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In this paper we will discuss the current tensions that exist between UK anti-discrimination legislation and the professional and statutory regulatory bodies (PSRBs) that govern registration of health and social care practitioners in the United Kingdom. The tensions arise from aspirations for a work force that reflects the wider community and the need to safeguard patient safety. We present an overview of the relevant legislation and the requirements of the main health and social care professional statutory and regulating bodies, whose overall aim is safeguarding the general public. Four individual case studies, which have drawn on qualitative and quantitative data to explore some of the ensuing challenges and seek resolutions, are discussed and their outcomes synthesised to make recommendations. Conducting research with disabled participants requires specific considerations; we reflect on these in this paper and discuss our experiential learning.

Background: Measurement tools are increasingly used to quantify impairments in mobility and muscle strength of patients in the intensive care unit (ICU), yet little evidence exists to support the relationship between measurement tools and discharge destination. Objective: The aim of this study is to investigate whether a relationship between the Perme ICU Mobility Score (Perme Score) and the Medical Research Council Sum Score (MRC-SS) exists between either of these 2 measurement tools and discharge destination for patients in the ICU. Design: The Perme Score and the MRC-SS were performed on patients during the initial physical therapy (PT) evaluation in 5 different ICUs. Data were analyzed to determine whether a relationship exists between either of these scores and discharge destination. Methods: Data were collected on 250 patients in 5 ICUs during the initial PT evaluation. Results: Patients in the ICU with a higher Perme Score or MRC-SS at the time of PT evaluation were discharged home whereas those with lower scores required postacute care placement. Conclusion: The results from this study demonstrate the potential use of the Perme Score or the MRC-SS as standardized measurement tools to assist physical therapists in providing discharge recommendations in the ICU.

specialty certification examination. This CHPN Ò Certification Review Course provides a review of the content areas based upon the Hospice and Palliative Credentialing Center (HPCC) detailed test content outline. The educational content may also be used to increase the hospice and palliative nurse's knowledge of palliative nursing. Our HPNA faculty are national subject matter experts with career experience in hospice/palliative care and certified by the Hospice and Palliative Credentialing Center in the specialty of Hospice and Palliative Care. Attendees of this session will require the following adjuvant materials: Core Curriculum for the Hospice and Palliative Registered Nurse, 4th edition (order online from the HPNA Shop) and the Hospice and Palliative Credentialing Center CHPN Candidate Handbook (download and print for free at http://hpcc. advancingexpertcare.org/competence/rn-chpn/). The participants do not need to have access to these materials during the live review course.