Reflections and thoughts from the President, Chair and Deputy Chair
Presidential reflection: we need each other to bring about change
At the Annual General Meeting I opened proceedings with some reflections about how our AGMs are opportunities to come together; one of the many anniversaries – both happy and sad – that the Association and its members will observe this year.
I noted that the word anniversary is a mid-15thcentury English word derived from the Latin word anniversarius (returning yearly), but that I preferred the alternative, old English word for anniversary - mynddæg, literally ‘mind-day’.
The idea of ‘mind-day’ encompasses so much of what anniversaries mean to us.
The concept of ‘mind-day’ provokes a call for our AGM to be reflective and reflexive - a time to come together, share, and consider both the past and the future and how we can influence positive change for children and young people.
I also talked about an editorial - 'Childhood, adverse experiences and stories' - I wrote for Nursing Children and Young People. It should be published about the time that this newsletter goes live.
Within the editorial I talk about how the childhoods of an increasing number of children and young people, both here in the UK and globally, are marred by poverty, violence, parental separation, dysfunctional home environments, homelessness and discrimination.
These intensive stressors (adverse childhood experiences) can impact physical health, well-being and behaviour during childhood and across their whole life course.
Many of the children and young people we care for will have been exposed to at least one adverse childhood experience.
Individually and as an Association we need to advocate for societal change to prevent exposure to such toxic stressors. Change is always challenging but by working together, through networks, associations and communities, change is possible.
I’m privileged to be President of an Association that is working to improve the lives of children, young people and their families.
Professor Bernie Carter, President, bernie.carter@edgehill.ac.uk
Words from the Chair
To update those of you who were unable to attend, our AGM was a very successful day.
We welcomed three new fellows to the Association, Debbie Fallon, Ray McMarrow and Bevan Ritchie. Debbie was nominated for her outstanding leadership to Children and young people nurse education and research, Ray in recognition of his services at national and international level in the safeguarding and care of Children and Young People with mental health and learning disabilities and Bevan for his contribution to children’s palliative care nursing and for sharing his expertise across borders, Bevan is based in Ireland.
I am delighted to report that one of our members, Kath Evans has agreed to join us on the Governance and Development Group. We look forward to working with you Kath.
Our afternoon session gathered community children’s nurse leaders, and we discussed how to influence the provision of community children’s nursing services across the UK with the aim of reducing service variation.
As the NHS in England reset continues, this intent is a perfect example of how we as an association must influence implementation of the 10 Year Health Plan, with its moves from:
- hospital to community
- sickness to prevention
- analogue to digital
With community children’s nursing in mind, I’d like to draw your attention again to our previously published standards and papers:
- ABPN Standards for safe staffing in Community Children’s Nursing, School Nursing and Health Visiting Services for Children and Young People.
- ABPN Background paper on Community Children's Nursing
- ABPN Position Statement on Community Children's Nursing
As always if you would like to become active in the activities of the organisation, please do get in contact, we would be delighted to hear from you.
Caron Eyre, Chair, caroneyre0@gmail.com
Words from the Deputy Chair
Since the last newsletter I have been busy supporting and deputising for Caron Eyre, chairing an ABPN Governance Development meeting and attending Partnership meetings organised by the Royal College of Nursing.
I have also, on behalf of the ABPN, contributed to work being undertaken by the Royal College of Paediatrics and Child Health to update the Facing the Future standards.
I was pleased to support the ABPN World Cafe event held on the afternoon of the AGM by facilitating table discussions focused on Children and Young People's rights, including their families and the need for equitable community children's nursing services across the UK
Dr Jean A Davies, Deputy Chair, jean.davies@bangor.ac.uk
Updates from the ABPN
Could you be our new membership secretary?
Jim Robinson stepped down from the role of membership secretary and we miss him already but we need to fill his shoes! So we are looking for someone to contribute to the Association and support the Association as our membership secretary. Our membership platform makes the work streamlined.
As membership secretary you would be part of the Governance and Development Group, working with people who are passionate about improving the lives of babies, children and young people. We are a friendly, supportive and welcoming group. We are interested in applications from people at any point in the career, whether you are working directly with children and young people or are using your knowledge and skills in other settings such as education, management, and research etc.
Please submit your expression of interest (no more than 300 words) explaining what you can offer the Association and why you are interested in the role. Please send your expression of interest to Caron Eyre, Chair caroneyre0@gmail.com. Or contact Caron, if you'd like to find out more about the role.
86th Annual General Meeting of the ABPN
The 86th Annual General Meeting of the ABPN was held on 25th March 2025 in person at the Burlington Hotel, Birmingham and virtually via MS Teams. The Annual Report for 2024 is available on the ABPN’s website. Key decisions included:
- Approval of new Honorary Fellows
- Confirmation of no change to membership fees for Full and Associate members, these remain at £40 per year.
- Confirmation of free student membership for all students studying on an undergraduate CYP programme leading to RN Child registration, for the duration of the programme.
- Confirmation of Kath Evans joining the Governance and Development Board
The focus of our work over coming year will include:
- Governance and Development Group Strategy Day to establish priorities
- Being strategic about increasing membership
- Continuing our programme of webinars
- Facilitating and supporting the ongoing work of our three core working groups: (1) Enhancing Membership working group; (2) Policy Development working group; and (3) Communications and Raising the Profile working group
Honorary Fellows of the ABPN
The Honorary Fellowships appointed in 2025 are:
Dr Debbie Fallon is a senior lecturer and field lead for children and young people's nursing at the University of Manchester. Debbie is an active researcher and supervisor. More particularly, she is the founder of the Children and Young People's Nurse Academics (CYPNAUK) network. This network is a national organisation of academics involved in the education of children's nurses at all levels. Debbie saw that there was a need for a network and she has been core to its development
Ray McMorrow has a breadth of experience in both mental health and learning disability nursing, focusing predominantly with children and young people working in hospital and community environments. Examples of his work include him spearheading the role of Nurse Consultant. As a designated nurse for safeguarding Ray was involved in dealing with significant issues around suicides amongst young people and child sexual exploitation. Ray was part of a major taskforce and organisation to tackle child sexual exploitation across the UK and beyond. Ray who is now retired has undoubtedly influenced practice, education and service provision throughout his career, and continues to do so, participating in ABPN events, the webinar programme and in position statement development.
