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Paddy Foster & Lynda Sibson evaluate a rapid response service which involved both independent providers and NHS staff and highlight the development of successful initiatives.Paddy Foster RGN, ONC, BSc is a Nestor Primecare Nurse in Hertfordshire. Lynda Sibson MSc, RGN, RSCN is a Nurse Consultant, Hertfordshire. Article accepted for publication: May 2002