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Found 641 results
  1. News Article
    A protective device against coronavirus for at-risk doctors is to be provided free to the NHS. The SNAP device for ear, nose and throat surgeons was created after Burton-upon-Trent consultant Amged El-Hawrani died with COVID-19 in March. He was one of the UK's first senior medics to die with the virus, his death showing that they were at serious risk. The device clips over patients' masks to prevent the virus spreading through coughs and sneezes. It was developed by surgeons Ajith George and Chris Coulson, with the help of Aston University, who said nasendoscopy procedures - where a small flexible tube fitted with a camera is inserted into the nose - often made patients cough, splutter and sneeze. It works by clipping on to either side of a normal surgical face mask, creating a hole for an endoscope to be inserted while keeping the patient's nose and mouth completely covered. When it is removed, a one-way valve closes the hole so no virus can escape. "We were concerned about the safety of doctors but also about the risk of missed diagnoses and opportunities for treatment of patients," Mr Coulson, an ENT surgeon working at the Queen Elizabeth Hospital in Birmingham, said. "Our aim has been to produce an easy-to-use, cheap device that would allow clinicians to return to routine practice." Read full story Source: BBC News, 16 September 2020
  2. News Article
    A third of those who died with diagnosed or suspected COVID-19 in English hospitals did so at Tameside and Glossop Integrated Care Foundation Trust in the seven days to 10 September. The Greater Manchester Trust has seen a significant rise in COVID-19 deaths, from a weekly total of five on 4 September to 18 six days later. The total number of COVID-19 hospital deaths in the seven days to 10 September across England was 54. COVID-19 deaths at Tameside and Glossop had fallen to a weekly total of zero on 23 July, before beginning to climb steadily from 20 August. The last time the trust recorded 18 deaths in a seven-day period was in late April when the pandemic was still close to its first peak. The highest seven day figure recorded by the trust was 28, meaning the 10 September figure is equivalent to 64% of its peak covid-19 mortality. Nationally, hospital deaths with the virus are running at less than 1 per cent of the early-April peak. No other trust recorded more than three covid-19 deaths during the seven days to 10 September. Read full story (paywalled) Source: HSJ, 13 September 2020
  3. News Article
    A trust which accounted for one in eight of covid deaths in hospital during part of the summer has been criticised by the Care Quality Commission for its infection control. Staff did not follow social distancing rules in a staff room at East Kent Hospitals University Foundation Trust, did not always practise hand hygiene, and the trust had used incorrect PPE, the CQC said. In addition, two hourly cleans were not always carried out, soap and hand sanitiser were missing, and the emergency department at the William Harvey Hospital in Ashford did not have enough sinks for staff and visitors to wash their hands in. There was also a lack of hand hygiene guidance on display. Inspectors added that not all staff understood what needed to be done when a walk-in patient presented with covid symptoms, and the emergency department did not have an escalation plan if areas were crowded and patients could not socially distance. The CQC inspected the William Harvey Hospital on 11 August and took enforcement action after the visit. It has yet to publish the report but the initial feedback was summarised in the trust’s latest board papers, together with the trust’s response. Read full story (paywalled) Source: HSJ, 14 September 2020
  4. News Article
    Almost 86% of doctors in England say they expect a second peak of coronavirus in the next six months, according to a new survey, as concern continues to grow over a recent rise in cases. On Friday, new results from a population-based study suggested the R number for England is now at 1.7, with infections doubling every 7.7 days. While the prevalence of the disease remains lower than it was in the spring, an R value above 1 means cases could grow exponentially. Sunday marked the third day in a row that new coronaviruses cases reported for the UK topped 3,000 – the highest figures since May – with 2,837 new cases reported in England alone. While testing has increased over the past months, experts have said this does not fully explain the recent surge. In a poll, the British Medical Association (BMA) asked more than 8,000 