Bevan Richie is Head of Operations, Laura Lynn Irelands Children’s Hospice, Dublin, Ireland. Bevan has been a pioneer in children’s palliative care nursing in Ireland – and has been a great networker, building partnerships across the island of Ireland and across into the UK. The work at LauraLynn has built on a firm base of quality standards, led by Bevan in various roles at the hospice. He generously shares learning and knowledge across country boundaries and is an excellent mentor for other nurses working in the speciality.
To find out more about our Honorary Fellows, go to our webpage https://www.abpn-uk.com/honorary-fellows-of-the-abpn.html.
We will be putting out a call for nominations for our 2026 round of Honorary Fellowships in a future newsletter, so please put your thinking hats on as we’d be delighted to have nominations.
Update on our Enhancing Membership Working Group
The number of student members is gradually increasing following the review of the application process and issues highlighted by the working group.
At a recent meeting the working group discussed the current ABPN student recruitment campaign and a 2025 focus on attracting qualified nurses. The success of the ABPN webinar programme was acknowledged. Discussion took place about the engagement of members , including those that are ‘retired’. Recommendations from the group were sent to the ABPN Governance and Development Group to consider in advance of the AGM in March 2025
If you would like to get involved in the working group or have suggestions, please email Fiona.smith15@yahoo.com. Your email will be passed onto the chair Michael Tatterton, ABPN Fellow.
Update on our Policy Development Working Group
The Policy Working Group has been busy since you last heard from us, keeping a watching brief on the Assisted Dying Bill and implications for young people, as well the NHS England consultation outcomes and reforms.
In addition, the chairs of the Policy and Communications and Raising the Profile Working Groups organised a World Cafe Event focusing on community children's nursing with discussions around:
- Children, young people and their families
- Leading and influencing
- Education, training and workforce development
- Working in partnership with Children’s Public Health Services, and
- Models of community children’s nursing services
The event had been informed by an ABPN webinar delivered by Professor Mark Whiting in November 2024 ‘Do we really need community children’s nurses?’ which subsequently resulted in a position statement, background briefing and standards for safe staffing of community children’s nursing services.
We are extremely grateful to the table discussion leads - Jean Davies, Kath Evans, Rebecca Daniels, Mark Whiting and Rachel Cooke - for their input and direction. Work is now underway to take forward the thoughts and issues highlighted by attendees.
If you would like to find out more, please get in touch with the Working Group Chairperson katrina.mcnamara@icloud.com
Update on our Communications and Raising the Profile Working Group
The Communications and Raising the Profile working group continues to be busy working with the other working groups to draft press releases linked to key international and national days, such as World Down Syndrome day and World Autism Acceptance Day.
They are also busy organising the ABPN webinar programme. The webinars are free and open to everyone. We are continually updating the programme with new presentations and discussions. If you have suggestions for future webinars, please email the chairperson fiona.smith15@yahoo.com
We are seeking additional members to participate in our activities, particularly in relation to working with journalists, the development of podcasts and social media activity.
If you are interested in learning new skills and being involved, please contact the chairperson fiona.smith15@yahoo.com
FREE Student membership
We are looking forward to welcoming new students to the Association.
At our Annual General Meeting it was agreed that the Association will offer free student membership for all students studying on an undergraduate CYP programme leading to RN Child registration.
This free membership is for the duration of the programme.
This is a fantastic offer, so if you’re a student who meets the criteria, don’t hesitate to apply at membersabpn@yahoo.co.uk and/or check out our 'Become a member' webpage to find out more details and the benefits of joining.
Update your details on the membership platform
The membership platform is a useful tool for all members. It is not only for administration purposes but also a way of linking members with each other.
We would therefore encourage members to complete the biographical and interest sections. From this we will be able to build up collaborative groups and give you an opportunity to share your expertise or learn from others.
If you have not yet completed the registration process by responding to the invitation to join the platform, get in touch and we can send you a new invitation.
Press Releases and Media Activity
We have issued the following press releases since the publication of our last newsletter
- 24th January 2025: International Day of Education
- 14th February 2025: International Childhood Cancer Day
- 28th February 2025: International Rare Diseases Day
- 1st March 2025: International Women’s History Month
- 21st March 2025: World Down Syndrome Day
- 2nd April 2025 World Autism Acceptance Day
- 17th April 2025 World Haemophilia Day
- 24th April 2025 World Immunisations week
For more information go our Press Releases webpage
Update on Social Media
We’ve been very active on social media since our last newsletter!
We completed our migration from X (formerly Twitter) to BlueSky, and are now no longer using X.
We’ve celebrated a few key dates since the last newsletter:
- LGBT+ history month - with an infographic of some of the incredible people in medical history that were LGBT+ which gained over 1500 views.
- Rare disease day - with a video on Ehlers-Danlos Syndrome that gained over 4000 views and 180 likes on TikTok and YouTube, this broke our record for likes on each platform!
- Neurodiversity celebration week - creating and sharing an infographic each day to help raise awareness. This had a great reception with a staggering 4000 views on TikTok and over 150 shares on Facebook!
Find us at:
Cavell Star Award
At the Annual General Meeting, a Cavell Star was presented to Professor Bernie Carter, (President of the ABPN). Norman Long, Fellow of the ABPN, made the presentation speech.
