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This paper aims to explain how and why the philosophical changes to the pre-registration nursing standards by the UK’s Nursing and Midwifery Council (NMC) have resulted in a paradigm shift for mental health nursing.

This paper critically examines the changes to nursing education standards and offers an analysis of the problems associated with the shift towards a generic nursing syllabus.

The said shift prioritises physical health intervention, skills, procedures and tasks over the uniqueness of mental health nursing.

This paper argues that mental health nursing skills and qualities such as connection, genuine advocacy and therapeutic-use-of-self have been undervalued and under-represented by the new education standards.

This paper calls on the profession and service users to join the discourse and inform future mental health nursing identity. Ultimately, this paper calls on the NMC to reconsider the underpinning principles of the education standards and allot due consideration to the specific needs of the mental health nursing profession.

Crosby suggested that “quality is free”. The purpose of this paper is to discuss the argument that, although it is not free, it can reduce costs. The UK’s Benefit Enquiry Line (BEL) for people with disabilities is used to illustrate this. The evolution of quality management systems implemented by BEL is examined. These include Charter Mark, Service First, Investors in People, the Business Excellence Framework and the EFQM Excellence Model. A comparative analysis is undertaken between the findings of the authors and those of other academic writers. Conclusions are drawn as to the appropriateness of these quality initiatives in facilitating continuous improvement at minimal cost.

The purpose of the paper is to discuss approaches to decision making used in the emergency services and to relate these to decision making in service encounters in the tourism and leisure sector.

The paper is a conceptual discussion paper that canvasses a range of issues in service encounters, especially the problems of empowerment and service recovery. Although a structured approach to service recovery (often involving 100 per cent guarantees) is popular in the tourism and leisure industry, this precludes spontaneity in solving customers' problems and returning them to a satisfied state. The paper notes that managers have little guidance on how such spontaneity can be effectively accomplished.

The paper argues that much can be learned from the “naturalistic decision making” (NDM) of emergency decision‐makers. The paper therefore provides an assessment of how NDM could be utilised in the services sector.

Training frontline staff in NDM is a means of improving service recovery, and this has implications for recruitment, retention, and staff training. It also provides a justification for trusting experienced frontline staff members.

The study offers a different perspective on decision making in service situations.

The purpose of the paper is to show that, despite comprehensive coverage of services for TB provided by a public‐private partnership for TB control in Patan, a city in Nepal, case finding is low, compared with the target based on an Annual Risk of Tuberculosis Infection (ARTI) of 4 per cent. Doubts have been raised as to the appropriateness of the target. The objective of the study was to estimate the number of new TB cases occurring in Patan, to assess whether the target was appropriate.

In the paper doorstep interviews were conducted with all households in the study area, followed by in‐depth interviews of households with possible or probable TB cases. The survey findings were validated against the patient registers of the five DOTS centres in Patan.

The paper finds that, among the study population of 36,918, the household survey identified 17 smear‐positive TB cases (none privately‐treated) and 24 smear‐negative/extra‐pulmonary cases (including four privately‐treated cases). Validation against the DOTS patient registers indicated that the survey was 54 per cent complete. After adjusting for incompleteness, the number of smear‐positive cases in the study area was estimated as 31, equivalent to an incidence of 85 smear positives per 100,000 population and an ARTI of 1.7 per cent.

The paper shows that using the ARTI may lead to misleadingly high targets for urban TB control. Unrealistically high targets may cause TB workers to become demoralised, and useful strategies to be abandoned. Therefore, further work is needed to identify better ways of setting targets.

The purpose of this paper is to set out the evidence base to date for Transitional Safeguarding to support authors of Safeguarding Adult Reviews (SARs) where Transitional Safeguarding is a key theme in the review.

This paper draws on key evidence from several published sources about Transitional Safeguarding in England. This evidence is presented in this paper as a framework for analysis to support SAR authors. It follows the same four domains framework used in other adult safeguarding reviews: direct work with individuals; team around the person; organisational support for team members; and governance. This framework was then applied to two SARs written by two of the article’s authors.

The framework for analysis for Transitional Safeguarding SARs was applied as part of the methodology of two separate SARs regarding three young people. Key reflections from applying the framework to both SARs are identified and discussed. These included: providing an effective framework for analysis which all participants could use and a contribution for developing knowledge. Whilst many issues arising for safeguarding young people are similar to those for other adults, there are some unique features. The ways in which the gaps between children and adults systems play out through inter-agency and multi-professional working, as well as how “lifestyle choices” of young people are understood and interpreted are key issues.

This paper presents an evidence base regarding Transitional Safeguarding for SAR authors who are tasked with completing a SAR where Transitional Safeguarding is a key theme.