doctors and medical students in England what their top concerns were out of five possibilities, from a second peak of coronavirus to sickness and burnout among staff and winter pressures, including a possible flu outbreak. Almost 30% of respondents selected a second peak as their number-one worry. Overall, 86% of respondents said they believed a second peak of coronavirus during the next six months is either “quite likely” or “very likely”. When asked which of a range of factors might risk causing a second peak, almost 90% of respondents agreed or strongly agreed that failures of the test-and-trace system posed a risk, while a similar proportion cited a lack of infection-control measures in places like bars and restaurants, and 86% agreed or strongly agreed confusing messaging on public health measures was a risk. Read full story Source: The Guardian, 14 September 2020
  5. News Article
    The government has written to care home providers in England to warn them of a rise in new coronavirus infections within the sector. A letter from the Department of Health urged care bosses to take "necessary action to prevent and limit outbreaks". Cases were mainly among staff but risked spreading to residents, it said. It comes as a further 3,330 positive cases were recorded in the UK - the third consecutive day in which cases have been over 3,000. It brings the total number of confirmed cases to 368,504. Friday's letter from the Department of Health and Social Care said testing data had revealed an increase in the number of positive results in care homes and called on the care sector to work with the government. "You will know already that we are experiencing a rise in confirmed Covid-19 cases across the UK population," wrote Stuart Miller, director of adult social care delivery. "I need to alert you to the first signs this rise is being reflected in care homes too." "I am writing at the earliest opportunity, so we can work in partnership to prevent further spread of the disease. The rapid flow of data and information, to and from care providers, is vital to this effort." Mr Miller said the infections had been detected chiefly among staff but had been transmitted to residents in some cases. He went on to stress "the importance of regular testing and consistent use of PPE". Read full story Source: BBC News, 14 September 2020
  6. News Article
    GP practices are being told they must make sure patients can be seen face to face when they need such appointments. NHS England is writing to all practices to make sure they are communicating the fact doctors can be seen in person if necessary, as well as virtually. It's estimated half of the 102 million appointments from March to July were by video or phone call, NHS Digital said. However, the Royal College of GPs said any implication GPs had not been doing their job properly was "an insult". NHS England said research suggested nearly two thirds of the public were happy to have a phone or video call with their doctor - but that, ahead of winter, they wanted to make sure people knew they could see their GP if needed. Nikki Kanani, medical director of primary care for NHS England, said GPs had adapted quickly in recent months to offer remote consultations and "safe face-to-face care when needed". Prof Martin Marshall, chair of the Royal College of GPs, said general practice was "open and has been throughout the pandemic", with a predominantly remote service to help stop the spread of coronavirus. He said: "The college does not want to see general practice become a totally, or even mostly, remote service post-pandemic. However, we are still in the middle of a pandemic. We need to consider infection control and limit footfall in GP surgeries - all in line with NHS England's current guidance." He said most patients had understood the changes and that clinical commissioning groups had been asked to work with GP practices where face-to-face appointments were not possible - for example, if all GPs were at a high risk from coronavirus. "Any implication that they have not been doing their job properly is an insult to GPs and their teams who have worked throughout the pandemic, continued delivering the vast majority of patient care in the NHS and face an incredibly difficult winter ahead," he said. Read full story Source: BBC News, 14 September 2020 Research from the college indicated that routine GP appointments were back to near-normal levels for this time of year, after decreasing at the height of the pandemic. "Each and every day last week an estimated third of a million appointments were delivered face to face by general practices across the country," added Prof Marshall.
