bluuebunny/crossref_metadata_2025 huggingface dataset:
Cracking the NVQ code
Authors: Spencer Adams Stephan
Published: May 2014

NVQs started in the late 1990s to provide qualifications and training to those people who were already within the work environment and had not been involved in academic learning for a number of years. An NVQ candidate does not need to hold any qualification to start an NVQ, but they must be working within the area that the NVQ applies to, e.g. NVQs in care can only be completed by those working within the care environment (e.g. an acute hospital, community-based care or nursing home). NVQs are candidate lead and this can lead to some candidate taking longer than others to complete, each candidate is registered with their awarding body for three years and has this period of time in which to complete. On average most candidates complete their awards within ten months to one year. NVQs can be accessed at any centre registered with an awarding body to provide them, e.g. local colleges. Some hospitals are also centres in their own right and provide the relevant NVQs for their staff.
Do them no harm
Authors: Peate Ian
Published: May 2014

In 1858 Florence Nightingale said ‘It may seem a strange principle to enunciate as the very first requirement in a hospital that it should do the sick no harm’. In 1860 she wrote ‘hospitals are not the best place for the poor sick’. We can no longer say that hospitals do no harm.
Parkinson's disease part3: assistive devices
Authors: Swann Julie
Published: May 2014

This article describes how Parkinsonian symptoms can produce difficulties with activities of daily living. Adaptations and assistive devices are discussed that can help overcome problem areas and improve levels of independence.

Healthcare assistants and assistants practitioners have a vital role to play in the identification of problem areas. They can help patients by providing information on the types of items that are available and direct them to sources of further advice and equipment to help maintain a person's maximum level of independence.

There is a glossary at the end of the article which provides definitions of words you may not be familiar with.
The application form
Authors: Peate Ian
Published: May 2014

In this article, the importance of filling in an impressive application form is discussed. This follows on from last month's ‘Making Sense of...Writing your CV’ (Peate, 2008). Next month the mini series will conclude with ‘The interview’.
Oral health: the anatomy and physiology of the mouth
Authors: Nazarko Linda
Published: May 2014

Mouth care is a vitally important and overlooked aspect of care. Those who are ill or elderly and frail may require assistance to maintain a healthy mouth. If the mouth is neglected lips can become sore and chapped, teeth can become covered in plaque, the person's mouth may become dry and sore and infections can develop. Enabling a person to maintain a healthy mouth improves the ability to eat and drink and can prevent serious diseases. This article explains the anatomy and physiology of the mouth and how the care assistant can enable an individual to maintain a healthy mouth.
Your questions answered...
Authors: Peate Ian
Published: May 2014

Hello my name is Laura, I The night before the interview relax. First impressions really might perform as a member applied for a job as a healthcare make sure that have all of your do count and appearance is of a team as well as working assistant and they have invited paperwork in hand as well important, be sure you are independently. Before you me for an interview. I am very as photocopies of certificates comfortable with what you are answer any questions that you excited but also a little scared as and other documentation that wearing. consider a challenge, pause and I have never been for a proper you have been requested to The employer will understand take some time to think about interview like this before.
Book Reviews
Authors: Gault Christine
Published: May 2014

This book is written as a workbook or learning package which would be a valuable learning resource for anyone working within healthcare, particularly palliative care. The author talks directly to the reader with a familiarity that ensures the book is reader friendly.
Caring for disabled lesbian, gay, bisexual and transgendered people
Authors: Peate Ian
Published: May 2014

Diversity occurs in all spheres of society and is just as prevalent in disabled communities. Any society that purports to be truly inclusive must ensure that all members of that society have equal access and opportunity to all aspects of economic, social and cultural life. It is also important that diversity in the disabled community (in whatever form that is) is supported, respected, acknowledged and valued inclusive of health. Sexuality is not just about sex in a physical sense; it is about wider issues that impact on sexuality such as gender, relationships, trust, respect and love. Healthcare assistants and assistant practitioners can help to support and respect people who are disabled and lesbian, gay, bisexual and transgendered if they understand some of the issues and challenges they face.
Using social and complementary models of care
Authors: Bartle Caroline , Frankland Melanie
Published: May 2014

The benefits of complementary therapies are becoming increasingly recognized throughout the healthcare system and their role in dementia care is no exception. There are a number of methods that can be applied by healthcare assistants to help relieve symptoms and enhance failing cognition and senses while helping to develop a positive relationship with the client using the person-centred approach.
Multiple sclerosis part 3: affects on daily life
Authors: Swann Julie
Published: May 2014

This article provides an introduction to ways that healthcare staff can help with management of daily living tasks.

