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Found 385 results
  1. Content Article
    This film from NHS England and NHS Improvement follows patients at the NHS specialist Post-Covid service at Newcastle’s Royal Victoria Infirmary, one of 90 such services that are now established across England, as part of a £200m NHS investment to support people experiencing the long term effects of Covid. Featured in the film is John, who explains how the ongoing effects of Covid have impacted on his overall health and day-to-day life. As part of his assessment, John gets a psychological and physical check-up from a multidisciplinary team of NHS professionals to help him manage his symptoms and support his recovery. Anyone who is concerned about long-lasting symptoms following Covid-19 should contact their GP, or go online to the NHS Your Covid Recovery website for further advice: https://www.yourcovidrecovery.nhs.uk/
  2. News Article
    A vaccine has been used to free a man who was trapped at home by a Covid infection that lasted for more than seven months. It is the first time that a vaccine has been used to "treat" Covid rather than "prevent" it. Ian Lester, 37, has a weakened immune system due to Wiskott-Aldrich syndrome, and was unable to defeat the virus on its own. He says he became a prisoner in his home in Caerphilly, Wales, as he isolated for months on end. He shielded during the first wave of Covid, but coronavirus eventually found him in December 2020. He had one of the classic symptoms - a slight loss of sense of taste and smell - which cleared up within a month. For most of us that would be the end of it, but Ian's Covid journey was only just beginning. His doctors wanted him to keep on testing because his weakened immune system meant there was a risk he could be contagious for longer than normal. But month after month, test after test came back positive. Ian had to give up work. Scientists and doctors were monitoring the battle between the virus and Ian's immune system at Cardiff University and at the Immunodeficiency Centre for Wales in the University Hospital of Wales. The analysis showed Ian had a long-term infection, it was not just "dead virus" being detected, and his symptoms were not long-Covid. Prof Stephen Jolles, clinical lead at the Immunodeficiency Centre, said: "This infection was burbling along, but with his [weakened] immune system it was just not enough to kick off a response sufficient to clear it. "So the vaccine really made a huge difference, in antibodies and T-cells, and utilised and squeezed every last drop out of what his immune system could do." Read full story Source: BBC News, 21 March 2022
  3. Content Article
    People with COVID-19 often have symptoms in the long term (ie, long COVID), including fatigue, breathlessness, and neurocognitive difficulties. The disease mechanisms causing long COVID are unknown, and there are no evidence-based treatment options. Clinical guidelines focus on symptom management, and various treatment options are being evaluated. The scarcity of advice has often left people with long COVID feeling isolated and frustrated in their search for therapies. Research is needed to understand the self-management practices that are being used to manage long COVID symptoms; factors influencing their uptake; and the benefits, harms, and costs. There is also a need to assess the potential harmful effects of polypharmacy and drug–drug interactions in these individuals. The Therapies for Long COVID (TLC) Study (ISRCTN15674970) will begin to explore self-management practices through a survey of people with long COVID. This study aims to be a first step towards understanding this important and under-researched public health issue. 
  4. Content Article
    Last month, Boris Johnson argued that the downward trends in Covid cases and hospitalisations meant that it was time to scrap restrictions. Now both are rising. But the government is ending testing and most surveillance studies. Sajid Javid, the health secretary, said that the rise was “to be expected” – though this foresight did not extend to having a plan to deal with the increase in infections. Instead, he dismissed the concern about the new Deltacron variant. The health secretary seemed nonchalant about the threat the virus now posed. Sajid Javid may be right that the country has weathered the worst of the pandemic, but Covid is not yet in retreat. It makes no sense to withdraw funding from a series of studies that allow the spread of the virus to be mapped in detail. Without the data, experts won’t be able to effectively monitor the disease. The country will be less effective in responding and adjusting to future waves of infection. Individuals will be less able to make informed choices about the risks involved. The clinically vulnerable face being cut off from everyday life. “It is like turning off the headlights at the first sign of dawn,” Stephen Reicher, a psychologist at the University of St Andrews, told the Guardian. “You can’t see what’s coming and you don’t know when it makes sense to turn them on again.”
