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Nurses need a shot in the arm

ONE patient developed pressure sores because social care staff weren't coming in frequently enough to move him; another had meals made and shopping done by a nurse because the local social work department couldn't provide anyone else to do it: anecdotes such as these from community nurses do not paint a promising picture of how Scotland might function with more community-based health and social care.

The Royal College of Nursing (RCN) Scotland's survey into the state of community nursing, certainly gives pause for thought. At a time when a drive is under way to deliver more care to people in their own homes instead of in hospitals and nursing homes, nearly two thirds of community nurses said that in their experience, staffing had decreased in the last year, while more than three-quarters said their caseload had increased.

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