Clinics led by nurse practitioners can work well

EDITOR,—F C Taylor and colleagues' solution to managing the considerable increase in workload that all anticoagulant clinics have experienced over the past few years is not radical enough.1 Most district general hospitals do not have sufficient medical staff to contemplate consultant led or registrar led anticoagulant clinics, and the use of junior medical staff is inappropriate.2

Seven years ago we introduced a similar system to the authors', with health care assistants …