[Atlas of Shared Learning] Respiratory Nurse delivered Cognitive Behavioural Therapy (CBT) for Chronic Pulmonary Disease (COPD) patients

NHS England | December 2018 | Respiratory Nurse delivered Cognitive Behavioural Therapy (CBT) for Chronic Pulmonary Disease (COPD) patients

The Nurse Consultant in the chest clinic at the Royal Victoria Infirmary, Newcastle Upon Tyne Foundation Trust led on the development and implementation of a new Cognitive Behavioural Therapy (CBT) service for patients with Chronic Obstructive Pulmonary Disorder (COPD). By extending the respiratory nurses’ CBT skills, the holistic programme has improved patient outcomes as well as experience and use of resources.


Following the completion of a research project on the impact of COPD from a patient’s perspective the nurse consultant identified that patients attending the chest clinic commonly experienced symptoms of anxiety and depression in addition to frightening breathlessness.

The nurse consultant led on the development and implementation of a respiratory nurse led CBT-based service, through the education and training of the respiratory nurses within the service, as well as a quantitative analysis to assess the impact this had on patients.

85 per cent of patients completed the programme, of these patients used the programme to address breathlessness, changing their lifestyle e.g. stopping smoking or losing weight and managing symptoms of anxiety and depression (Source: NHS England).

Read the case study NHS England  Respiratory Nurse delivered Cognitive Behavioural Therapy (CBT) for Chronic Pulmonary Disease (COPD) patients

State of maternity services

State of Maternity Services Report 2018 – England | Royal College of Midwives

This report provides an overview of some of the ‘big picture’ trends that are taking place in the midwifery workforce and identifies some of the challenges that face the profession and maternity services. The main findings reveal that the number of NHS midwives in England rose by just 67 in the last year, despite universities turning out over 2000 newly-trained staff.

Image source: http://www.rcm.org.uk

This year the Royal College of Midwives (RCM) has published individual reports for England, Scotland, Wales and Northern Ireland.

The full RCM report can be read here
Additional links:
Press release  | RCM
From Brexit to the birth rate: why midwives are leaving the NHS – and causing a crisis | The Guardian

1 in 5 nursing students drop out before graduation

Nursing Standard & The Health Foundation  | September 2018 | Why as many as one in four nursing students could be dropping out of their degrees

Almost a quarter of nursing students (24 per cent) drop out of their courses prior to graduation finds a new study from the Nursing Standard and The Health Foundation.  Their findings show that over 16,000 UK nursing students who began three-year degrees that were due to finish in 2017, 4,027 left their courses early, or suspended their studies.


Further analysis of this data gives an average attrition rate of 24% in the UK. The RCN suggest reasons for this rate of attrition as bad experiences on clinical placements, financial difficulties and academic pressures all impacting on the decision to leave or put studying on hold (Source: Nursing Standard & The Health Foundation).

Read the Nursing Standard press release 

The Health Foundation article here 

In the media:

The Independent | One in four nurses drop out before graduating, new research reveals

The Guardian | Quarter of UK student nurses drop out before graduation, study finds

Daily Mail | Student nurses are quitting courses in their droves amid fears over Britain’s 40,000 vacant nursing posts

Express | NHS Staff crisis at 25% of student nurses drop out 

Routes into nursing

NHS Employers | August 2018| Routes into nursing

A new infographic relesased by NHS Employers highligts the different routes into nursing.  Until recently, the routes to developing registered nurses within the workforce have been limited, with the university degree being the main way to train this group of staff. 

The introduction of the nursing degree apprenticeship gives a new opportunity for employers to train nurses, while the creation of the new nursing associate role can help to be a bridge between healthcare assistants and graduate registered nurses. These new routes can create a confusing picture for employers and so we have created a resource to support you to make the most of the new and existing routes into nursing (Source: NHS Employers).

Image source: nhsemployers.org
The infographic is available to download from NHS Employers
See also

NHS Employers also provide an overview of the different routes, follow each link for further details:

New standards for nurses and midwives

NHS Employers | May 2018 | New standards for nurses and midwives

The nursing and midwifery council (NMC) has launched a new framework for the education and training of nurses and midwives, and new standards of proficiency that nurses will be required to meet before they can apply for registration. The new standards were updated yesterday.

Image source: nmc.org.uk

The new standards represent the knowledge, skills and attributes that all future registered nurses must demonstrate to deliver safe, compassionate and effective nursing care. The framework for education and training sets out what nurses and midwives will need to know, and be able to do, by the time they apply for registration (NHS Employers).

They are available from the NMC 

NHS England pledges specialist mental health services for new mums in every part of the country

NHS England & NHS Improvement | The Perinatal Mental Health Care Pathways | May 2018

NHS England has confirmed that new and expectant mums will be able to access specialist perinatal mental health community services in every part of the country by April 2019. The second wave of community-perinatal is now being rolled out to areas of the country that are currently underserved; with full geographical coverage  anticipated.

This £23 million  funding forms part of a package of measures, altogether worth a total of £365m by 2021, to transform specialist perinatal services so that 30,000 additional women can access evidence based treatment that is closer to home and when they need it, through specialist community services and inpatient mother and baby units (NHS England).

The perinatal
Image source: england.nhs.uk


NHS England & NHS Improvement have published guidance to provide services with evidence on what works in perinatal mental health care, as well as case studies describing how areas are starting to make this a reality.

The full release can be read at NHS England 

The full guidance can be downloaded here

In the media:

BBC News Improved mental health care funding for new mums

The Guardian NHS to make perinatal mental health available across England

Specialist perinatal mental health community teams: maps

The Maternal Mental Health Alliance has published new maps showing access of pregnant women and new mothers to specialist perinatal mental health services which meet national guidelines.  The Royal College of Midwives press release states that there have been improvements in services since the last maps were produced in 2015 but 24% of pregnant women and new mums still do not have not access to specialist mental health services.