Standards for the nursing management of cystic fibrosis, 2nd Edition ARE LIVE!

Caroline Whitton • March 15, 2025

Years in the making.....the standards are now LIVE!

Cystic fibrosis nurse specialists provide care for people with cystic fibrosis throughout their lives as part of the CF multidisciplinary team. Nursing is a partnership between people with CF, their families/carers, and nurses. The role of the CF CNS includes advocacy, clinical management, education, support and advice, and research.

The CF CNSs are my first point of contact. I feel I can discuss anything with them about my CF care. The CF CNS is a crucial conduit to all the other healthcare professionals at a hospital/clinic. The CF CNSs are key to maintaining my health; I am grateful for the care of the CF CNS, keeping me as well as possible.

– Peter, who has CF

Why are the new guidelines important?

The original guidelines were published over 20 years ago. Not only have medical advancements since then led to changes in treatment, but nursing care itself has also evolved to focus on promoting person-centred care. The new guidelines reflect these changes and assist CF specialist nurses (and CF teams) in navigating the multiple, complex challenges of CF care. They also recognise the evolving role of the CF specialist nurse and offer guidance and support for advanced nursing roles.

Who wrote the new guidelines?

A working group comprising both paediatric and adult CF nursing professionals from the UK and Ireland (Cystic Fibrosis Nursing Association, CFNA) conducted a comprehensive appraisal of the 2001 guidelines and created a revised document. The group wanted to ensure the voices of people with CF were heard throughout the document. Using methods of co-production, they sought feedback from the CF community about the role of the CF specialist nurse, and this feedback is included throughout the document. The draft guidelines were circulated to expert clinicians and patient/parent representatives from Cystic Fibrosis Trust’s Clinical Advisory Group (CAG) and were developed with support from Cystic Fibrosis Trust.

What’s in the guidelines?

The new guidelines reflect modern advancements in treatment and the role of the CF specialist nurse in CF care. New sections include:

  • infection prevention and control
  • advanced practice, including non-medical prescribing
  • transplant
  • adherence/concordance
  • non-invasive ventilation
  • family planning, pregnancy, perimenopause, and menopause
  • lifestyle
  • research
  • safeguarding
  • shared care.

The guidelines reinforce how the CF specialist nurse is pivotal to the care experience of people with CF and aim to support them in delivering the highest standard of care throughout the lives of people with CF.


Standards for the nursing management of cystic fibrosis
By Caroline Whitton April 14, 2026
As I handover the role of Chair of the CFNA knowing what a fantastic leader Sally Basford will be I reflect on my time as chair with pride and joy. After Sally asked me to come back to the committee in a non-comital role post COVID I somehow found myself in the chair position shortly after. I completely blame Sally for this, so it is only right she is now chair! It’s been an amazing three and half years kicked off with the rebrand and development of the website thanks to Amperative (calling in help from Sally’s brother Tim for IT know how). My time as chair has seen the Kaftrio, then Alyftrek NICE technology appraisals; development of the NHS England GIRFT Toolkit; 3 ECFS abstracts/posters (one coming soon); contribution to CF Trust documents; the annual study day x 3; the introduction of the supervision programme, and, the one with the biggest sense of achievement, the standards for the nursing management of cystic fibrosis. All of which has been possible thanks to the dedication and hard work of the committee members. During my time in the role the opportunity to be involved in national work and the personal development that came alongside this enabled me to further my career and successfully transition to CF Nurse Consultant. For this I will be forever grateful. But the committee isn’t just about the work, it’s about so much more. It’s about the people, the support and the friendships. I have gained more from this lovely group of humans than they will ever realise, and I will miss being part of that team. As I step away, I look forward to some time to dedicate to other projects. Many of you know I love the heparin topic and I am pleased to announce my systematic review was (FINALLY) published ( A Comparison of the Effectiveness of Using Heparinised Saline versus 0.9% Sodium Chloride to Prevent Central Venous Catheter Occlusion in People with a Totally Implantable Venous Access Device (TIVAD’s): A Systematic Review ). You may also hear more from me about the flu vaccine project, as well as improving communication with primary care providers. I would like to once again take this opportunity to thank the committee for all they have done, and continue to do, but also to thank each and every one of you! The CFNA is a unique and amazing group to be a part of, full of passionate, caring and supportive people. I look forward to seeing it continue to grow and develop with Sally and team at the helm! Caroline
By Caroline Whitton April 4, 2026
Join us for a day of learning and networking at the Nowgen Centre, Manchester
By Caroline Whitton February 26, 2026
Nowgen Centre Nowgen Building, 29 Grafton Street, Manchester, M13 9WU  1st of October 2026
By Caroline Whitton December 23, 2025
Wishing all our CFNA members a very Merry Christmas and a Happy New Year!
By Caroline Whitton July 1, 2025
It was fantastic to see so many fellow CF nurses at ECFS in Milan. There was a great variety of posters by CF nurses including our very own CFNA poster designed and produced with Alison Taylor, The Cystic Fibrosis Trust. Congratulations again to Lindsay Houilhan, Cystic Fibrosis Clinical Nurse Specialist, Great Ormand Street (picture below), who won our ECFS registration draw.
By Caroline Whitton June 20, 2025
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By Caroline Whitton January 9, 2025
Royal Air Force Club, London 23rd of October 2025
January 9, 2025
Cystic Fibrosis Trust are bringing back their free one-day conference for CF multidisciplinary team members and others involved in CF care and treatment. The event on 20 March 2025 at the Birmingham Conference and Events Centre will focus on the future of CF care, bringing together professionals working in CF for a mix of plenary and panel sessions, as well as engaging, clinically-led workshops. Find out more and register at www.cysticfibrosis.org.uk/about-us/conferences-and-meetings/MDT-2025
By Caroline Whitton December 21, 2024
Wishing all our CFNA members a very Merry Christmas and a Happy New Year!
By Caroline Whitton December 21, 2024
Congratulations to CFNA member Cystic Fibrosis Nurse, South Warwickshire University NHS Foundation Trust who WON the Outstanding CF Paediatric Care Award. Yasmin said 'I love my job as I get to work with amazing children and parents. I also work with a really supportive and encouraging team. So this award is for them too.' Alongside Yasmin, Mark Butler and Jacqueline Francis were also nominated for their amazing work. It is fantastic to see CFNA members flying the flag for nurses and being recognised for the care they provide. You can watch the awards and read more here- Meet the finalists in our 60th Anniversary Awards