Physician Assistant

HWNZ has received the full evaluation of the PA demonstration at CMDHB, commissioned from Siggins Miller.

The evaluation of the first phase of the PA demonstration was very positive with both patients and staff highly satisfied with the contribution the PAs made to the surgical team.

The PAs saved junior doctor time so they could concentrate on other work and learning and enabled nurses to carry out their roles more effectively. They were able to undertake specific clinical tasks promptly and efficiently, benefiting patient care.

The PAs have returned to the US but would have been interested in remaining in New Zealand if the scope of the role were broadened as it is in the US, particularly to include certain prescribing rights.

In order to test further the value the PA role could add to the New Zealand health system, HWNZ will fund further demonstration of the role in different settings with a focus on primary care and rural areas.

HWNZ is in discussions with Midlands Health Network to demonstrate the role in primary care with PAs to be recruited from the US later in 2012. It is likely that there will be demonstrations in one or two other health communities.

In parallel, HWNZ will work with stakeholders to explore the regulatory implications of the PA role and the scope, competencies and training that would be appropriate for the New Zealand environment.

A multi-disciplinary advisory group will be established to guide and support the project.

For more information about the PA demonstration see:

• Evaluation report of the Counties Manukau DHB demonstration
• Frequently asked questions
• International experience
• Physician Assistant case study

We welcome your feedback so please contact us with any comments.