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Found 195 results
  1. News Article
    NHS staff are to be given access to testing for covid-19, the government said this morning, but it remains unclear how the policy will be applied. A Department of Health and Social Care spokesman said at lunchtime: “Our testing regime is set up to provide for those who need tests the most. This includes key workers, such as NHS staff. We will set out more details shortly.” It remains unclear how this will be applied. The announcement follows concerns from healthcare professionals they are not being tested for the virus, even if they had been exposed to infected patients. Read full story (paywalled) Source: HSJ, 17 March 2020
  2. Content Article
    In January 2020 the World Health Organization (WHO) declared the outbreak of a new coronavirus disease to be a Public Health Emergency of International Concern. WHO stated there is a high risk of the 2019 coronavirus disease (COVID-19) spreading to other countries around the world. In March 2020, WHO made the assessment that COVID-19 can be characterised as a pandemic. WHO and public health authorities around the world are acting to contain the COVID-19 outbreak. However, this time of crisis is generating stress in the population. These mental health considerations were developed by the WHO’s Department of Mental Health and Substance Use as messages targeting different groups to support for mental and psychosocial well-being during COVID-19 outbreak. 
  3. Content Article
    This short video by Gold Coast Health Australia demonstrates how to put on and take off personal protective equipment (PPE) when caring for a patient with COVID-19.
  4. Content Article
    Surrey Heartlands share their best practice for dissemination.
  5. News Article
    Frontline NHS staff are at risk of dying from Covid-19 after the protective gear requirements for health workers treating those infected were downgraded last week, doctors and nurses have warned. Hospital staff caring for the growing number of those seriously ill with the disease also fear that they could pass the infection on to other patients after catching it at work because of poor protection. Doctors who are dealing most closely with Covid-19 patients – A&E medics, anaesthetists and specialists in acute medicine and intensive care – are most worried. A doctor in an infectious diseases ward of a major UK hospital, who is treating patients with Covid-19, said: “I am terrified. I am seriously considering whether I can keep working as a doctor.” Read full story Source: The Guardian, 16 March 2020
  6. News Article
    Italy has rapidly become the country hit second hardest in the world by the coronavirus pandemic. Marta Paterlini reports in the BMJ on the front lines of a country in total lockdown. The resulting government imposed state of emergency lockdown, which started in northern Italy and has expanded to the whole country, will last until at least 3 April in an attempt to contain a contagion that has, at the time of writing, infected over 24 747 people (including at least 2026 healthcare staff) and killed 1809. The fatality rate of 7.2 is now higher than in China (3.8). Italian doctors describe a warlike scenario in hospitals, with fewer places available than there are patients in critical condition. Lombardy, the region around Milan and the most affected in the country, has around 1000 beds available for patients in need of intensive care, but they are near to saturation. Italy is experiencing a chronic shortage of healthcare workers. On 9 March the government announced a plan to add 20 000 new doctors, nurses, and hospital employees to meet demand.567 Retired doctors may be called on, as well as students who have completed their medical degree and are in the final year of specialist training. Meanwhile, medical authorities are trying to avoid quarantining doctors who have come into contact with coronavirus patients. They are encouraged to work unless they show symptoms of the infection or test positive. Specialist physicians such as gastroenterologists and cardiologists have been asked to work outside of their fields. Read full story Source: BMJ, 16 March 2020
  7. Content Article
    Coronavirus disease 2019 (COVID-19), caused by the COVID-19 virus, was first detected in Wuhan, China, in December 2019. On 30 January 2020, the WHO Director-General declared that the current outbreak constituted a public health emergency of international concern.  This document summarises WHO’s recommendations for the rational use of personal protective equipment (PPE) in healthcare and community settings, as well as during the handling of cargo; in this context, PPE includes gloves, medical masks, goggles or a face shield, and gowns, as well as for specific procedures, respirators (i.e., N95 or FFP2 standard or equivalent) and aprons. This document is intended for those who are involved in distributing and managing PPE, as well as public health authorities and individuals in healthcare and community settings, and it aims to provide information about when PPE use is most appropriate. 
  8. Content Article
    Consultant Mark Gallagher can’t understand why the NHS is not testing its staff for coronavirus. Mark, in a blog published in the Guardian, describes how he is at home with a temperature of 38 and is pretty certain he has Covid-19. But the NHS will not test him for it. Instead, he has paid for a test kit from a private UK clinic and a colleague in China is sending him another. Mark has been in and out of his London hospital every day for the last 28 in a row. In the past couple of weeks he saw maybe 70 people in outpatients.. He cannot understand why the NHS will not test him or other healthcare workers who are put at risk by their work and risk infecting other vulnerable patients in turn, as well as their families. “The policy is that I don’t need to be tested and even the people who have been in contact with me aren’t going to be tested,” he said.
