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NHS Price: Bath Additive – 500Ml Plastic W/W Front Cover September 2010.qxd:Layout 1 19/8/10 11:27 Page 1 The Journal of the Community Practitioners’ and Health Visitors’ Association COMMUNITY PRACTITIONER September 2010 Volume 83 Number 9 www.commprac.com www.unitetheunion.org/cphva Protecting IN THIS ISSUE NEW CPD MODULES: First with older adults this issue supported by Dettol Enough progress? Strategies to address staffing shortages Interdisciplinary training A health visitor-led eczema clinic Breastfeeding and medication Your rights to ask for time to train The NEW Cetraben bath additive dispenser for almost* complete control at bath time – Easy-To-Use Optic Measure – Contoured Bottle Get the right dose every time Easy to grip and pour – Drip Resistant Neck – Transparent Packaging Prevents the bottle Patients can see when from becoming they need to order slippery and greasy a repeat prescription * We’re sorry, but we can’t do anything about the kids! Cetraben® Emollient Bath Additive. Abbreviated Product Information rash and erythema have been observed, in which case the product should be Please refer to Summary of Product Characteristics before prescribing. discontinued. Marketing Authorisation Numbers: Cetraben Emollient Bath Presentations: Bath additive – Clear liquid containing light liquid paraffin 82.8% Additive: PL 17320/0002. Basic NHS Price: Bath Additive – 500ml plastic w/w. Indications: Symptomatic relief of red, inflamed, damaged, dry or bottle £5.75. Legal Category: GSL. Date of Preparation: February 2010. chapped skin, especially when associated with endogenous or exogenous Further Information is available from: Genus Pharmaceuticals Ltd, Benham eczema. Dosage: Bath additive – Adults: Add one or two capfuls; Children: add Valence, Newbury, Berks, RG20 8LU. Cetraben® is a registered trademark. half/one capful to a warm water bath or apply with a wet sponge to wet skin EMOLLIent BATH ADDITIVE before showering. Contra-indications: Hypersensitivity to any of the Adverse events should be reported. Reporting forms ingredients. Special Warnings and Precautions: Care should be taken if and information can be found at www.yellowcard.gov.uk. light liquid paraffin allergy to any of the ingredients is suspected. Care should also be exercised Adverse events should also be reported to Genus when entering or leaving the bath. Avoid contact with the eyes. Side Effects: Pharmaceuticals on 01635 568400. (Refer to the SmPC for full list) vary rarely, mild allergic skin reactions including Made to Measure Date of preparation: June 2010 GENUS CET0610761 01 CP Sep 10 Contents.qxd:Layout 1 19/8/10 11:31 Page 1 COMMUNITY PRACTITIONER PHOTOLIBRARY SEPTEMBER 2010: VOLUME 83, NUMBER 9 The journal of the Community Practitioners’ and Health Visitors’ Association Transport House, 128 Theobald’s Road, London WC1X 8TN FRONT COVER PHOTO: CONTENTS T: 020 3371 2006 F: 0870 731 5043 UNITE/CPHVA MEMBERSHIP For membership-related enquiries from existing members of Unite/CPHVA, please Tel: 0845 850 4242 or see: www.unitetheunion.org/contact_us.aspx for contacts. To join Unite/CPHVA, apply online at: COMMENT CLINICAL www.unitetheunion.org 3 NHS: the faith to fight 39 Clinical papers JOURNAL SUBSCRIPTIONS Karen Reay June Thompson (For non-members of Unite/CPHVA) The need to become ‘political Early maternal affection and adult UK individual yearly rates: Payment by direct debit £90.00 clinicians’ to save the NHS coping skills Annual payment £99.50 Inequalities in mortality in Britain Student £69.50 greater today than in 1930s UK institutional yearly rate £105.00 NEWS & FEATURES Evidence-based guidelines are needed Rest of the world yearly rates: for nipple shield use Individual £104.00 Institutional £109.50 4 NEWS 41 Clinical update Subscription enquiries should be made to: Community Practitioner subscriptions, 12 Increasing staff numbers Wendy Jones, Sharon Breward Ten Alps Subscriber Services, Alliance Kin Ly Drugs and breastfeeding Media Limited, Bournehall House, Bournehall Road, Bushey WD23 3YG Are current strategies to T: 020 8950 9117 increase the workforce enough? [email protected] www.cphvabookshop.com REGULARS 36 Child eczema clinic PUBLISHERS Ann Francis 16 Letters Published on behalf of Unite/CPHVA by: Ten Alps Creative, One New Oxford Street, Developing a health visitor-led 43 Your rights at work London WC1A 1NU eczema clinic for under-fives T: 020 7878 2300 F: 020 7379 7155 Kate Oultram Scott Ford Managing director Time to train: your rights ADVERTISING PROFESSIONAL 45 Resources James Priest T: 020 7657 1804 All professional papers have been double-blind 48 Network [email protected] peer reviewed prior to publication PRODUCTION 19 Practice improvement, Ten Alps Creative (design and production) breastfeeding duration and ● NEW