Summers also takes "exception" with the report's contention that the shortage of primary care physicians is the primary driver for independent practice for nurse practitioners.
"That certainly is part of what is driving the discussion, but all kinds of health policy think tanks have come out in the last couple of years with policy statements supporting the need to remove barriers for advance practice registered nurses," she says.
"So what is behind those proposals and that support isn't just the shortage. It's the fact that there are decades of evidence to support the safety and quality of care by nurse practitioners and other advanced practice nurses."
"People are beginning to realize that the restrictions we have now on autonomous practice don't do anything to increase the quality of care. We know they impair access. They lead to duplication of services. Once you slow down and duplicate services, you start increasing healthcare costs."
Summers says the scope-of-practice debate will always be around and continually evolving, and not just for doctors and nurses, but for all clinicians. "No intelligent healthcare professional practices 'independently' in the way they are suggesting in this report," she says.