Under the NHS programme, health professionals' pay scales have since2004 been rebanded to increase flexibility in the way individual skillsare rewarded.
However, some nursing consultants are increasingly worried that tightlyprescribed job roles are dissuading child and adolescent mental healthnurses from working with other children's professionals.
Tim McDougall, nurse consultant and former nurse adviser for child andadolescent mental health services for the Department of Health, saidthere was great scope among child and adolescent mental health servicenurses for working with children's professionals, from teenage pregnancyto anti-bullying work.
However, he said that the pay scales were preventing joint workingbecause new ways of working had not been recognised.
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