The professional courtesy title "sister" has-been fallen into disuse and disapproval, even though it was formerly used by both male and female registered general nurses. The title "nurse" was used when addressing enrolled nurses. The term "matron" is inadvisable.

In increase to this, there are two levels of nurse: first-level nurses trained for three or four years (RGN, RMN, RSCN, RNMH, RNchild, RNadult, RNmental health, RN Learning Disability) whereas second-level nurses are the state enrolled nurses (SENs) who trained for Nursing Degree two years. The SEN training bum been phased out, with bountiful SENs retiring or converting to constant odd through further study.