maxdrypower, do you work for Capital or have you worked for them; also do you know if Capital are currenty using pilots assistants?
I understand that Capital have been advised in no uncertain terms that there is no such things as pilots assistants. If anyone has a role, such as landing the aircraft if the pilot becomes incapacitated, then they must be properly qualified as a pilot as part of a multi pilot crew. If not then they are just a passenger; they may assist on the ground but cannot carry out any safety related duties. They are not even allowed to brief passengers.
With regard to NHS contracts; if Captial are giving the impression of having two pilots to secure contracts even though they do not have multi pilot crews then I am sure that the CAA Aviation Regulation Enforcement department will be very interested.