There is limited information on the risks and healthcare requirements of patients with cystic fibrosis (CF) undertaking travel abroad. Of 100 patients (mean age 24.7 years, mean FEV 57.3 %predicted) attending a UK adult CF Centre, 96% had travelled abroad but 14% now limited travel on medical advice. They travelled frequently and widely, often undertaking adventurous activities on holidays, but because of the costs involved, 18% travelled without travel insurance and 23% with insurance which did not cover CF. Of those who had ever had an illness abroad 10% had a CF-related illness (7 chest infection, 2 dehydration, 1 pancreatitis) and 12% a non-CF-related illness (4 sunburn, 3 gastroenteritis, 3 ear infection, 1 fall, 1 gastro-oesophageal reflux). There is a wide range of disease severity and assessment of the medical risks and the travel insurance premium to be charged should be based on the individual's health status rather than generically on the basis of a diagnosis of CF.

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We are delighted to bring you volume 54, issue 3 for the Journal of the Association of Chartered Physiotherapists in Respiratory care. The volume starts with Stefania Spiliopoulou who reports on an observational evaluation of intensive care rehabilitation outcomes in COVID-19 compared to other respiratory viruses. King et al then presents a single centre, retrospective valuation on the rapid adoption of the ICS/FICM guidance for prone positioning in adult critical care with mechanically ventilated patients. The third article is by Mansell et al and is an evaluation of observational outcomes of patients with COVID-19 who received a tracheostomy during the first pandemic surge. Bass et al then present a randomised controlled trail to investigate if an online exercise platform is an acceptable tool to promote exercise participation in adults with cystic fibrosis. Following this, Banks et al report on a service evaluation on home monitoring and self-management for adult patients with cystic fibrosis during the COVID-19 pandemic. Tom Walker reports on an evaluation on the attendance and completion of cardiac rehabilitation following heart transplantation, and Drover et al report on their findings from a survey exploring the incidence of chest infection in wind musicians. As part of the Therapies in Critical Care Workforce Project, Twose et al present a scoping review on the role and staffing in critical care. The volume also includes a further output from the ACPRC editorial board, led by Dr. Una Jones. The editorial board is tasked with leading the scoping, commissioning, co-ordination, and delivery of all new ACPRC guidance documents and resources and in this publication, Cork et al present a scoping review on airway clearance techniques for the intubated adult. The final article is a systematic review and thematic synthesis protocol on life after critical illness by King et al. As always, we hope that you enjoy reading this issue of the ACPRC journal, and that you are inspired to write up and submit your work. We have now made a change to the submission process, with two submission windows per year closing on the 1st April and 1st November followed by two publications per year. Submission guidelines are available on the ACPRC website www.acprc.org.uk and are due to undergo some updates, so please review them prior to submitting to the journal. Please remember that we also provide members with support through the Research Champion and as editors we are very happy to discuss any potential article ideas with you too.