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Risks and benefits: changing the nursing skill mix

Healthcare assistants have taken on more and more core nursing tasks in recent years. Sally Gainsbury investigates the impact of this blurring of professional boundaries in the current economic climate

As the biggest single part of the NHS pay bill it was inevitable that talk of reducing NHS costs would quickly make its way around to discussions of skill mix among the nursing workforce.

Although the confidential McKinsey report on NHS cost saving, seen by Nursing Times earlier this month, did not actually use the term “skill mix” it did suggest the Department of Health urgently “limit or remove” mandatory staffing ratios which stipulate the number of registered nurses to patients a ward should have.

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