  5. Content Article
    Learn more about Long Covid and common symptoms like fatigue, cognitive dysfunction, post-exertional symptoms exacerbation, and orthostatic intolerance. Produced by Long COVID Physio. Long COVID Physio is an international peer support, education and advocacy, patient-led association of physiotherapists living with Long COVID and allies working internationally across advocacy, policy, guideline development and research.
  6. News Article
    People who suffer from severe Covid-19 symptoms are more likely to have long-term mental health problems, a new study suggests. Higher rates of depression and anxiety have been found in people who were “bedridden” with Covid-19 for more than seven days last year, according to a study published in the Lancet. Scientists, drawing on data from 247,249 people across the UK, Denmark, Estonia, Iceland, Norway and Sweden, found that people with coronavirus who were not admitted to hospital were more likely to experience symptoms of depression up to 16 months after diagnosis, compared to those never infected. However, over 16 months, patients who were bedridden for seven days or more were between 50 and 60% more likely to experience higher levels of depression and anxiety compared to people never infected during the study period, the researchers found. Overall, people diagnosed with Covid-19 had a higher prevalence of depression and poorer sleep quality compared with individuals who were never diagnosed – 20% of those in the former group experienced symptoms of depression, versus 11% in the latter group. Researchers suggested patients who spent longer in bed or had higher depression or anxiety rates could be suffering from ill health due to a combination of worrying about long-term health effects and Covid symptoms persisting. Patients with severe Covid often experience inflammation, which has previously been linked to chronic mental illness, particularly depression. Read full story Source: The Independent, 15 March 2022
  7. Content Article
    Catherine Villanueva Gardner, Professor of Women’s and Gender Studies and Philosophy at the University of Massachusetts Dartmouth, looks at the material effects on women with Long Covid.
  8. Content Article
    How is the UK handling long Covid, one of the biggest health issues to emerge from the pandemic? A panel of experts brought together by The Independent discussed this and the overall message was that the UK’s response has been lacking. Chaired by Health Correspondent Rebecca Thomas and Science Correspondent Samuel Lovett, the panel included Dr Elaine Maxwell, Professor Amitava Banerjee and Professor Brendan Delaney. The session explores the UK’s response in depth from research approaches to provision for patients. Watch back a video of the full event.
  9. News Article
    Deepa Singh, 30, of Louisville, USA, has been seriously ill for two years, racked with extreme fatigue, racing heartbeat and memory problems from Long covid that she says prevent her from working. Adding to her distress, she says, has been a grueling — and so far unsuccessful — battle for disability payments. Singh, who worked as a project manager, is among a cohort of Long Covid patients who have been denied disability benefits, either by private insurance companies, which operate benefit plans offered by employers, or by the Social Security Administration, which manages government disability benefits. Tasked with sorting legitimate health claims from fraudulent or marginal ones, these gatekeepers now face a novel challenge as the coronavirus pandemic drags on: a flood of claims citing a post-infection syndrome that is poorly understood by the medical community and difficult to measure. Patients cite a litany of symptoms that defy verification through basic medical tests. They become exhausted at the merest exertion. They can’t remember simple words. Their hearts feel like they are fluttering. Yet neurological exams, ECGs and chest X-rays come back clean. Doctors said in interviews they are treating Long Covid patients who are clearly too sick to work but who have difficulty meeting the evidence threshold insurers demand: objective medical test results showing an inability to perform work. Specialized tests can measure a few Long Covid-related problems, such as a central nervous system disorder called dysautonomia, which affects the body’s ability to regulate itself. But there are months-long waiting lists for the tests, doctors and patients said. The challenges are similar to those faced for years by people claiming disabilities based on chronic fatigue syndrome. But the pandemic has given rise to such claims on a far greater scale. Read full story (paywalled) Source: The Washington Post, 8 March 2022
