Intended for healthcare professionals

Letters We need to talk about nursing

Impact of contracting out care

BMJ 2011; 342 doi: (Published 28 June 2011) Cite this as: BMJ 2011;342:d3971
  1. Deborah J Roberts, senior practice nurse1
  1. 1Medical Centre, Cookham, Berkshire SL6 9HX, UK
  1. debs{at}

Stories about bad nursing are regularly reported in the media,1 and I am in no doubt that care in these cases is appalling. However, what is really happening?

Over the past 10-15 years the NHS seems to have been changing, with a drive to save money by cutting the number of “qualified nurses” and employing …

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