Making a Difference (DH, 1999) and The NHS Plan (DH, 2000) set out the groundwork for advanced nursing practice. Making a Difference mentioned nurse prescribing, and the consultant nurse role; it called for standardisation of roles and titles, new pay and conditions and strengthening leadership, while The NHS Plan (2000) went on to talk about the 10 key roles for nurses (Box One) also know as 'the Chief Nurse's 10 key roles'. It discussed changing the way that health care is delivered and maintained that the contribution of nurses would be essential to drive through the reforms of the Government. It suggested that nurses could be doing everything from ordering diagnostic tests to performing minor surgery. It also mentioned the strengthening of leadership within the NHS and the nurse consultant role, and went on to discuss the modernisation of training and education.
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