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Found 287 results
  1. News Article
    Gowns for front-line staff were not included in the national pandemic stockpile of personal protective equipment, procurement chiefs have been told. Trust procurement leads have raised concerns over dwindling gown supplies. Health Care Supply Association chief officer Alan Hoskins tweeted he could not order the products through NHS Supply Chain, even after escalating the matter to NHS England. Mr Hoskins’ tweet on Sunday, which has since been deleted, said: “What a day, no gowns NHS Supply Chain. Rang every number escalated to NHS England, just got message back — no stock, can’t help, can send you a PPE pack. Losing the will to live, god help us all.” Read full story (paywalled) Source: HSJ, 30 March 2020
  2. News Article
    Hundreds of healthcare professionals in Zimbabwe have refused to work without protective equipment, beginning strike action in a standoff with the government as the nation begins to see its first impacts of coronavirus. With the risk of an outbreak increasing day by day, industry chiefs in the country have warned doctors face inadequate supplies of gloves, masks and gowns. The president of the Zimbabwe Hospital Doctors Association, Tawanda Zvakada, said doctors would return to the frontlines of the battle against the virus when adequate protection was provided. "Right now we are exposed and no one seems to care," he said, adding that doctors have inadequate stocks of gloves, masks and gowns. Read full story Source: Independent, 26 March 2020
  3. News Article
    GPs are demanding "urgent clarification" from the government on whether they should now wear protective equipment to examine all patients. Family doctors now wear it if they see a patient with suspected coronavirus. But the Royal College of General Practitioners (RCGP) has written to Health Secretary Matt Hancock to ask if GPs should wear it for all face-to-face consultations. It says patients with the virus but no symptoms could still infect staff. The BBC understands GPs in some surgeries have decided to wear personal protective equipment (PPE) for all face-to-face consultations, but this is not currently recommended by Public Health England. In the letter, Prof Martin Marshall, chairman of the RCGP, wrote: "GPs across the country have never been more concerned, not just for the safety of themselves and their teams, but for patients too. They are unsure as to whether they have enough supplies [of PPE], either now, or as the crisis deepens". "They are not confident that the current guidance provides the necessary clarity about whether GPs are using the right type of equipment, at the right times," he said. Read full story Source: BBC News, 26 March 2020
  4. News Article
    Protection for staff, clean covid-negative wards, and enforcing social isolation are the three take home messages from Italy’s fight against COVID-19, according to rapid findings shared exclusively with HSJ. By 6 March 2020, Italy had recorded 4,636 cases and 197 deaths attributable to COVID-19. On 20 March, two weeks later, the UK announced 3,983 cases and 177 deaths due to the novel coronavirus. Models put us two weeks behind Italy and on the same trajectory. PanSurg.org, an international collaborative created at Imperial College London, organised a series of webinars to rapidly share experiences and learning around the pandemic amongst the global healthcare community. Nearly 1,000 healthcare professionals from around the world took part in these events, and several important messages emerged. 1) Protect your staff: full PPE (including, FFP3 masks) for COVID-19 suspected or COVID-19 positive areas. This is both for them and to keep your workforce numbers intact. 2) Treat everyone as if they could haveCOVID-19, as they may do and “fear the covid negative ward”. 3) Enforce social isolation and contact tracing and place a significant focus on testing. Read full story (paywalled) Source: HSJ, 25 March 2020
  5. News Article
    If there is a public inquiry over the handling of the coronavirus, the provision of personal protective equipment (PPE) to front-line staff could be a major theme. The government has been put under major pressure by staff over the past four days because of delays to the delivery of vital equipment. This left them at risk as they dealt with a flood of covid-19 cases described as “all-consuming” by one hospital chief executive (while another major trust declared a critical incident). The last two weeks have prompted a mammoth effort from local and national procurement teams to make sure clinicians have the PPE they need. But, sadly, the bigger picture was what the Health Care Supply Association called a “system” failure (although it did not blame staff). Numerous trusts, some of them very large, have turned to alternative suppliers to source this vital kit, in some cases spending hundreds of thousands of pounds. The situation has apparently been so dire in recent days that, over the weekend, the HCSA asked DIY shops to donate their PPE to local trusts. Read full story (paywalled) Source: HSJ, 24 March 2020
  6. News Article
    The government has bought 3.5 million coronavirus antibody tests — with more widespread testing of NHS workers coming “online soon”, the health secretary has said. Matt Hancock also told a press conference this evening that a new testing facility had been opened in Milton Keynes as the government aims to “ramp up” the number of antibody tests — which will determine whether people have had the virus and can therefore return to work. Mr Hancock also said the government had shipped 7.5 million pieces of personal protective equipment over the last 24 hours, following major shortages, and confirmed the conversion of east London’s Excel centre into a huge temporary hospital facility, with between 500 to 4,000 beds. Read full story Source: HSJ, 24 March 2020
