An insight into the nursing profession This is my last edition as editor of Independent Nurse and I would like to thank the many inspirational primary care and community nurses with whom I have worked. Limit general practice access at your peril Last week saw the emergence of a 'discussion brief' buried on the website of the Conservative Policy Forum, a group that contributes ideas for the next two years of the coalition and the 2015 manifesto. Regulation alone will not bring better care Today, a new NHS has been born. Halt the blame game and find the solutions 'Make zero harm a reality in the NHS'. This is the instruction issued by prime minister David Cameron to Dr Don Berwick, the former health adviser to president Obama charged with leading a brand new National Patient Safety Advisory Group in England. Scope for cautious optimism in 2013 Given the turbulent nature of 2012, primary care and community nurses could be forgiven for feeling less than optimistic about 2013. Improve staff morale for patients' sake Last week, health secretary Jeremy Hunt launched the 'historic' NHS Mandate, setting out 'what every patient in England can expect from GPs, hospitals and the wider NHS'. Start with the patient, not the system On 5 November 2012, the government set out proposals to strengthen the NHS Constitution. Investigate new ways to influence CCGs Change is most effective in the NHS when it is initiated - and led - by health professionals, with input from patients; least effective when driven by politicians and the desire to make short-term cost savings. Save the NHS from 'tit for tat' politics Politicians must listen to the nursing workforce says Sarah Wild Time to stand up and be counted In an exclusive editorial, health secretary Andrew Lansley explains why nurses are vital to the commissioning agenda NHS must be environmentally sustainable The NHS in England has a carbon footprint that exceeds emissions from all planes departing Heathrow airport, and produces enough sewage to fill Wembley stadium once every 16 days. Without fanfare, the Bill receives assent What would you say dominated last week's national news? The publication of the UK Riot Report? Or the promise of hosepipe bans, petrol shortages and price hikes in stamps and hot pies? Listen to nurses, if not Stephen Fry It is easy to jump on the bandwagon in opposing the Health and Social Care Bill. Rarely a day goes by when an influential body does not add its name to the list of those demanding that ministers kill off the troubled legislation. Joint opposition may yet derail Health Bill As opposition to the Health and Social Care Bill intensifies, there is now a real feeling that the reforms might be in genuine danger. Help commissioners understand services The government, currently driving the controversial Health and Social Care Bill through Parliament, says nurses can be on the boards of clinical commissioning boards (CCGs), which are replacing PCTs.