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Lessons for changing the mix of professions in NHS services

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MariaPCC 21 January 2025

The NHS workforce has gone through shifts and rebalances of roles since the service began, driven by changing needs as much as financial constraints and staff shortages. In recent years there has been a rebalancing through expanding roles like nursing associates, advanced practitioners, physician associates and clinical pharmacists, and further growth of these roles is planned. This report reviews the evidence around introducing these new roles and offers a set of lessons for how emerging roles could be better implemented and integrated.

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