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This article documents the findings of a stakeholder consultation to explore the perceptions of senior managers on the impact of the assistant practitioner role, scope for further implementation, and to determine the perceived barriers to assistant practitioner use in the workforce. Interviews with directors of nursing or their nominated alternates were undertaken in sixteen provider organisations in two counties in England. Five main themes were identified: identifying and locating the assistant practitioner; implementation of the assistant practitioner role, challenges to implementing the role, education and training, regulation and registration. Organisations whose leaders are committed to implementing the assistant practitioner role and have expertise in leading change will have most success with the implementation and impact of the assistant practitioner role on service delivery. Implications for nursing management: The introduction of the assistant practitioner role within the workforce needs to be undertaken by an organisational wide implementation strategy where the potential contribution of the assistant practitioner within the workforce is clearly identified and valued.

Attention has recently been drawn to the contribution of the arts, and of singing in particular, to health and wellbeing. This article describes a qualitative research project which aimed to gain participants’ views of taking part in Silver Song Clubs – community-based singing groups for older people. Seventeen individuals aged 60-plus from six clubs were interviewed and a number of benefits were identified. These included: enjoyment; better mental health and wellbeing; increased social interaction; improvements in physical health; cognitive stimulation and learning; and improved memory and recall. It is suggested that such benefits sit well within a model of health relevant to older people themselves. Community nurses working with this age group might consider including an assessment for interest in musical and related activities, and also should be aware of any local initiatives into which individuals can be referred.