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Found 2,344 results
  1. Content Article
    From early on in the COVID-19 pandemic, the Maternal Mental Health Alliance (MMHA) and Centre for Mental Health were concerned about the increased mental health challenges that women during and after pregnancy were likely facing as a result of the pandemic and government-imposed restrictions introduced to tackle it. Thanks to Comic Relief ‘Covid Recovery’ funding, the MMHA commissioned the Centre to explore just how much of a challenge the pandemic has placed on perinatal mental health and the services that support women, their partners, and families during this time. This report draws together all of the available data collected during the pandemic for the first time.
  2. Content Article
    To safeguard patient safety and the wellbeing of healthcare staff, a realistic approach to tackling the backlog of non-COVID care is needed. NHS and public health services have been running ‘hot’ for a prolonged period of time and an overstretched and exhausted workforce must now be given time to rest and recuperate as they meet the challenges ahead. If staff are being pushed too hard to restore routine care in an unrealistic timeframe and without suitable resources, the likelihood is that we will see a workforce squeeze due to a combination of increasingly high staff absence rates and staff reducing their hours or leaving the workforce altogether. This would make it harder for health services to get back on track and provide timely and safe care to patients who need it.
  3. News Article
    Care home workers in England could be legally required to have a COVID-19 vaccination under plans being considered by the government. According to details of a paper submitted to the COVID-19 operations cabinet subcommittee last week and leaked to the Telegraph, the prime minister, Boris Johnson, and the health secretary, Matt Hancock, have agreed to the proposal in order to protect vulnerable residents. The move would prove highly controversial and could result in legal challenges. The cabinet subcommittee paper warned a large number of social care workers may quit if the change is made, and said that lawsuits on human rights grounds could be possible. A government spokesman insisted “no final decisions have been made” but did not rule out jabs being made compulsory for care workers. The government is also reviewing the introduction of vaccination passports. Read full story Source: The Guardian, 22 March 2021
  4. Content Article
    This leaflet offers guidance for workers from Occupational Health Professionals on how to manage getting back to work after COVID-19 infection and Long COVID. 
  5. Content Article
    Government guidance on the changes to care home visits.
  6. News Article
    Some of the country’s most clinically vulnerable people have yet to receive the coronavirus vaccination, Guardian analysis shows. Ministers had said all clinically extremely vulnerable adults would be offered a vaccination by 15 February, but more than a month later some people who are housebound because of health problems have yet to be offered a jab they can actually access. People whose disability or age means that they are unable to get to one of the mass vaccine centres around the country were meant to be visited by a “mobile health worker” at home, similar to that offered to care home residents. However, while government figures suggest that nearly nine in 10 people who are clinically extremely vulnerable have received a first dose, a number who are housebound are missing out, with some being expected to travel miles to a vaccine centre. Kim Liddell, 49, from Cheshire, is housebound because of the nerve condition cauda equina syndrome, and is still waiting for a home visit. “I’ve spoken to my GP practice and all I have been told is they are in the process of setting up clinics,” she said. “The worst part of this is my father died from Covid three weeks ago. And I am at massive risk as my son, who lives with me, is a teacher, doesn’t drive [and has gone] back to face-to-face teaching. I’m absolutely petrified. Read full story Source: The Guardian, 21 March 2021
  7. Content Article
    The purpose of this guide from NHS Education for Scotland is to help people working in the health and social care ecosystem capture valuable practice and improvements made during their response to COVID-19. The aim is to contribute to organisational change at a policy, strategic and operational level. If left too late, there is a real danger that positive change is not documented and will be lost as the health system emerges from the pandemic. 
  8. Content Article
    COVID-19 presents many challenges to healthcare systems internationally, none more so than the significant reporting among healthcare workers (HCWs) of occupational fatigue and burnout or Long COVID related symptoms. Consensus on the extent of HCW fatigue during the pandemic remains largely unknown, as levels of Long COVID related fatigue in HCWs appears to be on the rise. What is known is that, among current levels, impacts of fatigue on HCW well-being and performance is likely. Developing strategies to mitigate fatigue are the responsibilities of all healthcare system stakeholders. Leadership that goes beyond organisational efforts of mitigating fatigue through mandated working hour limits alone are needed. 
