Prediction time- and a bookmark for those who fancy it. There will be attempts to fudge the PA protocols and dilute by the pro “PA are just differently trained doctors” lobby. Absolute lock on that Leng will be under heavy pressure to be part of that Organisations such as Royal Colleges will try to manage it internally and “find a middle ground” (Colleges will mostly do as asked- unless the uproar is too much to handle) They will eventually come in the public domain There will be uproar and much debate as Fellows and Members see them. The NHS Long Term Workforce Plan will try- again - to shoehorn PAs in. The basic strategy? “Let’s find a middle ground”- based on a belief that people are tired of this and will accept. And a hope that enough has been given to the BMA - pay structures, IMG sacrifice etc for them to sign up As ever? The key sits with the supervisors. Will YOU as a Doctor- agree to taking lesser trained people on and put your liability on the line. And will you have the time once METR lands. Policy is one thing - involves much of politics Implementation? Needs wide support. Ask those who tried to force the whole PA project through first time around. @lengreview @RCPhysicians @rcgp @gmcuk @TheBMA @AoMRC @AoMRCTrainees @rcpsych @JanetEastham