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Fife Primary Care trust, in conjunction with Napier University, is running a local healthcare co-operative nurse development programme, 'Equal and informed partners', for all nurses who sit onLHCC boards, including practice nurses and nurse practitioners.

As regards the GP-to-nurse ratio, at worst it is 7:3, while at best it is 4:4 with all branches being represented - health visiting, district nursing and practice nursing. Perhaps primary care groups should look north for good practice guidance.

Linda D Goodwin

Health visitor