It is all in the 5 Year Forward View and the Sustainability and Transformation Plans. Down- skilling is part of the privatisation agenda. Bringing in Physician Assistants and Clinical Pharmacists to fill vacancies in GP surgeries, using health care assistants to do ward and outpatient obs and monitoring, asking nurses to act up to cover clinical roles they are not paid for are what are called 'new models of working'.
This is already happening, but with 70,000 vacancies across the country this is another impossible change. Where are the nursing staff supposed to come from? And who does their jobs when they are doing someone else's?