Clinical commissioning groups will take over from primary care trusts in April but only a third of them have so far earmarked an executive post for a senior nurse.
CCGs must have a non-executive nurse on their governing body but are not currently mandated to have a nurse in the team of executives managing the day-to-day running of the organisation.
Nursing Times analysed the organisational structure of 19 of the most developed CCGs and found just six of them had created an executive post specifically for a chief nurse, lead nurse or director of nursing.
As a result, two thirds of the first CCGs look set to start their role without a figurehead for the nursing profession. Do you think this lack of nurse representation will hinder patient care?
Your comments could be published in the magazine.