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• However, self-care health advice was not absent, being briefly referred to at the end of their consultations.

• Patients appear through any of these services and additionally there are emergency referrals from general hospitals in the area and also domiciliary consultations.

• They were asked to indicate whether they usually made each intervention in consultations with patients who meet specified criteria.

• Thirdly, the exclusion of data on out-of-hours consultations and child health clinic consultations is also a limitation.

• However, consultations solely for blood taking, wound dressing, and immunisations were excluded as practice nurse provision of these services changed considerably during the study.

• The data suggest that people require health professionals to followup their consultations with the provision of written material containing the same factual material.

• Accordingly, the nurse practitioners reported feeling at ease during these consultations, with no pressure to provide a specific medical treatment, such as antibiotics.

• Overall prescribing rates in this study of 80 per 100 consultations (including items other than antibiotics) are comparable with those published in the literature.