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Found 452 results
  1. News Article
    Despite a backlog of routine operations, NHS hospitals are being advised to delay elective surgical procedures by at least seven weeks if a patient has just had Omicron. UK experts say it is a precaution since the first couple of months following infection is a riskier period, linked to poorer post-operative recovery. In some circumstances the surgery may be urgent enough to go ahead, however. Patients should ideally have had all of their Covid vaccines too. The advice has been issued by surgery and anaesthesia experts, including two Royal Colleges representing those professions. The experts who drew up the recommendations say the desire to tackle waiting lists and backlogs must be balanced with delivering the safest care possible. The latest expert guidance on routine operations recommends: Elective surgery should not take place within 10 days of a confirmed Covid infection, mainly because the patient may be infectious which is a risk to staff and other patients. Operations that happen in the six-week period after an infection - even an asymptomatic one - carry a higher risk of serious complications for the patient, experience suggests. Dr Mike Nathanson, president of the Association of Anaesthetists, said: "The frustration felt by patients is immense and we - the healthcare professionals - want to do our jobs and provide these services when it is safe to do so and with the risks clear to all involved." Read full story Source: BBC News, 23 February 2022
  2. 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
  3. News Article
    When the coronavirus pandemic began, Emily Landon thought about her own risk only in rare quiet moments. An infectious-disease doctor at the University of Chicago Medicine, she was cramming months of work into days, preparing her institution for the virus’s arrival in the United States. But Landon had also recently developed rheumatoid arthritis—a disease in which a person’s immune system attacks their own joints—and was taking two drugs that, by suppressing said immune system, made her more vulnerable to pathogens. Normally, she’d be confident about avoiding infections, even in a hospital setting. This felt different. “We didn’t have enough tests, it was probably around us everywhere, and I’m walking around every day with insufficient antibodies and hamstrung T-cells,” she said. Two years later, Covid-19 is still all around us, everywhere, and millions of people like Landon are walking around with a compromised immune system. A significant proportion of them don’t respond to Covid vaccines, so despite being vaccinated, many are still unsure whether they’re actually protected—and some know that they aren’t. Much of the United States dropped COVID restrictions long ago; many more cities and states are now following. That means policies that protected Landon and other immunocompromised people, including mask mandates and vaccination requirements, are disappearing, while accommodations that benefited them, such as flexible working options, are being rolled back. This isn’t a small group. Close to 3% of US adults take immunosuppressive drugs, either to treat cancers or autoimmune disorders or to stop their body from rejecting transplanted organs or stem cells. That makes at least 7 million immunocompromised people. In the past, immunocompromised people lived with their higher risk of infection, but COVID represents a new threat that, for many, has further jeopardised their ability to be part of the world. From the very start of the pandemic, some commentators have floated the idea “that we can protect the vulnerable and everyone else can go on with their lives.” Seth Trueger, who is on immunosuppressants for an autoimmune complication of cancer, said. “How’s that supposed to work?” He is an emergency doctor at Northwestern Medicine; he can neither work from home nor protect himself by avoiding public spaces. “How am I supposed to provide for my family or live my life if there’s a pandemic raging?” he said. Read full story Source: The Atlantic, 16 February 2022 Further reading Read further Covid-19 blogs and stories from staff on the frontline
  4. News Article
    All tech support for flu and covid vaccinations will be switched off on Thursday after NHS England decided against extending its contract with its supplier in favour of developing an in-house system, according to HSJ. NHSE last week told suppliers System C and Graphnet it would not extend the contract for the National Immunisation Management Service – just one week before the contract ends. NIMS, provided by the two British firms in partnership with NHS South Central and West Commissioning Support Unit, has been used for the last three years to manage the vaccination programme. Its functionalities include a single data store holding vaccination records for more than 60 million people, a call and recall service that can identify and contact groups of eligible individuals according to age and clinical priority, and reporting and analysing of vaccination activity in “near real time”. NHSE informed System C it would not extend the contract last Thursday – five working days before it was due to expire, according to a message from System C to customers, seen by HSJ. In its message, System C said: “This means that all functionality, including the NIMS application programming interface links to third party booking systems, all outgoing feeds and extracts, NIMS dashboards and the point of vaccination data capture application will stop working after 31 August.” There is currently “significant usage” of the system by GPs and trusts, which means NIMS users “may need to take action to deal with the retirement of the system” – the message stated. Read full story (paywalled) Source: HSJ, 30 August 2023
