Globally, health care is moving towards a primary care approach. In the UK
initiatives for nurses wishing to gain experience in primary and community
care may be crucial with the advent of Primary Care Groups (PCGs) and Prima
ry Care Trusts (PCTs). This paper outlines an initiative in practice nursin
g, developed as a pilot study by a Health Authority. The training practice
initiative was aimed at nurses returning to practice and offered them an ex
periential and supportive career pathway into primary care. The evaluation
(carried out over 1 year), highlighted that those primarily involved in the
initiative - the trainees, educators and general practitioners - felt it h
ad been successful, especially in relation to professional development issu
es. The funding bodies for the initiative, who previously had concerns over
the recruitment and retention of practice nurses, were also optimistic tha
t the support networks which developed as a result of the initiative had ra
ised morale. The paper suggests several educational, organizational and pro
fessional issues which arose from the evaluation exercise. Further. it sugg
ests how this initiative, in an extended form, could provide an effective b
asis for the training and development of nursing staff in PCGs/PCTs. (C) 20
01 Harcourt Publishers Ltd.