  7. News Article
    A GP has criticised the practice of giving doctors surgical masks with expiry dates that have passed. Dr Kate Jack said doctors felt "like cannon fodder" after discovering the paper masks had expired in 2016. A box delivered to her Nottingham surgery had a 2021 label placed over the original date of 2016. The Department of Health and Social Care (DHSC) said equipment underwent "stringent tests" and was given a "new shelf-life" where appropriate. "I don't feel protected at the moment," said Dr Jack, a GP of 22 years. "They are really not designed for prevention of infection and are practically useless." Read full story Source: BBC News, 25 March 2020
  8. News Article
    Lack of staff testing, workforce shortages and running out of personal protective equipment (PPE)are the three biggest concerns for trusts fighting the coronavirus outbreak, according to an HSJ chief executive survey conducted over the last 36 hours. Thirteen of the 34 trust chief executives who responded to the snap survey, who were from trusts across England, also warned they would run out of intensive care capacity by next week as the number of coronavirus cases continue to rise. The survey also revealed some trusts were already being forced to dilute safe staffing ratios and ration facilities. One chief warned: “We are preserving ventilation capacity by ensuring that only those who may survive are considered.” However, the majority of respondents were supportive of system leaders’ guidance so far. Several respondents praised the “impressive pace and detail of the advice." The three biggest areas of concern raised by the chiefs surveyed were: Lack of staff testing, raised by 26 of the 34 respondents (77%); Staff shortages, raised by 26 of the 34 respondents (77%); and PPE shortages, raised by 23 of the 34 respondents (68%. Read full story Source: HSJ, 24 March 2020
  9. News Article
    UK doctors fighting coronavirus still say they don't have personal protective equipment (PPE). Jon Snow spoke to Dr Jenny Vaughan, a leading member of the Doctors’ Association who have written to the government to demand better personal protective equipment for medical staff. He asked her whether the PPE equipment promised by the government was starting to reach the medical staff on the frontline, and what kinds of problems medical personnel had been encountering. Watch news story Source: Channel 4 News, 23 March 2020
  10. News Article
    A leading NHS doctor has warned frontline medical staff dealing with Britain’s coronavirus outbreak feel like “cannon fodder” and "lambs to the slaughter". Dr Rinesh Parmar, chairman of the Doctor's Association UK, is battling the disease on an intensive care ward at a city hospital in Birmingham. The Anaesthetic Registrar begged Boris Johnson to provide better Personal Protective Equipment (PPE), describing the current crisis the "calm before the storm" Doctors and nurses fear a lack of masks, gloves, aprons and protective suits is putting them at risk as they care for patients diagnosed with Covid-19. Speaking after a night shift on the ward, Dr Parmar told The BBC's Andrew Marr Show: "We have had doctors tell us they feel like lambs to the slaughter, that they feel like cannon fodder. GPs tell us that they feel absolutely abandoned." Read full story Source: The Sun, 23 March 2020
  11. News Article
    The health secretary has acknowledged there have been "challenges" with the supply of personal protective equipment to NHS staff in England - but added he is determined to rise to them. Last week, NHS staff said the lack of protective gear was putting them at risk during the coronavirus outbreak. Matt Hancock said a million face masks had been bought over the weekend and he was taking the issue "very seriously". From this week, the Army will play a part in helping to distribute supplies. "I am determined to ensure that the right kit gets to the right hospital, the right ambulance service, the right doctors' surgery, right across the country," said Mr Hancock. "There have been challenges and I can see that. We're on it and trying to solve all the problems." Read full story Source: BBC News, 23 March 2020
  12. Content Article
    This guidance from the Department of Health and Social Care (DHSC) outlines infection prevention and control (IPC) principles for adult social care settings in England, to be used with guidance on managing specific infections. It applies from 4 April 2022. This should be read in conjunction with DHSC's Covid-19 supplement to the infection prevention and control resource for adult social care.
  13. Content Article
    This guidance from the Department of Health and Social Care (DHSC) should be used to help reduce the spread of Covid-19 in adult social care settings. It applies from 4 April 2022 and should be read in conjunction with: the infection prevention and control (IPC) resource for adult social care, which should be used as a basis for any infection prevention and control response the adult social care testing guidance, which details the testing regimes for all staff, as well as any resident and outbreak testing where applicable.
  14. Content Article
    This blog provides an overview of a roundtable webinar organised by the European Biosafety Network (EBN), which focused on the need to prevent exposure to hazardous medicinal products (HMPs) and other substances. It was chaired by Gitta Vanpeborgh, Belgian Federal Deputy, and included attendees from across Europe.