Multiple Sclerosis (MS) is the most common cause of neurological disability in younger people and can start at an age when people are establishing careers and families.
Maintaining sexual boundaries at work
Authors: Peate Ian
Published: May 2014

Healthcare professionals are provided with the privilege of working with a variety of people in a variety of places. Most healthcare assistants (HCAs) and assistant practitioners (APs) work with devotion and integrity with the key aim of providing the best possible care to patients. There are however, a small minority of cases where HCAs and APS fail in their attempt to work with dedication and integrity, in some instances serious breaches with respect to their sexual boundaries with their patients and their carers have occurred. When sexual boundaries have been violated this can result in serious and long-term harm.
Distance learning: a modern and flexible way to learn
Authors: Clark Liz
Published: May 2014

As we celebrate the 60th anniversary of the NHS and its many achievements, healthcare assistants and support workers are well placed to deliver the kind of care that is valued by patients and service users; care that is compassionate, effective and safe. Flexible learning opportunities can enable busy practitioners to keep up to date with the rapid changes in healthcare. With the Open University you can earn while you learn, fit your studies around your work and home commitments, and start to put your learning into practice immediately, helping to contribute to the quality of the patient experience.
Body fluids: components and disorders of peritoneal fluid
Authors: Peate Ian
Published: May 2014

Peritoneal fluid is very important body fluid and many healthcare assistants and assistant practitioners may find themselves caring for people with peritonitis - a condition associated with peritoneal fluid. Therefore, it is important to have a good understanding of this fluid, the peritoneum and the peritoneal cavity. This article explains the functions of all three and provides an explanation of peritonitis and the necessary treatment.
Synergy in care
Authors: Shokar Sharon
Published: May 2014

I became a residential support worker 18 months ago for Community Options, a registered charity established in 1990 to provide care and support to people with mental health needs. By writing this article I felt it necessary to enlighten people as to the rewards and job satisfaction I obtain from promoting good practice in community care.
Writing assignments: effective research skills
Authors: Powell Sarra Saffron
Published: May 2014

This is the second in a four-part series of study skills articles that will provide advice on how to write better assignments. The articles covered in this series include deconstructing titles (Saffron Powell, 2008), reading and critical thinking strategies, and how to write academically. This article will help students develop effective research skills that are essential to developing academically sound arguments.
Caring for the person with diverticular disease
Authors: Peate Ian
Published: May 2014

Diverticular disease is a common condition predominately found in western developed countries, prevalence increases with age. Although a number of people are affected by diverticular disease a considerable amount are asymptomatic. The causes of diverticular disease are often unknown; however, alterations in the wall of the intestine and a diet that lacks fibre contribute. The signs and symptoms of the disease vary and maybe different depending on each individual. This article discusses the possible causes of diverticular disease, the signs and symptoms, investigations that may be used to make a diagnosis and the care and treatment available are outlined. The role and function of the healthcare assistant and assistant practitioner are included. Teaching points are outlined and finally a glossary is provided.
Strokes: overcoming practical problems
Authors: Swann Julie
Published: May 2014

Following a stroke, there can be many problems with management of tasks and coping with daily life. It can be frustrating to attempt tasks that were previously carried out with ease or, in many cases, automatically. It is important to support and empower individuals to enable them to regain control of their own lives and to manage activities of daily life more easily. This article describes some techniques and equipment to help restore abilities in self-care activities.
Long-term mechanical ventilation part 2: principles
Authors: Hewitt-Taylor Jaqui
Published: May 2014

An increasing number of people require long-term mechanical ventilation, and healthcare assistants often provide their everyday support. It is therefore useful to know how the system works.
Restraints part 1: Definition and policy considerations
Authors: Hughes Rhidian
Published: May 2014

This is the first of a series of four articles that examines the use of restraints in health and social care settings. This article comments on the different definitions of restraint before going on to discuss the broader policy context.
Translating policy into practice: introducing Policy Watch
Authors: Hughes Rhidian
Published: May 2014

This article begins by highlighting the challenges government faces in implementing health and social care policies. It goes on to discuss the policy and practice ‘gap’ and finally it introduces the new Policy Watch feature in the Journal.
A training and development forum in Powys
Authors: Williams Louise
Published: May 2014

Sixty healthcare support workers attended ‘mini conferences’ held at Bronllys, Carno and Llandrindod Wells, across the rural county of Powys, Wales in November 2008. They came from the differing areas of hospital and community nursing, mental health services, children’s community services, physiotherapy, speech and language therapy and primary care.
End-of-life care: common core competencies
Authors: Mullen Chris , Thomas Jim
Published: May 2014

After the Department of Health developed a strategy for end-of-life care last year, Skills for Care and Skills for Health have been working together to develop national standards in this important area. They have identified the common core competencies required by workers to deliver high-quality end of life care. This article outlines these competencies and discusses their future development.
A peripatetic assessor
Authors: Thompson Phyllis
Published: May 2014