  10. News Article
    Catching Covid may cause changes to the brain, a study suggests. Scientists found significant differences in MRI (magnetic resonance imaging) scans before and after infection. Even after a mild infection, the overall size of the brain had shrunk slightly, with less grey matter in the parts related to smell and memory. The researchers do not know whether the changes are permanent but stressed the brain could heal. Lead author Prof Gwenaelle Douaud, from the Wellcome Centre for Integrative Neuroimaging, at the University of Oxford, said: "We were looking at essentially mild infection, so to see that we could really see some differences in their brain and how much their brain had changed compared with those who had not been infected was quite a surprise." But the researchers do not know whether the changes are reversible or truly matter for health and wellbeing. "We need to bear in mind that the brain is really plastic - by that we mean it can heal itself - so there is a really good chance that, over time, the harmful effects of infection will ease," Prof Douaud said. The most significant loss of grey matter was in the olfactory areas - but it is unclear whether the virus directly attacks this region or cells simply die off through lack of use after people with Covid lose their sense of smell. UK Biobank chief scientist Prof Naomi Allen said: "It opens up all sorts of questions that other researchers can follow up about the effect of coronavirus infection on cognitive function, on brain fog and on other areas of the brain - and to really focus research on how best to mitigate that." Read full story Source: BBC News, 8 March 2022
  11. Content Article
    In this blog, Clare Rayner, an occupational physician, describes how an international collaboration to help understand Long Covid was established by harnessing the power of technology and social media. This collective, between a group of UK doctors experiencing prolonged health problems after Covid-19 infection and a globally renowned rehabilitation clinic at Mount Sinai Hospital in New York, aims to help both patients and healthcare professionals by disseminating learning about Long Covid from both sides of the Atlantic.
  12. Content Article
    This webpage from the British Medical Association (BMA) contains analysis of NHS data and is updated monthly. It highlights the growing backlogs across the NHS and includes operations data and information on the cancer waiting list, GP referrals and A&E waiting times.
  13. Content Article
    Medical research is progressing to clarify the full range of sub-acute and long-term effects of post-COVID-19 syndrome (Long Covid), but most manuscripts published to date only analyse the effects in patients discharged from hospital, which may induce significant bias. This Spanish study in the journal Scientific Reports aimed to analyse the single and multiple associations between post-COVID-19 characteristics with up to six months of follow-up in hospitalised and non-hospitalised Covid-19 patients. Key findings include: At six months follow-up, fatigue, arthralgia, fever, breathlessness, emotional disturbance, depression, cognitive deficit, haemoglobin, total bilirubin, and ferritin are correlated with the gender of the patient Patients with previous respiratory diseases and abnormal body mass index, ex-smoker, and dyspnoea had a robust statistically significant association. Non-hospitalised patients may suffer more severe thromboembolic events and fatigue than hospitalised patients. Functional lung tests are good predictors of chest CT imaging abnormalities in elderly patients with Long Covid.
  14. Content Article
    What have we learned about the symptoms of Long COVID or Post COVID-19 condition so far? How long does it last, when should you worry, and what treatments are recommended? WHO’s Dr Janet Diaz explains in this video. Part of WHO's Science in 5 series.
