title: Changes do happen - but slowly.
abstract: Mike Paynter's career began in emergency departments in London, dealing with issues such as the King's Cross fire in the 1980s. He is now in Somerset, where he is a consultant nurse for community urgent care.
mesh_terms: D004635:Emergency Medicine; D006801:Humans; D007588:Job Satisfaction; D008131:London; D013222:State Medicine