I started work as a part time community nursing auxiliary in 1984 and I was known as a ‘bath nurse’. My role was to visit house bound patients to assist with personal care which included bathing, showering and dressing. Most of the patients were elderly, frail or just living alone and unable to manage their own personal care. Some however were poorly and needed additional care and support, which I found very fulfilling.
All change!
Authors: Hand Tanis
Published: May 2014

How true this is, on so many levels! I start my new post as HCA Adviser for the RCN in November, taking over from Paul Vaughan. Paul has worked tirelessly on behalf of healthcare assistants (HCAs) and assistant practitioners (APs) for many years. I realize that Paul will be a hard act to follow, but he has prepared the ground thoroughly, and I aim to build on all the positive work that has already been undertaken.
How to apply for nurse training
Authors: Devine Judith , Elson Sue
Published: May 2014

There has been a significant rise in the number of applicants to nursing pre-registration courses at British universities. A large proportion of these will be healthcare assistants. This article aims to guide them through the process of applying for nurse training and preparing for a successful outcome at interview.
Integrated care
Authors: Hughes Rhidian
Published: May 2014

Integrated, inter-professional, multi-disciplinary, continuous, whole system, seamless services, inter-agency working, care pathways: the range of words typically associated with the idea of integrated care. The principles underpinning joined-up working have long been part of the provision of high quality care. The words listed above are just some, of a whole host of different meanings attached to joined-up health and social care. Broadly, however, people's meaning of the term ‘integrated care’ emphasize staff working together to better meet people's needs in a person-centred way. These principles are not new and are indeed enshrined in many professional codes of conduct and working policies and protocols.
Time to care
Authors: Quinn Michelle
Published: May 2014

It is a full year since the team at St Benedict’s Hospice Day Unit in Sunderland completed The Productive Community Hospital programme and we have already achieved so much with the work we have done. Of course I say completed, but as it is an ongoing improvement programme; there are always more improvements that can be made.
Cervical spondylosis part 2: coping with the condition
Authors: Swann Julie
Published: May 2014

This is the second part of a series on cervical spondylosis, a degenerative condition, which can cause pain, loss of mobility and problems managing daily life. Surgery, therapeutic intervention and practical ways to overcome problems are outlined to help healthcare staff enable patients to be as independent and pain-free as possible.
Successful academic writing: developing the right style
Authors: Powell Sarra Saffron
Published: May 2014

This is the final in a in a four-part series of study skills articles that will help you write good-quality assignments. The articles covered in this series include deconstructing titles, developing research skills, reading and critical thinking strategies. This article will help develop academic writing and skills in structure and style, clarity, using quotations, paraphrasing correctly and avoiding plagiarism.
Ankylosing spondylitis: care and treatment
Authors: Swann Julie
Published: May 2014

Ankylosing spondylitis is chronic inflammatory disease of the connective tissue of the joints. Although the first symptoms can be traced to childhood, it is not formally diagnosed until several clinical signs and symptoms are present. This article outlines this painful condition.
Caring for adults with cognitive impairment
Authors: Nazarko Linda
Published: May 2014

Although cognitive impairment is more common in older adults, younger adults can also have cognitive impairment. Staff working in busy hospitals may not always pick up the signs of cognitive impairment in younger people. They may treat younger adults who are cognitively impaired in the same way as adults who have capacity. This is not always appropriate and can result in cognitively impaired adults receiving substandard care.
Healthcare assistants call for regulation
Authors: Vaughan Paul
Published: May 2014

A new survey conducted by Ipsos MORI on behalf of the Royal College of Nursing (RCN) has revealed that 85% of healthcare assistants (HCAs) questioned are in favour of regulation.
An online learning resource for stoma care
Authors: Waller Sylvia , Irving Mark
Published: May 2014

Nurse Learning, a UK-based charity providing free online courses for nurses through the website at CancerNursing.org , has recently collaborated with SecuriCare Medical Ltd to develop an e-learning course in stoma care. The course, entitled ‘Introduction to Stoma Care', is accessible free of charge via the internet and is designed to meet the learning needs of healthcare assistants (HCAs). SecuriCare, a private sector company specializing in the provision of stoma care services which has its own team of highly experienced stoma care nurses, developed the original course material.
Spirituality in healthcare: what can you do?
Authors: Kemp Philip , Wells Revd Peter
Published: May 2014

Healthcare today is faster, more effective, more innovative and more target-driven that at any other time in history. Twenty years ago patients spent time in hospital recovering from their illnesses, a period known as convalescence, on the NHS. In 2000 less than 25% of convalescent beds were provided by the NHS with the majority provided by the private sector (NHS Executive, 2000).
The role of the HCSW in continuing NHS healthcare
Authors: Rowles Natalie
Published: May 2014