  15. Event
    until
    This webinar is part of the HSJ Elective Care Recovery Virtual Series. To clear the waiting list backlog, hospitals will need to drive more elective activity within capacity and resource constraints. It demands the need to think differently and to work differently, questioning assumptions about the ‘normal’ ways of doing things. In this session we’ll explore innovative ideas, digital interventions and transformation programmes designed to free up time in elective pathways. Key topics include: Patient-initiated follow-ups Reducing outpatient appointments Pre-operative transformation / digitisation Investing in digital tools to improve efficiency in elective care pathways Register
  16. Event
    until
    In the first of the Health Services Journal (HSJ) Elective Care Recovery Virtual Series, we’ll be exploring the requirements of the Elective Recovery Plan – which was published in February - and the role that digital innovations can play in tackling long waiting lists and ensuring patients are prioritised by clinical need. We will start by hearing from Sir Jim Mackey, chief executive, Northumbria Healthcare Trust and national director for elective care recovery about the broad direction of the plan and its key asks of NHS organisations. Then we will look at the role that digital innovations can play in supporting patients and clinicians and hear from some examples where this has been put into practice. Viewers will be able to pose questions to the panellists during the discussion. Speakers include: Sir James Mackey, national director of elective recovery and chief executive, Northumbria Healthcare Foundation Trust Viki Jenkins, heart failure advanced nurse practitioner and echocardiographer, Betsi Cadwaladr University Health Board James Illman (Chair) Register
  17. Content Article
    Since the start of the pandemic, the number of people waiting for NHS treatment in England has grown to 6.1 million - the highest level since comparable records began – and is expected to rise further as those who have missed out on care come forward. In February 2022, the government published the NHS elective recovery plan which aims to increase NHS treatment capacity to 30% above pre-pandemic levels by 2024−25. However, there are many uncertainties around the future demand for care and the number of ‘missing’ patients who will eventually return to seek NHS care. This tool developed by the Institute for Fiscal Studies (IFS) allows you to simulate how waiting lists may change over the next four years under different assumptions.
  18. Content Article
    For about two decades, the U.S. healthcare system was making strides in improving patient safety, as demonstrated by the reduction of healthcare-associated infections and other complications of care. Though there was still room for improvement, the trends were certainly in the right direction. Since the Covid-19 pandemic began, however, many indicators make it clear that healthcare safety has declined. The public health emergency has put enormous stress on the health care system and disrupted many normal activities in hospitals and other facilities. Unfortunately, these stressors have caused safety problems for both patients and staff. The fact that the pandemic degraded patient safety so quickly and severely suggests that our healthcare system lacks a sufficiently resilient safety culture and infrastructure. The authors of this article in the New England Journal of Medicine believe the pandemic and the breakdown it has caused present an opportunity and an obligation to reevaluate healthcare safety with an eye toward building a more resilient health care delivery system, capable not only of achieving safer routine care but also of maintaining high safety levels in times of crisis.
  19. News Article
    Today the Government is expected to announce the end to all Covid restrictions, including ending self-isolation and free testing in the country. However, in an open letter to the UK's Chief Medical Officer and Chief Scientific Officer, the UK science and medical communities say this is a "HUGE mistake". The open letter expresses concern about the Government plans to end testing, surveillance surveys and legal isolation of Covid-19 cases and asks the Government to clarify the scientific advice underpinning these policy decisions as they do not believe there is a solid scientific basis for the policy. "It is almost certain to increase the circulation of the virus and remove the visibility of emerging variants of concern." "The emergence of new variants and a resultant wave of infections can occur very quickly, potentially within just several weeks. The ability to rapidly detect and characterise new variants and to scale up necessary responses (such as TTI and vaccinations) quickly will be very important. Considerations for future response preparedness and surveillance infrastructure should take this into account." "We believe humanity is in a race against the virus." The letter goes on to say that some form of surveillance must be continued to ensure the situation is well understood and new variants of concern identified. Lack of testing is not only detrimental to controlling the spread of SARSCoV2 and detecting new variants, it also puts people who develop Long Covid at a great disadvantage by not having a confirmation of their infection, which is integral to the diagnosis, support and care they need to receive. For the 1 in 4 people in the UK who are clinically vulnerable, the current approach appears a perilous and politicised pandemic response. The authors of the letter are asking members of the UK science and medical communities to sign the open letter. Read the letter in full and sign here
  20. Event
    until
    The UK may have now past the worse of the pandemic, but the burden of Long Covid is only going to intensify in the weeks and months ahead. Estimates suggest that well over a million people are suffering from the condition, nearly half of whom have struggled with persistent symptoms for at least a year. Many will have developed Long Covid after the recent Omicron wave, which fuelled millions of weekly infections over the Christmas period. Yet support and treatment for these individuals has been in short supply. The NHS’ dedicated long Covid clinics have struggled to cope with high demand from patients, who feel neglected and ignored by the health system. Some ‘long haulers,’ as they’re known, have come together to form support groups and have regularly petitioned the government for more help and recognition of their plight. Despite the many challenges that lie ahead, there is some hope on the horizon: scientists are starting to make progress in better understanding long Covid and closing in on some of the biggest questions surrounding the condition. To discuss all of these themes, join out expert panel hosted by The Independent's Health Correspondent Rebecca Thomas and Science Correspondent Samuel Lovett, with Dr Elaine Maxwell, Professor Amitava Banerjee and Professor Brendan Delaney. Register
  21. Content Article
    Persistent Covid-19 illness following an acute infection with SARS-CoV-2 can have both a physical and psychological impact. Pharmacists in community and primary care should be able to provide patients with appropriate advice and support to manage their symptoms.