  7. News Article
    Cases of coronavirus in England are doubling every seven to eight days, research has revealed in the latest figures to show a resurgence of COVID-19. The study, known as React-1, is a population surveillance study that began in May and uses swabs from about 120,000 to 160,000 randomly selected people in England across 315 local authority areas each month to track the spread of coronavirus using PCR analysis – the “have you got it now” test. “The prevalence of the virus in the population is increasing. We found evidence that it has been accelerating at the end of August and beginning of September,” said Steven Riley, professor of infectious disease dynamics at Imperial College London and a co-author of the work. The findings came as, elsewhere, the latest R figure for the UK was reported to be between 1.0 and 1.2, with the number of new infections somewhere between shrinking by 1% and growing by 3% every day. Previous rounds of the study revealed a falling prevalence of COVID-19, even as lockdown restrictions were eased: according to data for the period 19 June to 8 July, the prevalence of Covid in the general population was low, and halving every eight to nine days. However, the results from the fourth round of the survey suggest that is no longer the case. While the latest findings from the React study have yet to be peer-reviewed, researchers say out of more than 150,000 swabs collected between 22 August and 7 September, 136 tested positive for coronavirus, suggesting 13 people out of every 10,000 in the general population had COVID-19. Read full story Source: The Guardian, 11 September 2020
  8. News Article
    A framework has been developed by the Royal College of Obstetricians and Gynaecologists, Royal College of Midwives and the Society and College of Radiographers, in partnership with NHS England and NHS Improvement, to support maternity services with the local reintroduction of hospital visitors and individuals accompanying women to appointments. During the pandemic, some Trusts in England have allowed partners to attend antenatal appointments and pregnancy scans, but there has not been a consistent approach across the country, leading to frustration and confusion among pregnant women and their partners. In a recent hub blog, Jules Mckoy, a Specialist Perinatal Mental Health Midwife at University Hospital Southampton, highlighted the huge rise in pregnant women reporting feelings of anxiety because of being isolated from friends and relatives and their concerns for the safety of their baby, themselves and their families. Dr Edward Morris, President of the Royal College of Obstetricians and Gynaecologists, said: “We welcome the publication of this framework to support Trusts in England safely re-introduce measures enabling partners to attend to antenatal and postnatal appointments, including pregnancy scans. This is an important step for the health and wellbeing of pregnant women and their partners, who have understandably found it difficult not to share the experience of a pregnancy scan, attend important appointments, support women in early labour or spend time with their newborn babies on the postnatal ward." “With the re-introduction of partners in maternity settings, it’s important that anyone attending hospitals and clinics for appointments and scans wears a face covering and ensures they practice social distancing and regular hand washing. These measures are in place to keep pregnant women, partners and staff safe.” Gill Walton, Chief Executive of the Royal College of Midwives, said: “Visiting restrictions during the pandemic have been challenging for everybody, particularly for pregnant women and their families at an incredibly important and transformative time in their lives. These new guidelines are good news for them and for staff. They set out clearly the rules around visiting, providing much needed clarity about who can visit and the precautions they need to take to ensure visits can be done safely for themselves, for the people they are visiting, and for staff." “The guidance will also be welcome by maternity staff who have experienced some aggression from a small minority of visitors, unhappy and confused with varying and changing guidance.” Source: Royal College of Obstetricians and Gynaecologists, 8 September 2020
  9. News Article
    The emergence of antimicrobial resistance (AMR), including drug-resistant bacteria, or “superbugs”, pose far greater risks to human health than Covid-19, threatening to put modern medicine “back into the dark ages”, an Australian scientist has warned, ahead of a three-year study into drug-resistant bacteria in Fiji. “If you thought Covid was bad, you don’t want anti-microbial resistance,” Dr Paul De Barro, biosecurity research director at Australia’s national science agency, the CSIRO, told The Guardian. “I don’t think I’m exaggerating to say it’s the biggest human health threat, bar none. Covid is not anywhere near the potential impact of AMR. We would go back into the dark ages of health.” WHO warns overuse of antibiotics for COVID-19 will cause more deaths While AMR is an emerging public health threat across the globe, in the Pacific, where the risk of the problem is acute, drug-resistant bacteria could stretch the region’s fragile health systems beyond breaking point. An article in the BMJ Global Health journal reported there was little official health data – and low levels of public knowledge - around antimicrobial resistance in the Pacific, and that high rates of infectious disease and antibiotic prescription were driving up risks. “A challenge for Pacific island countries and territories is trying to curtail antimicrobial excess, without jeopardising antimicrobial access for those who need them,” the paper argued. Read full story Source: The Guardian, 10 September 2020
