Resources

The measles vaccine represents a monumental achievement in modern medicine, effectively curtailing childhood mortality and morbidity on a global scale. However, recent trends in measles vaccine uptake present a concerning scenario, with declining rates posing a threat to the progress achieved in eradicating this highly contagious disease. Here, Judith Harford, paediatric nurse practitioner, Adam Practice, Poole, Dorset delves into the pivotal role of the measles vaccine in safeguarding child health, exploring the reasons underlying vaccine hesitancy, including the controversial Lancet article, and discusses the additional impact of the Covid-19 pandemic on vaccine adoption. Drawing on global data from the World Health Organization (WHO) and Global Alliance for Vaccine and Immunisation (GAVI), this piece also assesses the consequences of dwindling measles, mumps, rubella (MMR) vaccine coverage on community well-being and offers strategies to combat vaccine hesitancy.

On the 5th of July we celebrated 75 years of the NHS. It was an ideal opportunity for us
all to reflect on how the NHS has evolved and adapted over the years, and to remember how fantastic and transformative the NHS really is. I hope that everyone celebrated in
some way, and had the opportunity to attend some of the many events organised by the NHS and your places of employment. It is difficult to really comprehend how health care has changed since 1948, but I am so appreciative that it has and of the advances and opportunities that it has brought us all.

There have been many renowned leaders throughout history. Alexander the Great. Cleopatra. Winston Churchill. Liz Truss… OK, maybe the last one is a bit of a stretch, but many civilizations have been defined by a single inspirational leader who was able to bend circumstances to their will.

To a much lesser extent, the same is true in any workplace. Someone has to make  decisions and drive strategies or ideas, otherwise nothing would get done. But what is it that makes a great leader? What qualities make people follow one person and not another? 

The Queen’s Nursing Institute (QNI) and the National Garden Scheme (NGS) have  announced five new gardens and health projects led by nurses taking place in 2023.

The five projects are all led by nurses working in community settings and seek to improve the health of local people. Many projects supported by the QNI go on to become part of
mainstream services. All this year’s projects will run until early 2024 when they will submit their final reports.

In an exceptionally challenging  labour market for healthcare workers, Leeds Community
Healthcare NHS Trust recruited over 100 local people for local jobs, reaching deep into communities to tap into a diverse talent pool and tackle unemployment. The trust innovated new ways to recruit, engaging with local people to overcome barriers in the
recruitment process.

In the UK, nursing remains a predominantly female profession, with only 11% of registered nurses identifying as male (www.nurses.co.uk/blog/stats-and-facts-uknursing-social-care-and-healthcare/). This disparity is even more pronounced in specialties focused on children and young people (Nursing and Midwifery Council,
2022). However, the University of Northampton has observed that there is growing recognition of the valuable contributions male nurses can make to the field, leading to efforts to increase their representation throughout the nursing workforce.

Use of technological-based solutions for healthcare specialities has become favourable worldwide and, in the author’s opinion, digital healthcare is revolutionising the medical arena.

Lower limb ulceration continues to be a common cause of suffering and its management places a significant burden on the NHS, with venous leg ulcers (VLUs) being the most common hard-to-heal wound in the UK. It is estimated that over one million patients in the UK have lower limb ulceration, of which 560,000 were categorised as VLUs at a cost of over £3 billion each year. Although self and shared care in chronic disease  management is not new, historically wound care and specifically lower limb management has been undertaken solely by healthcare professionals. This article outlines the results of implementing a lower limb wound pathway (Wounds UK, 2016), and a lower limb self-care delivery model measuring clinical outcomes and the impact on workforce pressures through limiting face-to-face healthcare professional contact up to one appointment every six weeks, when capacity and capability criteria are met. A suitability assessment was conducted and, when appropriate, patients were
managed using a self-care delivery model. Patient data were collected, anonymised and independently analysed, comparing time to healing against data on file from a previous audit using the lower limb wound pathway (Wounds UK, 2016). This highlighted VLUs in 84 of the 95 patients selected for the self-care model had healed by week 24 and a
further 10 patients had healed by week 42, with only one remaining patient reaching 42 weeks without healing. These results support the hypothesis that when suitable, patients with a VLU can self-care and deliver clinical effectiveness without compromise.