scholarly journals Sustainable medicines use in clinical practice - a clinical pharmacological view on ecopharmacostewardship

2021 ◽  
Author(s):  
Elizabeth Adeyeye ◽  
Benjamin New ◽  
Fangyue Chen ◽  
Spoorthy Kulkarni ◽  
Marie Fisk (Associate Senior Editor) ◽  
...  
Keyword(s):  
Health Care Professionals ◽  
Sustainable Use ◽  
Clinical Practices ◽  
Environmental Practices ◽  
Green House Gas ◽  
Medicines Use ◽  
Drug Manufacturing ◽  
The Uk ◽  
Patient Use ◽  
Near Future

Climate change continues to pose a dangerous threat to human health. However, not only is health impacted by this crisis, healthcare itself adds to the problem, through significant contributions to green house gas emissions. In the UK, the National Health Service (NHS) is responsible for an estimated 4% of the overall national carbon footprint. Medicines account for a quarter of this and whilst they are vital in in health now, through sustainable use they can also positively influence the environmental health of the future. In this review, we explore how clinical pharmacologists and other health care professionals can practice sustainable medicines use or eco-pharmaco-stewardship. We will discuss current and near future environmental practices within the NHS, which we suspect will resonate with other health systems. We will suggest approaches for championing eco-pharmaco-stewardship in drug manufacturing, clinical practices and patient use, to achieve a more a sustainable healthcare system.

scholarly journals POS1493-HPR IMPACT OF THE EULAR HCP CORE COMPETENCIES ON RHEUMATOLOGY PHYSIOTHERAPISTS IN THE UK: SURVEY RESULTS

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1031.2-1031
Author(s):  
W. J. Gregory ◽  
S. Burchett ◽  
C. Mccrum
Keyword(s):  
National Survey ◽  
Health Care Professionals ◽  
Core Competencies ◽  
Short Report ◽  
Clinical Practices ◽  
Pharmacological Management ◽  
Digital Platforms ◽  
Advisory Boards ◽  
The Uk ◽  
Job Role

Background:A European Alliance of Associations for Rheumatology (EULAR) initiative in 2019 saw the first-ever publication of Core Competencies for Health Care Professionals (HCPs) working in Rheumatology (Edelaar et al 2019). This document sets the tone for how HCPs in Rheumatology should be working. One of the listed research agenda items created as a part of this project was to define discipline-specific competencies related to each of the HCPs unique roles in the multidisciplinary team.Objectives:In response to this call for discipline-specific application, a recent national survey of physiotherapists working in rheumatology in the UK included a section looking at the comfort these clinicians feel in the day-to-day application of these Core Competencies.Methods:In late 2019, an internet-based survey was emailed, and shared via other digital platforms, aiming to target all UK-based rheumatology physiotherapists. Other areas were covered and have been published (Gregory, Burchett and McCrum 2021), but there are unpublished data from Question 8 on this survey which involved listing the EULAR HCP Core Competencies and asking responders to rate on a 5-point Likert scale their comfort with these statements in relation to their day-to-day practice.Results:Ninety-seven UK-based physiotherapists working at least some of their job in rheumatology completed the survey. Overall the EULAR HACP core competency statements with the highest scores were statements 2 and 5; those statements with the lowest comfort response were statements 4 and 6.Statement 2 relates to assessment and statement 5 to non-pharmacological management; it is in line with the traditional physiotherapy job role that these are the two areas identified by survey responders as their strongest areas.Statement 4 relates to pharmacological management, and as this is not a formal part of expected specialist rheumatology physiotherapist job role at banding levels below band 8, this result was lower level of comfort probably to be expected. Statement 6 relates to patient education and whilst this is clearly a big part of the physiotherapist role, we expect the lower score here represents respondents awareness that broader disease education may sit better with other members of the rheumatology multi-disciplinary team.Conclusion:Written for all HCPs, the competency statements do show less comfort on this survey of physiotherapists with regards to less profession-specific statements, namely medication management and disease education. Team working means these areas will be picked up by other rheumatology HCPs.Generally there is a good amount of familiarity with and comfort in application of these new core competencies. An alternative conclusion is that the EULAR working group creating the competencies achieved a strong understanding of the HCP roles and the competencies are hence seen to fit well in this survey. As per the concluding statements of the 2019 EULAR core competencies document, there does remain a requirement to work on profession specific competencies in rheumatology.References:[1]Edelaar L, Nikiphorou E, Fragoulis GE, et al. 2019 EULAR recommendations for the generic core competences of health professionals in rheumatology. Annals of the Rheumatic Diseases 2020;79:53-60.[2]Gregory, W.J., Burchett, S. and McCrum, C. (2021), National survey of the current clinical practices of the UK rheumatology physiotherapists: A short report. Musculoskeletal Care. https://doi.org/10.1002/msc.1516Disclosure of Interests:William J. Gregory Speakers bureau: Speaker fees from Novartis and Abbvie., Consultant of: Advisory boards for Pfizer and Novartis., Sharon Burchett: None declared, Carol McCrum Speakers bureau: Speaker fees from Novartis

