Currently, nurses have a key role in the outpatient management of many long-term conditions (Box 1) while, within neurology, advanced nurse practitioners are integral to the outpatient management of:
Epilepsy (Ridsdale et al, 2013);
Parkinson’s disease (Gow et al, 2014);
Multiple sclerosis (Burke et al, 2011).
The nurse-led clinic was established by developing a competency pack, which detailed the requisite knowledge and skills for nurses to safely and independently perform GONIs. To be signed off as competent, nurses were required to observe and then demonstrate correct GONI technique, under consultant supervision.