Abstract
Allied health professionals (AHPs) and nurses in extended scope practitioner (ESP) roles are clinical specialists who work beyond the recognized scope of practice of their professional bodies in innovative and non-traditional roles (Collins, 2000). In the United Kingdom (UK) these roles were first developed in the 1990s to reduce secondary care medical consultation waiting times. In 2000 the NHS Plan (Department of Health (DH), 2000) highlighted the need to improve the range and access to primary care services, and ESP posts have had a key role in redesigning health services. With 90% of all NHS activity occurring in primary care (DH, 2004a), in contrast to other countries, UK health services have maximized the potential of ESP posts. This editorial discusses the challenges that ESPs face working in a rapidly changing health system.
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