Madam President, Chair, Ladies and Gentlemen, as the oldest Fellow of your Association, I have been given the privilege and honour to speak about one of our members who for many years has given many, many hours promoting our Association.
Our member has a mine of information, lots of valuable connections and tons of patience, relentlessly supporting Officers and members with various queries and ideas to increase not only our membership and profile but always striving to promote Children’s Nursing by Children’s Nurses.
Recognition of their knowledge, skills and abilities resulted in our member being one of the first Children’s Nurses to become a Professor who now has acquired a highly regarded clinical and academic reputation Internationally
In perhaps only a small appreciation of your wonderful support and friendship, may I on behalf of the Officers and members of the ABPN offer sincere congratulations and ask you Professor Bernie Carter to accept this Cavell Award with our very best wishes.
Fellowship Talk
This section plans to bring you the news and views from our Fellows.
Michael Tatterton, Fellow of the ABPN talks about his work and his research. Michael is an associate professor of children’s palliative care at the University of Bradford and the chief nursing officer at Bluebell Wood Children’s Hospice in Yorkshire.
We must all take time to listen
Across the UK there are more than 99,000 babies, children and young people who have a range of life-limiting and life-threatening conditions, and medical complexities who could access palliative care services. Children are living for longer and with more complex conditions than ever before.
In a gap year before starting university, I worked in a children’s hospice. Many children staying at the hospice had cystic fibrosis (CF). Today, it would be unusual for hospices to accept children with CF. Young people with conditions such as Duchenne muscular dystrophy and spinal muscular atrophy (SMA) type II were dying in their early teens. Babies with SMA type I were dying shortly after birth and perinatal palliative care was unheard of. (I’d like to point out that I’ve only been a nurse for a little over 20 years by the way!).
The clinical and technological advances that allow children to live for longer are incredible, but have created new challenges. We know that nursing and healthcare is about so much more than ‘just’ biology, and that taking a biomedical approach to care does not reflect the holistic needs of families. What do we know about the wider needs of children and families?
A recent report found that children and their families experience disjointed and uncoordinated care, and that where people live determines access to services (sometimes referred to as a ‘postcode lottery’). This is in part due to the lack of national guidelines and standards, and because we don’t understand the needs of these children and families.
To mark children’s hospice week later this month, I am pleased to share some of the research projects I’m currently involved in which help us to understand the experiences and needs of children and families who rely on palliative care services across the UK.
- Perinatal palliative care: Parents of babies diagnosed with life-limiting conditions in the perinatal period face numerous challenges, and the role of children’s hospices in supporting them was poorly understood. We’ve undertaken research to understand the needs of parents, and the perspectives of hospice staff, and plan to build on this work by undertaking new research with parents of babies who do not access hospice care to understand the barriers they experience.
- Bereavement support for families: During another project, it became clear that the uptake of bereavement services varies, with families from black and minority ethic groups accessing support less frequently after the death of their child. We’re working on research to understand the experience of families from BAME backgrounds, and how this affects their bereavement outcomes.
- Dignity therapy for young people: Last year, as part of an NIHR-funded study, we explored how dignity therapy could be adapted to better support young people with life-limiting conditions by working with young people and the professionals who support them, developing an app called DIGNISPACE. We’re planning to build on this work to test the usefulness (feasibility) of DIGNISPACE with a further NIHR-funded study.
- Ensuring psychological safety of children’s hospice nurses: A training programme for a regional symptom management team was developed as part of a Florence Nightingale Foundation Leadership Scholarship, which aimed to enhance the knowledge of nurses and increase psychological safety within the team. We’re now working on a research project to measure the impact of this, in the hope that learning from this programme will help palliative care services develop the psychological safety of practitioners more widely.
Being interested in the needs of families and taking every opportunity to listen to them has always been central to my role as a children’s nurse, and one of the many reasons I have followed a career in children’s palliative care. I have, and continue to, learn so much from families – we must all take time to listen.
Nursing voices: stories from students and qualified nurses
In this section we hear from Emily Grainger who has just completed her Nursing Associate training and from Claire Bethell, an Advanced Paediatric Nurse Practitioner. Both work in palliative care and are clearly passionate about their practice
A community full of human connection, dignity and love
Emily Grainger, Nursing Associate, Bluebell Wood Children’s Hospice
I was working as a care support worker at Bluebell Wood Children’s Hospice, and given the opportunity to train as a nursing associate, via an apprenticeship, which I have recently completed.
I feel incredibly privileged to start my nursing journey in such a meaningful and unique setting. Having the opportunity to work within a children’s hospice and learn from a truly inspiring team has shaped the way I care. The wealth of knowledge from their varying fields and backgrounds has been invaluable, especially benefiting from the experienced nursing associates I hope to one day emulate. I hope to reflect their kindness, caring nature and support in my own practice.
Like most, my only experience of hospice care was in the adult sector, I wasn’t sure what to expect. What I found was a community full of human connection, dignity and love. It is a world of warmth and care, open armed to families navigating the unimaginable. Family centred care is at the core of what we do where every child is seen as an individual, not their condition.
What stands out most to me about children’s hospice nursing is the time we are able to give. Healthcare can often feel rushed; the hospice allows us to slow down and simply care. It gives us grace to tailor our care to what the young person and family need at that time, which often means I get to play just as much as I work. Whether it’s dancing in the corridors, making memories or simply being present with families. These moments make an impact.
Children’s palliative care has captured my heart, and I am so proud to be a part of it.
