The new NHS: the changes, challenges and opportunities.

The competition based market system is to be disbanded and will be replaced by more alliances, partnerships and collaborative working practices. Children's nurses are ideally placed to respond to the new NHS call for greater involvement of nurses in the commissioning and service development decision making processes. Primary care groups will build upon the best of existing practice, and offer an opportunities for GPs and nurses working in the community to spread the benefits of their experience more widely.