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Since the 1980s, nurses have been exploring the right to clinical assessment, to make diagnoses independently, and to prescribe drugs. In 1978, the Royal College of Nursing (RCN) presented a report proposing that nurses should have authority to prescribe dressings and topical treatments.
The Conservative government in 1986 appointed a team of health experts, mainly nurses, and economists, and asked them to review the provision of community nursing and make recommendations for the future of that provision.
The duty of a doctor is to strive hard, encourage patients to consult them early, hoping to prevent complications and long-term problems. Knowing various treatments and drugs they prescribe seldom cure illnesses, it is unethical to allow the non-medically trained profession, not governed by the code of conduct of doctors to use their skill, diagnose and prescribe drugs by the GMC (General Medical Council).
This was based on evidence that points out the continuing increase in the very short-term admission of children with common infections, which suggests a systematic failure, both in primary care(by general practice, out of hours care, and NHS Direct) and in hospitals (by emergency departments and paediatricians), in the assessment of children with acute illnesses that could be managed in the community. (Arch Dis Child 2013; 98:328-334).