Psoriasis is a chronic inflammatory skin condition that can have a debilitating impact on patients. It affects 2% of the UK population (Gelfand et al, 2005), and although it can develop at any age, usually occurs in adults rather than children (NHS Choices, 2015). General practice nurses (GPNs) will often encounter patients with psoriasis in their dayto- day practice, but can lack confidence when advising these patients on the effective management of the condition. This article outlines the causes of psoriasis and provides practical advice for GPNs on assessment and treatment in primary care. The author also outlines the psychological effects of psoriasis, and discusses referral guidelines.
The State of the Nation report published in 2015 makes a case for prioritising the prevention of type 2 diabetes (T2D) (Diabetes UK, 2015). This report identified T2D as a major challenge fo the NHS which uses a significant proportion of NHS resources - almost 10% of total NHS spending, in fact - yet the Word Health Organisation (WHO) estimated that over three quarters of T2D is preventable (WHO, 2005). Thus, the prevention of diabetes needs to be a priority for the NHS (Diabetes UK, 2015), and it makes sense that general practice nurses a priority for the NHS (Diabetes UK, 2015), and it makes sense that general practice nurses (GPNs) should be at the forefront of this strategy.