  10. News Article
    COVID-19 may have contributed to the deaths of 18 people who contracted the infection while being treated at Weston general hospital in Somerset, an investigation has found. The layout of the hospital and the proximity of staff and other patients who had Covid but were asymptomatic may have been among the reasons for the 18 people acquiring the virus. The hospital temporarily stopped accepting new patients, including into its A&E department, on Monday 25 May following a Covid outbreak among patients. It fully reopened on 18 June. As part of its investigation, University Hospitals Bristol and Weston NHS foundation trust identified 31 patients who died after contracting Covid while they were in-patients from 5-24 May. A detailed review of each of the cases was undertaken and it concluded that in 18 patients, the infection may have contributed to their death. Dr William Oldfield, the trust’s medical director, said: “We are deeply sorry for this. We are already in contact with the families of these patients and have informed them of the outcome of the review. We have apologised unreservedly and have offered them support." “For each family concerned, we will undertake an investigation into the specific circumstances that led to the death of their loved one. We will invite them to help inform the investigation to ensure that any questions they have are addressed. We recognise that other patients and families may have concerns and we would like to provide reassurance to everyone that the safety of our patients and staff continues to be our main priority.” Read full story Source: The Guardian, 10 September 2020
  11. News Article
    A London hospital hit by a COVID-19 outbreak that required 70 staff to self-isolate has been ordered to take stringent measures to control infection. Hillingdon Hospital NHS Foundation Trust declared a COVID-19 outbreak in July and revealed that 70 staff members, some of whom had tested positive, were self-isolating. Ambulances were forced to divert patients to other emergency departments. An investigation later found that a nurse who had COVID-19 unwittingly infected 16 others during a training session on 30 June, described by one doctor as a “super spreading event.” The Care Quality Commission (CQC), which carried out an unannounced inspection on 4-5 August, has used its urgent enforcement powers to place conditions on the trust’s registration to protect patients and staff. Nigel Acheson, the CQC’s deputy chief inspector of hospitals, said, “We found a number of concerns relating to infection control and this is why we have taken action to ensure the safety of patients, staff and visitors." “We have imposed urgent conditions upon the trust’s registration and expect the trust to focus on making the required improvements as a matter of priority. We will return to inspect and ensure that action has been taken and that improvements have been made and are being sustained.” The trust has been told it must ensure that staff and patients observe social distancing, must place personal protective equipment (PPE) in easily accessible places, and must make sure that staff wear PPE before going into high risk areas. Read full story Source: BMJ, 9 September 2020
  12. News Article
    A number of “unusual infections” have been discovered among patients at the Royal Aberdeen Children’s Hospital (RACH), prompting investigation by an NHS trust. NHS Grampian said they were taking a “very precautionary approach” and looking for any potential links that these infections could have to the hospital environment. These precautions include relocating some procedures, with the trust also warning that there may be delays in treatment for a small number of patients. They were keen to point out that the hospital will continue to admit and treat patients as normal whilst the investigation is ongoing. An NHS Grampian spokesman explained: “While we investigate the causes of this – and whether or not there is a link to the hospital environment – we are taking a very precautionary approach. Read full story Source: The Independent, 16 May 2021
  13. News Article