  5. News Article
    US regulators this week have approved the first RSV vaccine for pregnant women so their babies will be born with protection against the respiratory infection. The Food and Drug Administration cleared Pfizer’s maternal vaccination to guard against a severe case of RSV when babies are most vulnerable – from birth through six months of age. The next step: the Centers for Disease Control and Prevention must issue recommendations for using the vaccine, named Abrysvo, during pregnancy. “Maternal vaccination is an incredible way to protect the infants,” said Dr Elizabeth Schlaudecker of Cincinnati Children’s Hospital, a researcher in Pfizer’s international study of the vaccine. If shots begin soon, “I do think we could see an impact for this RSV season.” RSV is a coldlike nuisance for most healthy people but it can be life-threatening for the very young. It inflames babies’ tiny airways so it’s hard to breathe or causes pneumonia. In the US alone, between 58,000 and 80,000 children younger than five are hospitalised each year, and several hundred die, from the respiratory syncytial virus. Read full story Source: The Guardian, 22 August 2023
  6. News Article
    Covid vaccines should be made available for people to buy privately in Britain, leading scientists have urged, amid concerns over a new wave of the virus which could worsen in autumn and winter. Unlike flu jabs, which individuals or employers can buy for about £15 from high street pharmacies, Covid jabs are only available on the NHS in the UK. This month the UK government announced that the Covid autumn booster programme would cover a smaller pool of the population than earlier vaccination drives. The age limit has been raised from 50 to 65 and above, with some younger vulnerable groups also eligible. Covid is on the rise, according to the UK Health Security Agency (UKHSA). Experts raised concerns the wave could continue to grow and add to winter pressures on the NHS. Prof Adam Finn, of the University of Bristol, a member of the UK’s Joint Committee on Vaccination and Immunisation (JCVI), said Covid jabs should be available commercially. Some employers might want to offer the vaccines to their staff, he added. Speaking in a personal capacity, Finn said: “I think it will be a good idea for vaccines to be made available to those that want them on the private market. I don’t really see any reason why that shouldn’t be happening.” Read full story Source: The Guardian, 17 August 2023
  7. News Article
    Updated Covid vaccines are expected to become available in the US next month as alarm grows over a new variant dubbed Eris. Healthcare providers are grappling with a rise in hospitalisations stemming from Covid infections. Eris or EG.5.1, a subvariant of Omicron that originally emerged in late 2021, now accounts for around 17per cent of current COVID cases, according to the CDC. Symptoms of the new variant include a runny nose, headache, fatigue, sneezing and a sore throat. In the week of 30 July to 5 August, the latest period that data is available for, hospitalisations spiked by more than 14per cent, while deaths rose 10per cent compared to the previous week. It comes as providers and pharmacies prepare to roll out an updated vaccine designed to combat Omicron — but experts are not very optimistic that the greater majority of Americans will opt to be vaccinated. Fewer than 50 million people in the US got the shot last fall, compared to 250 million, or 73 per cent of the country’s population, when the vaccine was first made available in 2021, according to the agency. Read full story Source: Independent, 16 August 2023
  8. News Article
    Medics have welcomed clarification from health officials over when the upcoming flu and Covid-19 vaccination programme will begin. NHS England had been criticised for pushing back the start date a month with pharmacists saying the change of plan would likely “catch patients off guard”. While school-aged children will be able to receive the flu shot from 1 September, adults were not expected to start getting flu and Covid jabs until October, a month later than recent years. Officials briefed that the later start time was so sites can co-administer both vaccines wherever possible, to make it more convenient, and to ensure protection in later winter months – typically when viruses are more likely to spread. But NHS England was criticised for a lack of transparency and communication, as healthcare teams had been preparing to provide the service as usual from September. NHS England said to maximise and extend protection during the winter