Skip to main content

Designing and redesigning existing and new roles

Test tubes in laboratory

Promoting role redesign using the standards and guidance for role redesign in the NHS in Wales

Role redesign supports service design and re-design and can help meet increasing demand. It includes the creation of new roles and reshaping existing roles to ensure resources are used appropriately, staff fulfil their scope of practice and service users receive optimum care.

In turn, the work compliments and supplements the development sites for the flexible and sustainable workforce, workforce planning and service improvement.


Role redesign is relevant when there is a need to:

  • improve patient experience
  • tackle areas of pressure or staff shortage
  • extend opportunities for staff development
  • deepen and broaden existing roles
  • optimise efficient working
  • make the most of human resources including staff time
  • assist in moving barriers to service change
  • bridge gaps between services and sectors
  • provide career opportunities.

The Workforce Education and Development Services (WEDS) produced eight standards for role redesign in the NHS in Wales and these standards have been endorsed by Health Inspectorate Wales.


Physician associate governance framework

The physician associate is trained in the medical model and works under the supervision of a doctor. They are currently an unregulated workforce, however, there is a voluntary register on which they can be included when qualified.

Physician associates can work in almost every area of healthcare including primary care, secondary, and tertiary care.


Design Principles

Physician associate animated presentation