Should we be striving to protect the medical and nursing professions or not?
Absolutely, we should be protecting the standards of all qualified healthcare professionals. Some have well established regulatory bodies and PAs being relatively new are evolving and need more input to get their regulatory body up to scratch. Does not mean that they should not exist as is said on this thread.
Minimum standards - agenda for change is becoming a race for the lowest band. Nursing associates were the first step to making nurses pay banding worse. If you pay a nurse associate band 3/4 why would you pay a newly qualified less experienced nurse band 5 as a starting pay point. Just nudge then down to band 4 and keep then there for 4 years.
Medical training has been destroyed in recent years , more squeezed into less time and the need to homogenise and box tick at the lowest level to "pass" has sustained a lot of educational PhDs. It is done in the interests of equality and fairness but has not driven higher standards. If you only need 50% to pass then alot of people will not work to get more than 50% - some will but there is no reqard for getting 90% you just get a pass and a nice comment which can not be quantified and is not relevant to the streaming process for job applications.
Surgery is one of those areas where my colleagues notice the difference in a very obvious quantifiable way. That is not to say that the consultants coming out with a CCT are not capable and good but they are significantly less experienced and in a practical apprenticeship that matters. According to my generalsurgical colleagues, 20 yrs ago people finished training with 5000+ operations on their log books, 10 yrs later that was 2000 and today in some specialities that is 1500. Minimum numbers are put in for certain procedures, people get the number ie 50 and think they re sorted. Not appreciating that they are really now only at the point where they learn how to operate and deal with the difficult cases.
Why the reduction - the Government does not want to pay a doctor to get to 5000 because instead of doing 120hrs per week they are doing circa 50 -so training should lengthen not shorten. They argue that the US does it in less time but it is not uncommon for a US Surgeon to only solo in an operation when they are i a cosultant post their own, whereas i the UK we gradually expose people to that massive responsibility of actually operating on someone.
So standards need protecting, not necessarily the right to a job and assessment needs to be fair and meaningful.
Hope that explains my view point