This paper draws together key literature and evidence about Transitional Safeguarding practice with young people. This paper argues that this framework for analysis provides SAR authors with a useful tool to support their analysis in this complex area of practice.

At Shepparton in the Murray electorate of Victoria in 2007, the Federal Liberal Member, Sharman Stone, announced that under a returned Coalition Government, Shepparton ‘would get a stand‐alone technical college’. One year earlier, the Victorian Minister for Education, Lynn Kosky claimed that ‘We lost something when technical schools [the ‘techs’] were closed previously. Yes, the facilities were not great but we lost something that was important to young people’. This article explores the development and demise of ‘South Tech’, Shepparton South Technical School, 1966‐86 to identify the ‘something’ that Kosky claimed was lost, and to argue that technical education is essential in a reconstituted system.

This study aims to describe the development and approach of a theory-informed social marketing intervention that aimed to promote respite for carers of people with dementia. Despite a high need for respite, carers of people with dementia are often low users of available respite services. The reasons for this are complex, including knowledge, attitudinal, behavioural and systemic barriers. In the context of an aging population, effective strategies to support respite use by carers of people with dementia are needed.

Via formative research, the authors gained an in-depth understanding of a hard-to-reach and vulnerable group (carers of people with dementia). The resulting intervention informed, persuaded and supported carers to rethink the use of respite addressing specific barriers to service use. The intervention was evaluated using a naturalistic effects model.

Carers of people with dementia who were exposed to community-level campaign activities and also self-selected to take part in tailored coaching showed improvements to their respite knowledge, attitudes and self-efficacy. Intention to use respite and levels of personal gain from caring also increased. In contrast, carers only exposed to informational activities experienced negative changes to their respite beliefs and their sense of role captivity.

Social marketing can be used to support carer respite knowledge, attitudes and service-use behaviours in carers of people with dementia. The case study highlights an untapped role for social marketers to work in partnership with health professionals to support improvements in aged care services.

To the best of the authors’ knowledge, this is the first known social marketing intervention promoting the use of respite to carers of people with dementia. Findings demonstrate that tailored support services are most effective in helping carers navigate and use respite services.

To provide a critique of the strategies that the UK Government employed at that time of the closure of the countryside during the foot and mouth disease (FMD) and their subsequent effects upon leisure and tourism providers. The work evaluates the sector's responses to the FMD crisis and considers their significance and influence in relation to the strategies deployed. Possible alternative strategies are presented which both government and industries can consider.

The complete sector of tourism and leisure providers within the market town of Keswick was surveyed twice over a two‐year period. The initial survey was undertaken in 2002 and the second survey occurred in 2004. Keswick is situated in the northern sector of the English Lake District National Park, which is situated within the county of Cumbria. This area was seen to be the most affected by the foot and mouth crisis both in terms of severity and duration of infection. In addition to the survey conducted, key personnel from government agencies and voluntary organisations were also interviewed using a semi‐structured approach. Additional information was accessed from a FMD discussion web site.

The impact of the foot and mouth crisis devastated the rural tourism and leisure industries. The governmental policy utilized was myopic in its outlook and ineffectual in that it concentrated mainly upon the consequences to, and the needs of, the farming industry. The current proposals acknowledge to some degree that the town's tourism and leisure industry are a valued part of the rural economy, but the authors question if these are effective enough.

The originality of the study has enabled the evaluation of the strategies put in place immediately after the FMD crisis. It not only critically appraises proposed policies (i.e. limited closure of the countryside in future) but uniquely proposes a number of alternatives.

The purpose of this paper is to describe a small scale pilot study undertaken in Northern Ireland to gather service user feedback from individuals who have been subject to adult safeguarding procedures.

The aims, methods and findings of the “Adult Safeguarding: 10,000 Voices” pilot project are presented.

The pilot project highlighted how an initiative which captures the experiences of patients, service users, carers and staff in the health and social care sector (10,000 Voices) could be successfully adapted for use in adult safeguarding, facilitating the collation of complex experiences and enabling insights to be gleaned and shared.

The pilot study is limited by the small number of participants. The findings are preliminary.

For the first time in Northern Ireland the 10,000 Voices model was utilised in the context of a non-health related service, namely, adult safeguarding.

This outline of the model and methodology for obtaining service user feedback can inform user involvement in other contexts.

This paper provides an accessible overview of an innovative approach to engaging service users in adult safeguarding, such approaches, to date have been limited.

READERS can be forgiven if they have thought, from time to time, that we are anti‐union. This is not true, although we admit to thinking that they have for a long time forgotten their prime reason for existence — to fight for human rights for their members against what were, in days long gone by, very inhuman employers.