scholarly journals An interview study to determine the experiences of cellulitis diagnosis amongst health care professionals in the UK

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e034692
Author(s):  
Mitesh Patel ◽  
Siang Ing Lee ◽  
Nick J Levell ◽  
Peter Smart ◽  
Joe Kai ◽  
...  
Keyword(s):  
Clinical Features ◽  
Clinical Experience ◽  
Lower Limb ◽  
Health Care Professionals ◽  
Secondary Outcome ◽  
Snowball Sampling ◽  
Acute Medicine ◽  
Common Diagnosis ◽  
The Uk ◽  
National Networks

ObjectivesTo explore healthcare professionals (HCPs) experiences and challenges in diagnosing suspected lower limb cellulitis.SettingUK nationwide.Participants20 qualified HCPs, who had a minimum of 2 years clinical experience as an HCP in the national health service and had managed a clinical case of suspected cellulitis of the lower limb in the UK. HCPs were recruited from departments of dermatology (including a specialist cellulitis clinic), general practice, tissue viability, lymphoedema services, general surgery, emergency care and acute medicine. Purposive sampling was employed to ensure that participants included consultant doctors, trainee doctors and nurses across the specialties listed above. Participants were recruited through national networks, HCPs who contributed to the cellulitis priority setting partnership, UK Dermatology Clinical Trials Network, snowball sampling where participants helped recruit other participants and personal networks of the authors.Primary and secondary outcomesPrimary outcome was to describe the key clinical features which inform the diagnosis of lower limb cellulitis. Secondary outcome was to explore the difficulties in making a diagnosis of lower limb cellulitis.ResultsThe presentation of lower limb cellulitis changes as the episode runs its course. Therefore, different specialties see clinical features at varying stages of cellulitis. Clinical experience is essential to being confident in making a diagnosis, but even among experienced HCPs, there were differences in the clinical rationale of diagnosis. A group of core clinical features were suggested, many of which overlapped with alternative diagnoses. This emphasises how the diagnosis is challenging, with objective aids and a greater understanding of the mimics of cellulitis required.ConclusionCellulitis is a complex diagnosis and has a variable clinical presentation at different stages. Although cellulitis is a common diagnosis to make, HCPs need to be mindful of alternative diagnoses.

scholarly journals Innovation Pathways in the NHS: An Introductory Review

2021 ◽  
Author(s):  
Anmol Arora ◽  
Andrew Wright ◽  
Mark Cheng ◽  
Zahra Khwaja ◽  
Matthew Seah
Keyword(s):  
Health Care ◽  
National Health ◽  
Health Care Professionals ◽  
New Technologies ◽  
Care Delivery ◽  
Cost Effective ◽  
Care Models ◽  
Set Up ◽  
The Uk ◽  
Introductory Review

AbstractHealthcare as an industry is recognised as one of the most innovative. Despite heavy regulation, there is substantial scope for new technologies and care models to not only boost patient outcomes but to do so at reduced cost to healthcare systems and consumers. Promoting innovation within national health systems such as the National Health Service (NHS) in the United Kingdom (UK) has been set as a key target for health care professionals and policy makers. However, while the UK has a world-class biomedical research industry, several reports in the last twenty years have highlighted the difficulties faced by the NHS in encouraging and adopting innovations, with the journey from idea to implementation of health technology often taking years and being very expensive, with a high failure rate. This has led to the establishment of several innovation pathways within and around the NHS, to encourage the invention, development and implementation of cost-effective technologies that improve health care delivery. These pathways span local, regional and national health infrastructure. They operate at different stages of the innovation pipeline, with their scope and work defined by location, technology area or industry sector, based on the specific problem identified when they were set up. In this introductory review, we outline each of the major innovation pathways operating at local, regional and national levels across the NHS, including their history, governance, operating procedures and areas of expertise. The extent to which innovation pathways address current challenges faced by innovators is discussed, as well as areas for improvement and future study.