  22. Content Article
    The #SolvingTogether platform is a place for people to post their ideas on how to recover services, redesign care delivery and address health inequalities.  #SolvingTogether invites colleagues working on elective recovery to contribute their experiences, good practices, ideas, and comments on these challenges before it is opened for contributions more widely. Once #SolvingTogether is fully live, all stakeholders will have the opportunity to contribute and engage through tweet chats and a range of connect sessions.
  23. Content Article
    This report from CIPD examines the latest evidence and the experiences of employees experiencing long COVID, and offers recommendations for organisations on how to effectively support those with long COVID to return to, and stay in, work.
  24. News Article
    The government plans to end all remaining covid restrictions in England—including the legal obligation to self-isolate—ahead of schedule later this month, the prime minister, Boris Johnson, has said. The current restrictions, including the requirement that anyone who tests positive for Covid-19 must self-isolate for at least five days, are due to expire on 24 March. But Johnson, addressing MPs during prime minister’s questions on 9 February, said that the remaining rules could end early if recent trends in the data continued. In response to the prime minister’s statement healthcare leaders said that they understood the importance of wanting to return to normal but called for a cautious approach. Chris Hopson, chief executive of NHS Providers, said, “It is important to remember that Covid-19 has not gone away. Though cases have fallen significantly in recent weeks and the NHS’s very successful booster campaign has made a massive difference to the numbers of seriously ill patients, the number of people testing positive for Covid-19 remains high by previous standards." “Any steps to de-escalate our precautionary approach—including ending requirements for self-isolation for positive tests—must be proportionate to the risks.” Matthew Taylor, chief executive of the NHS Confederation, said, “Around 40% of NHS staff absences are due to covid currently, and so removing the self-isolation requirements could bolster capacity significantly at a time when the service is committed to tackling its waiting lists—but we have to be mindful that it could also lead to higher rates of transmission, which could then lead to more admissions into hospital alongside more ill health in the community." “The government must take a cautious approach as we move onto the endemic stage of covid, be guided by the evidence, engage the NHS appropriately, and be prepared to review its decision if new threats emerge.” Read full story Source: BMJ, 9 February 2022
  25. News Article
    The government has promised to build more surgical and community diagnostic hubs in England and to give patients greater control over their healthcare provider as part of its long awaited recovery plan for elective care to reduce the NHS backlog and tackle waiting times. But the targets set out on 8 February will not be met without the staff to run the expanded services, health leaders have warned. Andrew Goddard, president of the Royal College of Physicians, said that the plan depended on the “recovery of urgent and emergency care, as the two are intimately entwined both with respect to workforce and estate.” He added, “We will also need to build on it with a full plan for recruiting enough new staff to meet patient demand and the steps we’ll take to retain existing staff, including flexible and remote working for those returning to practice." Read full story (paywalled) Source: BMJ, 8 February 2022
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