Adopting a holistic approach to encompass the whole family network
Claire Bethell, Advanced Paediatric Nurse Practitioner; Assistant Professor in Children and Young People’s Nursing
My journey started in 2009 when I graduated from the University of Bradford with an Advanced Diploma in children’s nursing. This projected me into the fabulous world of paediatrics, and I was dedicated to pursing this enriching career. I grounded my skills and knowledge on an acute medical ward in a district general hospital, which confirmed nursing was my passion and I am grateful for this time. I learnt the importance and purpose of empowering family centred care as I met and learnt from some exceptional children, young people and their families. With this valuable foundation, I chose to expand my skills within children’s nursing, including emergency medicine and ambulatory care. In these various roles I developed my leadership skills from a staff nurse to a sister and I thrived from these opportunities and challenges.
In 2018, I wanted to expand my clinical decision making and push my boundaries of autonomous practice by developing my clinical competence. This led me into advanced clinical practice. I qualified from the University of Sheffield in 2021 with Master of Medical Science (MMedSci) as an advanced paediatric nurse practitioner. I continued to learn and grow as an advanced practitioner in a busy emergency department, and this gave me the platform to gain confidence in expanding my scope of practice and autonomy in emergency medicine.
In 2022, I joined the University of Bradford as a lecturer in children and young people’s nursing, it was important to me that I inspired the trail blazers of the future. I currently work at the University as an Assistant Professor, which has provided me the opportunity to expand my skills in academia and research.
Palliative care has always been a passion of mine and such a huge privilege to work with this group of children, young people and families. In my role as an advanced practitioner, I have the opportunity to not only support children and young people physically, but I can use my skills to adopt an holistic approach which enhances a quality of life and encompasses the whole family network.
ABPN Webinar Series
Details of our future webinars are presented below with the links for booking. It’s a simple process and it’s free, so please do look and join some fascinating sessions.
Our previous webinars can be found on YouTube and a pdf of the slides can be found on the website https://www.abpn-uk.com/webinars.html
Supporting Children with Complex Disabilities: A 24-Hour Postural Care Approach
- Date and time: 7th May 16.00-17.00 (UK time)
- Presenter: Sarah Clayton, BSc PGCE
Does your child or the children you support struggle with poor posture, discomfort, or difficulty maintaining healthy positioning throughout the day and night? Join us for an informative and practical webinar on 24-hour postural care, designed for parents, caregivers, and professionals working with children who have complex disabilities.
- What 24-hour postural care is and why it matters
- How positioning particularly at night impacts a child’s health and well-being
- Practical strategies for improving posture
- How to identify poor positioning and make adjustments
- Common challenges and solutions for better support
Who Should Attend? Parents and caregivers of children with complex disabilities. Paediatric Nurses, Physiotherapists, Occupational Therapists, and other healthcare professionals. Special education teachers and support staff
Don’t miss this opportunity to learn how simple postural care strategies can enhance comfort, reduce complications, and improve daily life for children with complex needs.
Sex, Intimacy and Living with Life Shortening Conditions
- Date and time: 12th May 16.00-17.00 (UK time)
- Presenters: Sarah Earle, Professor of Social Science, Nottingham Trent University, and Maddie Blackburn, OBE, Retired lawyer, Senior Health Professional, Visiting Scholar at Nottingham Trent University, UK
Summary of webinar presentation: There are an increasing number of children and young people living into adulthood with conditions that are likely to shorten their lives. This webinar draws on over a decade of co-produced research and policy development that has focused on supporting sex and intimacy at individual and organisational levels. The research highlights the significance of sex, intimacy and relationships for young people, its important role in health and wellbeing and the value of adopting a sex positive framework. In this webinar we also reflect on the role that nurses can play in supporting children and young people with sex and intimacy.
After death: care of child and family
- Date and time: 5th June 2025, 16.00-17.00 (UK time)
- Presenter: Rachel Cooke EN(G) RSCN, Bereavement service manager
Care after death: personal care, communication with family, changes to the body visiting (viewing), environment, impact of grief. Bereavement Key worker role: legal aspects, death certification (coronial & medical examiner) / signposting/child death review process (England & Wales), resources. Self-care: debriefs, supervision
Care of the child with allergic conditions: a practical guide for Children’s Nurses, Health Visitors and School Nurses.
- Date and time: 10th June 2025 16.00-17.00 (UK time)
- Presenter: Adele Durge, Paediatric Allergy Nurse Specialist.
An overview of paediatric allergic conditions with a focus on food allergy and eczema including: IgE and non-IgE food allergy, first aid for allergic reactions, looking after a child with food allergies in hospital, nurseries and schools. Eczema: knowledge and skills update. Emerging understanding of allergic conditions and scope for prevention. Q&A: conditions of atopy, including allergic rhino conjunctivitis, asthma and eczema.
Living with Long Covid
- Date and Time: 3rd July, 16.00-17.00 (UK time)
- Presenters: Dr. Alison Twycross, Chair of Supporting Healthcare Heroes UK and Editor-in-Chief of Evidence-Based Nursing, and Dr. Michaela Barnard, a Lecturer in CYP Nursing at the University of Manchester and Trustee at Supporting Healthcare Heroes UK.
During the presentation, Alison and Michaela will discuss the multifaceted challenges faced by individuals living with Long Covid. They will focus on several key issues:
- Difficulties in accessing appropriate medical care
- Lack of support when returning to work
- Non-evidence-based infection prevention and control guidelines
- The need for Safe Air in healthcare settings
Dr. Twycross, who has been living with Long Covid since March 2020, has been actively advocating for better support and recognition for healthcare workers affected by the condition. She has contributed to various publications and blogs addressing the challenges faced by NHS staff with Long Covid and has been instrumental in establishing the charity Supporting Healthcare Heroes UK, aimed at alleviating financial hardship for affected healthcare workers. Dr. Barnard is also living with Long Covid since December 2020 and through her role at Supporting Healthcare Heroes UK provides support and advocates for healthcare workers dealing with Long Covid. Their joint efforts focus on raising awareness, influencing policy, and ensuring that affected individuals receive the necessary support and recognition
Training, Education and Other News
We welcome ideas and contributions to our training, education and other news pages.
