Box 1.

Forward recommendations for action

Develop post-qualification preceptorship training for PAs, specifically rotational preceptorships, which would include rotation through specialties and primary care.
Support onward development of qualified PAs, with training in clinical leadership, NHS management and medical education.
Push for national standards of continuous professional development for PAs, including annual appraisal.
Consider tailoring financial support to challenged workforce and geographical areas to aid recruitment and widening participation.
Market future university recruitment for PAs focusing on local university graduates and those already living within the region.
Invest in education of the front line staff specifically in primary care, surrounding the usability of PAs within primary care.
Train the PAs in personal resilience to reduce the impact on them of others emotional projections.
Improve public awareness on the role of PAs.
Establish and evaluate adequate support for the post-qualification PA workforce.