11-17 JANUARY 2011 “Start with the patient PLUS NURSINGTIMES.NET NURSES REJECT £1.80 Vol 107 No 1 and then work outwards” JOB SECURITY Viv Bennett p8 FOR PAY RISES Does discharge planning actually work? p24 When to use nasal cannulas p16 Jungle fever: how to be a nurse on expedition p28 Frontline trauma: the experts What you can learn from military casualty care p17 www.nursingtimes.net / Vol xxx No xx / Nursing Times 00.00.11 1 New Expo Ad_v2 24/11/10 15:49 Page 1 Healthcare Innovation EXPO 9th & 10th March 2011, ExCeL London Book today for Europe’s largest healthcare innovation event Expo 2011 will be the largest event of its type in Europe, attracting over 10,000 delegates from the public, private and voluntary sectors. With over 250 exhibitors, 100 speakers and 180 seminars, all featuring high impact changes that can deliver improvements in quality and productivity in the NHS. Developed and supported by the Department of Health and UKTI, the Expo will help managers, clinicians and front line staff understand the Coalition's reform agenda, the part they have to play in delivering change, and how they can drive adoption and diffusion of innovation. Confirmed speakers include: Andrew Lansley Sir Bruce Keogh – Secretary of State for Health – Medical Director of the NHS in England Earl Howe Sir John Oldham – Parliamentary Under Secretary of State, – National Clinical Lead, Quality & Productivity, Department of Health Department of Health Sir David Nicholson Lord Victor Adebowale – Chief Executive of the NHS in England – Chief Executive, Turning Point David Behan Helene Raynsford – Director General of Social Care, Department of Health – Paralympic Gold Medalist Jim Easton Ben Page – National Director for Improvement and Efficiency, – Chief Executive, Ipsos MORI Department of Health backed by the Government and the Department of Health to support improvement in quality and value find out more about the reform agenda and NHS White Paper from ministers and policy-makers practical examples of innovations you can adopt to improve care and drive efficiency inspirational combination of local innovation champions and national and international vision discounted rates >> Book before the 17th December to benefit from our early bird rate at www.healthcareinnovationexpo.com Contents Editor's view The Nursing Week “Top honours prove 2 Nurses reject the o er of a freeze on pay increments in return for no redundancies nurses drive change” 4 RCN is being investigated over claims that a council member was unfairly removed 6 New Year Honours recognise nurses appy New Year. I feel slightly anxious about uttering 7 Living healthily doesn’t just mean going to those words when 2011 is set to usher in such a mas- the gym, says John Bromley sive raft of changes in the NHS. But I’m still confi - 8 We speak exclusively to deputy chief dent about your ability as a profession to navigate nursing o­ cer Viv Bennett H your way through this new NHS roadmap. 11 Mark Radcli e says it's neither cheesy nor Nursing is often portrayed in the media as a downtrodden crackers to celebrate public services profession – rarely do we see nurses taking the initiative, making changes that will affect patients and other health professionals. In real life, though, nurses do exactly that, and have been well acknowledged in the New Year Honours list for driving Nursing Practice change and leading it. 13 Comment: Maggie Ioannou on why a Rosalynde Lowe, chair of the Queen’s Nursing Institute, commissioning role would release nurses' was made Commander of the Order of the British Empire (CBE). creativity Other nurses who were among those honoured were: Julia Styles, 16 Practice questions: when should a nasal former head of nursing at the Blaenau Gwent Local Health Board; cannula be used to deliver oxygen? Margaret Berry, director of quality and executive nurse at NHS Luton; and Bruce Armstrong, consultant nurse and emergency 17 Innovation: caring for critically injured planning offi cer at Basingstoke and North Hampshire Founda- soldiers presents specifi c challenges tion Trust, who is also a major in the Territorial Army and who 21 Practice review: dealing with phantom played a signifi cant role in setting up the emergency depart- limb pain after amputation ment at Camp Bastion in Afghanistan. These nurses received an 24 Evidence based practice: a Cochrane Offi cer of the Order of the British Empire. Well done to all of review looks at whether discharge them. See our story on the New Year Honours list on page 6. planning improves care and cuts costs The new year also heralds a new look for Nursing Times. 