The number of practice nurses has substantially increased since the introduction of the new GP contract and the implementation of the White Paper Working for Patients. Unlike district nurses and health visitors, practice nurses frequently do not keep nursing records. This project investigated the impact of poor record-keeping on patient care and on the professional identity of practice nurses. Results show that few practice nurses keep their own records, but that those who do appear to offer a more holistic model of care. The project also identified links between poor standards of record-keeping and unsafe practice, suggesting a need for further research into the recording of nursing activity in general practice. Factors influencing the ability of practice nurses to work collaboratively as a professional group are also explored. It is suggested that health commissions have a role in supporting the professional development of practice nurses to ensure good standards of patient care.