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Shetland visit celebrates and supports community nursing

QNIS Chief Executive and Nurse Director, Sarah Doyle, and Professional Nurse Lead, Emma Legge, visited Shetland last week to meet with community nurses and midwives, and present Long Service Awards. The visit highlighted the unique challenges and inspiring commitment of healthcare staff working across Shetland’s remote island communities.

A small harbour with calm blue water under a clear sky. In the foreground, a dock holds fishing vessels and equipment, including cranes and nets, with a few parked cars along the quay. A ferry approaches the pier from the water, facing toward the dock. Across the water, low rolling hills dotted with scattered houses stretch along the shoreline.

During their visit, Sarah and Emma were warmly welcomed by Chief Nurse Kim Anderson and Keri Ratter, Child Health Nurse Manager and Queen’s Nurse, who supported the organisation of the visit. Sarah and Emma delivered taster sessions on Relational Care and Queen’s Nurse leadership and presented QNIS Long Service Awards to practitioners who have dedicated more than 21 years to community nursing and midwifery.

The visit provided an opportunity to learn more about healthcare delivery in Shetland, where services are spread across the mainland and numerous islands, including Fair Isle, Unst, Yell, Fetlar, Bressay, Foula, Whalsay, Burra, Tondra, Papa Stour, Muckle Roe and the Out Skerries. Nurses and midwives shared powerful insights into the rewards and challenges of working there, where extreme weather and remote settings add complexity to care delivery.

Sarah and Emma heard first-hand accounts of practitioners supporting people to remain at home wherever possible, while also managing complex response and retrieval arrangements when clinical conditions deteriorate.

Reflecting on the visit, Sarah Doyle said: “As a charity we aim to support community nurses and midwives across the whole of Scotland and it’s important to us that we connect with all the different regions and try to understand their working environments. Shetland is a very special place.”

Emma Legge also reflected on the experience: “It was a highlight of the year to meet community nurses and midwives working on Shetland; the examples of person-centred care, creativity and resourcefulness we heard about was inspiring, I learned a great deal.

Nurses and midwives generously shared accounts of what it's like to deliver community care on Shetland; how they pivot to the challenges and embrace the joys of island living. The trip was inspiring from start to finish - I understand what draws people to these islands.”

The visit also included a special moment connecting past and present generations of community nursing. Sarah and Emma were joined by Nora Peterson, a former district nurse in Shetland who trained with QNIS in Edinburgh. Nora attended alongside her friend Gillian, also a district nurse, whose aunt completed Queen’s Nurse training in 1937 — highlighting a remarkable professional heritage spanning almost 90 years.

The visit reinforced QNIS’ commitment to supporting nurses and midwives in all parts of Scotland and celebrating the vital role they play in sustaining communities.

A group of 15 adults stand together in a warmly lit indoor room, smiling at the camera. Many are holding certificates with a large “Q” logo on the front. The group is arranged in two rows, dressed in casual to smart-casual clothing. The space has carpeted flooring, soft overhead lighting, and wooden wall panels, suggesting a meeting or event setting. Three people stand side by side indoors, smiling at the camera. The room has warm lighting, wooden ceiling beams, and an orange-toned wall with a framed painting of a boat behind them. One person wears glasses and a blue tartan sash, another has long blonde hair and a patterned top, and the third wears a lanyard over a dark patterned dress.

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