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Peer pressure and social norms are powerful influences on behavior, and they are classic excuses.
I know that nurses are not only the largest healthcare profession but are responsible for the delivery of most healthcare, and are often in the best place to be able to see the whole pathway of care.
If I'm serious about patients and their GPs being able to have more control of their health care, I can't have a top-down system that imposes restrictions on the services they need.