    Nearly one in five pregnant women in the UK were forced to wear a face covering during labour, according to research by a charity, despite official health guidance saying they should not be asked to do so. Women described feeling unable to breathe, having panic attacks or even being sick during labour because they were made to wear a face covering. The research was carried out by the charity Pregnant Then Screwed, who surveyed 936 women who gave birth during December. It found that 160 of those who went into labour were made to wear a face covering. This goes against current joint UK guidance, published in July 2020 by the Royal College of Midwives and the Royal College of Obstetricians and Gynaecologists. The guidance says that women should not be asked to wear a face covering of any kind during natural labour or during caesarean births because of the risk of harm and complications. Read full story Source: The Guardian, 14 May 2021
  14. News Article
    Pressure is growing on the government to change its stance on coronavirus infection rules which it is feared may leave NHS staff and patients at risk from airborne transmission. Experts told The Independent the current guidance from Public Health England (PHE), which effectively says staff working on general wards can rely on just surgical masks for protection, was “outdated and potentially misleading” and put NHS staff at risk. At the start of the pandemic the emphasis on stopping infection was focused around droplets containing the virus both in the air over short distances and on surfaces. Increasingly scientists have begun to warn the virus can also spread through much smaller aerosols which can remain airborne for a lot longer and over further distances. On Friday, the World Health Organisation updated its information on how Covid spreads to acknowledge the risk of aerosols and last month papers released by the government’s Scientific Advisory Group for Emergencies (Sage) said health workers may need to use better protection for longer. Read full story Source: The Independent, 6 May 2021
  15. News Article
    Chelsea and Westminster Hospital NHS Foundation Trust announce the successful pilot of ThermaFY Protect and the subsequent roll-out of the unique thermal screening technology across its hospitals. As part of its CW Innovation programme, run jointly with its charity CW+, the Trust approached ThermaFY at the beginning of the COVID-19 outbreak to codevelop and install automated temperature scanning stations at Chelsea and Westminster Hospital and West Middlesex University Hospital to help reduce the spread of infection. A unique project, ThermaFY Protect, was developed to provide bespoke thermal screening that combines temperature readings with staff identification. Following a successful pilot which involved six ThermaFY Protect screens being installed across the Trust’s main hospital entrances, the Trust and CW+ will now roll out the programme at all hospital entrances and off-site clinics. Amanda Pickford, Founder and Chief Executive of ThermaFY, explains: “It’s been fantastic working with the team at Chelsea and Westminster, who share our entrepreneurial vision and have acted quickly and collaboratively to improve patient and staff safety. During the first pilot, our systems scanned over 500,000 people; now the stations are a permanent feature, scanning over 8,000 patients and staff every day putting patient and staff safety at the centre.” Read full story Source: Digital Health, 27 April 2021
  16. News Article
    Three private mental health hospitals have been placed in special measures after the Care Quality Commission found concerns over infection control. John Munroe Hospital and Edith Shaw Hospital, both in Staffordshire and run by the John Munroe Group, were inspected after the CQC received several whistleblowing complaints over poor covid-19 infection control and covid deaths. A third hospital, Priory Hospital Arnold, based in Nottinghamshire, was criticised over hygiene and infection control failures after the regulator found dried blood, faeces, food and sputum on seclusion room walls. In reports published this week, the CQC revealed it had placed all three hospitals in special measures and imposed urgent enforcement action against the providers. Read full story (paywalled) Source: HSJ, 29 April 2021
  17. News Article
    The vaccination rate for staff at older care homes is below the recommended level set by scientists in more than half of England’s local authorities, analysis of NHS England data has revealed. Data as of 18 April shows that 76 out of 149 LAs had not reached the 80% vaccination threshold for care home staff to provide a minimum level of protection against COVID-19, according to the PA news agency. In 17 areas, less than 70% of staff had received a first jab. Lambeth, where 23 cases of a South African COVID variant have been recently reported in a care home, had the lowest uptake at 52.4%. The government last week announced the launch of a five-week consultation on mandatory staff vaccination as a result of the failure in some areas to reach the designated threshold. Read full story Source: Care Home Professional. 23 April 2021
  18. News Article
