The NHS - what a mess The NHS is facing so many changes that it is hard to focus on just one issue writes Kirsty Armstrong 1 comment Pay restraint is killing the NHS There is a growing workforce crisis in the NHS as the chickens come home to roost after years of pay restraint Nurse pay freeze is a short-term fix Will the recent announcement that public sector pay is to be capped at 1% affect nurses working in primary care? Skills, commissioning and the 6Cs Jane Cummings, chief nursing officer for England, speaks to Rita Som about the 6Cs, working in primary care and leadership Q&A The RCN's Peter Carter The RCN's chief executive and general secretary discusses the focus on primary care nurses, their pay, and training and developing the workforce with Rita Som. Livid with 1% pay rise I am absolutely livid about the 1 % pay rise, that I will not get as I am on increments. Retirement cannot come soon enough I read with interest the last issue of Independent Nurse. I find some of the GP's attitudes towards nurses breath taking (Independent Nurse, 3 March 2014, p10-11). For example, laughing when a nurse asked about the support for prescribing. NHS funding is finite, so spend with care In December 2011, prime minister David Cameron extolled the merits of telehealth, asserting: 'We've trialled it, it's been a huge success and now we're on a drive to roll this nationwide'. Advanced practice must be recognised This year's Advanced Nurse Practitioner (ANP) Forum survey is heartening and disheartening in equal measure. NMC fee increase is difficult to justify NMC fee increase is difficult to justify Proud to assist nurses in financial trouble As nurses, we like to think of ourselves as respected professionals, using skills and knowledge to restore people to health, or assist them to a peaceful death. NHS redesign must not ignore dementia The Health Select Committee's review of how health and social care systems are coping in the tough economic climate, published in January, highlights the need for a radical shake up of how we fund health and social care. Improve nursing care by investing in staff When, earlier this month, prime minister David Cameron proclaimed that 'nursing needs to be about patients, not paperwork' he provoked anger from nurses keen to point out that understaffing is at the heart of poor patient care.