title: 'Extended roles' will mean a decline in quality of care.
abstract: Nursing in this country is on the brink of declining standards. Most hospitals are suffering from a shortage of staff and funding. When managers and government officials start talking about nurses developing more skills (news december 4), they are actually talking about increasing nurses' workload.
authors.affiliation: Preston.
authors.forename: John
authors.initials: J
authors.lastname: Griffiths