So, if you’d like to share any training or education resources and updates, please contact fiona.smith15@yahoo.com
Journal of Child Health Care Resources
Apart from great editorials and high quality peer reviewed papers, the Journal of Child Health Care produces great JCHC podcasts, hosted by Associate Editor, Liz King. These podcasts focus on authors talking about their research and the papers published in the journal.
The latest Editorial from the JCHC focuses on clinical errors. Authored by Km Atkins and Leese Wisby, the editorial is titled Self-forgiveness as a professional value: Restoring integrity after clinical error. It is a really interesting read.
The latest podcast is by Emily Goldstein, Sherwood Burns-Nader and Julie Parker and is called ‘Exploring the implementation of child life services with facility dogs'
Other podcasts in the series can be found on the journal's website.
Celebrating Children and Young People’s Nursing Conference, 2025 ‘Our Present, Our Future’
18th and 19th September 2025
This conference will provide one of the largest national and international forums for children and young people’s (CYPs) nurses to collaborate and network on a range of contemporary topics relevant to their practice. A broad range of activities is planned with the aim to connect, inspire, and educate, encouraging thought provoking exchanges. Delegates will be offered the opportunity to share ideas and experiences for the present and future of the profession, meeting the needs of children, young people, and their families.
Promoting Mental Health in the Workplace Setting
May 20th (10:00 - 11:00 GMT):
This session will feature a panel of experts, including Professor Holly Blake, Dr. Louise Thomson, and Dr. Juliet Hassard. We'll discuss the importance of training line managers in mental health, explore the business case for workplace mental health initiatives, and share insights from our own research on the "Managing Minds at Work" training program.
Prevention of Obesity in Children and Adolescents
July 16th (10:00 - 11:00 GMT):
Learn from Professor Louisa Ells, a leading expert in childhood obesity, about the prevalence, complications, and inequalities associated with childhood obesity. We'll discuss effective prevention strategies and the importance of person-centred approaches.
Health Promotion in Urgent and Emergency Care (UEC) Settings
September 29th (10:00 - 11:00 GMT):
This session will explore the unique role of UEC settings in health promotion. We'll hear from experts including Professor Holly Blake, Dr. Emma Adams, Lucy Morris RN, and Hon.Prof. Dr Frank Coffey, as they discuss the implementation of SBIRT (Screening, Brief Intervention, and Referral to Treatment) for alcohol misuse in UEC settings.
New Florence Nightingale Foundation Leadership Programmes
The leadership programmes have been described as ‘transformational’ – and with good reason. We work with nurses and midwives at every level of their career, with courses specifically tailored for different groups or subject areas. Find out more about the current leadership programmes which are open for applications or bookings by individuals or groups, including the Mary Seacole leadership programme, the Emerging Clinical Leaders programme, the Established Clinical Leaders programme, our Culture of Togetherness programme and our Safe Cultures of Care programme.
Improving critical care with lessons from the pandemic podcast
Over a quarter of a million people in the UK enter critical care each year. They’ll be the sickest patients, needing the most advanced care and highly skilled staff to monitor them closely.
In this podcast the focus on what’s distinct about the critical care setting and the particular challenges for improving services and carrying out research. This encompasses the shock of COVID-19, where critical care was at the heart of a new and unfolding crisis, and what this meant for patients and for staff.
HCUK Events
As a member you can get 20% off a series of great events and conferences events that are run by HCUK.
Any suggestions?
If you know of other training or education resources and updates that maybe helpful to other ABPN members, please let us know so we can share with others in future newsletters.
Email details to fiona.smith15@yahoo.com
Update on policies, guidelines & reports
Evaluating the introduction of the Redesign of Urgent Care
An evaluation of the Redesign of Urgent Care, which was launched in December 2020, found that people given appointments at A&E or minor injuries via NHS 24 111 reported shorter waits than those who visited A&E without an appointment.
The report also found an increased use of NHS 24 111 service during weekday in-hours, reduced unplanned attendances to Emergency Departments and fewer ambulance callouts and trips to hospital, noting there are several factors that may have contributed to these changes.
The report recommends, supporting NHS 24 to reduce call waiting times calls, improving the availability and capacity of alternative services available via flow navigation centres– which direct people to the most appropriate service for their health and care needs- and continuing to provide public messaging on when to call 111.
National Audit Office report: Public service facilities
Property maintenance is important so that public sector buildings remain safe, functional and comfortable for public sector employees and the public. Poor property condition can negatively affect the delivery of services to the public, the public sector’s productivity and staff retention, and the value of government property. The NAO found a need for significant investment to address the poor state of many hospital facilities, including services for children and young people
What is the impact of admitting a young person to a psychiatric unit far from home?
Researchers interviewed young people, parents and carers, and healthcare professionals with relevant experience. They found that young people admitted to psychiatric units a long way from home could face difficulties keeping in touch with home, organising home leave and returning to school. Rarely, distant admissions could be beneficial: a young person could find distance empowering, and it could give their families respite.
Research toolkit for matrons and other health and care leaders
For those less familiar with research in practice, creating the environment in which nurses can lead, participate in and deliver research may appear an additional responsibility. This research toolkit can help nurture research in your teams as part of their day-to-day practice to achieve excellence in person-centred outcomes
Tackling violence against women and girls
Violence against women and girls is a growing problem, with one in 12 causing significant long-term impacts on victims, affecting them physically, mentally, socially and financially. This report highlight lessons learnt to support the Government’s aim to halve violence against women and girls.
Care Beyond Beds
The report explores alternatives to hospital-based mental health care and highlights that black people, neurodivergent people, children, and people from the LGTBQ+ community are the most poorly served by existing systems of care.
