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The value of a career in practice nursing

I recently spent a fabulous afternoon observing a Queen's Nurse seeing patients in a busy London surgery. She is a highly skilled nurse practitioner (NP) and demonstrated all that is good about the work of nurses in GP surgeries.

Shelving the QOF: a good idea?

Over the past couple of weeks it has emerged that GP practices in some areas of the country have reached agreement with NHS England local area teams to take a hiatus on the Quality and Outcomes Framework (QOF) reporting until March 31 this year.

Good nutrition is about more than eating

David Kynaston's Austerity Britain 1945-51 (2007) cites a study that compared the diets of over 4000 four-year-olds in 1950, with a similar number of four-year-olds in 1992.

HEE supports community nurses

Welcome to the first issue of 2014. The new year is traditionally a time for reflection on the past twelve months, implementing new ideas and a positive approach to the year ahead.

Safe staffing levels are essential

Following the government's official response to the Francis Report, hospitals will now be required to report the staffing levels on every ward in every hospital on a monthly basis.

Wanted - a burning ambition for the NHS

I have been to many national events discussing why the NHS needs to change. Arguments revolve around the 'burning platform' of financial challenge, demographic pressure...

Addressing antibiotic resistance

Antibiotics are one of the most relied on tools in modern healthcare. Without the protection they confer, a host of commonplace infections could not be treated and procedures would not be able to take place.

Urinalysis: to do or not to do?

As a student nurse, 'weighs and wees' were an important weekly, or in some cases daily, part of patient care. Urinalysis is one of the most common investigations that can lead to a formal diagnosis.

Mixed messages over fats and diet

The past fortnight has seen a flurry of communications on obesity-related issues.First, England's Chief Medical Officer Professor Dame Sally Davies' annual report on child health, highlighted obesity in children as a significant long-term issue that must

Mental health training for practice nurses

In Independent Nurse Sept 2013, we learnt that after a year-long enquiry, the Mental Health Foundation concluded that mental health services should be moved into primary care.

Caseload and workforce planning tool

The recent report 'Ending 15-minute care' by the charity Leonard Cheshire Disability described the large number of local authorities which commission care to be delivered in the home in 15 minutes.

Focus on providing quality elderly care

The care and health of the elderly, now Jeremy Hunt's focus for the next year, has received a fair amount of media coverage lately. In among all this, a tweet recently caught my attention.

Appraisals and revalidation

When you hear that your appraisal is due, it sends fear into the heart of even the most 'hardened' and experienced nurses. More forms to fill in and then a dreaded face-to-face meeting with your boss. And it often seems as though all of this is just to ti

Online access versus the human touch

The QNI held its annual conference in late September. We were joined by 200 delegates in the venue and more than 400 delegates live online from various locations across the UK, including six universities and three service providers.

Something in the air

I recently attended my first conference since becoming the editor of Independent Nurse: the annual QNI conference, entitled 'Healthcare at Home'.

Largest ever Type 2 awareness campaign

The scale of the challenge of diabetes is frightening. By 2025 there are projected to be five million people in the UK with diabetes - the vast majority with Type 2.

More than words

I came across a quote recently from the American Poet Jeffrey McDaniel: 'I realise that there is something incredibly honest about trees in winter, how they're experts at letting things go'.

Fitness to practise

At the time of going to press, the NMC Council will have just commenced a meeting at which they will discuss changes to nurse revalidation, and the options available.

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Independent Nurse is the professional resource for primary care and community nurses, providing clinical articles for practice nurses and prescribers.

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