  15. Content Article
    This blog summarises investigations about Covid-19 and its impact on the healthcare system carried out by the Healthcare Safety Investigation Branch (HSIB). It highlights learning from five HSIB reports: COVID-19 transmission in hospitals: management of the risk – a prospective safety investigation Early warning scores to detect deterioration in COVID-19 inpatients Oxygen issues during the COVID-19 pandemic Treating COVID-19 patients using continuous positive airway pressure (CPAP) Personal protective equipment (PPE): care workers delivering homecare during the COVID-19 response
  16. Content Article
    Up-to-date registers of clinically vulnerable patients must be created to ensure that those who are most at risk during Covid-19 and any future pandemics are protected and can access the support they need, a report from the All-Party Parliamentary Group (APPG) on Vulnerable Groups to Pandemics has recommended. The report considered vulnerable people’s experiences during the pandemic and makes 16 recommendations on what the government and the health service can do better to plan and prioritise extremely vulnerable patients during further Covid-19 outbreaks and future pandemics.
  17. Content Article
    A letter to the Chair of the Commons Health and Social Care Select Committee expressing concern that written evidence provided to the Committee's “Coronavirus: Lessons Learned to Date" inquiry was not properly considered and opportunities to protect healthcare workers from disease were missed.
  18. Content Article
    Evidence submitted outlining the issues relating to the protection of health and care workers. It explains how surgical masks are not 'protective' against airborne disease and represent a breach of COSHH Regulations.
  19. Content Article
    Letter outlining potential legal non-compliance by persons involved in issuing Infection Prevention and Control Guidance.
  20. Content Article
    This blog for the British Medical Association (BMA) by Tim Tomkin looks at growing frustration among doctors that the national guidelines concerning the use of respirators in Covid-19 infection control are still not robust enough, and do not fulfil legal health and safety obligations. He highlights examples of trusts that have led the way in implementing robust personal protective equipment (PPE) policies to protect staff, and research that demonstrates that the use of FFP3 masks reduces infection rates in staff on Covid-19 wards. He calls for more to be done to provide adequate PPE for staff across the health service, including GPs.
  21. Content Article
    This animation by the Rockefeller Foundation explains how the 'Swiss Cheese' model can be applied to containing the spread of COVID-19. Combining different methods of infection control such as wearing face masks, social distancing and vaccination, creates a more solid and resilient barrier to transmission.
  22. Content Article
    This report by The Queen Elizabeth Hospital King's Lynn NHS Foundation Trust identifies successes and areas for improvement in the Trust's response to the COVID-19 pandemic. The pandemic resulted in rapid and large-scale changes to ways of working and this report recognises that staff were largely responsive and adaptable to these changes in challenging circumstances. The report looks at learning and recommendations from: the Duty of Candour exercise carried out for patients who contracted COVID-19 in hospital the Trust's clinical teams.  
  23. Content Article
    This pre-print study looks at the impact of using FFP3 Personal Protective Equipment on a Covid-19 ward. Authors estimated a 37% reduction in staff sick days when immunity (infection and vaccination) were factored in.
  24. Content Article
    COVID-19 has highlighted concerns around shortages of personal protective equipment (PPE). Authors of this BMJ Opinion piece argue that in our healthcare system, where 77% of staff are women, PPE does not protect female staff as well as their males colleagues. 
  25. Content Article
    The purpose of wearing a type II fluid resistant surgical mask (FRSM) during surgical and invasive procedures is to minimise the transmission of pathogens in the nose, mouth and throat of staff to patients. They also protect staff from splash or spray of blood/body fluids onto their respiratory mucosa (nose and mouth). A wide range of FFP3 respirators have been used as protection by staff across healthcare settings during the COVID-19 pandemic, including FFP3 respirators with and without exhalation valves. The exhalation valves do not filter exhaled breath, even when of a ‘shrouded’ type. Current infection control guidance states that: “Valved respirators should not be worn by a healthcare worker/operator when sterility directly over the surgical field is required, eg in theatres/surgical settings or when undertaking a sterile procedure”. Powered hoods (also known as powered air purifying respirators or PAPRs) have been provided as respiratory protective equipment (RPE) for staff unable to achieve a tight fit with an FFP3 respirator(s). The air exiting PAPR hoods is not filtered. Incident reports received since March 2020 identified five incidents describing dripping of condensation from the exhalation valve of an FFP3 respirator, potentially compromising the sterile field; one cerebral abscess involving an oral bacterium linked to the use of a valved FFP3 respirator during brain surgery; and three cases of endocarditis linked to PAPR use during cardiac surgery. These incident reports and feedback from services suggest that the risks of valved respirators and PAPRs for surgical and invasive procedures is not well recognised, and that their use may have become routine in some theatre environments.
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