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Triage is a key principle in the effective management of major incidents and has traditionally been performed using an assessment of a casualty's physiology. However, it has become apparent from recent experiences of major incidents that physiological triage may practically not be possible, especially in the early stages of an incident. A key factor is the speed with which it is possible to perform triage, and subsequently, the speed at which key life-saving interventions (e.g., management of external haemorrhage and airway opening manoeuvres) are able to be performed simultaneously as part of the triage process. Addressing this issue was a priority for the review of major incident triage undertaken by NHS England and culminated in the development of the Ten Second Triage (TST) tool. [ABSTRACT FROM AUTHOR]

Chia Swee Hong discusses social prescribing and how allied health professionals can help primary care professionals. [ABSTRACT FROM AUTHOR]

The article discusses the successful implementation of the NHS Diabetes Prevention Programme (NHS DPP) in England. It summarizes findings from the DIPLOMA evaluation, which showed the NHS DPP effectively reduced the incidence of type 2 diabetes at both individual and population levels. It further reflects on the program's development, key principles, and partnerships that contributed to its success.

The author reflects on the crisis facing the National Health Service (NHS) in the United Kingdom (UK) due to a backlog of care caused by the coronavirus pandemic and the need for collaboration among stakeholders to address them. Other topics include the proposed alternative models of healthcare in the country like social health insurance and private self-pay insurance, and the challenges in lipoedema care in the NHS.

The article reflects on Black History Month and acknowledges the contributions of Black, Asian, and other minority ethnic nurses and healthcare workers to the NHS. It pays tribute to the pioneers who broke barriers and emphasizes the ongoing challenges of racial discrimination faced by these healthcare professionals.

Nurses are being invited to comment on mandatory learning disability and autism training introduced for NHS health and social care staff. The Oliver McGowan Mandatory Training in Learning Disability and Autism covers England and there is a separate training programme by the Welsh Government in memory of Paul Ridd, who died in hospital in 2009 aged 53. In England a draft code of practice, detailing how the training is being delivered, is now out for consultation.. [ABSTRACT FROM AUTHOR]

How often have you heard, read or even spoken the words: 'We must keep children and their families at the heart of everything we do?' Last month saw the publication of two reports each of which cast a critical eye over the experience of young people with complex health needs as they transition from children's to adult services. [ABSTRACT FROM AUTHOR]

The article discusses E. Kelly and I. Stockton's report, published by the Institute for Fiscal Studies, which examined how the length of parental leave and rates of progression after having children differ by specialty, gender and other characteristics among nurses, midwives, doctors and dentists in the National Health Service (NHS) in England. Topics include the length of maternity leave by female nurses, findings on women in male-dominated specialties, and career development of NHS staff.

An editorial is presented on consistent signals for reductions in body weight, HbA1c, and the incidence of type 2 diabetes. Topics include reducing the progression from non-diabetic hyperglycaemia to type 2 diabetes and a behaviour change type 2 diabetes prevention programme; and addressing gaps in engagement and prompting new ways in implementing a very important national programme.

In 2021, a historic milestone was reached by mental health nursing which passed by largely without note. It was the moment when the number of mental health nurses working in community services in England's NHS finally exceeded the numbers of those working in inpatient wards (NHS Digital 2022). This was a long time coming. [ABSTRACT FROM AUTHOR]

An editorial is presented on patient safety which being an essential part of nursing care. Topics include non-steroidal anti-inflammatory drugs (NSAIDs), anti-platelet drugs, epilepsy treatments, and drugs used in the treatment of hypoglycaemia; and promoting shared learning, professional regulators, and leaders in the health and care organisations.