March 30th 2020

NICE published a new quality standard in January 2020, ‘QS190 Flu vaccination: increasing uptake’, which covers increasing the uptake of flu vaccination among people who are eligible (not including those aged 65 and over). One of the quality statements made is that health and social care staff who have direct contact with people using services should receive the flu vaccine, and that it is the responsibility of their employer to do so…

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October 18th 2019

Articles in medical and pharmacy journals this month are asking us to adopt safer and more rational approaches to prescribing opioids. One comes from experts in chronic pain, notably Cathy Stannard, consultant in complex pain and Clinical Lead for the Pain Transformation Programme at NHS Gloucestershire CCG (1), and her…

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blood cells

October 18th 2019

Wound care can take a different approach towards the end of life as healing may be an unrealistic aim. We use nursing skills and knowledge to keep the area and the patient as comfortable and contained as possible. Malignant wounds can be caused by direct tumour invasion into the…

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October 17th 2019

A letter in the recent BMJ Supportive and Palliative care journal(1) has raised questions on the safety of prescribing for 24-hour syringe pumps ahead of need. It reflects that the Gosport War Memorial inquiry has increased public and clinical awareness of the use of syringe pumps for the delivery of opioids…

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October 17th 2019

This NICE guideline was updated in July 2019 and covers the planning and management of end of life and palliative care for infants, children and young people (aged 0–17 years) with life-limiting conditions. It aims to improve the support available and involve young people and their families in decisions…

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hospice staff worker with elderly patient

October 15th 2019

NG131: Prostate cancer: diagnosis and management. This NICE guideline was published in May 2019 and covers the diagnosis and management of prostate cancer in secondary care, including information on the best way to diagnose and identify different stages of the disease, and how to manage adverse effects of treatment…

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June 11th 2019

Our research has indicated that many of your colleagues at hospices around the country are finding it increasingly challenging to obtain a consistent, reliable and legal supply of stock medication. Many medication suppliers are finding it a challenge to meet the increasingly stringent regulations imposed by the MHRA with its…

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