25 Research: what prevents one to one care Over the past few months, we’ve been talking to nurses and in mental health acute hospitals? fi nding out what you want from this magazine. The answers came back loud and clear – you asked for prac- tical advice, quick tips on how to improve your practice and your leadership skills, inspiring stories from nurses, and career Nursing Life sections. You also asked for humour, so we’ve added that in too. 28 60 seconds with We hope you enjoy it, but do take the time to let me know Mandie Sunderland your thoughts. It’s your magazine, and we want you to fi nd it Role model: we meet a useful, interesting and inspiring. nurse who swapped the ward for the jungle Jenni Middleton, editor [email protected] EDITORIAL: 020 7728 3702 Editor HV Cert, 020 7728 3706; 020 7728 3756 Lesinda Leightley fax: 020 7728 3700 Jenni Middleton Ann Shuttleworth 020 7728 3705 O ce administrator Head of health Jason Winthrop 020 7728 3757 Deputy practice editor Eileen Ibadete Fetahu 020 7728 3703 Recruitment group sales manager email: [email protected] or News editor Sally Gainsbury Shepherd, DipN, 0115 923 1953 Display advertising commercial James Frowde 1st name.2nd [email protected] 020 7728 3758 Assistant practice editor Nerys director Marie Rogers 020 7728 3778 Senior sales executive NEWS: 020 7728 3713; fax: 020 7728 3700 Deputy news editor Steve Ford Hairon. 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Sales and online Please note some of the calls made to our advertis- 020 7728 3718; Ben Clover 020 7728 020 7728 3764 Classifi ed production administrator Lisa Singh ing teams are recorded for training purposes 3749; Sarah Calkin 020 7728 3746; Deputy production editor Anthony Wright; David Ly Market director Steph Grice SUBSCRIPTIONS UK: Enquiry line: 0844 848 Crispin Dowler 020 7728 3717 Sarah Hill 020 7728 3709 Head of Marketing Fiona Farmery 020 7728 3577 8858; order line: 0844 848 8859 Practice editors Kathryn Godfrey, Online editor Rachel Purkett Senior marketing executive Chief executive SUBSCRIPTIONS OVERSEAS: Enquiry line: 01858 NURSING TIMES Greater London House, Hampstead Road, London NW1 7EJ Published by Emap Inform, a part of Emap 438847; order line: 01858 438804 Ltd. © 2010 NURSING TIMES is published weekly by Emap Inform, a part of Emap Ltd, and printed by William Gibbons, customer service adviser: 020 7874 0555 Wolverhampton. Registered as a newspaper at the UK Post O ce. ISSN 0954 7762. First published on 6 May 1905. Cover: Guardian Cover: www.nursingtimes.net / Vol 107 No 1 / Nursing Times 11.01.11 1 “To see these women change and develop as they became more confi dent was The astonishing” Nursing Rosalynde Lowe CBE p6 Week But an online poll of more are likely to centre on the fact than 1,500 Nursing Times that the guarantee on readers found 84% wanted compulsory redundancies their local union does not apply to bands 7-9. representative to reject the Royal College of Nursing offer. head of employment relations Nearly 70% of nurses said Josie Irwin said this was the proposed agreement was a “sticking in the craw of a lot “disgrace”, while 21% said it of members”. was “unfair”. The survey results suggest Two thirds said they would there was disagreement seek a job at a neighbouring among nurses on that issue. trust if their organisation Although only 17% of all went ahead with it. respondents said they agreed One respondent said: “I do that those on bands 7 and not believe this will secure above should be excluded jobs, nor will it improve from the job guarantee part of services. Instead, it will the proposal, that increased to damage morale and 28% among band 5 demotivate a hard working respondents, with a further Telling it straight: nurses say trading pay for jobs is a “disgrace” workforce.” 20% saying they did not know. The result was little Ninety-one per cent of affected by respondents’ area respondents on band 7 of work or AfC pay band. disagreed. Fury over Despite their hostility to Perhaps refl ecting the the proposal, 42% of different make-up of the respondents thought it was unions, 14% of Unison quite likely or very likely that members said representatives their union representatives should accept the deal, jobs o er would accept it. compared with 10% of RCN Unison senior national members and 11% of non- offi cer Mike Jackson said it union members.