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It is this last finding that most wor ries RACGP GP of the Year Dr Patrick Byrnes, Christian Louboutin Boots Bundaberg, Queensland. More than a decade ago, Dr Byrnes was among the first GPs to employ a practice nurse in his prac tice, believing it was the perfect solution to help overworked doc tors. But even he cannot see the bene fits of the governments scheme, claiming it will undo the good work achieved by the introduction Christian Louboutin N. Prive fabric slingbacks Multi-color practice nurse MBS items. Im a practice nurse advocate, but this policy is going to force me to restructure my practice away from practice nurses and that is very upsetting, Dr Byrnes says. This scheme is an ideological move towards the UK model and while there was a tremendous uptake Christian Louboutin N. Prive fabric slingbacks Multi-color 7, that was because the UK Government paid for the full salary rather than a portion of it like they are proposing to do here. He believes many practices will struggle to employ a practice nurse. I just dont know how a prac tice will be able to pay for the rest of the practice nurse salary once Christian Louboutin N. Prive fabric slingbacks Pink $25,000 payment is factored in especially when the salary is expected to go up each year and the block payment wont. Dr Byrnes, like the AMA and many other GPs, would instead like to see the government commit to increasing and expanding practice nurse MBS items. When the Howard Government introduced the practice nurse MBS items in 2003, it really started a revolution.