My name is Natalie Rowles and I am a band3 healthcare support worker (HCSW) for Continuing Health Care NHS Trust. I have a GNVQ Intermediate in Health and Social Care, a GNVQ Advanced in Health and Social Care, NVQ 2 In Direct Care, a NVQ 3 in Direct Care and I am just coming to the end of the K101 in Health and Social Care via the Open University. I am based at County Hospital, Pontypool, South Wales.
Treat me right! A revolutionary approach to learning disabilities
Authors: Turner Nigel
Published: May 2014

Support for Living is revolutionizing the way people with learning disabilities are treated in one London hospital. The ‘Treat Me Right!’ project is educating staff and improving channels of communication
The final dilemma
Authors: Green Barrie
Published: May 2014

Recent press and media coverage has brought the debate surrounding assisted suicide (also called ‘aid in dying’ or ‘death with dignity’) sharply into focus. The BBC film ‘A Short Stay in Switzerland’ (broadcast 28 January 2009) and the coverage of recent high profile court cases pose an uncomfortable truth for healthcare workers of all disciplines (Asantha, 2009). More recently, the Royal College of Nursing's (RCN) decision to take a neutral stance on the issue has exposed staff to a moral and ethical minefield (RCN, 2009). There is the promise of detailed guidance, however, until this is delivered, individual nurses and healthcare assistants may be exposed to the dilemma of either active or passive exposure to this emotive and very difficult area of practice. The legal situation in the UK remains clear, but the controversy will inevitably force the issue towards change.
Advanced communication skills
Authors: Nazarko Linda
Published: May 2014

Most people cared for in hospital are older people and ageing and conditions that become more common with ageing can affect the ability to communicate and this communication can affect a person's ability to understand and comply with treatment. Healthcare assistants and assistant practitioners need to be aware of the barriers to communication and to develop skills to overcome such barriers and to deliver high quality care.
The Mental Capacity Act 2005: Safeguarding Liberty
Authors: Peate Ian , Wood Jose
Published: May 2014

A person must be assumed to have capacity unless it is established that he or she does not, this is the fundamental principle underpinning the Mental Capacity Act 2005. Mental capacity means being able to make your own decisions. It is vital that the healthcare assistant and assistant practitioner have some understanding of the implications associated with the Mental Capacity Act if they are to provide and assist in the provision of care that is humane and within the boundaries of the law. The Act affects those aged over 16 years in England and Wales. This article provides a very brief overview of the Mental Capacity Act 2005 as well as discussion regarding the Act and the deprivation of liberty - a supplement to the Act. A glossary of terms is also provided.
MRSA: Minimize the spread
Authors: Bissett Linda
Published: May 2014

This article describes meticillin-resistant Staphylococcus aureus (MRSA), and details what healthcare assistants can do to minimize its spread. Subjects include standard infection control precautions, promoting hand hygiene and encouraging good practice among other staff members. By taking simple steps, patient safety can be significantly improved and the risk of infection reduced.
Safe from harm: preventing ligature strangulation
Authors: Peate Ian
Published: May 2014

An awareness and understanding of the risks associated with ligatures can help to prevent the death or serious injury of a service user. Healthcare assistants (HCA) and assistant practitioners (AP) are members of a multidisciplinary team and should work together in order to minimize risk. Environmental factors and possible prevention methods are discussed. Key terms are defined and the issue of audit is emphasized.
Ask the Board: Swine flu vaccine queries
Authors: Hand Tanis
Published: May 2014

People with immuno-suppression are at high risk of contracting H1N1 swine flu. Moreover, the consequences of the infection can carry more risk. For these reasons vaccination is highly recommended.
Happy New Year!
Authors: Hand Tanis
Published: May 2014

I hope your Christmas and New Year break, however short, has been a little more restful than mine! As you know, in November I started my new job as the RCN's HCA Adviser. In December we moved house and so I am now based in the RCN's West Midlands office.
Mary Seacole: heroine from history
Authors: Hand Tanis
Published: May 2014

I am writing this as I sit in our holiday cottage in Pembrokeshire, looking over a golf course to the sea. We have come home for a week or so, and my husband, Nic, is off playing golf while I am going to pick up my parents and bring them over for lunch later. We have had a pretty busy time so far, with cycling, catching up with friends and Nic's golf. Even the dog has been catching up with his old mates, as we have managed to choose a week of beautiful weather.
What if...? Reflective practice: an accusation of theft
Authors: Grainger Angela
Published: May 2014

Patients, relatives and staff members have to have trust and confidence in the service provided and in one another. In this scenario we consider what happens when that trust is broken because of a spate of thefts in a clinical area. As members of a health professional team, it is important that we respond to this situation appropriately. Guided reflective practice will be used to facilitate further understanding of the situation and to assist learning.
Can you hear me? Relating more effectively to colleagues
Authors: Lynall Anna
Published: May 2014

