Coroner Warns of Misleading Physician Associate Role After Fatal Misdiagnosis

A coroner has raised alarms regarding the misleading title of 'physician associate' (PA) following the death of 77-year-old Pamela Marking, who was misdiagnosed with a nosebleed instead of a hernia by a PA at East Surrey Hospital. Dr. Karen Henderson noted a significant lack of public understanding about the role of PAs, which could undermine patient confidence and informed consent, particularly when family members mistakenly believe they are receiving care from a qualified doctor. Marking was sent home after her initial visit despite severe symptoms, leading to her readmission and subsequent death due to complications. Henderson's report, sent to health authorities, criticized the inadequate training of PAs and the absence of clear guidelines for their practice, raising concerns about patient safety. The coroner emphasized that the term 'physician associate' contributes to confusion, as it does not adequately convey the PA's training level compared to medical doctors. This incident has sparked broader discussions about the role of PAs within the NHS and the need for clearer regulations and public education.