Notes over the ether
Dr Deborah Halsley
I tend to agree with Dr Shah (Letters, 29 October) about nurse-led clinics.
Yesterday I saw a patient after a follow-up appointment at the breast clinic. She had had a mastectomy for breast cancer. She had symptoms relating to her chest and a chest X-ray had shown pleural effusion. She did not volunteer her symptoms, but no general questions were asked, either. She was seen by a nurse.
I have also seen a patient with serious arterial disease diagnosed with soft tissue condition by a physiotherapist in an orthopaedic clinic.
I don't think it is fair to expect nurses or physiotherapists to have the wider knowledge necessary for these clinic situations. We shouldn't ask them to do it.