Care Beyond Beds concludes that an overhaul of the system is required, to meet people’s needs far earlier, closer to home, in settings that are therapeutic and accessible.
NICE Guidance- Maternal and child nutrition: nutrition and weight management in pregnancy, and nutrition in children up to 5 years
This guideline covers nutrition and weight management in pregnancy for anyone who may become pregnant, is planning to become pregnant or is already pregnant, and nutrition in children up to 5 years.
Children looked after by local authorities, Wales
This release provides information on children in care orders and in placements, adoptions from care, and numbers of children and young persons leaving care for April 2023 to March 2024.
Just under 2,000 children started to be looked after, an increase of 2.6% compared to the previous year. Most children (54.4%) who started to be looked after during the year received care and support initially because of abuse or neglect.
Attracting and retaining nurses and midwives
A taskforce established by the Scottish Government in 2023 has published 44 recommended actions on how to improve working conditions for Scotland’s nurses and midwives. These include:
- ensuring appropriate staffing levels so that all staff can take the breaks they are entitled to
- reviewing data-inputting and paperwork requirements to reduce the administrative burden on nurses and midwives
- developing national guidance on rostering and flexible working to ensure better work-life balance
- ensuring nurses and midwives can participate in decision making and planning
- widening entry routes into nursing and midwifery careers
New resources for autistic teenagers - 'Know Yourself' series
The National Autistic Society has produced the ‘Know Yourself’ series of videos, pdfs and worksheets, to support autistic teenagers in understanding what being autistic means to them.
The resources have been co-produced with autistic young people and feature many talking about their own experiences and what has helped them. The aim is to offer information and ideas to empower teenagers to begin to explore their own experiences and understand themselves more.
Human rights for young autistic people and young people with a learning disability aged 14-25
The British Institute of Human Rights in partnership with Partners in Care and Health has written a guide for practitioners supporting autistic people and people with a learning disability aged 14 to 25. It has been developed to highlight the importance of promoting the rights of young people with a learning disability and young autistic people and includes examples of where rights can be undermined alongside case studies that show the positive impact of rights-based approaches for people with a learning disability and autistic people.
Child health – juvenile idiopathic arthritis (NCEPOD)
This report highlights that fewer than half of young people with JIA are seen by a rheumatologist within the recommended ten weeks.
Training is essential to ensure that the symptoms are recognised and processes in place for rapid direct referral to paediatric rheumatology services.
It also highlights some excellent practice, which all providers should consider, such as evening appointments, combined rheumatology and ophthalmology clinics, and combined paediatric and adult clinics for young people as they approach the age of 18.
Guidance on neighbourhood multidisciplinary teams for children and young people
The guidance outlines the principles and core components that underpin all neighbourhood multidisciplinary teams for children and young people and highlights examples of good practice.
How are healthcare, education, and children’s services supporting the mental health needs of children and young people in Wales?
The joint review by Healthcare Inspectorate Wales (HIW), Care Inspectorate Wales (CIW), and Estyn acknowledged progress in early support and prevention services but also highlighted significant gaps in providing timely and consistent specialist care. Neurodiverse and care-experienced children faced additional barriers as they attempted to access support from multiple services. The report calls for improved systems and partnership working to ensure all children in Wales can access the mental health support they need, at the right time.
Paediatric diabetes: care and outcomes 2023/24
This report highlights important findings relating to rates of diabetes in children and young people (CYP) including the fact that there was a 16.5% overall increase in the number cared for by PDUs, but the incidence of Type 1 diabetes decreased to close to pre-COVID-19 levels.
It also highlights a steady increase of 72% of those cared for in PDUs with Type 2 diabetes over the last four years. A number of recommendations for improvement are also included.
Improvements in children’s mental health services at South Wales health board
Real improvements have been made for children and young people in South Wales Valleys, with reduced waiting times to access support and interventions.
NHSE 10 year plan: Making the NHS work for children and young people
A blog by the Director General for the 10-year Health Plan reports how children, young people and families have informed the development of the plan, reflecting on the importance of hearing directly from young people, given the strong evidence that the first 1,001 days of life shape future health and development.
Child poverty in Scotland falls
New statistics show that child poverty in Scotland has fallen, in contrast to the rest of the UK. Recent annual statistics published today show that compared with the previous year’s statistics, relative child poverty in 2023-24 reduced from 26% to 22% in Scotland while absolute child poverty fell from 23% to 17%.
Duty of Candour: Frequently Asked Questions
The Patient Safety Management Network (PSMN) held collaborative sessions focused on the Duty of Candour—the legal requirement for healthcare organisations to be open and transparent with those receiving care and treatment. The FAQs addresses the most pressing concerns about Duty of Candour.
New vision to reduce suicide deaths in Wales and improve support for people who self-harm
The new suicide prevention and self-harm strategy sets out 6 main aims. The strategy recognises that suicide and self-harm can affect anyone at any age. Suicide is most prevalent among middle-aged men (aged 30 to 55), while self-harm is more common among young women (aged 15 to 19). This distinction helps inform tailored approaches within the strategy.
Roundup of Reviews & Articles
Physical Activity and Depression in Mothers of a Child With a Special Health Care Need: Informing Future Interventions.
Around 1:5 children in the USA has a special health care need and, compared to other mothers, their mothers have poorer mental and physical health.
This study aimed to “understand the use of physical activity (PA) in mothers of a child with a special health care need to cope with depressive symptoms (DS).
Findings show that 85% of mothers “expressed interest in using PA and yoga to cope with DS”. Most viewed PA “as a means to increase health and fitness to meet the needs of their children, though they failed to meet the levels of PA associated with DS reduction”
A child-centred research checklist to improve the design and reporting of paediatric research studies: A descriptive mixed methods study.
