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CAMHS won't see you now

How disempowerment of GPs is rife in today's NHS

It is interesting to learn of the current experiences of the pilot schemes using physician assistants in the UK (News,

October 4). Along with other clinicians associated with the University of Wolverhampton, I have had opportunity to work with students from the Kentucky physician assistant training programme for more than 10 years.

They are able, mature graduates who go on to make a modest, helpful contribution to the spectrum of health care in the US.

Their training equips them to prescribe, in association with their physician/surgeon collegues. They increase the output of doctors, nurses and other professionals within multi-professional teams, without threatening anyone.

They take their work seriously and have sound systems of governance and re-appraisal.

The university has recently launched a training programme that will equip graduates to fill this role within the NHS. For details of the development and early experience of this course, contact Philip Begg at

Dr David Jolley


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