  9. Content Article
    New research by the Health Foundation shows that the amount of hospital care received by those living in care homes in England rapidly declined in the first three months of the pandemic in 2020 and was substantially lower than in the same period in 2019.   The research, which is due to be peer reviewed, provides the first comprehensive and national analysis of all hospital care provided to care home residents during the first wave of the pandemic. It appears to substantiate concerns that care home residents (including those in nursing homes and residential care) may have faced barriers to accessing hospital treatment as the NHS rapidly reorganised to free up hospital capacity to care for critically ill COVID-19 patients. 
  10. Content Article
    At the recent Future of Hospitals event from Health Plus Care Online, Helen Hughes (CEO, Patient Safety Learning) Jenny Davidson (Director of Governance, King Edward VII’s Hospital) and Natasha Swinscoe (CEO, West of England AHSN) discuss some of the key current patient safety issues, challenges, and opportunities in the context the pandemic and beyond. They explore how the healthcare system has responded to COVID-19, reflecting on emerging innovations and new patient safety challenges. They consider the long-term impact of the pandemic on patient safety and on non-COVID-19 care and support.
  11. News Article
    There is no evidence the AstraZeneca Covid vaccine causes blood clots, say UK and EU regulators after a "thorough and careful review". The MHRA and the EMA say people can have confidence in the vaccine's benefits and should get immunised, despite some countries pausing use. But anyone with a headache lasting more than four days after vaccination should seek medical advice, as a precaution. The same advice applies if someone develops unusual bruising. That is because the regulators have received a very small number of reports of an extremely rare form of blood clot occurring in the brain. It is this type of clot that triggered some European countries to pause rollout of the Oxford-AstraZeneca vaccine. In the UK, five cases of cerebral sinus vein thrombosis (CSVT), among 11 million people who have received the vaccine, occurred in men aged between 19 and 59. One of these was fatal. The EMA has received an additional 13 reports of CSVT. CSVT can occur naturally and no link to the vaccine has been established. The patients also had low blood platelet counts - cells involved with clotting. Covid infection can make clots more likely. Dr June Raine, chief executive of the MHRA, said regulators would continue to closely monitor the situation and people should have the vaccine when it is their turn: "The public can have every confidence in the thoroughness of our review." Read full story Source: BBC News, 18 March 2021
  12. News Article
    The NHS should start off the next financial year focusing on staff recovery and postpone ratcheting up elective recovery efforts and other long-term priorities until the second quarter, senior figures have warned. One trust chief executive said if there is an expectation from the centre that “April is the start point [for elective recovery], that will cause a massive problem”. It comes with the government and NHS England still apparently locked in negotiation over NHS funding for the financial year from 1 April, and deciding what the NHS will be asked to deliver. The CEO said: “It’s hard to think that 1 April signals a new year for the NHS. [There needs to be] a gradual decompression of our staff over the next three months as the country opens up. “If the planning guidance gets announced in the next couple of weeks with an expectation that April is the start point, that will cause a massive problem. Staff have not recovered, the vaccine programme is still ongoing, [and] there are still covid patients in all of our beds.” Read full story (paywalled) Source: HSJ, 18 March 2021
  13. News Article
    Hospital bosses are bracing themselves for a clash with ministers over how quickly they can clear the backlog of NHS care that built up during the pandemic. They are warning that it will take “years” to treat all those whose care was cancelled because Covid disrupted so many hospital services, particularly surgery and diagnostic tests. Staff shortages, exhaustion among frontline personnel after tackling the pandemic and their need to have a break mean that progress will be slower than the government expects, NHS trust chiefs say. “We can’t say with certainty how long it will take to tackle the backlog of planned operations because we don’t really know how big that backlog will end up being,” said Chris Hopson, the chief executive of NHS Providers. “The NHS will obviously go as fast as it can, as we always do. But it’s already apparent that clearing the entire backlog will take years rather than months.” Read full story Source: The Guardian, 18 March 2021
  14. News Article