Aerosol-generating procedures in home care

2021 ◽  
Vol 26 (2) ◽  
pp. 76-80
Author(s):  
Drew Payne ◽  
Martin Peache
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Personal Protective Equipment ◽  
Health Professionals ◽  
Community Setting ◽  
Protective Equipment ◽  
Clinical Environment ◽  
Clinical Practices ◽  
Clinical Procedures ◽  
Increased Risk ◽  
The Uk

COVID-19 has changed the landscape of healthcare in the UK since the first confirmed case in January 2020. Most of the resources have been directed towards reducing transmission in the hospital and clinical environment, but little is known about what community nurses can do to reduce the risk when they nurse people in their own homes? This article looks at what COVID-19 is, how it is spread and how health professionals are at an increased risk from aerosol-generating procedures (AGPs). There is also a discussion on the benefit of mask usage. It defines what AGPs are, which clinical procedures are AGPs, including ones performed in the community setting, and which identified clinical practices that have been mistaken for AGPs. There is also a discussion on the suitability of performing cardiopulmonary resuscitation (CPR). It also describes how to reduce the risk by the use of full personal protective equipment (PPE) and other strategies when AGPs are performed in a patient's home. It ends with general advice about managing the risk of COVID-19 transmission with patients in their homes.

Preparation for safeguarding in UK pre-registration graduate nurse education

2015 ◽  
Vol 17 (6) ◽  
pp. 371-379 ◽  
Author(s):  
Julie McGarry ◽  
Charley Baker ◽  
Claire Wilson ◽  
Anne Felton ◽  
Anirban Banerjee
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Student Evaluation ◽  
Care Delivery ◽  
Educational Support ◽  
Content Type ◽  
Graduate Nurse ◽  
Nursing Curricula ◽  
Adults And Children ◽  
The Uk

Purpose – It is now widely acknowledged that health care professionals on the front line of care delivery will often be among the first to whom patients or clients who have experienced abuse will present or disclose abuse in a clinical context. It is therefore of pivotal importance that all health care professionals, including nurses, are adequately prepared at the earliest opportunity to effectively respond to a disclosure of abuse or identify where abuse may be suspected. The paper aims to discuss these issues. Design/methodology/approach – In order to address this contemporary challenge within health care the authors present a model, developed in the UK, for the embedding of safeguarding knowledge, skills and attitudes within undergraduate pre-registration nursing curricula. This model is integrative and focuses on the acquisition of knowledge and skills in the field of safeguarding vulnerable adults and children. Findings – Student evaluation to date has been extremely positive with the majority of student responses indicating that individuals felt that they had received the requisite level of educational support and knowledge to enable them to recognise concerns. However, it was also clear that students felt that the knowledge gained within the classroom setting needed to be effectively supported and translated in the practice setting. Practical implications – Safeguarding clearly forms a central part of professional accountability and responsibility. It is therefore pivotal that professionals receive the requisite education, skills and knowledge at the earliest opportunity. Originality/value – To the authors’ knowledge this initiative is novel in approach and as such has the potential to inform similar education programmes.

scholarly journals The Olive Ridley Project (ORP): A successful example of how to engage researchers, conservation practitioners and civil society

2021 ◽  
Vol 5 (2) ◽  
Author(s):  
Martin Stelfox ◽  
Mercedes Martin-Cereceda ◽  
Karim Vahed ◽  
Jillian Hudgins ◽  
Stephanie Köhnk ◽  
...  
Keyword(s):  
Spatial Ecology ◽  
Community Education ◽  
Knowledge Exchange ◽  
Sustainable Use ◽  
Sea Turtle ◽  
Marine Turtle ◽  
Olive Ridley ◽  
Turtle Species ◽  
Research Engagement ◽  
The Uk