CPD MODULES: The first Williams Press (printing) health visitors of a new series of Unite/CPHVA © 2010 Community Practitioners’ CPD supplements (included with and Health Visitors’ Association Rachael L Spencer, Sheila Greatrex- this issue) addresses hygiene in ISSN 1462-2815 White, Diane M Fraser the home, supported by Dettol Community Practitioner is indexed in the Cumulative Index to Nursing and Allied 24 Emotional labour within ● LAR of the Year Award 2010 – Health Literature (CINAHL) and the Applied community nursing leadership 10 September deadline, see p27 Social Science Index and Abstracts (ASSIA). ● The views expressed do not necessarily Elaine Haycock-Stuart, Annual Professional Conference – represent those of the editor nor of Susanne Kean, Sarah Baggaley 20 to 22 October at Harrogate Unite/CPHVA. Paid advertisements carried International Centre, see p34 in the journal do not imply endorsement by 29 Protection of vulnerable adults: Unite/CPHVA of the products. ● Unite 4 Our NHS campaign – an interdisciplinary workshop see Comment on p3 and: GUIDE FOR CONTRIBUTORS Mary Rose Day, Eleanor Bantry- www.unitetheunion.org/health Community Practitioner welcomes White, Pauline Glavin relevant contributions. Articles on professional issues are double-blind peer reviewed and should be 2000 to 3500 words. Author guidelines are available from the editor. Submissions should be made in electronic format by email to: [email protected] 03 CP Sep 10 Comment.qxd:Layout 1 19/8/10 11:34 Page 3 EDITORIAL ADVISORY BOARD Gaynor Kershaw (chair) Health visitor, Heywood, Middleton and Rochdale PCT Obi Amadi Unite/CPHVA lead professional officer Maggie Breen Macmillan clinical nurse specialist – children and young people, Royal Marsden Hospital NHS Trust, Sutton Debbie Davison Health visitor, Surrey PCT PHOTOLIBRARY COMMENT Toity Deave Research fellow, Centre for Child and Adolescent Health, Bristol Wendy Deshpande Breastfeeding programme lead, Croydon Community Health Services Barbara Evans Unite/CPHVA Community Nursery Nurse Forum chair NHS: the faith to fight Gavin Fergie Unite/CPHVA professional officer for Scotland and Northern Ireland Margaret Haughton-James School nurse team leader and practice nurse, Practitioners need to become ‘political clinicians’ to save the NHS as a Lambeth PCT Avril Jones Research health visitor, joined-up entity, free at point of delivery and paid for by general taxation Gwent Healthcare NHS Trust Kay Kane Independent nurse advisor, community nursing The White Paper on the health service, put What is depressing about the coalition is Catherine Mackereth Public health lead – together in just six weeks, is the biggest that it was presumed that the Liberal mental health and wellbeing, Sunderland Teaching PCT onslaught on the founding principles of the Democrats would act as a brake on their Brenda Poulton Professor, Institute of NHS since its establishment in 1948. partners. In fact, the party of Lloyd Nursing Research and School of Nursing, County Antrim Giving the majority of the NHS budget George, Maynard Keynes and William Lesley Young-Murphy Acting director of to GPs – some £70billion – is an open Beveridge (the architect of the welfare community services and head of patient care, North Tyneside PCT invitation to private healthcare companies state) has its foot on the accelerator with to substantially increase the 4% of NHS the same ferocity as the Conservatives. EDITORIAL TEAM services that they currently provide. Their The rapidity of this ‘reform’ risks social Danny Ratnaike Editor cohesion, and as the state is pared down [email protected] first loyalty is to their shareholders, not to Jane Appleton Professional editor the ethos of the NHS. Decisions on hip Big Society is meant to take over, with [email protected] replacements at your local hospital could thousands of volunteers to emerge (from Kin Ly Assistant editor [email protected] be made by a company in the US Midwest. where?) to take over its responsibilities. T: 020 7878 2404 As its founder Aneurin Bevan said, the NHS ‘will last as long HONORARY OFFICERS as there are folk left with the faith to fight for it’ Lord Victor Adebowale President Angela Roberts Chair Alison Higley Vice chair Unite health sector members need to The state has been fundamental to health move beyond their everyday role as clini- and educational improvements over the PROFESSIONAL OFFICERS cians to become more political with a last century because the previous ad hoc T: 020 3371 2006 Obi Amadi Lead professional officer small ‘p’ – to be advocates for local needs, arrangements – heavily reliant on charities Gavin Fergie Professional officer for Scotland and to make the case for a unified and and private philanthropy – were inefficient. and Northern Ireland universal
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