The Health service journal
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Trusts that took part in a series of seminars last year are implementing ideas for a 'nurse-envisaged' NHS. Results have included new nurse consultant posts in Birmingham and ongoing nurse practitioner training in Northumbria. A Bradford PCT is introducing advanced primary care nurses in line with the Evercare model of care.
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Hospitals need to strive to reduce admissions and improve quality of care for frail older people. Dedicated units within accident and emergency offer the best hope of reducing demeaning trolley waits. Community-based care and home treatment needs to be better co-ordinated to reduce the burden on hospitals.