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A high profile death has led to doctors’ concerns about medical associate professions coming to the fore so what happens next, asks Erin Dean Concerns about the care of a 30 year old woman who died from a pulmonary embolism after seeing a physician associate (PA) has led to the role (see box) being discussed widely in the media, on social media, and by MPs.1 Emily Chesterton saw the same PA twice in north London with breathlessness and calf pain, while believing she was seeing a GP, Labour MP Barbara Keeley told the House of Commons on 6 July. Chesterton was misdiagnosed with a sprain, long covid, and anxiety, and prescribed propranolol shortly before her death in November 2022. She was likely to have survived if referred for emergency care at either appointment, a coroner concluded. “This case raises questions about the wider use of PAs in the NHS, and particularly about allowing the provision of unsupervised one-to-one consultations in general practice,” Keeley said. ###

City ofUnited kingdomBarbara keeleyEmily chestertonFaculty of physician associatesPhysician associates