In a time of extreme stress for the NHS, is there another way to deliver healthcare in the UK? Should we go back to traditional roles, like matrons? Or should we innovate with new professions like Physician Associates? Which new systems can we find for dealing with an ageing population? Baroness Hollins is Emeritus Professor in Psychiatry of Disability at St George’s, University of London; Perry is Associate Head of the Institute of Health & Society at the University of Worcester; Thrush is a Consultant at Worcestershire Royal Hospital and Wilkie, is a GP and Professor of Primary Care; Charlotte Scott-Wilson is a Physician Associate Graduate.