    A trust which was heavily criticised for poor infection prevention and control last summer has been praised for making improvements. East Kent Hospitals University Foundation Trust was served with an enforcement notice by the Care Quality Commission in August last year, citing “serious concerns” about patient safety. The trust had twice the national rate of patients infected with COVID-19 after admission to hospital. But a new report, issued today, found significant improvements, with several areas of outstanding practice. The conditions imposed on the trust after last year’s inspection of the William Harvey Hospital in Ashford were also lifted, following the visit by the CQC in early March. Cath Campbell, CQC’s head of hospital inspections in the South East, said the improvements were particularly commendable as the trust had been under extreme pressure as a result of the pandemic. She said: “Leaders adopted learnings from other trusts, and from NHS Improvement which led to the development of a detailed infection prevention and control improvement plan. The trust then set up an improvement group to focus on implementing the actions in the plan and put a committee in place to review internal audit data and led improvements based on this information. “Although there were still one or two areas for improvement which we have advised the trust to look at now, overall this is a very positive report.” Read full story (paywalled) Source: HSJ, 23 April 2021
  19. News Article
    Coronavirus death rates are twice as high in insecure jobs as in other professions, new research suggests. The TUC said workers on a contract that does not guarantee regular hours or income, such as zero-hours contracts or casual work, and those in low-paid self-employment, have been more at risk of infection. It’s thought that key workers such as those in social care and delivery driving, which cannot be done from home and require people to come into contact with others, are more insecure. The COVID-19 mortality rate among men in insecure occupations was 51 per 100,000 people aged 20-64, compared with 24 per 100,000 in more secure work, said the union organisation. The mortality rate among women in insecure jobs was 25 per 100,000 people, compared with 13 per 100,000 in more secure occupations. The TUC, which called the figures stark, said more research was needed to understand the links between precarious work and risk of infection and death. Read full story Source: The Independent, 16 April 2021
  20. News Article
    Increasingly strong evidence shows that the UK's vaccination programme is breaking the link between COVID-19 cases and deaths, scientists tracking the epidemic have said. A study found infections had fallen by roughly two-thirds since February, before beginning to level off. This is probably because people are beginning to mix more - but deaths have not followed the same pattern. This was not the case before January, when the vaccine rollout began. The research, commissioned by the government and run by Imperial College London, is based on swabs taken from 140,000 people selected to represent England's population. Of that group, who were tested for the virus between 11 and 30 March, 227 had a positive result, giving a rate of 0.2%, or one in 500 people. But in people over the age of 65, the infection rate was half that with one in 1,000 people testing positive for Covid. Read full story Source: BBC News, 8 April 2021
  21. News Article
    More than 40,600 people have been likely infected with coronavirus while being treated in hospital in England for another reason, raising concerns about the NHS’s inability to protect them. In one in five hospitals at least a fifth of all patients found to have the virus caught it while an inpatient. North Devon district hospital in Barnstaple had the highest rate of such cases among acute trusts in England at 31%. NHS England figures also reveal stark regional differences in patients’ risk of catching the virus that causes COVID-19 during their stay. Just under a fifth (19%) of those in hospital in the north-west became infected while an inpatient, almost double the 11% rate in London hospitals. Hull University teaching hospitals trust and Lancashire teaching hospitals trust had the joint second highest rate of patients – 28% – who became infected while under their care. The former has had 626 such cases while the latter has had 486. However, the big differences in hospitals’ size and the number of patients they admit mean that the rate of hospital-acquired infection is a more accurate reflection of the success of their efforts to stop transmission of the potentially lethal virus. Doctors and hospitals claim that many of the infections were caused by the NHS’s lack of beds and limitations posed by some hospitals being old, cramped and poorly ventilated, as well as health service bosses’ decision that hospitals should keep providing normal care while the second wave of Covid was unfolding, despite the potential danger to those receiving non-Covid care. “These heartbreaking figures show how patients and NHS staff have been abysmally let down by the failure to suppress the virus ahead of and during the second wave,” said Layla Moran MP, the chair of the all-party parliamentary group on coronavirus. Read full story Source: The Guardian, 26 March 2021
  22. News Article
