The BMA has proposed that doctors should abandon their role as the sole‘gatekeepers’ to the NHS in a ground-breaking model of how doctors and nursesmight work together in the future. In a discussion document it proposes that care should initially be focusedaround nurses’ skills, who would co-ordinate the care around a patient, withdoctors concentrating on areas where their skills could best be used. This would mean, in primary care, nurse practitioners being the first portof call for patients, providing information and guidance to relevant services. In secondary care, clinical nurse specialists would be responsible forco-ordinating care given by other professionals, including doctors. Dr Ian Bogle, BMA chairman, said: “Those who work within the NHS needto take a long, hard look at how they work and how they might improve theservice and care they offer. Patients could be seen sooner by those with realexpertise.” A poll of 1,972 people conducted by the BMA to coincide with the documentfound 87 per cent said they would be happy to be seen by a nurse rather than adoctor if their condition was not serious. And 84 per cent said they would be happy to see a pharmacist for a repeat prescription,while 53 per cent thought that if they wanted to be sure of receiving the besttreatment they needed to see a hospital consultant and not someone less senior. Previous Article Next Article Comments are closed. Nurses as gatekeepers to NHSOn 1 Apr 2002 in Personnel Today Related posts:No related photos.