  9. News Article
    The Prime Minister has said everyone in the UK should avoid "non-essential" travel and contact with others to curb coronavirus as the country's death toll hit 55. Boris Johnson said people should work from home where possible as part of a range of stringent new measures, which include: 1. Everyone of every age should avoid any non-essential social contact and travel. 2. Everyone to avoid pubs, clubs, cinemas, theatres and restaurants etc. 3. Everyone to avoid large gatherings - including sports events. 4. Everyone should work from home where possible. 5. If anyone in a house has CV19 symptoms, everyone in that house has to isolate for at least 14 days 6. Over 70s and those at risk (including pregnant women) to stay home for 12 weeks, which means no going out to shops or collect anything etc., unless there is no other option. Schools will not close for the moment. Read full story Source: BBC News, 16 March 2020
  10. News Article
    Experts have criticised NHS advice that people self-isolating with Covid-19 should take ibuprofen, saying there is plausible evidence this could aggravate the condition. The comments came after French authorities warned against taking widely used over the counter anti-inflammatory drugs. The country’s health minister, Olivier Véran, a qualified doctor and neurologist, tweeted on Saturday: “The taking of anti-inflammatories [ibuprofen, cortisone … ] could be a factor in aggravating the infection. In case of fever, take paracetamol. If you are already taking anti-inflammatory drugs, ask your doctor’s advice.” NHS guidance states that people managing Covid-19 symptoms at home should take paracetamol or ibuprofen. “I would advise against that,” said Prof Ian Jones, a virologist at the University of Reading. “There’s good scientific evidence for ibuprofen aggravating the condition or prolonging it. That recommendation needs to be updated.” Read full story Source: The Guardian, 16 March 2020
  11. Content Article
    Sam Cartwright-Hatton and Abby Dunn have put together this useful sheet with tips on how we should talk to our children about COVID-19. The Flourishing Families Clinic is a totally new innovation in the NHS, piloted by Sussex Partnership NHS Foundation Trust. It's a specialist clinic, based in adult mental health services, that supports parents seeking treatment for mild to moderate mental health difficulties.
  12. News Article
    Channel 4 News says they have seen a Public Health England document indicating that not all healthcare and other essential workers with symptoms will be tested because there simply isn’t the capacity to do so – with testing prioritised in order of clinical need. Public Health England say they won’t comment on the contents of a leaked document and it is still subject to ongoing discussions. View full story Source: Channel 4 News, 15 March 2020
  13. News Article
    The Care Quality Commission (CQC) has suspended its routine inspections due to the coronavirus outbreak following pressure from system leaders and NHS bosses. The decision to suspend inspections where there are no immediate safety concerns is understood to have been taken by the CQC’s executive team this morning, senior sources told HSJ. Both the NHS Confederation and The Royal College of GPs said the decision had been made. NHS Confederation called the move a “sigh of relief” for front-line staff, while the RCGPs said it would enable GPs to dedicate their time to providing care. NHS Confederation chief executive Niall Dickson said: “Front-line staff will breathe a sigh of relief that CQC has responded to our concerns and will now postpone its inspections where there is no immediate safety concern so that they can gear themselves up to prepare for the huge task ahead in dealing with the coronavirus pandemic.” Read full story Source: HSJ, 16 March 2020
  14. Content Article
    I am going to write a series of blogs about my situation: what I'm seeing, my thoughts and my fears on the coronavirus, personally and professionally. I am a critical care outreach nurse one day a week and for the rest of the time I work non-clinically for the charity Patient Safety Learning.  My personal situation will not be unlike many. I have worries just like you – money, job, health, kids, elderly relatives (my parents will kill me for saying that!), food… It is important to capture our stories, no matter who you are or what you do. The impact of the coronavirus is widespread. It is affecting our daily lives and our future.
  15. Content Article
    A growing number of studies have focused on 2019 novel coronavirus disease (COVID-19) since its outbreak, but few data are available on epidemiological features and transmission patterns of children with COVID-19. This study, published in Pediatrics journal, examined the epidemiological characteristics and transmission patterns of 2143 paediatric patients with COVID-19, using a retrospective analytical approach.  The authors found that children at all ages were susceptible to COVID-19, but no significant gender difference was found. Clinical manifestations of paediatric patients were generally less severe than those of adults’ patients. However, young children, particularly infants, were vulnerable to 2019-nCoV infection.