    More Care Quality Commission (CQC) inspections will take place from next month as pressures from COVID-19 continue to ease. Board papers published ahead of a meeting on Wednesday have revealed the CQC will return to inspecting and rating NHS trusts and independent healthcare services which are rated “inadequate” or “requires improvement”, alongside those where new risks have come to light. From April, the CQC also plans to carry out well-led inspections of NHS and private mental healthcare providers, and programmes of focused inspections on the safety of maternity departments and providers’ infection prevention processes. Focused inspections into emergency departments, which the CQC began in February, will continue. Inspections into GP services rated “requires improvement” and “inadequate” will also resume in April, focusing on safety, effectiveness and leadership. Finally, the papers said the watchdog would prioritise inspections of “high-risk” independent healthcare services, such as ambulances, cosmetic surgery or where closed cultures may exist. Read full story (paywalled) Source: HSJ, 24 March 2021
  23. News Article
    Hospitals across Europe, including Britain, as well as the Middle East and Africa are scrambling to replace millions of pieces of equipment used to treat patients, as fears grow that they could cause infections after a company was discovered to have falsified sterilisation records for more than a decade. The Independent has learned the problem affects more than 230 different types of infusion lines, connectors and associated kit, along with six infusion pumps used to deliver medicine and fluids into patients’ veins. Medical devices company Becton Dickinson, or BD, has issued a recall of six of its Alaris infusion pumps as well as related tubing and kit after an investigation found a company it uses was intentionally falsifying sterilisation records, meaning BD could not be certain the tubing and pumps were free from contamination. Hospitals across the UK have been given until the end of this month to stop using the pumps and quarantine any of the affected equipment. Any NHS trusts struggling with a lack of supply have been told to seek “mutual aid” from neighbouring trusts. Public Health England told The Independent it had not identified any large scale infections linked to the IV lines but said it could not rule out smaller isolated infections. Read full story Source: The Independent, 22 March 2021
  24. News Article
    Professor Sir Ian Diamond, head of the Office for National Statistics (ONS), has said there will “no doubt” be another wave of coronavirus infections in the autumn. Speaking on Sunday, Sir Ian acknowledged the impact of the “wonderful” vaccine rollout though cautioned “we need to recognise that this is a virus that isn’t going to go away.” "And I have no doubt that in the autumn there will be a further wave of infections," he told The Andrew Marr Show on BBC One. The UK’s national statistician pointed toward regional variations in terms of how many people have antibodies. “There is a lot of regional variation, so we find 30 per cent of London have antibodies whereas only 16 per cent in the South West, so we need to recognise that as well,” he told the programme. This comes after Professor Chris Whitty, England’s chief medical officer, said he would “strongly advise” against any rapid easing of coronavirus restrictions. Read full story Source: The Independent, 14 March 2021
  25. News Article
    The pandemic has been a catalyst for innovation in the NHS and some changes will have a lasting effect, says Dr John Wright of Bradford Royal Infirmary. The Covid pandemic has transformed our hospitals. Car parks are empty, once-bustling corridors are quiet, and these days you won't see any staff making fashion statements - we're all in scrubs and masks. Dr Wright says changes made to reduce spread of infection are here to stay and will help us live with future outbreaks of Covid and other infectious diseases. But there is also much to learn from how we have adapted to non-Covid care - with drive-through PCR swabs and blood tests, for example, or the use of oximeters to monitor oxygen levels in the blood of Covid patients in their homes, providing warning if they need to be admitted to hospital. But the biggest change has been in the way hospital consultations are carried out. Before the pandemic nearly all appointments took place face-to-face. Last year probably 90% occurred via telephone or video call, and most of my colleagues at Bradford Royal Infirmary are still running remote clinics today. This is much more convenient for patients. In the past a typical consultation might have involved a half-day of travel, the search for a parking place, and then sitting in a waiting room. However, remote consultations do have their drawbacks. Patients tend to underplay their symptoms on the phone and it is easier to avoid discussing challenging issues. Life-changing diagnoses require sensitive, face-to-face communication. Another problem is that some patients struggle with technology. The main drawback, though, is that clinicians are unable to undertake physical examination remotely. Clinical histories are the yin of the consultation but physical examinations are the yang, and video consultations only provide half the picture. Read full story Source: BBC News, 15 March 2021
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