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EDITOR,--G N Marsh and M L Dawes show that it is possible to train practice nurses to see patients with acute minor illness.1 They rightly ask whether the absence of waiting time for appointments may have resulted in more patients consulting with acute self limiting disease. No data on doctors' workload are included in their paper. It is unclear, therefore, whether this was affected by the introduction of this service.
We have introduced a similar system in our practice for children under 12, having found that this was the largest group requiring urgent appointments for minor illness. Six thousand patients are registered at Richmond Medical Centre, and in March 1994 there were 264 consultations with doctors for patients in the above age group. One of us (SM) analysed these consultations before setting up the nurse led children's surgery in July. We then reviewed the total number
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