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A focus on fitness to practise: reducing inappropriate referrals

Whoever I speak to professionally since joining the Nursing and Midwifery Council (NMC), despite the many areas that I want to share with colleagues – such as plans to scope whether or not advanced...

Demand for end-of-life care

Despite many people expressing a preference to die at home, half of deaths occur in hospital. Often this is due to a lack of in-home and community-based support. The provision of palliative care to...

Patient redress in clinical negligence cases: an uneven playing field

‘We contend that part of the ongoing muddle about safety cultures stems from this lack of focused attention on the nature and implications of justice in the field of patient safety.’ .

Managing the interface between two Acts relevant to the deprivation of liberty

Both the Mental Health Act 1983 and the Mental Capacity Act 2005 have provisions for the authorisation of a deprivation of liberty that are compliant with Article 5 of the European Convention on Human...

Updating the standards should not mean moving the goalposts

‘There's a push to get as many nurses through as possible. I despair, the reason a [nurses' degree] programme is three [years] is because this is how we are regulated. The change in education that is...

Windrush 75

There is much to celebrate over the next 2 months as the NHS reaches its 75th anniversary in July, and in June we mark another 75th anniversary, the arrival of HMT Empire Windrush at Tilbury Dock with...

Windrush and the NHS: a nurse's perspective

‘As descendants of the Windrush generation, our strong links to the NHS as nurses is something I take great pride in, despite the racism that persists in the NHS’.

Reaching out to patients with alcohol and drug misuse problems

Before 2022, the hospital's Alcohol Liaison nurse only saw patients referred through the EPR system, generally averaging 22 people a month. However, in 2022, with extra resources, the service was able...

Gaining better insight and a new-found sense of calm

I am writing this from a sunny spot in the garden, with the intention of absorbing as much sunlight as possible before the next stint of night shifts, which start tomorrow. It's always a bit of a...

The cyclical nature of patient safety

The problems with maternity and neonatal services in East Kent, as highlighted by the independent review, are a salutary reminder of the terrible patient safety issues that can occur:.

Delivering evidence-based care for the registered nursing associate

‘Evidence based practice is an approach to decision making in which the clinician uses the best evidence available, in consultation with the patient, to decide upon the option which suits the patient...

Embedding sustainability into healthcare education

In August 2021, the Faculty of Health and Life Sciences at Northumbria University accepted an invitation from the CSH to participate in the Sustainable Quality Improvement Education Project. This...

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