United Medical Associate Professionals (UMAPs) has lost its High Court bid to temporarily prevent NHS England from carrying out the recommendations outlined in the Leng review last week (15 August) but insists the “fight goes on.”1The union for physician assistants, known as physician associates before Gillian Leng’s independent review recommended a name change,2 sought an injunction to halt NHS England from rolling out this name change and barring PAs from seeing undiagnosed patients.UMAPs said that the case, although it “did not result in injunctive relief,” had clarified that it was up to individual NHS employers to decide whether to implement the changes. The union has urged “all NHS trusts and primary care networks to await the outcome of our upcoming judicial review before making any changes to medical associates’ job roles.”In response a spokesperson for NHS England said, “We will continue to work with partners across the NHS and the…