Latest news from ARNS
NICE guideline on Asthma: diagnosis, monitoring and chronic asthma management

NICE guideline on Asthma: diagnosis, monitoring and chronic asthma management

The National Institute for Health and Care Excellence guideline on Asthma: diagnosis, monitoring and chronic asthma management, has now been  published on the NICE Website  You can also find the supporting evidence as well as all the stakeholder comments 

The recommendations in the guideline have been included in a NICE Pathway which is an online tool that brings together all related NICE guidance and associated products in a set of interactive, top-based diagrams. There is a version of the guideline for people using services, carers and the public called Information for the public

Respiratory Nurse wins RCN Wales Nurse of the Year 2017

Respiratory Nurse wins RCN Wales Nurse of the Year 2017

Louise Walby, a respiratory nurse facilitator in primary care, has been awarded the RCN Wales Nurse of the Year Award 2017.  Talking about nurse of the year Louse Walby, Tina Donnelly, Director of RCN Wales, said: “The Royal College of Nursing in Wales is proud to recognise the achievements of the nursing family across Wales and Louise is an extremely worthy recipient of the highest honour.”

RCN in Wales was mentioned on Aberdare Online Nurse of the Year Winner Louise Walby is quoted “I was totally surprised to win the ‘Nurse of the Year’ Award.  I was honoured to win my category, but when I heard my name called for the overall award I was shocked. I am really privileged, honoured and excited about the future and to have this ultimate acknowledgement last night was wonderful.

ARNS leads with RCN &  RCVS on One Health Project

ARNS leads with RCN & RCVS on One Health Project

One health is a project with which ARNS is a founder group member and it concerns the health of people, animals, the environment and the effect they have on each other. This project now has a UK multi-professional steering group with representation from the human, animal and environmental sectors. Wendy Preston represents nursing on this group and a nurse group looking at collaboration between veterinary and human nurses.

The first One Health project made UK wide media coverage highlighting the effect on smoking on pets and the negative effect of 2nd and 3rd hand smoking. ARNS, RCN, BTS and BLF have released a press release in conjunction with a range of veterinary societies with the aim of increasing public and health care professional knowledge of research that measures the amount of smoke particles on fur of small animals such as cats and dogs. This can be used as another discussion point when helping current smokers to consider a quit attempt.

Wendy Preston, Chair of ARNS, was interviewed on BBC Breakfast Time on 31st October 2017, when she explained how new evidence showed that the high concentration of nicotine in dog and cat fur put animals at risk of ingesting these substances when grooming themselves.

The project group will be developing resources to increase awareness and promote smoking cessation.

A press release detailing the project was sent to key media groups.  Download the press release Press release – smoking harms pets

See the BBC Breakfast Time report here

Respiratory experts publish first quality standards for adult home oxygen use

Respiratory experts publish first quality standards for adult home oxygen use

The British Thoracic Society has published a New Quality Standard for home oxygen use in adults

All patients who are being considered for long-term oxygen treatment (LTOT) at home should have a thorough risk assessment delivered by trained staff, according to new national standards.

The assessment should include a review of the risk of fire, trips and falls from using oxygen within the home.  As part of the process, the smoking status of patients and other household members should be recorded – with safety advice and smoking cessation support supplied as appropriate.

The British Thoracic Society (BTS) is encouraging widespread use of its new set of Quality Standards for Home Oxygen Use in Adults by NHS commissioners, healthcare practitioners and patients to ensure the best possible clinical care.

The Standards also advise that all patients receive:

  • a blood gas ‘check-up’ three months after the initiation of therapy, to assess the  effectiveness, and future need, of LTOT at home;
  • regular ongoing checks by a home oxygen assessment service, at least on an annual basis;
  • education and information supplied by a specialist team.

