Brian Smith is Senior Lecturer and Senior Solstice Fellow, Edge Hill College of Higher Education, Ormskirk, UK. Paul J. Rawling is Senior Lecturer, Faculty of Health, Edge Hill College of Higher Education, Ormskirk, UK. Paul Wicker is Head of Perioperative Studies, Faculty of Health, Edge Hill College of Higher Education, Ormskirk, UK. Chris Jones is Senior Lecturer in Continuing Professional Development and Solstice Fellow, Edge Hill College of Higher Education, Ormskirk, UK.