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Developing an integrated respiratory team in NHS Dumfries and Galloway

Within the first 18 months of the implementation of the project plan, we aimed to provide same-day ESD with up to a 7-day follow up in the community for people with chronic obstructive pulmonary...

Parity of esteem: what we have learnt from working with the ‘other side’

‘When thinking about providing services that realise parity of esteem, there can be no ‘us and them’ only ‘us’ .

Care Quality Commission consults on changes to regulatory inspection process

The original regulator for health care in the guise of the Commission for Healthcare Improvement (CHI) was developed following the Health Act of 1999 with the specific remit of ensuring that clinical...

The COVID-19 vaccine and the best interests of a person who lacks capacity

The Nursing and Midwifery Council Code (2018), standard 4, requires nurses to act in the best interests of people at all times. This includes balancing the need to act in the best interests with the...

Clinical negligence litigation reform: the link between safety and the law

Over the past 20 years or more there have been frequent discussions about how well our tort-based, civil justice compensation system is working. A key issue in these discussions is the reasons behind...

Substantial support for staff wellbeing

‘The support from the psychologists has been invaluable in putting the whole wellbeing project on a professional footing. Without them, it feels like a group of well-meaning amateurs. They have...

Wound assessment and dressing selection: an overview

Characteristics of the different phases of wound healing are visible in open wounds and those healing by secondary intention, but are less so in closed wounds. Inflammation begins with initial first...

Clinical performance and quality of life impact of an absorbent bacteria-binding foam dressing

The study was conducted under routine clinical conditions in five international study sites (three German sites and two Polish sites) between April and September 2018..

Deep tissue injury: a narrative review on the aetiology of a controversial wound

‘purple or maroon localized area of discoloured intact skin or blood-filled blister due to damage of underlying soft tissue from pressure and/or shear. The area may be preceded by tissue that is...

The role of nutrition in wound healing: an overview

As defined by the British Association of Parenteral and Enteral Nutrition (BAPEN), malnutrition is a state where there is an imbalance (either deficiency or excess) of energy, protein and other...

The assessment and management of hypergranulation

Granulation tissue forms in the proliferation phase of wound healing (Figure 1). Granulation comprises newly growing capillaries from the base of the wound and leads to the formation of new blood...

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