The BTS Quality Standards for Home Oxygen Use in Adults, taken from the BTS Guideline on Home Oxygen Use in Adults (2015) offer ten quality statements summarising the latest, evidence-based practice available.  They are endorsed by the Association for Respiratory Technology and Physiology (ARTP), the Association of Respiratory Nurse Specialists (ARNS), the Association for Chartered Physiotherapists in Respiratory Care (ACPRC), the Association of Palliative Medicine (APM) and the Primary Care Respiratory Society UK (PCRS-UK).

Home oxygen therapy involves breathing in air that contains more oxygen than normal from a cylinder or machine at home.  It is typically prescribed for patients with heart or lung conditions who continue to have low blood oxygen levels after all other medical treatments have been given.

Latest figures show that around 85,000 people in England have oxygen at home.

Dr Jay Suntharalingam, Co-chair of the BTS Home Oxygen Quality Standard Development Group, commented:

“We’re delighted that the BTS quality standards for home oxygen use in adults are now available so that healthcare professionals can make decisions based on latest available evidence and best practice. It also gives greater clarity for people with respiratory disease, and their families and carers, on what services they should expect.

“Home oxygen can be a highly effective treatment for common lung conditions, including chronic obstructive pulmonary disease (COPD), when blood oxygen levels are low.  This allows those affected to enjoy a better quality of life and can potentially improve life expectancy.

“However, as with all specialist treatments, it is vital that home oxygen is administered and reviewed effectively to ensure the safety and best health outcome for patients.  The new quality standards provide an outstanding framework for achieving this.”

Wendy Preston, Chair of ARNS commented

“ARNS welcomes and has endorsed the publication of the BTS Home Oxygen Quality Standards and our members were represented on the development committee by Joe Annandale, Respiratory Nurse Specialist at Prince Philip Hospital, Wales.

Approximately 85,000 people are prescribed oxygen at home in England and it is essential that these ten quality standards are implemented. This will require services to be commissioned and funded appropriately which will include respiratory nurse specialists who often leaders of home oxygen assessment services.

Many thanks to Joe for leading on this valuable work on behalf of ARNS”

Read BTS Home Oxygen Quality Standard

ARNS responds to DoH Tobacco Control Plan for England

ARNS responds to DoH Tobacco Control Plan for England

Read the response from Wendy Preston, Chair of ARNS, following publication by the Department of Health  Tobacco Control Plan for England

‘We welcome the publication of the Tobacco Control Plan and had been campaigning as part of the Smoke-Free Alliance for the government to speed up its publication, as there had been a long period without a plan.

Whilst it’s aspirations are to be celebrated and there are clear targets, it is still unclear regarding the detail of how these will be met and there is missing substance around funding. Local authority funding for public health is consistently being cut and a report published by ASH in November 2016 showed that 59% had reduced or even in some cases stopped smoking cessation service. Whilst we know that smoking tobacco kills half of its users and has significant health burden, reducing access to essential smoking cessation treatment is not acceptable.’

Download the Department of Health Tobacco Control Plan for England here

Results of COPD and Malnutrition Questionnaire

Results of COPD and Malnutrition Questionnaire

At the ARNS 20th Anniversary Conference last month, delegates were invited to complete a questionnaire on COPD and Malnutrition.  The results of the questionnaire are shown below:

Thank you for taking the time to complete the questionnaire at the ARNS 2017 Conference in Loughborough.  We had 47 responses in total.

Just over half of respondents (52%) said that they carry out a nutritional assessment at every visit with 42 % only doing assessments if they had concerns.   BMI is still the most common recorded assessment being used by 75% of HCP to assess Nutritional status with 59 % completing a full MUST score.

See full results of the questionnaire here COPD and Malnutrition Questionnaire Results from ARNS conference 2017 (002)

Nutricia is holding a study day on 24th Jully 2017 at Nutiricia offices in Chiswick Park, focusing on the ffects of malnutrition.  If you would like to attend please contact Jo Lessells emial:   or call her on 07500 577889



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