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EDITOR

It would be a shame if this career option is lost A Nursing Standard survey of 52 NHS organisations in the UK paints a mixed picture about the future of nurse consultants. The number of these clinical leaders is up in around a third of places, but static or in decline elsewhere. Those who specialise in mental health or learning disabilities seem to be the most vulnerable to cuts, while dementia nurse consultants are in increasing demand. It is entirely appropriate that managers in each organisation decide how many of these posts are necessary or desirable, but the wide variation in approach makes little sense. Two of the NHS trusts we surveyed told us they do not employ any nurse consultants at all, yet others see the value in having several. The lack of consensus is baffling.

THE LACK OF CONSENSUS ON THE MERITS OF NURSE CONSULTANTS IS BAFFLING

The first consultant-level posts emerged in the 1990s, with former Nursing Standard nurse of the year Paula Taylor among the pioneers. The then prime minister Tony Blair liked the idea so much that, at our annual awards in 1998, he announced the role would be rolled out more widely. By 2001 there were 130 whole-time equivalent posts in England alone. That number had risen to 1,139 by 2012, but now progress seems to have stalled. For too long nurses who wanted to progress had little choice but to pursue a career in management. The creation of nurse consultant roles offered the chance to work in clinical practice while delivering education to less experienced colleagues and conducting research. It would be a great shame if these opportunities dried up or were lost altogether. In too many organisations, short-term decisions in the name of efficiency lead to posts being axed and good people being lost – and with them their leadership and expertise. To make matters worse, when such decisions affect senior nurses in the NHS, the biggest losers are not the staff affected but the patients they serve. See news page 7 Air your views on

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It would be a shame if this career option is lost.

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