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Practice nurses under 'additional pressure'


I have been a practice nurse on and off for the past 20 years. Over this period of time the job has changed dramatically. We now do much of the chronic disease management that was formally done by GP’s, as well as seeing more patients who would have been referred to specialist services. As care has moved from secondary care into primary care we have taken on much of the burden of follow-up for patients too – removing sutures, dressings, advice and support for patients discharged early from hospital. Along with this we are constantly faced with the changing agenda of government policy which is quick to bring in new guidelines but spends little time evaluating whether the changes have actually worked. Our PCT did employ an experienced practice nurse who was the co-ordinator in the area but she was the first to be made redundant with this wave of changes. She was invaluable for support, training and co-ordination of services but above all she gave us a voice in the PCT which we no longer have. GP’s will be forming consortiums on the basis that they know where the care is needed and which services should be commissioned for patients – but we have a different perspective on care and should have some say in the way these services are organised. But – no point in ranting – nobody’s listening anyway !

Posted date

5 March, 2011

Posted time

11:30 am