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An introduction is presented in which the editor discusses the birth of the new Integrated Care Board (ICB), her basic role as a general practice nurse, and an opportunity to change lives and save lives through the long-haul approach.

The article presents guidelines for practice nurses about prescribing for type 2 diabetes in Great Britain. Based on guidance from the National Institute for Health and Clinical Excellence (NICE), metformin is the first-line treatment for lowering glucose in patients with diabetes. Sulfonylureas can also be used as first line treatment in some patients, especially those who are not overweight and have overt hyperglycaemic symptoms such as polyurea and thirst.

The article examines the options available in the treatment of heart failure. The updated guidelines set by the National Institute for Health and Clinical Excellence are the basis for the choices. Basic information about the difference in managing and treating heart failure are first explained. Treatments discussed include the diuretics which are mainly for symptom control, ACE inhibitors and angiotensin receptor blockers for the prevention of fluid and salt retention, and beta-blockers for blocking stimulation of beta receptors in the heart.

The article describes the state of heart failure and the treatment options for the condition. It explains how heart failure happens and its causes, including conditions like coronary heart disease, hypertension, cardiomyopathy, arrhythmias, cytotoxic drugs and thyroid disease and cor pulmonale. The functions of the renin-angiostensin-aldosterone system and the sympathetic nervous system are described. Also noted is the impact of taking echocardiography and brain natriuretic peptide (BNP).

A personal narrative is presented which explores the author's experience of being love opening a fresh diary, hanging up carefully selected calendars around the house with brand new themes and the unfamiliar ‘2022' shining out from the page.

The article discusses that the booster campaign for COVID jabs with added debate over mandatory vaccinations for health and social care staff and to top it all, problems with blood bottle supplies.

The article discusses the types of anaemia apart from deficiency anaemias that are not directly linked to low iron levels or low vitamin B12 levels. It elaborates on the anaemia of chronic disease, chronic kidney disease, and sickle cell anaemia which call for a different method of treatment and ongoing management. The author concludes that careful diagnosis and the use of evidence based care, regardless of the type of anaemia, will ensure the patient's well-being.

In this article, the author provides information on deficiency anemias. She describes the symptoms and causes of anemia with focus on problems in transporting oxygen through hemoglobin. She also explains the diagnosis and treatment of various deficiency anemias such as iron deficiency, folate deficiency and B12 deficiency.