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Most patients with Parkinson's disease have no regular contact
with a consultant specialist. Contact with specialist nurses has been
thought to be valuable as it increases the provision of information. A
two year randomised controlled study by Jarman and colleagues (p 1072)
looked at effects on patients and found that the provision of community
based nurse specialists did not alter the progression of the condition
but did improve patients' sense of wellbeing, with no increase to
healthcare costs.