A crucial element of the work of healthcare assistants and assistant practitioners is the ability to be able to relate effectively to both patients and colleagues in a way that improves verbal communication. This article looks at how to improve listening skills and ensure that you can make the most of conversations that take place in the workplace.
Support worker regulation: the NNRU report explained
Authors: Robinson Sarah , Griffiths Peter
Published: May 2014

Regulation is a subject over which diverse and strongly held views exist. Is is an issue in which many organizations (trade unions, regulatory bodies, employers and government) have interests, as do members of the healthcare workforce itself. Given concerns about public safety and the diversity of views over regulation, the Nursing and Midwifery Council (NMC), commissioned the National Nursing Research Unit (NNRU) of King's College London to undertake a scoping review of the subject (Griffiths and Robinson 2010). This article looks at this review.
Fungal skin infections and HCAs: identify, treat and act
Authors: Nazarko Linda
Published: May 2014

Fungal skin infections, such as athlete's foot, sweat rash and jock itch can develop as a result of a person being prescribed medication, such as antibiotics. Often fungal skin infections are long-standing and are discovered incidentally when a patient is hospitalized. Such infections can indicate that the person is having difficulty maintaining hygiene. Fungal infections are easily treated and healthcare assistants can help to ensure that they are identified, treated and actions put in place to prevent recurrence.
Jaundice in newborn babies
Authors: Gregory Irene
Published: May 2014

The National Institute for Health and Clinical Excellent (NICE) (2010) has produced guidelines for healthcare workers and parents on jaundice in the neonate. This includes advice on detection, treatment and care.
Sexually transmitted infections
Authors: Hughes Rhidian
Published: May 2014

‘The whole committee has been frankly shocked point where they were likely to significantly reduce the and appalled by some of the evidence that we have prevalence of chlamydia. The evaluation also criticized received... the whole sexual health service seems to be the delivery of the programme locally which resulted in a shambles' (David Hinchliffe cited in Adler, 2003).
Ask the Board: HCA or AP: what's the difference?
Authors: Hand Tanis
Published: May 2014

‘What's the difference between a healthcare assistant (HCA) and an assistant practitioner (AP)?
Networking
Authors: Hand Tanis
Published: May 2014

I have spent a lot of time on trains and the Underground lately, and have frequently been amazed by how complex yet practical this rail network system is. You can get virtually anywhere in the country and, despite the complaints we hear, the trains seem to manage most of the time to meet their connections.
Lorraine puts active care in place
Authors: Bostock Lorraine
Published: May 2014

Storthfield House (part of Cambian Healthcare) provides an intensive psychiatric rehabilitation programme for male patients who have left secure facilities or acute mental health hospitals. The aim is to build their confidence, insight and daily-living skills so that they can return safely to community placement.
An exclusion that begs questions
Authors: Peate Ian
Published: May 2014

Current levels of sickness and absence among NHS workers amount to over 10 million days lost per year. This costs the service an estimated £1.7 billion each year. NHS staff make up the largest single group of patients that the NHS serves. The consequences of this will affect us all as individuals, and society as a whole. This led me to think that working for the NHS can damage your health and that a healthy workplace is therefore needed to produce a healthy workforce.
Antibiotics: how they work and why we must not abuse them
Authors: Lawson Elizabeth , Hennefer Dawn
Published: May 2014

Antibiotics are one of the most commonly prescribed drugs in both hospital and community, but oversubscribing has resulted in the development of bacterial resistance to them. This is of some concern, as it means it is becoming more difficult to treat infections. Guidelines from the Department of Health are now in place to try to reduce prescribing so as to maintain the effectiveness of the drugs. The role of the immune system in fighting infection is described, followed by an explanation of how antibiotics work. Finally, some examples of measures that healthcare assistants (HCAs) and assistant practitioners (APs) can take to help reduce cross-infection are outlined.
Simple ways to prevent falls
Authors: Swann Julie
Published: May 2014

Falls are a leading cause of death in people older than 75, and it is estimated that up to 40% of reported safety incidents in inpatients involve a fall. People of all ages can suffer major injuries from a fall, although older people are at an increased risk of falling. Even a minor fall can lead to loss of confidence and mobility. Four hundred risk factors have been identified, and many of these can be addressed by healthcare assistants and assistant practitioners in the course of their work. Environmental hazards can be removed and patients who are at high risk due to medication, visual and other problems can be monitored and assisted to help prevent falls.
New law focuses on autism
Authors: Hughes Rhidian
Published: May 2014

Autism is an umbrella term for people with autistic spectrum conditions, including Asperger syndrome. This lifelong condition influences how people communicate and interact with others and their understanding of situations and events. Individuals with autism can have problems understanding other people's behaviour and can experience sensitivity to particular senses, such as sound, light and colour. They can experience discrimination and social exclusion, leading to difficulty in finding work and adequate care and support. They may develop mental health problems, become involved in illicit drug use and associated cycles of crime and social deprivation. For more details see the resources in Box 1.
Catherine's diary
Authors: Himsworth Catherine
Published: May 2014

