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Diabetes and older people: ensuring individualised practice

Diabetes mellitus is increasingly common in older people, partly because diabetes outcomes and risk management strategies have improved and partly because people are living longer and healthier lives.

Appropriate use and efficacy of telehealth comes under scrutiny

The government has pledged that at least three million people in the UK, with long-term conditions, will benefit from telehealth and telecare, but two independent studies published in the last month...

Presentation and differential diagnosis of allergic rhinitis

Allergic rhinitis can impact on patients' quality of life, sleep, work and education, write Dr Steve Holmes and Jane Scullion

The cleansing of chronic wounds

Routine wound cleansing can be detrimental to fragile new tissue, so it is vital to adapt a plan of care to meet the needs of the the patient, writes Menna Lloyd Jones

Promoting confidence in HRT

Kathy Abernethy presents a case study of providing support to a woman who is reluctant to start hormone replacement therapy

Career profile - Kate Billingham, London

I think motivations at the age of 18 are inevitably complicated and largely unconscious. I recall a motivation to care for others, especially for children.

In your workplace: employment advice

I am a district nurse working for a Foundation Trust and have noted incidences of poor patient care; should I report these and how?

DH must prove commitment to transferring care out of hospitals

The DH and NHS Commissioning Board have been urged to counter the 'default setting' under which patients are cared for in hospitals and to demonstrate their commitment to transferring work into the...

Sharp rise in GP targets for diabetes by 2018

General practices will be expected to work harder to address risk factors for diabetes, doubling the percentage of adults with type 2 diabetes who achieve NICE-recommended blood glucose, blood...

Hunt announces plans to tackle avoidable deaths

Progress in the fight against the five major causes of death, including plans to tackle cardiovascular disease (CVD), could save 30,000 lives by 2020, health secretary Jeremy Hunt has predicted.

Clarify boundaries to avoid job substitution

NHS financial pressures and cuts to local authority budgets could undermine the effective use of volunteers in health and social care, independent charity the King's Fund has warned.

Ministers dither over minimum alcohol pricing

Prime minister David Cameron has pledged to 'deal with' cheap alcohol being sold in supermarkets in England and Wales, following news reports the government has ditched plans for 45p per unit minimum...

International task force to address patient harm

An international task force has been formed to advise the NHS in England on preventing avoidable harm to patients.

'Quick and easy' early test to detect Alzheimer's

Researchers at the University of Nottingham have developed a 'quick and easy' test to detect Alzheimer's disease in its earliest stages, to be carried out in GP practices.

NMC progress in key roles but not with revalidation

The Health Select Committee is 'optimistic' the NMC is concentrating on its core statutory roles and has welcomed its progress on its fitness to practise caseload.

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