in healthcare delivery and medical practice and the impact this may have on local health and wellbeing, and be aware of health services being accessible to a diverse range of patients in hard-to reach communities. Back to Duty

S32: Explain the concept of wellness or wellbeing as well as illness and be able to help and empower people to achieve the best health possible, including promoting lifestyle changes such as smoking cessation, avoiding substance misuse and maintaining a healthy weight through physical activity and diet. Back to Duty

S33: Discuss with and advise patients on the role and impact of nutrition on health. Back to Duty

S34: Assess, by taking a history, the environmental, social, psychological, behavioural and cultural factors influencing a patient’s presentation, and identify options to address these, including advocacy for those who are disempowered. Back to Duty

S35: Share information and work collaboratively with patients, their relatives, carers or other advocates to create a psychologically and culturally safe environment. Back to Duty

S36: Work in partnership with patients to adequately assess, diagnose or manage their condition(s), taking account of their history including: symptoms, psychological, spiritual, social, economic and cultural factors and their views, needs and values. Back to Duty

S37: Educate patients, carers and others on the principles of primary, secondary and tertiary prevention of disease, including immunisation and screening. Back to Duty

S38: Apply the basic principles of communicable disease control in hospital and community settings, including disease surveillance. Back to Duty

S39: Practice effective interpersonal skills, emphasising empathy, compassion, courtesy and respect. Back to Duty

S40: Listen to patients, take account of their views, and respond honestly and openly to their questions. Back to Duty

S41: Try to find out what matters to patients so they can share relevant information about the benefits and harms of proposed options and reasonable alternatives, including the option to take no action. Back to Duty

S42: Be considerate to those close to the patient and be sensitive and responsive in giving them information and support. Back to Duty

S43: Adjust communication approach if needed, for people who communicate differently due to a disability, who speak a different first language, are from a different cultural background or are children or young people. Back to Duty

S44: Appreciate how their own behaviour affects patients and members of the multidisciplinary team and act accordingly. Back to Duty

S45: Communicate effectively and sensitively when breaking bad news and be prepared to give clear information. Back to Duty

S46: Advocate for their patient’s needs, especially if their care is managed in different care contexts or environments, including ensuring notes, letters, referrals and discharge summaries are accurate and comprehensive. Back to Duty

S47: Elicit and accurately record a patient’s medical history, including family and social history, working with parents and carers or other advocates when the patient is a child or young person or an adult who requires the support of a carer or other advocate. Back to Duty

S48: Identify signs and symptoms of abuse or neglect and be able to safeguard children, young people, adults and older people, using appropriate systems for sharing information, recording and raising concerns, obtaining advice, making appropriate referrals and taking action. Back to Duty

S49: Take a history that includes consideration of the patient’s views, needs and any associated vulnerability, and reflect this in care plans and referrals. Back to Duty

S50: Consider the needs and welfare of adults, children and young people who may be vulnerable, and act promptly on any concerns about a patient, or someone close to a patient, who may be at risk of, or suffering, abuse or neglect. Back to Duty

S51: Recognise where addiction (to drugs, alcohol, smoking or other substances, or gambling), poor nutrition, self-neglect, environmental exposure, or financial or social deprivation are contributing to ill health, and take action by seeking advice from colleagues and making appropriate referrals. Back to Duty

S52: Address the causes of health inequalities including the factors within the health service itself. Back to Duty

S53: Develop and maintain effective teamworking and interpersonal relationships, which includes recognising and showing respect for the roles and skills of the people they work with and listening to their contributions. Back to Duty

S54: Recognise how their attitudes and behaviours may influence or affect others. Back to Duty

S55: Welcome, support and value diversity within and across teams. Back to Duty

S56: Engage in feedback dialogue. Back to Duty

S57: Safely pass on information using clear and appropriate spoken, written and electronic communication. Back to Duty

S58: Safely pass on information at handover in a hospital setting and when handing over and maintaining continuity of care in primary, community and social care settings. Back to Duty

S59: Safely pass on information when referring to colleagues for investigations or advice. Back to Duty

S60: Safely pass on information when things go wrong, for example when errors happen. Back to Duty

S61: Work collaboratively and supportively with colleagues to share experiences, achieve common goals, respond to challenges and learn together. Back to Duty

S62: Respond appropriately to requests from colleagues to attend patients. Back to Duty

