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Half of hospital trusts employing non-doctors on doctor rotas

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25th Apr 2026 - BMA News
Almost half of hospital trusts have been asking non-doctors to fill in on medical rotas, according to FoI (Freedom of Information) requests lodged by the BMA. 
 
The association had responses from 85 of 202 trusts in the UK, with 41 (48 per cent) confirming they permit AP (advanced practitioners) to cover doctors’ rota gaps. 
 
APs are healthcare professionals with backgrounds including nursing, paramedic, physiotherapy and pharmacy. While many are experienced in their base profession, working on medical roles is beyond their scope of practice. 
 
The BMA has said using APs to fill doctor rotas is a risk to patient safety and that the FoI data showed a ‘slapdash’ approach by NHS trusts and a postcode lottery for patients.
 
BMA council chair Tom Dolphin said the findings were evidence of a ‘haphazard’ approach to staffing from NHS management at the trusts in question.
Dr Dolphin said: ‘Our colleagues in advanced practice roles are valued members of our multidisciplinary teams.
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