The year started with surgeries being involved in collective action in protest against contractual terms and funding and though it was paused in around March, by December it was back on the cards (though possibly for next spring).

The Leng review, published in July, recommended the physician associate role essentially be retained although with a new job title of physician assistant, new training requirements and altered job description for primary care. Since these were accepted by the Government, a list of instructions was promptly issued by NHS England to ensure practices were compliant with the changes.

Read more – Management in Practice (31/12/25)