S63: Keep own supervising doctor or healthcare professional informed about the care and management of their patients and escalating any issues, concerns and questions in a timely manner. Back to Duty

S64: Demonstrate initiative e.g. by recognising work pressures on others, providing support and organising work to optimise effectiveness within the clinical team. Back to Duty

S65: Demonstrate leadership skills appropriate to their role, and work with others to make healthcare environments more supportive, inclusive and fair. Back to Duty

S66: Demonstrate the ability to escalate questions, issues and concerns to the supervising doctor or healthcare professional where care is complex or uncertain. Back to Duty

S67: Manage own time, organising and prioritising own workload as a matter of routine. Back to Duty

S68: Attend on time for all duties, including handovers, clinical commitments and teaching sessions. Back to Duty

S69: Give timely structured handover to ensure safe continuing care of patients and make adequate arrangements for cover. Back to Duty

S70: Seek assistance when required to ensure that all tasks are completed and escalate as appropriate to their supervising doctor or healthcare professional. Back to Duty

S71: Demonstrate accountability as an employee to their employer and work within an appropriate clinical governance framework. Back to Duty

S72: Engage in own induction and orientation activities, learn from experience and feedback, and respond constructively to the outcomes of appraisals, performance reviews and assessments. Back to Duty

S73: Can explain and demonstrate the importance of professional development and lifelong learning and demonstrate commitment to this. Back to Duty

S74: Keep own practice up to date through learning and development. Back to Duty

S75: Reflect on their own practice in order to achieve insight and gain meaningful learning from experiences. Back to Duty

S76: Demonstrate engagement in career planning. Back to Duty

S77: Commit to lifelong learning to keep up to date with developments in medical practice, especially the implications from significant global, population, social or health trends as well as the impact and opportunities offered by new and emerging medicine and technologies. Back to Duty

S78: Assess a patient's clinical presentation, agree this with colleagues and confirm the approach with the named supervising doctor or healthcare professional. Back to Duty

S79: Safely and sensitively undertake physical, mental and cognitive examinations as appropriate (with a chaperone present if required). Back to Duty

S80: Provide a holistic clinical summary based on the history and examinations and where appropriate confirm the summary with the supervising doctor or healthcare professional. Back to Duty

S81: Identify and select appropriate investigations, taking into account potential risks, benefits, cost effectiveness and possible side effects and agree these tests in collaboration with colleagues and the supervising doctor or healthcare professional if necessary. Back to Duty

S82: Interpret and reflect on findings from the history, examinations and investigations, in collaboration with colleagues and the supervising doctor or healthcare professional, if necessary, to propose possible underlying causes or pathology. Back to Duty

S83: Demonstrate and confirm their clinical reasoning to the supervising doctor or healthcare professional and other colleagues. Back to Duty

S84: Escalate any questions, issues or concerns about the history, examinations, available evidence, possible diagnoses and care or treatment plan to the supervising doctor or healthcare professional, especially when care is uncertain, complex, or a possible emergency. Back to Duty

S85: Apply biomedical scientific principles, methods and knowledge to medical practice and integrate these into patient care. Back to Duty

S86: Provide care plans in collaboration with other health professionals and support from their supervising doctor or healthcare professional if necessary. Back to Duty

S87: Recognise the potential consequences of over-diagnosis and over-treatment. Back to Duty

S88: Support patient's self-care as part of the patient's management plan. Back to Duty

S89: Make appropriate clinical judgements when considering or providing compassionate interventions or support for patients who are nearing or at the end of life. Back to Duty

S90: Recognise when a patient is deteriorating and take appropriate action, escalating appropriately to their supervising doctors or healthcare professionals and colleagues for assistance and advice. Back to Duty

S91: Propose a plan of management including prevention, treatment, management and discharge or continuing community care, according to established principles and best evidence, in partnership with patients and working with other health professionals as necessary. Back to Duty

S92: Give immediate care to adults, children and young people in clinical emergencies and seek support from their supervising doctor or healthcare professional or other colleagues if necessary. Back to Duty

S93: Assess and determine the severity of a clinical presentation and the need for immediate emergency care. Back to Duty

S94: Diagnose and manage acute clinical emergencies, escalating appropriately to their supervising doctors or healthcare professionals and colleagues for assistance and advice. Back to Duty

S95: Provide immediate life support. Back to Duty

S96: Provide cardiopulmonary resuscitation. Back to Duty

S97: Recognise when it is appropriate to escalate complex and uncertain situations to their supervising doctors or healthcare professionals and colleagues. Back to Duty

