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NHS Puts Senior Nurses in Doctor-Only Roles, Sparks Safety Alarm

4/25/2026

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Story summary
  • Nearly half of NHS organisations assign senior nurses to doctor-only duties, raising safety concerns.
  • The British Medical Association says hospitals place practitioner nurses on rotas despite NHS England guidance against replacing doctors.
  • BMA leader Dr Mel Ryan condemned the practice, citing the 2024 Manchester inquest where a missed embolism caused a death.
  • The Royal College of Nursing and NHS England say advanced practitioners are master’s-level staff who must not replace doctors.