This descriptive mixed methods study aimed to develop an internationally relevant, expert informed child-centred research checklist.
It was undertaken in five sequential phases, including a Delphi component. “160 articles met the inclusion criteria for review and were considered in the development of a 10-item open-ended questionnaire, adapted for four age-brackets (0-1 yrs., 2-4 yrs., 5-10 yrs., >11 yrs)”.
Intense engagement with experts from 19 countries resulted in a final checklist includes 11 statements and 17 examples represented under three categories of "child-parent consent, assent and dissent", "code of conduct" and "child focused methods".
Neighbourhood socioeconomic conditions and emergency admissions for ambulatory care sensitive conditions in children: a longitudinal ecological analysis in England, 2012–2017
This study examined “longitudinal trends in emergency admission rates for ambulatory care sensitive conditions (ACSCs) and investigated the association between local socioeconomic conditions (SECs) and these admissions in children over time in England.
The results show that “between 2012 and 2017, paediatric emergency admissions for acute ACSCs increased, while admissions for chronic ACSCs decreased. At the neighbourhood level, each 1% point increase in unemployment was associated with a 3.9% and 2.7% increase in the rate of emergency admissions for acute ACSCs, for children aged 0–9 years and 10–19 years, respectively”.
They conclude that “increasing trends in neighbourhood unemployment were associated with increases in paediatric emergency admission rates for ACSCs in England” and suggest “policy interventions should address the causes of unemployment and poverty in addition to health system factors to reduce emergency admissions for ACSCs”.
Embedding Child Health Promotion and Preventive Care Within Primary Health Care: From Agenda to Action
This commentary examines what is needed to embed child health promotion and preventive care within primary care in Australia.
The authors note that there “is a ‘missing middle’ when it comes to ensuring that policies and strategies are translated into practice. In other words, articulating what broad principles and approaches are needed to reorientate healthcare is not enough. Rather, tangible actions that focus on how to bridge the implementation gap are also needed. Drawing upon our own research and experience, and contextualised within each of the five Ottawa Charter of Health Promotion actions”
Outcomes Following a Mental Health Care Intervention for Children in the Emergency Department
This nonrandomized trial of 2 pediatric EDs in Alberta, Canada aimed to evaluate the outcomes of a novel mental health care bundle on child well-being, satisfaction with care, and health system metrics.
The “bundle involved risk stratification, standardized mental health assessments, and provision of an urgent follow-up appointment after the visit, if required”. The primary outcome was “child well-being 30 days after the ED visit”. In total 1412 patients were recruited.
The authors conclude that “delivery of a care bundle was not associated with higher child well-being 30 days after an ED visit”.
Virtually the same, but remotely different: health professionals, parents and children’s experiences of remote out-patient consultations
This qualitative study aimed to “explore experiences, benefits and concerns associated with remote (telephone/video) consultations from the perspectives of children and young people with juvenile idiopathic arthritis (JIA), their parents, and health professionals (HPs) who were members of a multidisciplinary team in a paediatric rheumatology setting”.
It used “observation of remote (telephone/video) consultations and remote follow-up interviews with children and young people (7-18 years) with JIA, their parents, and HPs. Data analysis used reflexive thematic analysis”. Thirty-seven participants (mothers, fathers, children, health professionals) were observed.
“The overarching theme was that remote consultations were 'virtually the same but remotely different' to face-to-face hospital-based consultations. Four sub-themes were identified.
The authors conclude that “overall, remote consultations were viewed positively, bringing benefits to children, young people, and parents. There was a notable transition in responsibility towards children and young people and/or their parents for reporting and recognising disease flare, compared with face-to-face consultations. Optimising the experience of remote consultations through better preparation, information and education for children, young people, parents and HPs is needed”.
Media Use of Young Children: The Perceptions of Public Health Nurses Working in Child Health Clinics
The objective of this study was to “describe the perceptions of public health nurses (PHNs) working in child health clinics on media use of young children and to investigate what are the perceptions of PHNs on adults' role in young children's media use”.
In total “183 PHNs working in Finnish child health clinics” completed an electronic cross-sectional survey.
The results show that “most (96.7%) PHNs agreed that media use was very common among young children. According to PHNs, the negative impacts of media use of young children included social, physical, and psychological impacts.
The positive impacts included learning, communication, and access to information. PHNs stated that parents were most responsible for intervening in media use of young children, but PHNs have an important role in counseling families on it. Most PHNs (80.9%) stated that parents did not control media use of their children effectively”.
The authors conclude that “PHNs are aware of impacts of media use and its prevalence among young children. They agree to have an important role in counseling families in it”.
Needs and Expectations of Nurse-Led Digital Support Among Parents of Children in Child Health Care
This qualitative workshop-based study aimed to “describe parents' needs and expectations of digital support in the context of child health care”.
The findings show that “parents expected that a digital support channel would be something that might strengthen them towards independence concerning the care of their children, in a positive way. However, they also felt that they needed personal support and that relationships with other parents and the child health care nurse were significant and meaningful.
Another parental desire that emerged was that a future digital channel would facilitate and simplify access to care and they suggested having both planned and urgent times available for parents to book. The digital channel was expected to make this possible and be a good complement to the physical contacts the traditional child health care currently offers”.
Clarifying Misconceptions About School‐Based Health Care.
In this paper the authors address “three common misconceptions to provide an accurate depiction of the work school-based health centers do.
The misconceptions we address are: 1. that education and health care should be separate; 2. that parents and guardians alone are responsible for their children's health; and 3. that school-based health centers cut out parents and guardians from involvement in their children's health.
They argue that “misconceptions about school-based health centers undermine the important work being done in these centers, including the pursuit of improved child health outcomes”.