S98: Identify the need to adapt management proposals and strategies as the health, needs and expectations of their patients change. Back to Duty

S99: Work collaboratively with patients, their relatives, carers or other advocates, in planning their care, negotiating and sharing information appropriately, and with other healthcare professionals and organisations when working with patients. Back to Duty

S100: Recognise how treatment and care can place an additional burden on patients, relatives and carers, and suggest ways to reduce this burden where appropriate, particularly where patients have multiple conditions or are approaching the end of life. Back to Duty

S101: Recognise the uncertainty of diagnosis and treatment success or failure, escalating where appropriate to the supervising doctor or healthcare professional, and communicate this openly and sensitively with patients, their relatives, carers or other advocates. Back to Duty

S102: Demonstrate the relevant communication techniques and strategies that can be used with the patient, their relatives, carers or other advocates who are dealing with clinical complexities, uncertainties and emotional challenges involved in caring for patients who are approaching the end of their lives. Back to Duty

S103: Suggest or recommend commonly used medications to a prescriber safely, appropriately, effectively and economically and is aware of the common causes and consequences of prescribing errors recognising when to seek advice from other healthcare professionals and escalate the decision to the supervising doctor or healthcare professional, particularly when suggesting or recommending new medications, and must be able to manage and monitor the efficacy and effects of medication in a simulated environment . Back to Duty

S104: Establish an accurate medication history, covering both prescribed and non-prescribed medication, herbal medicines, supplements and drugs of abuse. Back to Duty

S105: Establish and clarify medication allergies and the types of medication interactions that patients experience. Back to Duty

S106: Recognise the challenges of safe prescribing for patients in high-risk groups such as those with long term conditions or multiple morbidities and medications, in pregnancy, at extremes of age and at the end of life. Back to Duty

S107: Recognise patient choice to use complementary therapies and how this might affect the safety and efficacy of other types of treatment that patients receive. Back to Duty

S108: Recognise the challenges of delivering care when prescribing and providing treatment and advice remotely, for example via online services. Back to Duty

S109: Carry out an assessment of benefit and risk for the patient of starting a new medication, taking into account the medication history and potential medication interactions in partnership with the patient and, if appropriate, their relatives, carers or other advocates. Back to Duty

S110: Provide patients, carers or others with appropriate information about their medications in a way that enables patients to make decisions about the medications they take. Back to Duty

S111: Recognise the risks of over-prescribing and excessive use of medications and how to apply these principles when suggesting or recommending new medications to a prescriber. Back to Duty

S112: Agree a medication plan with the patient which they are willing and able to follow. Back to Duty

S113: Calculate safe and appropriate medication doses and record the outcome accurately, of medication and, with appropriate advice from colleagues, understand and demonstrate seeking support and advice from the supervising doctor or healthcare professional, pharmacist or other colleagues when necessary. Back to Duty

S114: Prepare safe and legal prescriptions for a prescriber, tailored to the specific needs of individual patients, using either paper or electronic systems and using decision support tools where necessary. Back to Duty

S115: Utilise reliable information about medications and use different technologies to support prescribing. Back to Duty

S116: Communicate appropriate information to patients, carers and others about what their medication is for, when and for how long to take. it, what benefits to expect, any important adverse effects that may occur and what follow-up will be required. Back to Duty

S117: Monitor the efficacy and effects how to adjust medication, including how/when to stop medication with due support, care and attention if it proves ineffective, is no longer needed or the patient wishes to stop taking it. Back to Duty

S118: Detect and report adverse medication reactions and therapeutic interactions and react appropriately by recommending the stopping or changing of medication to a prescriber. Back to Duty

S119: Make effective use of decision making and diagnostic technologies. Back to Duty

S120: Apply the requirements of confidentiality, information governance and data protection legislation and comply with local information governance and storage procedures when recording, transferring and coding patient information. Back to Duty

S121: Recognise own role in contributing to the collection and analysis of patient data at a population level to identify trends in wellbeing, disease and treatment, and to improve healthcare and healthcare system. Back to Duty

S122: Place patients’ needs and safety at the centre of the care process. Back to Duty

S123: Create an environment of cultural and psychological safety for patients and colleagues. Back to Duty

S124: Promote and maintain health and safety in all care settings, escalating concerns to and requesting support from colleagues where appropriate, including when providing treatment and advice remotely. Back to Duty