  16. Content Article
    This document outlines the infection prevention and control advice for healthcare workers involved in receiving, assessing and caring for patients who are a possible or confirmed case of COVID-19. It is based on the best evidence available from previous pandemic and interpandemic periods and focuses on the infection prevention and control aspects of this disease only, recognising that a preparedness plan will consider other counter measures. The infection prevention and control advice in this document is considered good practice in response to this COVID-19 pandemic. NB: The emerging evidence base on COVID-19 is rapidly evolving. Further updates may be made to this guidance as new detail or evidence emerges. 
  17. Content Article
    Coronavirus has plunged the world into uncertainty and the constant news about the pandemic can feel relentless. All of this is taking its toll on people's mental health, particularly those already living with conditions like anxiety and OCD. So how can we protect our mental health? This BBC article gives some useful advice.
  18. Content Article
    The rapid spread of COVID-19, and the fact that healthcare facilities could be sources of contagion, has focused attention on new models of care that avoid face-to-face contact between clinician and patient. There has been particular interest in video consultations, which are already being rolled out in many countries as part of national digital health strategies. In this Editorial in the BMJ, Trisha Greenhalgh and colleagues discuss how appropriate video consultations are for dealing with the coronavirus crisis and what are the challenges of scaling up this model at speed.
  19. Content Article
    Guidance from the Ministry of Justice and Her Majesty’s Prison and Probation Service about visiting prisons during the coronavirus outbreak.
  20. News Article
    As coronavirus spreads widely across the UK, many of those who fall sick may seek treatment at their GP's surgery. But are family doctors ready to deal with a wave of patients, prevent the spread of the disease and protect the most vulnerable? "This is a massive crisis, probably the biggest crisis the NHS has ever had to face," says Prof Martin Marshall, an east London GP who is also chair of the Royal College of General Practitioners' council. He says not enough has been done yet to prepare family doctors for the epidemic, although he adds: "We need to be a little bit understanding of the pressures that the whole system is under." As the virus circulates in the community, he says we need "urgent action" to protect healthcare workers, give them the information they need and provide technology to allow for more consultations by phone or the internet. Given the pressures the NHS will be under, Prof Marshall says it is vital that doctors and nurses are not taken out of action for seven days of isolation unnecessarily. "We're not saying that health professionals are more important than patients, we're saying that health professionals have a responsibility," he says. "We therefore need to keep them as healthy as possible and we need to get them back into the workforce as quickly as possible. So we're asking that health professionals are tested early." Read full story Source: BBC News, 16 March 2020
  21. Content Article
    The global impact of COVID-19 has been profound, and the public health threat it represents is the most serious seen in a respiratory virus since the 1918 H1N1 influenza pandemic. Ferguson et al. present the results of epidemiological modelling which has informed policymaking in the UK and other countries in recent weeks. In the absence of a COVID-19 vaccine, they assess the potential role of a number of public health measures – so-called non-pharmaceutical interventions (NPIs) – aimed at reducing contact rates in the population and thereby reducing transmission of the virus. In the results presented Imperial, apply a previously published microsimulation model to two countries: the UK (Great Britain specifically) and the US. They conclude that the effectiveness of any one intervention in isolation is likely to be limited, requiring multiple interventions to be combined to have a substantial impact on transmission. 
  22. Content Article
    The Intensive Care Society is delighted to share their wellbeing resource pack developed with Dr Julie Highfield, Clinical Psychologist. The poster series aims to improve our understanding of psychological wellbeing at work, the impact reduced wellbeing can have and what we can do in response, and includes tips for dealing with extraordinary situations such as COVID-19 and everyday working in critical care. 
  23. News Article
    Two out of five GPs have still not received any personal protective equipment (PPE) against coronavirus, a Pulse survey suggests. The poll of over 400 GPs saw 41% of respondents say they have not received any PPE, while a further 32% said they had not received enough. Just 15% of GPs said they have sufficient PPE, with the remainder unsure. This comes despite NHS England promising last week that it would ship PPE free of charge to practices. The Welsh Government made the same announcement this week, while in Scotland health boards should be distributing PPE. A GP who has received no proper equipment, Dr Kate Digby, in Cirencester, said she feels "woefully underprepared". She told Pulse: "I'm becoming increasingly concerned at the lack of resources being provided for frontline primary care". Read full story Source: Pulse, 2 March 2020
  24. Content Article
    In this blog, psychotherapist Donna Butler gives practical advice on how to keep your mental health in good shape during periods of self isolation and worrying times.  Donna is an Integrative psychotherapist, having trained at Brighton & Sussex Universities and the Institute for Arts in Therapy and Education in London, where she gained a Masters in Psychotherapy.
  25. Content Article
    This dashboard produced by Public Health England provides daily updates of all cases, recovery rates and deaths of coronavirus in the UK.
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