Abstract
Are health service purchasers getting a good deal from educationalists? Attention is increasingly being focused on ensuring that services purchased and provided reflect the best practice available. The internal market means that tire quality and effectiveness of services - to which nurses are the major contributors - must be improved, monitored and made explicit to purchasers. the major contributors- must be improved, monitored and made explicit to purchasers Nurses in leadership positions are now strategically planning the development of best practice with in their organisations, attempting to monitor the effectiveness of any advances in nursing.

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