Many of us will be familiar with the use of hospital passports for those with learning disabilities. At a care home in Scotland, a student nurse has come up with a way of adapting hospital passports more widely to encourage a holistic, person-centred approach for those living with dementia. Carol Dale tells us about this development and the impact it is having on improving system flow across care settings.

Last September Q member Carol Dale started as the Royal College of Nursing Scotland Lead Nurse for independent health and social care in Scotland, a newly-created role in the RCN. As part of her brief, Carol has been learning about how independent care nurses are exploring ways to improve pain management, including using digital technology.

Dr Helen Tucker shares her improvement journey in Community Hospitals, and the key lessons she has learned about the involvement of people in their health and care services.