Welcome to our March 2021 issue. As I sit at my desk looking out the window on a breathtakingly beautiful spring morning, I cannot help but feel hopeful. It’s nearly a year since the first lockdown, and we have made so much progress in adapting to and tackling this pandemic. This issue’s ‘Practice matters’ feature brings a wonderfully discursive and educational piece about the Covid-19 vaccine, which captures the feel of sitting around a table with colleagues sharing information and experiences. It also demonstrates the ways in which we can lead as a profession with our long history as key players in vaccination programmes, and how teamwork with our multidisciplinary colleagues and an all hands-on deck approach to fighting the pandemic is important.

Remembering our vital role in chronic disease management and the importance of continuing to develop our skills in this area I was delighted to read the article on heart failure and the nurse competency framework. The authors state that ‘heart failure should be considered as malignant a disease as cancer and treated with the same urgency’. As GPNs seeing people with multiple chronic diseases, we have the opportunity to suspect and start the process for the diagnosis of heart failure. Covid-19 infection also brings increased risk of heart failure for those who have been hospitalised and may further increase the number of people it effects.

Other articles to highlight include Naomi Berry’s piece on deaf awareness and how to promote communication (particularly pertinent with our current need for face masks and more remote consultations); Callum Metcalf, ANP/GPN in Norfolk, has written a highly insightful article on deprescribing in type 2 diabetes (I found the step-by-step guide as to what to consider with different drug groups incredibly helpful and will add it to my reference folder at the surgery); Gaynor Bussell, a freelance dietician, offers evidence and practical suggestions on how women can use diet and lifestyle changes to help with health conditions throughout their life; Sian Williams has combined her health and dance skills to write an uplifting article on her experience of dance and pulmonary rehabilitation with an online group (this is a resource I plan to look into in more detail for my patients); and there is also a practical guide to diagnosing and managing migraine from Rebecca Stuckey, CNS in Devon.

We welcome your ideas, feedback and contributions for future publications. Please continue to get involved with the journal so we can shape it to your needs and ensure we reflect your views, practice and knowledge within its pages. Thank you so much to everyone who has contributed so far to this varied, stimulating and motivating journal. I am proud to be a part of it.

Jaqui Walker, editor-in-chief