Telehealth use in the well-child health setting. A systematic review of acceptability and effectiveness for families and practitioners
This mixed methods systematic review aimed to “explore the global evidence on the use of telehealth in well-child health settings within high-income countries”.
Twenty papers were included in the review. The results show that “telehealth acceptability among families was reported in 13 of the 20 studies reviewed, with participants expressing high satisfaction regarding its use as a complement to standard care”.
The authors conclude that telehealth “shows promise for well-child health services, but there is limited evidence of its effectiveness and safety”.
The use of multisensory environments in children and adults with autism spectrum disorder: A systematic review.
This systematic review aimed to assess the impact of multisensory environment interventions in autism and to provide guidelines.
Ten studies were included and quality assessed and synthesized narratively based on target symptoms. The results show that “four studies reported reductions in stereotypic behavior frequency in children and adults; while other studies suggest positive effects on sustained attention, and aggressive and sensory behaviors”.
The authors note that, “overall, there was insufficient evidence due to the paucity of literature, the significant variation between interventions, and the small sample sizes”.
Are challenging walking environments linked to falls or risk of falling in children with cerebral palsy? A systematic review.
This systematic review examined whether challenging walking environments that mimic those faced in the real-world, contribute to increased fall occurrence and fall risk in children with CP?
Sixteen studies were included. The results show that “one study reported occurrence of stumbles, two reported no falls. Fifteen studies identified gait alterations used by children with CP in challenging environments. Twenty-four gait characteristics were identified to be indicative of cautious walking strategies and seven gait characteristics identified to increase fall risk, suggesting a potential link.
However, limited evidence exists as to whether this reflects falls faced in the real-world”.
Accidental Physical Trauma in Children and Youth with Special Health Care Needs: A Scoping Review
This scoping review aimed to review accidental physical trauma in children and youth with special health care needs (CYSHCN) to characterize published literature and identify gaps.
In total 85 articles were included. The results show that “publications most often considered developmental conditions (77.7%), including Attention Deficit Disorder/Attention Deficit Hyperactivity Disorder (ADD/ADHD). Studies differed in how often they reported demographic characteristics: gender (96.5%); social determinants of health/socioeconomic status (41.2%) or race and ethnicity (25.9%). Few articles included injury time of day (10.6%) and day of week (2.4%); 40% did not include information about the place of injury”.
The authors conclude that the “review reveals key gaps in the literature pertaining to incident characteristics and place of injury for CYSHCN. Those advising families and/or planning interventions focused on mitigating risk for CYSHCN have limited evidence upon which to rely for certain conditions”.
The risk and protective factors, response to disclosure, and interventions for sibling sexual abuse: a systematic review
This systematic review aimed to review the risk and protective factors, disclosure patterns and responses to disclosure, and therapeutic or other responses to cases of sibling sexual abuse (SSA).
In total, 39 studies were included for review. The results show that “SSA behavior was most commonly demonstrated by male siblings with histories of abuse, learning disabilities, and exposure to family conflict, violence, and disadvantage. Rates of disclosure to parents were low, with many victims (most commonly female) not disclosing until adulthood. Parents were also found to often respond poorly by minimising and disbelieving victimized children”.
The authors conclude that “early detection and prevention are paramount to improve outcomes for children and young people, and their families” and the “need for more rigorous research on SSA behavior to support practice development”.
Exploring ‘family’ in paediatric intensive care family-centred-care research: A concept analysis
This systematic concept analysis explored the concept of ‘family’ within PICU FCC research.
Twenty-four articles were included. The review found that the “attributes of ‘family’ in PICU FCC research included: Family characteristics; Recognition of adversity and vulnerability, and Evolving expectations of family. Antecedents included: A child in PICU; (Child)- and Family-Centred Care; and Hospital culture and environment. Consequences included impacts on delivery of care in PICU; and impact on PICU research”.
The authors conclude that “despite addressing a range of important issues, FCC research in PICUs lacks a clear definition and operationalisation of the concept of ‘family’”.
Associations of parental internal migration with child growth and nutritional status in low- and middle-income countries: a systematic review
This systematic review aimed to collate evidence of associations of parental internal migration and child growth and nutritional status in low- and middle-income countries (LMICs).
In total 12 studies were included “most of which focussed on early childhood, and all but one found associations”. The results show that “of studies comparing rural-urban migrants to rural non-migrants (n=5), migration was associated with reduced risk of child undernutrition and improved linear growth, particularly for children born at urban destination, but also increased weight growth and overweight. In comparison to urban non-migrants (n=11), findings were mixed and showed children of rural-urban migrants had greater/similar levels of undernutrition and poorer growth or greater levels of overweight in early life but better linear growth in late childhood/adolescence”.
They conclude that internal migration is “a determinant of child health in LMICs”.
Social exercise interventions for children who have complex developmental needs: A systematic review
This systematic review “synthesizes research regarding exercise interventions that involved social participatory elements, for children with complex developmental needs”.
49 studies were appraised and “narrative synthesis identified two groups of studies: intentional social participatory elements or incidental social participation. Most studies were appraised as being “moderate to low methodological quality.
The authors note that “short-term improvements in physical outcomes – particularly motor skills – were most frequently reported and were the main benefit of social exercise interventions for children with complex developmental needs, for which evidence exists”.
Child and Family Centred Care: A Three-Phased Principle-Based Concept Analysis
This study used a three-phased principle-based concept analysis to analyse the concept of Child and Family Centred Care.
In total 23 papers were included in the analysis. The findings show “various characteristics of the concept of interest to highlight the common terms associated with the concept, primarily being collaboration, participation, communication, and respect/dignity.
The authors conclude that their “concept analysis provides a theoretical definition of the Child and Family Centred Care approach. The definition emphasises the child as an individual and an active collaborator with healthcare providers and their family.
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