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Nurse-led OOH not the answer

With regard to your recent article, the Department of Health is now trying to shove out-of-hours back into GPs' laps with a PBC repackaging gloss after having made a complete mess of it.

Why is everyone surprised that private providers are not exactly keen to take on services on their own? If an entirely nurse-led out-of-hours service was the answer, most people would be praying they did not fall ill between the hours of 18:30 and 08:00.

Also your story 'Darzi policies triggering staffing crisis, RCGP chair warns' made me think this is what we've been saying all along.

If the Darzi-ites of the DH think all nurses could, with a bit of polishing, be able to take on responsibilities carried by a GP who has trained for years, they are going to place tremendous pressure on nurses and jeopardise the lives of the people of this country.

Dr Rupen Kulkarni, Redditch, Worcestershire

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