S125: Recognise how errors can happen in practice and that errors should be shared openly and be able to learn from their own and others’ errors to promote a culture of safety. Back to Duty

S126: Apply measures to prevent the spread of infection, and apply the principles of infection prevention, control and antimicrobial stewardship. Back to Duty

S127: Interpret and communicate research evidence in a meaningful way for patients to support them in making informed decisions about treatment and management. Back to Duty

S128: Participate in the effective teaching, mentoring and training of other healthcare professionals, adapting to an individual’s diverse background and experience, including for colleagues who are new to UK practice and those who don’t have easy access to sources of support. Back to Duty

S129: Recognise the factors leading to inequality of opportunity and the importance of equality of access to learning opportunities, and ways to address these. Back to Duty

S130: Engage in effective feedback dialogue with learners, identify development needs, suggest appropriate action plans and support them to address these. Back to Duty

S131: Actively seek feedback on their own professional activities. Back to Duty

S132: Educate patients, carers and others on the nature of the role of a Physician Associate. Back to Duty

S133: Contribute to a culture of organisational learning and promote collaboration of the wider team – clinical, academic and patients – to identify and facilitate team learning. Back to Duty

S134: Supervise less experienced colleagues in their clinical assessment and management of patients and in carrying out practical procedures (within own scope of practice). Back to Duty

S135: Act as a role model for others and the profession. Back to Duty

S136: Learn continuously, taking responsibility for their own learning, and make use of relevant learning resources and opportunities. Back to Duty

S137: Reflect on their own practice, setting learning goals and working towards their achievement. Back to Duty

S138: Take account of patients’ concerns, beliefs, choices and preferences, and respect the rights of patients to reach decisions with their health and social care teams about their treatment and care as well as to refuse or limit treatment. Back to Duty

Behaviours

B1: Apply the principles, values, and standards of care and professional behaviour expected of all medical professionals set out in the General Medical Councils Good Medical Practice guidelines. Back to Duty

B2: Professional, considerate and sensitive towards other professionals and patients. Back to Duty

B3: Honest, trustworthy and act with integrity. Back to Duty

B4: Work within the limits of your professional competence and scope of practice. Back to Duty

B5: Caring, compassionate, honest, conscientious and committed. Back to Duty

B6: Value people as individuals, and respect equality and diversity. Back to Duty


Qualifications

English and Maths

Apprentices without level 2 English and maths will need to achieve this level prior to taking the End-Point Assessment. For those with an education, health and care plan or a legacy statement, the apprenticeship’s English and maths minimum requirement is Entry Level 3. A British Sign Language (BSL) qualification is an alternative to the English qualification for those whose primary language is BSL.

Other mandatory qualifications

High Level Qualification

A qualification for Physician Associate approved by the GMC

Level: 7 (non-degree qualification)


Additional details


Regulated standard

This is a regulated occupation.

Regulator body:

General Medical Council

Training provider must be approved by regulator body

EPAO does not require approval by regulator body

Occupational Level:

7

Duration (months):

30

Review

this apprenticeship will be reviewed in accordance with our change request policy.

Status: Standard in development
Proposal approved Standard approved EPA plan approved Funding approved
Level: 7
Degree: non-degree qualification
Reference: ST0518
Date updated: 19/11/2024
Route: Health and science
Typical duration to gateway: 30 months (this does not include EPA period)
Regulated standard:
This is a regulated occupation
Regulator body:General Medical Council
Training provider must be approved by regulator body
LARS Code: 506
Employers involved in creating the standard: Cornwall Partnership NHS Foundation Trust, Loomer Medical Practice, NHSE, Northumbria Healthcare NHS Foundation Trust, Queen Mary University of London, Sheffield Health and Social Care NHS Trust, Skills for Health, Staffordshire and Stoke on Trent Partnership NHS Trust, Surrey and Sussex Healthcare NHS Trust, Thistlemoor Medical Centre, West Kent Primary Care, Worcestershire Health and Care NHS Trust, Workforce Development Trust

Version log

Version Change detail Earliest start date Latest start date
Revised version awaiting implementation Not set Not set
1.2 Occupation standard and end-point assessment plan revised 26/10/2023 Not set
1.1 Standard revised 25/05/2023 25/10/2023
1.0 Approved for delivery 30/09/2019 24/05/2023

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