This changed significantly in the United Kingdom with junior doctors’ hours
being reduced (http://www.doh.gov.uk/juniordoctors/ accessed 8 May 2004).
The UKCC confirmed role extension in nursing with a timely document The
Scope of Professional Practice in 1992. This verified nurses as personally accountable
for their own clinical decision-making and allowed for the development of
nursing practice roles. The implication of this publication has been far-reaching
in the speciality of gastrointestinal nursing, especially with the development
of nurse consultants (NHSE 1999), clinical nurse specialists, nurse practitioners
and nurse endoscopists over the last 10 years.