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Non-invasive and contemporaneous cardiac imaging in heart failure

Heart failure is a complex multifactorial syndrome with various possible underlying causes. Most patients will initially present to primary care with signs and symptoms of heart failure, such as...

Use of hospital and limitation directions under the Mental Health Act 1983

The Crime (Sentences) Act 1997 introduced hospital and limitation directions into the Mental Health Act 1983. Section 45A of the Mental Health Act 1983 allows the Crown Court to issue a hospital...

Reflecting on patient safety in 2022

The key issue for me is the extent to which the advice and recommendations made in the reports are acted on in the NHS and whether safer practice results. As we closed the year, the Institute of...

Considering changes to education

The Nursing and Midwifery Council (NMC) is legally required to set standards of proficiency, education and training for nursing and midwifery professionals seeking to join the register

The basics of blood and associated disorders

White blood cells (leukocytes) are key in fighting infection and ingesting dead cells, tissue debris, mutated cancerous cells and foreign bodies that enter the blood stream, such as allergens via...

Advanced nursing practice: a review of scopes of practice in cancer care

There are five paediatric ANPs working with children and young people (CYP) and two adult ANPs working with teenage and young adults (TYA) at the Trust. The remit of roles includes:.

Decompensated cirrhosis: targeted training of acute medical teams to improve quality of care in first 24 hours

This quality improvement project had a focus on the evidence-based care of patients with decompensated liver disease, which could potentially impact on safety outcomes and mortality rate. The aim was...

The actual cost of clinical negligence in the NHS

‘This unsustainable situation is driven by an outdated legal system rather than deteriorating clinical standards. Legal reform is desperately needed.’

Insanity as a defence to a criminal charge

When a person with a mental disorder is prosecuted it is open to them to argue that they are not guilty by reason of insanity. This legal defence is available at common law to any criminal charge. For...

Understanding the impact of money on people's health and wellbeing

The invisibility of financial insecurity and poverty means that for best outcomes, nurses and midwives should not wait for the person to ask for help. Instead, they should talk to people in their care...

HIV: no one is safe until we are all safe

Over the past 2 years the pandemic has dominated the world's attention, leading to a focus on health and how pandemics can impact on the lives and livelihoods of individuals. We have once again seen,...

A long-overdue resource to tackle racism

The resource highlights four key areas that make up the nursing and midwifery anti-racism resource framework, with actions for consideration as an individual, and as a leader. The resource also...

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