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Editor’s note Contents

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‘Independent Nurse provides accessible clinical and professional guidance, and timely news, insight and analysis for all nurses working in primary care in the UK. Our monthly magazine and website give readers essential, up-to-date information to help them provide the best possible care for their patients. ’

EDITORIAL Telephone 020 7501 6785 Email Editor Mike Shallcross Deputy editor Alex Turnbull ADVERTISING Enquiries 020 7501 6380 Recruitment 020 7501 6727 Fax 020 7501 2325 Publishing director Chloe Benson Associate publisher Colin Williams Production manager Kyri Apostolou Production assistant Jamie Hodgskin Circulation manager Chris Jones Managing director Anthony Kerr Chief executive officer Ben Allen To request your own free copy of Independent Nurse, go to CIRCULATION DEPARTMENT, 01322 221144 EDITORIAL ADVISORY BOARD Jenny Aston Advanced Nurse Practitioner, Granta Medical Practices, RCGP Nurse Champion Dr Gabrielle Tracy McClelland Senior Lecturer, Research and Knowledge Transfer & Health Team Lead-Nursing, School of Health Studies, University of Bradford Dr Crystal Oldman CBE Chief Executive, The Queen’s Nursing Institute Ian Peate OBE Director of Studies, Head of School, Gibraltar Health Authority Jane Scullion Consultant Respiratory Nurse, University Hospitals of Leicester Linda Nazarko Nurse Consultant, West London Mental Health Trust Gavin Wollacott Nurse Practitioner, Dartmouth Medical Practice, Devon Julie Roye Specialist Nurse Practitioner, Oakview Family Practice, Kent Simon Browes Nurse consultant in primary and urgent care, Nottingham Dr Nita Muir Head of School of Nursing and Allied Health, University of Chichester


The last generation of smokers S

attracted a lot of interest. A government-commissioned review by Dr Javed Khan, former chief executive of children’s charity Barnardo’s, has made 15 recommendations aimed at making the UK a smoke-free country moking ain’t what it used to be. Banned from advertising and glamorous sponsorship deals, multinational tobacco peddlers now push their wares in plain packets decorated with images of the horrible health conditions which smoking brings about. For the privilege, smokers will pay perhaps around £11 a packet, with 80% of this cost going to the taxman.

(defined as less than 5% of the population smoking) by 2030.

“Lung is still the most common cause of cancer mortality in the UK, with 100 deaths a day”

Such measures have had the desired effect and the number of smokers continues to fall: 50 years ago around half the population were smokers; today it is a little less than 14%. But smoking’s long Thanatotic tail still impacts heavily on our health service. Lung cancer is still the most common cause of cancer death in the UK, accounting for over a fifth of all cancer deaths – around 100 a day.

So an ingenious new proposal which might help to stub out smoking together has

The most eye catching is a proposal to raise the age at which people can buy cigarettes by one year every year. The scheme is similar to one being run in New Zealand, where nobody born after 2008 will ever be allowed to buy cigarettes.

It’s bold, but I can’t help thinking we need to attend to the basics too. Cuts to local authorities since 2015 have led to smoking cessation schemes shrinking by a third. Dr Khan has called for increased investment of £195m a year in these services. Let’s hope the Government coughs up.

Mike Shallcross, editor, Independent Nurse

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Independent Nurse is published by MA Healthcare Ltd, St Jude’s Church, Dulwich Road, London SE24 0PB, UK Tel: +44 (0)20 7738 5454 Website: Please read our privacy policy, by visiting http:// This will explain how we process, use & safeguard your data

© MA Healthcare Ltd, 2022. All rights reserved. No part of Independent Nurse may be reproduced, stored in a retrieval system, or transmitted in any form or by any means electronic, mechanical, photocopying, recording, or otherwise without prior written permission of the Publisher. The views expressed do not necessarily represent those of the editor or Independent Nurse. Advertisements in the journal do not imply endorsement of the products or services advertised. ISSN 1747-9800 Printed by Pensord Press Ltd, Blackwood, NP12 2YA

31,848 January – December 2021

News focus Alex Turnbull looks at how caring for patients who have suffered strokes is changing 6

Professional Kathy Oxtoby explains how nurses can leave a legacy through mentoring 26

Opinion New specialist standards will enhance the development of nursing, writes Crystal Oldman 9

Career profile Jess Gilbert, a Support Professional at charity Brain Tumour Support 29

Journals Mark Greener summarises the latest research relevant to primary care clinicians 10

Resources The essential training, guidance, events and tool kits for primary care nurses 30

June 2022 | Independent Nurse | 3

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