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BMJ 2006;332:51 (7 January), doi:10.1136/bmj.332.7532.51-d
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EditorHaving worked at some primary care centres managed by primary care trusts promoting the use of nurse practitioners,1 I am worried about the standard of care these practitioners deliver for some patients with undiagnosed illnesses. For example, they seem routinely not to clinically examine patients with headaches or abdominal pain. These nurse practitioners are not students; they are getting extended prescribing rights and are training other nurses to become nurse practitioners. It truly is the blind leading the blind.
Anjan Chakraborty, general practitioner locum
London anjan@blueyonder.co.uk