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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 Commercial manager Colin Williams Group classified manager Daniel Doherty Production manager Kyri Apostolou Production assistant Jamie Hodgskin Circulation manager Chris Jones Director, digital and marketing Luca Da Rè 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


Good news is just what the doctor ordered O

within one lifetime, with very little fanfare. Good news, it seems, makes for bad headlines.

ne of the best books I have ever read is The Emperor of All Maladies by Siddhartha Mukherjee, which bills itself as ‘A Biography of Cancer’. If you haven’t come across it, I recommend it heartily: it’s paced like a thriller, but tells a fascinating story about science, medicine, politics and human nature. I remember enthusing to my brother about it as he rolled his eyes, seeing it as yet more evidence of as a descent into morose middle age, but it’s far from a depressing book.

Except I wonder if the tide is turning. I woke up this morning to the BBC reporting that a malaria vaccine could finally be rolled out

“Cancer treatment has advanced hugely in one lifetime, with little fanfare”

across Africa, saving hundreds of thousands of lives. It comes hot on the heels of two other good news stories, which we report on in this issue: NICE approvals for a ‘gamechanging’ drug in treating sickle cell disease (p5); and a twice-yearly jab which could cut deaths from heart disease (p6).

There is a chapter on the tobacco companies that made me shake with rage; and an uneasy moral ambiguity over some of the experiments of early researchers, but generally it’s a story of quite phenomenal scientific progress. If we were to take 1947 as a start date (when we knew what cancer was, but little else about it) our knowledge of the disease, and thus how to treat it effectively, has grown exponentially

Maybe the incredible pace at which the COVID vaccine was developed has piqued public interest in cures rather than catastrophe. But I think it is positive for the public to hear about these advances. If they can appreciate these advances in care, they may appreciate the people delivering it a little more too.

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, 2021. 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

23,104 January – December 2019

News focus Mark Greener looks at a new drug that could reduce deaths from heart disease 6

Journals A round-up of new research from the 2021 European Respiratory Society Congress 12

Opinion The fuel crisis is causing a patient care crisis, writes Crystal Oldman 10

Professional Nicola Davies explains how nurses can calm aggressive or unhappy patients 27

Opinion How nurses are ideally placed to spot and combat malnutrition in their patients 10

Resources The essential training, guidance, events and tool kits for primary care nurses 29

October 2021 | Independent Nurse | 3

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