Abstract
Health service reforms emphasise the central place of the general practitioner in a primary care-led NHS, as at the same time aspects of primary care have been deregulated. Simultaneously, there is emphasis within nursing on individual accountability and professional judgement to allow responsiveness to demands for nurses to extend and develop their roles. This paper reviews the range and complexity of primary care nursing, to suggest that the profession needs to take account of the complex and heterogeneous nature of primary care nursing to develop regulatory frameworks which address the problems faced by primary care nurses at the grassroots.
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