FOI Data: 41 of 85 UK NHS Trusts Employ Advanced Practitioners in Doctor Roles
New research from freedom of information requests reveals that 41 out of responding UK hospital Trusts and Boards are using non-doctors, known as Advanced Practitioners, to plug gaps in doctors' rotas. The British Medical Association highlighted patient safety concerns through statements from its council chair.
Substrate placeholder — needs review · Wikimedia Commons (CC BY-SA 3.0)GB News reported that new research shows almost half of NHS hospital Trusts are using non-doctors to fill doctors’ roles. Freedom of information requests were sent to hospital Trusts and Boards across the UK, with 41 responding yes when asked if Advanced Practitioners were being used to plug gaps, compared to 44 who said no.
Advanced Practitioners are sometimes known as physician associates or specialist clinicians and come from backgrounds including nursing, paramedics, and pharmacy.
Dr Tom Dolphin, chair of BMA council, stated: “Our colleagues in advanced practice roles are valued members of our multidisciplinary teams. ” Dr Dolphin further said: “What is especially concerning is just how slapdash the NHS’s approach is. Many employers have clearly and sensibly told us they would not put a non-doctor into the role of a doctor.
Others have unashamedly responded that they have done exactly that. ” Emily Chesterton, aged 30 and living in London, died after a misdiagnosis by a physician associate at a GP practice in north London in October 2022. She was repeatedly told her calf pain was a sprain when she actually had a blood clot, and she was not referred for further tests.
GB News reported that coroners have issued Prevention of Future Deaths reports highlighting cases where non-doctor clinicians did not properly assess deteriorating patients. An NHS England spokesman stated: “NHS guidance is clear - advanced practitioners are highly skilled practitioners and are valued members of NHS teams alongside doctors.
” A spokesman for the Royal College of Nursing said: “Advanced nursing practice is highly-skilled, delivered by expert registered nurses and is underpinned by a master's level education and a comprehensive range of knowledge, skills and capabilities. These nurses are central to the delivery of safe and effective care across many services. They are not substitutes for other professions.
” GB News reported that the NHS is grappling with staff shortages, record waiting lists and rising demand, with thousands of doctor vacancies unfilled, leading health bosses to turn to alternative roles like physician associates and advanced practitioners, which have been rapidly expanded in recent years as part of long-term workforce plans.
Key Facts
Story Timeline
6 events- 2026-04-25
New research from freedom of information requests shows nearly half of NHS Trusts using non-doctors to fill doctors’ roles.
1 sourceGB News - Recent (prior to 2026-04-25)
Freedom of information requests sent to UK hospital Trusts and Boards, with 41 yes and 44 no responses on using Advanced Practitioners to plug gaps.
1 sourceGB News - Recent (prior to 2026-04-25)
BMA chair Dr Tom Dolphin issues statements on patient safety risks and inconsistent NHS approaches.
1 sourceGB News - 2022-10
Emily Chesterton dies days after misdiagnosis by physician associate at north London GP practice.
1 sourceGB News - Recent years (prior to 2026)
Rapid expansion of physician associates and advanced practitioners in NHS as part of long-term workforce plans.
1 sourceGB News - Ongoing (as of 2026-04-25)
NHS grapples with staff shortages, record waiting lists, and rising demand.
1 sourceGB News
Potential Impact
- 01
Calls for tighter regulation and uniform scopes of practice in NHS to prevent misdiagnoses.
- 02
Heightened scrutiny on NHS workforce planning amid ongoing staff shortages.
- 03
Potential variation in patient care standards based on location, leading to inconsistent treatment outcomes.
- 04
Increased pressure on advanced practitioners to perform beyond training, affecting staff morale and retention.
- 05
Possible legal or coronial actions following cases like misdiagnoses, influencing future hiring practices.
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