Vol 11, No 1 (2026)

This editorial describes “micro-innovations” that require no new structures or funding, but which can enhance safety, efficiency, and improve patient experience by shifting both provider and patient behaviours within the clinical encounter.

This editorial argues that Vitamin D deficiency—more common in people with darker skin and in low-sunlight climates—contributes to weakened immunity and worse outcomes from upper respiratory tract infections (URTIs), which already cause substantial morbidity, absenteeism, and productivity loss. Despite this link, current guidelines advise against routinely testing vitamin D levels even in high-risk groups presenting with URTIs.

Moral injury, once a military term, now describes clinician distress when healthcare systems force actions against ethical values. The editorial calls for systemic reforms—education, workload, and culture—rather than relying on individual resilience. It promotes organizational advocacy, recognition of inequity, and small daily acts of moral restoration.

This service evaluation and retrospective audit assessed the reach and impact of psychological support services for staff at the NHS University Hospitals Sussex. Findings highlight the clinical effectiveness of the service, the need to improve data quality, and equity of access to ensure all staff benefit from available support.

In this Insight article, the authors describe how they adapted John Kotter's eight-step change management methodology to implement a sepsis protocol to optimise sepsis management in a health service catering to differing patient populations across multiple sites.