Article Text

other Versions

Download PDFPDF
The case for specialist nurses
  1. Peter Carter
  1. Correspondence to: Dr Peter Carter OBE
    Chief Executive & General Secretary, Royal College of Nursing, UK; Peter.Carter{at}

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Along with the obvious challenges presented by the restructuring of the NHS1 and the £20 billion productivity gain (the Nicholson Challenge), the NHS also faces a number of other issues. Demographic changes towards an ageing population mean that people are living longer, and more people are living with long-term conditions. Social changes mean that families are more dispersed, resulting in older people being more isolated; more single people living farther away from home with less family support; high levels of per capita income and educational attainments have increased expectations, and people want more personalised, patient-centred care. Better diagnoses and treatments have improved the health of the nation, and will require further funding in the future.

The Royal College of Nursing (RCN) has long known that the key ingredients for facing these challenges are to invest wisely in frontline staff and to constantly review service provision, to ensure that the health service is responsive to and adapts to meet …

View Full Text


  • Competing interests None.