My name is Catherine, and I am a healthcare assistant (HCA) at Health E1 Medical Centre. My role here is fairly similar to other HCAs in primary care although in Health E1 we only treat homeless or temporarily housed people. Our patient group is unique, with very distinct needs. Every day I feel grateful to be part of the healthcare team offering care to those who really need it.
Core characteristics of the AP's role-six years on
Authors: Mullen Chris , Southern Suzanne
Published: May 2014

This article provides the reader with an outline of the North West experience since 2002 in developing and evaluating the Assistant Practitioner role. The information is based on two large evaluations undertaken by two universities and a report which analysed the characteristics of outstanding Assistant Practitioners who were nominated for the North West AP of the year. There are 13 core characteristics described and four key behaviours that are consistently reported from service users.
Ways of doing things differently to maintain independence
Authors: Swann Julie
Published: May 2014

At any age, a debilitating illness or a progressive health condition can produce difficulties when managing even simple tasks. Decreased activity will require ever-increasing help, and it is important for healthcare assistants (HCAs) and assistant practitioners (APs) to understand how to break this cycle of growing dependency. HCAs or APs can enable patients to manage more efficiently within their own homes by altering the method used. Often, equipment can be used or structural alterations can be made to a patient's home. This article discusses the various options that are available, and provides information on sources of help and solutions.
Coalition government and implications for care
Authors: Hughes Rhidian
Published: May 2014

In May, the UK experienced the most competitive general election in decades. After 13 years of a Labour Party government, the Conservatives took 306 seats to Labour's 258, and the UK parliament was hung. No party had the majority needed to pass laws without support of other parties. A Conservative minority government was an option, but attention quickly turned to the Liberal Democrats' 57 seats. Deals were done and undone as the Liberals, branded ‘kingmakers’, decided who to side with. While some commentators had predicted a hung parliament, no-one had quite anticipated a Conservative-Liberal Democrat coalition. The last time the conservatives and liberals shared power was between 1915 and 1922, and this is the first coaltion government for some years.
Making appraisals work for you, part 2
Authors: Peate Ian
Published: May 2014

The key purpose of the Knowledge and Skills Framework (KSF) is to define and describe the knowledge and skills required by NHS staff to carry out work in order to deliver a high-quality service. This is the second and final part of an article which provides those healthcare assistants (HCAs) and assistant practitioners (APs) working in the NHS with hints and tips to help them get the most out of an annual appraisal.
Access to health records -a review, part 2
Authors: Peate, Ian
Published: May 2014

Part one of this two part series discussed some of the laws that govern and are associated with records, their keeping and access to them. It is essential that healthcare assistants (HCAs) and associate practitioners (APs) are aware of the statutory and local processes that govern access to health care records. This second and final part will address issues related to the role of the health professional when individuals, families and organizations request access to records. Understanding the key issues will help HCAs and APs to practise within the realms of the law. The sharing of health-related information about other people is complex and must be treated with sensitivity. The article considers the adult within an NHS setting.
Delivery needed on regulation
Authors: Adams Gail
Published: May 2014

For the last 15 years we have talked about the regulation of healthcare assistants (HCAs) and other staff groups. Over that time we have had a change of government, we' ve introduced devolution and implemented Agenda for Change, but we still have not delivered for HCAs.
Keep smiling and carry on
Authors: Vaughan Paul
Published: May 2014

Remember me from the back page? I was the Royal College of Nursing's (RCN' s) Healthcare Assistant (HCA) Adviser and used to write Vaughan's Views. I bet you thought I had gone away and forgotten all about HCAs and assistant practitioners (APs). Well I haven' t: I am still lurking, and I continue to promote both roles and provide development opportunities for HCAs and APs in the West Midlands in particular.
Working with students: a CPD opportunity for APs?
Authors: Callister Georgina
Published: May 2014

Currently, it is acknowledged that many assistant practitioners (APs) are involved with student learning and teaching, within their daily activities. This article explores how APs can use this involvement with students as a CPD activity. Immediate political context, practice placement context and benefits to the team and the individual are both discussed in depth. The importance of documenting is stressed throughout. Additionally, this article provides 3 useful exercises that can be used to explore the learning and teaching opportunities available to APs. Some reflective questions are also included to begin the process.
Conflict at work: how support staff can handle it
Authors: Stonehouse David
Published: May 2014

