The Leng Review changed everything. This book tells you what to do next.
Written by a practising Physician Associate, entrepreneur, and founder, The PA Survival Guide is the honest, practical roadmap the PA profession has been waiting for. Not spin. Not false reassurance. Real strategies, real data, and real talk from someone who is still in clinical practice while building a career that does not depend on any single employer, policy review, or NHS restructure.
This fully updated 2026 edition includes the latest ARRS workforce data, the current status of the UMAPs judicial review, the name change timeline, and an expanded chapter on entrepreneurship drawing directly from the author's own experience as a CIC founder, medical aesthetics director, platform creator, and published author.
INSIDE THIS GUIDE:
— The real job market numbers and where opportunities still exist in 2026
— Six non-clinical career pathways mapped to your transferable PA skills
— The PApreneur chapter: real strategies, not hypothetical ones
— A 30-60-90 day plan, CV templates, and interview preparation
— A portfolio career framework built for the post-Leng landscape
— Honest guidance on the psychological toll and how to rebuild resilience
This is not a book about leaving the PA profession. It is a book about expanding what being a PA can look like and building a career that is resilient enough to withstand whatever comes next.
91 pages. Fully updated for 2026. Instant PDF download. Compatible with all devices.
For every PA who has been made to feel their career is over: it is not. It is evolving.
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About the Author
Felicia Goualin PA-R is a GMC-registered Physician Associate with experience across primary care, secondary care, and medical aesthetics. She holds a Postgraduate Diploma in Clinical Dermatology and is the founder of Felly Health and Wellness(CIC) and FellySaas.com. She is still in clinical practice. She is also a published author, platform creator, and medical aesthetician.
Instagram: @feliciapauk | @fellyaesthetics @fellywellness