The Olive Ridley Project (ORP) was set up to protect sea turtles and their habitats. The project was formed in 2013, and it became a registered charity in the UK in 2016. From its inception, ORP took a multidisciplinary approach to achieve its goals. Part of its objectives, and the reason why the charity came to fruition, are related to the issue of olive ridley sea turtle (Lepidochelys olivacea) entanglement in abandoned, lost or discarded fishing gear (also known as ‘ghost gear’ or ‘ghost nets’), and the search for ghost gear and turtle entanglement ‘hot spots’ throughout the Indian Ocean. The initial ORP research questions were soon challenged by societal interests to develop inclusive educational programmes in local communities and tourist resorts that could raise awareness about the need for conservation of all sea turtle species. In February 2017, ORP opened the first veterinarian-run, fully equipped Marine Turtle Rescue Centre in the Maldives, bringing together the work of researchers, citizen scientists, volunteers, environmentalists, marine biologists and veterinarians. The present work of ORP sits on a strong and scientifically robust collaborative plan. Current ORP research projects range from sea turtle population analyses, spatial ecology, rehabilitation of injured and sick individuals, epibiont parasite analyses, precise turtle identification through photo-ID research, linking ghost gear to responsible fisheries, and analyses of ghost gear drift patterns. The programme enhances community education and outreach by engaging schoolchildren, organizing workshops, promoting sustainable use of ghost gear waste, and training citizen scientists and local fishing communities. The ORP programme encompasses many principles of research engagement, effectively combining scientific knowledge, education and action. This article explores all stages of the process (from research planning and design, to knowledge exchange and inter- and trans-disciplinary impact assessments), describing the active engagement originated by the ORP initiative. A reflective insight into the learning, enrichment and challenges of engaging researchers and community actors is also included, considering the current social and scientific framework.

scholarly journals Immigration Into the United Kingdom

2015 ◽  
Vol 63 (3) ◽  
pp. 957-967
Author(s):  
Lukáš Nevěděl ◽  
Michaela Novotná
Keyword(s):  
United Kingdom ◽  
Immigration Policy ◽  
Statistical Data ◽  
Colonial History ◽  
Key Factors ◽  
The United Kingdom ◽  
Identity Cards ◽  
The Uk ◽  
Near Future ◽  
Strong System

Migration is a process which results in an increase or a decrease of population. When analysing the immigration policy of the United Kingdom, it is important to be aware of two key factors which influenced it: the country’s location and its colonial history. As an island, the UK has developed a very strong system of border control while at the same time there is limited control within its borders which can be demonstrated e.g. by the absence of identity cards. The aim of this article is to evaluate immigration into the United Kingdom of Great Britain and Northern Ireland based on available statistical data between 2004 and 2012. The data will be also used for a forecast of development of the numbers of immigrants from different countries and for illustrating possible immigration trends in the future. The article will mainly focus on a question whether in the near future the UK will experience an increase or a decrease in immigration or whether the number of immigrants will stay constant. Convergence analysis will be used to evaluate the data for individual administrative regions at the NUTS II level. The article will also detail numbers of immigrants per 1,000 inhabitants and it will answer a question whether there is convergence or divergence in the number of immigrants among different regions.

A beta bailout: the near future of state intervention

Soundings ◽  
2020 ◽  
Vol 75 (75) ◽  
pp. 37-54
Author(s):  
Craig Berry ◽  
Daniel Bailey ◽  
Katy Jones
Keyword(s):  
State Intervention ◽  
Government Support ◽  
Social Infrastructure ◽  
Active Labour Market Policy ◽  
Employment Opportunities ◽  
New Public ◽  
Active Labour ◽  
The Government ◽  
The Uk ◽  
Near Future

This article asks what kind of state intervention is needed for a post-Covid recovery. The government bailout will seek to sustain a modified form of neoliberalism, but what is needed is a bailout for society from the wreckage of the neoliberal paradigm. The outlines of a strategy for the UK economy are presented: at its heart is a radical industrial policy that prioritises social infrastructure, a green transition and providing quality employment opportunities, while paying particular attention to the functioning of the foundational economy. An active labour market policy (ALMP) is also needed, which turns away from a focus on conditionality for those on benefits, and instead focuses support on industries less affected by the pandemic and its implications for demand, including through securing a workforce that is ready to populate them. Conditionality should, on the other hand, be imposed on firms receiving government support. Bailout 2.0 must also involve intervention designed to create new public assets, managed via new forms of democratic ownership.

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