Judicial Review Fundraiser: Join Our Fight
Following recommendations from the Leng Review, the UK government is severely restricting Physician Associates and Anaesthesia Associates from carrying out the role we were trained to do.
This includes:
Preventing PAs from treating undifferentiated (i.e. undiagnosed) patients.
Reducing pay and changing PAs’ job title to ‘Physician Assistant’.
Changing the PA and AA job role beyond all recognition.
Requiring PAs to have two years’ secondary care experience before working in primary care.
Reducing pay and changing AAs’ job title to ‘Physician Assistant in Anaesthesia’.
This is despite the Leng Review finding no substantive evidence that PAs and AAs are unsafe or ineffective.
Their unfounded recommendations are harmful to patients, harmful to employers, and harmful to MAPs.
That’s why WE’RE FIGHTING BACK.
On Friday 25th July 2025 our legal team issued pre-action letters to Health Secretary Wes Streeting and NHS England, notifying them of an intended judicial review claim. Professor Gillian Leng has also received copies of these letters as a potential interested party.
News & Updates:
- Justice Dove has expedited the Judicial Review, and we therefore expect proceedings to take place over the next few months.
- During proceedings, NHSE placed the burden of breaching employment law firmly onto employers, stating that they did not have the authority to instruct employers in how to manage their staff.
- As of 29th August 2025, Professor Gillian Leng has been officially added as a Defendant to the Judicial Review.
- We expect the Defendants to submit their arguments to the Court by Monday 8th September 2025. We then anticipate a ‘Permission to Proceed’ hearing will take place, likely at the end of September 2025.
Meet our Legal Team
Patrick Green KC
Barrister
Henderson Chambers
- Economic Torts, Misfeasance & Conspiracy Claims
- Employment
- Employee Patent Compensation
- EU
- MTIC Fraud
- Privacy, Breach of Confidence, Breach of Fiduciary Duty & Restraint of Trade
We are delighted to announce that Patrick Green KC of Henderson Chambers has now joined our legal team.
Mr. Green is a highly esteemed barrister who is best known for his successful representation of the sub–postmasters in the Post Office ‘Horizon’ IT Scandal.
Sneha Nainwal
Partner
- Alternative Dispute Resolution
- International Litigation & Arbitration
Shakespeare Martineau
Jon Heuvel
Partner
- Employment Law & Disputes
- Senior Executive Services
- Workforce Management
Shakespeare Martineau
We’ve assembled some of the greatest legal minds in the country to challenge the government’s decision in court.
We know that our case is strong, but to see justice served for our profession, we need your help!
Please consider donating to our legal fund through either a small monthly sum, or a one-off donation. You can be assured that 100% of your donations will be used to support our legal fight.
We have the representation of our incredible legal team. We have the support of PA employers across the UK. We now ask you to play your part in helping us achieve justice for Medical Associate Professionals.
Monthly Donation
One-Off Donation
How This Impacts YOU as a Patient
Implementing these changes will have dire consequences for patients across the UK who are already experiencing the challenges of an ailing healthcare system.
Millions of patients will now be prevented from accessing appointments at their GP practice, denying you safe, effective, and timely care for both urgent and routine conditions. Diagnoses will be missed, time-sensitive referrals will not be made, and chronic conditions will go unmanaged.
If you are a patient who is already trapped amidst the substantial NHS backlogs, you may find that your wait time increases over the coming months. Outpatient clinic appointments will be delayed, and you will wait longer to see specialist teams within your local hospitals. Coverage of acute hospital beds will be significantly impacted, causing a knock-on effect for emergency department patients around the country.
PAs and AAs are educated, experienced medical professionals who have provided you with safe, competent, accessible care for over two decades.
Help us protect YOUR right to access NHS healthcare. Join our fight and donate to our legal fund today.
Monthly Donation
One-Off Donation
How This Impacts YOU as an Employer
Every day concerned GP surgeries and hospital Trusts reach out to us, worried about how they will care for their patient populations without their invaluable PA employees.
PAs are disproportionately based in underserved areas of the UK health service, and without them, many GP surgeries will face closure. Urgent presentations will go unseen, patients with chronic conditions will go unmanaged, and nursing homes will go unvisited.
With already long waiting lists, staffing shortages, recruitment freezes, industrial action, and ever-increasing patient numbers, the health service is facing its greatest challenges since its inception in 1948. We simply cannot afford to lose thousands of highly trained, dedicated healthcare professionals.
Help us protect the NHS. Join our fight and donate to our legal fund today.
Monthly Donation
One-Off Donation
News & Updates:
- Justice Dove has expedited the Judicial Review, and we therefore expect proceedings to take place over the next few months.
- During proceedings, NHSE placed the burden of breaching employment law firmly onto employers, stating that they did not have the authority to instruct employers in how to manage their staff.
- As of 29th August 2025, Professor Gillian Leng has been officially added as a Defendant to the Judicial Review.
- We expect the Defendants to submit their arguments to the Court by Monday 8th September 2025. We then anticipate a ‘Permission to Proceed’ hearing will take place, likely at the end of September 2025.