    Blanket orders not to resuscitate some care home residents at the start of the Covid pandemic have been identified in a report by England’s care regulator. A report published by the Care Quality Commission (CQC) found disturbing variations in people’s experiences of do not attempt cardiopulmonary resuscitation (DNACPR) decisions during the pandemic. Best practice is for proper discussions to be held with the person involved and/or their relatives. While examples of good practice were identified, some people were not properly involved in decisions or were unaware that such an important decision about their care had been made. Poor record-keeping, and a lack of oversight and scrutiny of the decisions being made, was identified. The report, 'Protect, respect, connect – decisions about living and dying well during Covid-19', calls for a ministerial oversight group – working with partners in health and social care, local government and the voluntary sector – to take responsibility for delivering improvements in this area. The report surveyed a range of individuals and organisations, including care providers and members of the public, and identified: Serious concerns about breaches of some individuals’ human rights. Significant increase in DNACPRs put in place in care homes at the beginning of the pandemic, from 16,876 to 26,555. 119 adult social care providers felt they had been subjected to blanket DNACPR decisions since the start of the pandemic. A GP sent DNACPR letters to care homes asking them to put blanket DNACPRs in place. In one care home a blanket DNACPR was applied to everyone over 80 with dementia. Read full story Source: The Guardian. 18 March 2021
  15. News Article
    More than 3.7 million vulnerable people in England will no longer have to shield from the coronavirus from 1 April. It comes as the numbers of COVID-19 cases and hospital admissions have declined for the past couple of weeks. Letters will be sent out to this group in the next two weeks. In them, people will still be advised to keep social contacts at low levels, work from home where possible and stay at a distance from other people. Since 5 January, they have been asked to stay at home as much as possible to reduce their risk of being exposed to the virus. But at a Downing Street press conference, Health Secretary Matt Hancock confirmed shielding guidance, which had been extended to 31 March for all those who are clinically extremely vulnerable, would end on 1 April. England's deputy chief medical officer Dr Jenny Harries recommended the change based on the latest scientific evidence and advice. Read full story Source: BBC News, 17 March 2021
  16. Event
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    While the pandemic didn’t cause all the shifts happening in healthcare, it had a major hand in accelerating and shaping the changes that will alter the healthcare landscape far into the future. Join Fierce Healthcare as we examine the tectonic transformation across healthcare. We’ll explore changing consumer expectations in access to care, the moves by major tech players and providers to reach their customers and strategies for actually paying for everything. Register
  17. News Article
    The COVID-19 Bereaved Families for Justice group has told Downing Street it wants a statutory public inquiry led by a senior judge to “determine a definitive, official, evidence-based narrative of what did and did not happen, independent of political influence” during the pandemic. The group considers it potentially cathartic and wants the families’ grief heard. Frontline health workers also want a wide-ranging inquiry to provide a platform for their experiences, while minority ethnic leaders believe an inquiry can only determine what went wrong if wider societal inequalities relating to work, health and housing are investigated. But while there is no dissent about the need for an inquiry, others fear this remit might be too broad – and fear lessons have to be learned now so the UK can properly protect itself from any future health emergency. Sir John Bell, the regius professor of medicine at Oxford University, and Lord O’Donnell, head of the civil service under Tony Blair, Gordon Brown and David Cameron, want a different model more narrowly focused on determining future actions. Ultimately the decision will be for Boris Johnson, who has significant latitude to set the terms and scope of any inquiry, including selection of its chair. Read full story Source: The Guardian, 16 March 2021
  18. News Article
    People in prisons are at an increased risk of COVID-19, with a death rate more than three times higher than that of the general population, and should be made a vaccine priority, according to public health experts. There were 118 deaths related to COVID-19 among people in prisons in England and Wales between March 2020 and February 2021, representing a risk of dying more than three times higher than that of people of the same age and sex outside secure environments, the research team at University College London (UCL) found. The higher rate of death comes despite extensive physical distancing measures, including prisons keeping many inmates in their cells for 23 hours a day. The lead author of the study, Dr Isobel Braithwaite of UCL Institute of Health Informatics, said: “Our findings show that people in prisons are at a much higher risk of dying from COVID-19 than the general population, and we make the case that both they and prison staff should be given high priority in the rollout of vaccines." “We believe the current methods of regime restriction are not enough to protect people adequately, and a systematic, ‘whole-prison’ approach to vaccination is key to preventing further outbreaks and reducing overall deaths in prisons.” The Ministry of Justice challenged the authors’ work, however, arguing it failed to adjust for worse health among the prison population than the community and movements of prisoners in and out of prison. Read full story Source: The Guardian, 16 March 2021
  19. Content Article
    CQC review of ‘do not attempt cardiopulmonary resuscitation’ decisions during the coronavirus (COVID-19) pandemic.
