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The article shares a readers' insight on the difference that the ten commitments in the chief nursing officer for England's Leading Change, Adding Value framework could make to nursing care. One respondent suggests the framework's potential to shape policies and ensure workforce training. A second respondent points out the lack of funding to help carry out the ten commitments, while another stresses the need to address poor staffing levels.

The article focuses on discussion papers published before the Nursing and Midwifery Council (NMC) which revealed that nursing associates could pay the same fee as nurses and midwives to join the NMC register. Topics discussed include amount that nursing associates could pay a year to register, two options set out by papers published before an NMC council meeting on November 29, 2017, and remarks from Royal College of Nursing (RCN) Deputy Director of Nursing Stephanie Aiken.