Within our working lives, and in our relationships with colleagues, patients, and stakeholders, our interactions will not always be harmonious. However, support workers should not shy away from conflict, but recognize it as an opportunity to develop practice and improve quality. This article will start by examining what conflict is. It will then move on to dispel some of the myths surrounding conflict, before looking at how individuals respond to conflict situations. Causes of negative conflict will be discussed, before highlighting how it can be used constructively and why support workers should embrace it in a positive way.
Practice-Based Evidence? HCAs Called to Court
Authors: Yeomans Paul
Published: May 2014

Healthcare assistants are being called to testify as witnesses of fact in cases from registration of premises to withdrawing and withholding life-sustaining treatment. Recent rulings have also considered misdiagnosis of vegetative state for minimally conscious state. The role of ‘hands on’ staff will also develop as the Mental Capacity Act 2005 becomes more recognized and has implications for the monitoring role of the Public Guardian.
Past, present and future: From auxiliary to assistant practitioner
Authors: Parker Jean , Dowding Lesley
Published: May 2014

The current roles of healthcare assistants and assistant practitioners have developed and changed over the years. This article aims to reflect on the history of the development of the role to provide support workers with a background to their profession — and some ideas for the future.
Going beyond the call of duty
Authors: Powell Sheila
Published: May 2014

Sheila Powell has been a healthcare assistant for 9 years. Recently, she has worked particularly hard in order to get her NVQ Level 3 in healthcare and is now able to extend her role to include administration of insulin to patients in the community.

District Nurse Team Leader Mandy Churms nominated Sheila as a healthcare hero to celebrate her efforts with patients at home and in residential settings. She is particularly well known for promoting self care and encouraging patients to take a lead in their own healthcare. Sheila gives outstanding care to terminally ill patients and the written and verbal feedback supports this all the time. She will take on extra work and the team feels fully supported by her.
Learning independently: the advanced apprenticeship pathway
Authors: Stewart Warren
Published: May 2014

This article is based on some thoughts and reflections on some changes made to the teaching and learning strategy of vocational training at London South Bank University (LSBU). The aim of change was to respond to general concerns about students’ confidence and motivation once in the workplace and to encourage a greater level of independent learning. The changes were implemented during the taught element of the inaugural advanced apprenticeship in health and social care at LSBU.
Information and evaluation in violence risk assessments
Authors: Young Andy , Woodcock Ray
Published: May 2014

Parts one and two of this series focused on the process and principles of violence risk assessments in forensic mental health practice. Building on these substantive issues, part three considers the difficult issue of sourcing information, putting the pieces of the risk jigsaw together and evaluating risk. It also considers confidentiality and disclosure, as they are important aspects of the clinical duty of care and are directly related to the risk assessment and the management process.
Understanding learning disabilities: an introduction
Authors: Barber Chris
Published: May 2014

Learning disabilities are a misunderstood set of conditions experienced by many people. A lack of understanding and knowledge can lead to poorer care for those with learning disabilities and their families. This article is the first in a series that will focus on various aspects of learning disability, including care, policy and links with other areas of health. It will explore the meaning of the term and problems with interpretation.
Assisting people diagnosed with motor neurone disease
Authors: Swann Julie
Published: May 2014

Motor neurone disease is a group of progressive neuromuscular diseases in which nerve cells die and leave voluntary muscles paralysed. It can affect men and women and occurs in people of all ethnicities. This article explains motor neurone disease, its impact on newly diagnosed patients and how healthcare assistants and assistant practitioners can help those with the condition.
Maternity focus: communicating with women and relatives
Authors: Gregory Irene , Isaacs Pat , Ball Hannah
Published: May 2014

Communication is important in any workplace, but particularly in a maternity setting. Mothers and relatives can be distressed and tired during labour, and effective and safe delivery is reliant on health professionals and mother being able to communicate well over the stages and techniques of birth. This article aims to help maternity care assistants and other health support workers improve their communication skills and their ability to interact with patients in a way that improves standards of care.
Six steps to success: improving end-of-life care
Authors: Horgan Elaine
Published: May 2014

This article will present the Six Steps to Success, an organizational change programme that aims to support staff members in care homes in reducing inappropriate hospital admissions at the end of patients’ lives. The programme consists of eight workshops which support care home representatives to implement organizational change. Specific end-of-life care education is mandatory to the programme including the Liverpool Care Pathway for the dying patient (LCP), advance care planning (ACP) and communication skills training.
Learning disability: care models and individual experience
Authors: Barber Chris
Published: May 2014

Disability care, support and services have been influenced by two major models over the past three decades: medical and social. This article, the second in this series, will focus on what it means to have a learning disability by discussing the two philosophies and how they are applied. It will also explore how the two models affect the experiences of those with a learning disability.
Motor neurone disease: research, treatment and care
Authors: Swann Julie
Published: May 2014