  20. Content Article
    This report brings together an elected group of experts from across international organisations, G20 Governments, the global health community and civil society to address the challenges that patients and health workers have faced and are currently facing amidst the COVID-19 pandemic. It demonstrates how the safety of patients and health workers is inexorably linked to all global health challenges, including infectious and non-communicable diseases.
  21. Content Article
    From infection control to maintaining safe staffing levels, the COVID-19 pandemic has helped to highlight the intrinsic link between patient safety and staff safety. At the recent Future of Hospitals event from Health Plus Care Online, Helen Hughes, Patient Safety Learning's CEO, Timothy Clark, Founder & CEO of Leader Factor, and Claire Cox, Guys and St Thomas' Hospital, explore this further, considering how ensuring staff safety supports making improvements to patient safety. They consider the essential role that creating a psychologically safe workplace plays in enabling staff to speak up and effectively tackle incidents of unsafe care.
  22. News Article
    Pregnant women and new mothers are three times as likely to suffer from poor mental health in the wake of the coronavirus pandemic, according to a new study. The report, carried out by a coalition of leading maternal mental health organisations, suggested before that the public health crisis up to 20% of women developed a mental illness during pregnancy or within the first year after having a baby. But in lockdown, 6 in 10 mothers had substantial concerns around their mental health, according to researchers who polled more than 5,000 pregnant women and parents. The study warned women were more likely to suffer from anxiety, depression, loneliness and suicidal thoughts during the COVID-19 crisis. The Maternal Mental Health Alliance is one of the organisations behind the research. Luciana Berger, a former Labour MP who is now chair of the group, said: “Today’s report should serve as an ear-splitting warning siren about the dangers to women’s maternal mental health and potential risks to the wellbeing of their babies." Read full story Source: The Independent, 16 March 2021
  23. News Article
    A group of 47 cancer charities says that without urgent action, the UK's cancer death rate will rise for the first time in decades. NHS figures suggest tens of thousands fewer people started cancer treatment since the first lockdown compared to normal times. One Cancer Voice says that the NHS needs more resources. The government says cancer treatment remains a top priority and urges people to see their GP if they have symptoms. Radio 1 Newsbeat has spoken exclusively to One Cancer Voice about the impact of coronavirus on cancer care. The group of charities wants to see more staff available to diagnose and treat cancer, with greater NHS access to private facilities in order to "clear the backlog". "We are calling on the government to invest more money in ensuring the backlog of cancer cases is reduced and eliminated," says Michelle Mitchell, the boss of Cancer Research UK, which heads up One Cancer Voice. "We could face, in this country today, the prospect of cancer survival reducing for the first time in decades. That's why urgent action is required by the government." Read full story Source: BBC News, 16 March 2021
  24. Content Article
    An organisational culture that seeks to assign blame when things go wrong makes patient harm more likely to happen again. At the recent Future of Hospitals event from Health Plus Care Online, Helen Hughes, Patient Safety Learning's CEO, speaks with Dr Duncan Bootland, Medical Director at Air Ambulance Kent Surrey Sussex (AAKSS), who was recently rated as outstanding by the Care Quality Commission across all five of its inspection key lines of enquiry. In this recording of the session, Helen and Duncan talk about the safety culture synergy of healthcare and aviation and how behaviour impacts on safety, considering the values-based approach being championed by AAKSS.
  25. Event
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    Perspectum has launched the first study to map how COVID-19 impacts the health of multiple organs and identify at-risk features for the virus, with detailed cross-sectional imaging and genetic studies. This study is on the National Institute for Health Research (NIHR) Portfolio. Join COVERSCAN for the next live Q&A webinar. Any questions you'd like answered, send to: Perspectum.Communications@perspectum.com Register for study participant Q&A
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