Dr. Sara Burke:

There should be a greater use of care assistants as well as nurses in the community and GP practices. It is about getting others to do the work that more senior doctors and nurses are doing now. We have begun using health technology assessments for new treatments and appliances, but thousands of treatments and appliances are provided within our system without evidence that they improve people's quality of life or health. We need more rigorous decision-making processes regarding what types of service are provided and how they are provided.