Clinicians and researchers do not fully understand why motor neurone disease (MND) occurs, but they know how the body is affected. Unfortunately, this means that there is currently no cure for MND and the disease cannot be prevented, although the symptoms of the various forms of MND can be reduced. This article, the second in a series, outlines current treatments as well as potential future treatments that are currently undergoing clinical trial. It also looks at ways in which those with the condition can be assisted by support workers.
HIV in later life: diagnosis and life expectancy
Authors: Ian Peate
Published: May 2014

As the population continues to age, new challenges emerge for health services to face. Support workers and other health professionals must be in a position to provide information and services that help patients face issues that arise from ageing and help prevent against infection. People with the human immunodeficiency virus (HIV) are living longer as a result of routine testing, early diagnosis and the use of highly active antiretroviral therapy (HAART). As a result, the nursing, medical, emotional and social issues associated with ageing are compounded by a number of HIV-related challenges, and health professionals are increasingly required to help ensure those with HIV can maintain a good quality of life for longer. This article considers the needs of people with HIV who are aged 50 years and older and the issues that may impact on their health and wellbeing.
Maternity focus: postnatal transition to the community
Authors: Kinge Suzanne , Gregory Irene
Published: May 2014

The transition from hospital setting to the community after a mother has had a baby is a very important time for her and her family. It is therefore necessary for maternity units to follow a discharge process for all postnatal women and babies. This ensures that women and their babies are safely handed over to the the community team with a plan in place for follow-up care that lasts for the duration of the postnatal period.
Sexually transmitted infections—3/6: testing
Authors: Collins Emma , Peate Ian
Published: May 2014

Sexually transmitted infections (STIs) are a major public health problem, and are one of the most common causes of ill-health, and even death, in the world today ( Adler, 2007 ). Concern about sexual health and diagnosis of an STI can have a devastating effect on people. The support worker can play an important role in the management of STIs and the promotion of sexual health and wellbeing.

The first article in this series considered the epidemiology of sexually transmitted infections (STIs) and how the support worker's role can help patients meet their sexual health needs in a variety of settings by being aware of the important elements of risk assessment (sexual history). The second article focused on gonorrhoea. This, the third in the series, will consider issues relating to testing for STIs. We will consider what infections can be tested for and how, and think about opportunities for testing in different settings and how the support worker role can facilitate this.
A brief history of the registration of nurses
Authors: Lloyd Jones Menna
Published: May 2014

To work as a nurse or midwife in the United Kingdom today, you must be on the Nursing and Midwifery Council (NMC) register— and over 660 000 nurses and midwives are registered ( Nursing and Midwifery Council, 2011 ). Recently, the Health Secretary Andrew Lansley officially announced plans for a voluntary register, code of conduct, and basic training standards for healthcare assistants (HCAs).

With talk of registration of HCAs, it may be interesting to look back at the trials and tribulations that were to eventually lead to the registration of nurses in 1919 ( Baly, 1973 ).

The aim of this article is briefly to follow the path that led to the registration of nurses in 1919.
Spirituality within non-Christian faiths: HCA/AP approaches
Authors: Barber Chris
Published: May 2014

The previous article focused on the meanings of spirituality and religion. This article will focus on the experiences and expressions of spirituality and religion within a number of non-Christian world religions, including Buddhism, Hinduism, Islam, Judaism and Sikhism. New age spirituality will also be highlighted.
What is polypharmacy? An overview for HCAs
Authors: Hayes Catherine
Published: May 2014

Many healthcare assistants (HCAs) working within the context of gerontology will encounter patients with lengthy lists of prescribed and non-prescribed medication. While it is not within the scope of practice of an HCA to question the reason for patients to be following what might appear to be a relatively complex drug regimen, it can be useful for the HCA to understand the common implications of what is termed ‘polypharmacy’.

This paper discusses the functional decline of the body as a natural part of the human physiology of aging and also the difficulties associated with managing polypharmacy in the elderly. It has also been written with the intention of building interprofessional capacity between the many HCAs associated with caring for elderly patients and for whom the HCA role is fundamental to high-quality healthcare provision.

The paper examines those conditions and disease states in which polypharmacy is more common and more importantly reinforces the fact that there is no one disease process which is unique to the elderly; rather, they are more likely to endure co-existing disease processes as their physiological senescence occurs naturally as an integral part of human aging.
Best practice statement (2nd edn): Care of the older person’s skin
Authors: Jones Menna Lloyd
Published: May 2014

Skin changes occur as a consequence of ageing and those skin changes increase the susceptibility of the skin to damage. With an increasing ageing population, there is a constant challenge to maintain the integrity of the skin. Best practice statements (BPSs) have been developed in an attempt to provide practitioners with evidence-based guidance on the most appropriate delivery of skin care to this vulnerable group.

The aim of this article is to briefly review the content of the revised, second edition of the BPS, Care of the Older Person’s Skin, which was launched at the Wounds UK conference in Harrogate in November—and also to highlight its relevance in clinical practice.