Dear anonymous, I would like to take issue with your comment above. Please can you clarify what you mean by lethal?
This appears to be a good idea but in reality I feel this would be difficult to actually provide. The main problem is that PNs and DNS are employed by two different service providers. As a practice nurse, I'm employed by the GP partners. Most practice nurses are specialists in chronic disease management or family planning; DNs I respect for end of life care and tissue viability expertise and I'm ashamed to say I don't know what other specialities they provide. There are also issues around professional indemnity, the RCN does not cover PNs anymore, my employer pays for me to be a member of the MDU. This merger has been mooted from the 1990s - yes I've been around for a while- I don't think I will see it happen before I retire, and that is a long way off unfortunately!
I agree with the above comment- why just London PNs? Will they be providing a "flying squad" for mental health crises in the rest of England? Or do these crises only happen in the capital?