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  Agree about nurses Paul, the senior one at my GPs surgery is excellent and on the two occasions I have seen her instead of a doctor she has thoroughly examined me and prescribed the medication that sorted the problem, just seems silly that she has to run to a doctor to get it signed.
  
  I am a great admirer of paramedics having seen them in action quite a few times and would think the more experienced ones could make decisions in patient's homes rather than clog up a hospital car park.

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