and through the period of greatest risk in December and early January 2024, care home residents and care home staff must start receiving their jabs from 2 October, and other eligible flu and Covid cohorts from 7 October. However, in updated guidance officials said that as some firm commitments and appointments have already been made, any patient wishing to receive their vaccination in September will be allowed to do so. Most people are still likely to have their vaccines in October, officials believe. Responding to news that NHS England will, if needed, now allow practices to deliver both vaccination programmes from September rather than October, Dr Katie Bramall-Stainer, chair of GPC England at the British Medical Association (BMA), said: “This news is very welcome, coming after the BMA made clear yesterday to NHS England that shifting the entire programme at the last minute to October would not only cause widespread confusion, but also serious disruption as flu clinics would have to be rearranged to fit the new timetable." Read full story Source: inews, 11 August 2023
  9. News Article
    The Government has decided to cut the fee GPs are paid per Covid vaccination by a quarter, prompting BMA to issue a patient safety warning. NHS England has published the new enhanced service specification for Covid vaccines to be delivered between 1 September and 31 March next year, setting out that GPs will be paid £7.54 for each vaccine administered – down from £10.06 – and continue to be paid £10 for each housebound patient. The fee had already been reduced from £12.58 last year, when the BMA advised GPs to review whether they were still able to fulfil the ES commitments. The new specification said that practices with ‘sufficient workforce capacity so as not to impact the delivery of essential services and appropriately trained and experienced staff’ must indicate their willingness to participate in the programme before 5pm on 29 August. The Item of Service fee for flu remains £10.06 of each vaccine delivered, according to the new specification published last week. But the BMA said that that NHS England’s decision to reduce the Covid fee ‘undervalues general practice and threatens the safety of vulnerable patients’. Read the full article here: https://www.pulsetoday.co.uk/news/clinical-areas/respiratory/25-cut-to-covid-vaccine-ios-threat-to-patient-safety-bma-warns/
  10. News Article
    The UK’s status as a global leader on vaccination is at risk because of falling uptake rates among children and an “alarming” decline in clinical trial activity, MPs have warned. The Health and Social Care Committee said in a report that it was concerned that England did not meet the 95% target for any routine childhood immunisations in 2021-22.1 Committee chair Steve Brine MP said that new spikes in measles cases in London and the West Midlands because of low uptake of MMR vaccines should be a “massive wake-up call” for the government to take action. “Vaccination is the one of the greatest success stories when it comes to preventing infection. Unless the government tackles challenges around declining rates of childhood immunisations and implements reform on clinical trials, however, the UK’s position as a global leader on vaccination risks being lost,” he said. The Health and Social Care Committee said, “It is unacceptable that there are people who are unable to take advantage of the important protection that vaccination offers because of practical challenges of time and location that can and must be tackled.” Read full story Source: BMJ, 27 July 2023
  11. News Article
    A vaccine that promises to protect infants and the over-75s from a lung infection which adds to pressure on the NHS each winter has been backed by government advisers. Respiratory syncytial virus (RSV) is a leading cause of pneumonia in the very young and elderly. It typically causes between 22,000 and 30,000 hospital admissions of small children a year. RSV’s impact on the elderly is less well understood but important, and experts believe that an effective vaccine could significantly lessen winter pressures on the health service. After 60 years of research, vaccines for older adults from Britain’s GSK and its US rivals Pfizer and Moderna are in the final stages of development. The Joint Committee on Vaccination and Immunisation (JCVI) believes that they could be licensed this year or early next year and trial data suggest that they work well. Read full story (paywalled) Source: The Times, 23 June 2023
  12. News Article
    A malaria vaccine created by Oxford researchers “is really exciting” and could contribute towards drastically reducing the number of children who die from the infection, experts suggest. A new study reports on the effectiveness of a malaria booster vaccine which shows long-lasting high efficacy in African children, meeting the World Health Organisation (WHO) specified 75% efficacy goal. The research found that a vaccine booster dose one year after children received three doses as their primary vaccination regime maintained high efficacy against malaria. Adrian Hill, director of the Jenner Institute and Lakshmi Mittal and Family Professor of Vaccinology, University of Oxford, said: “We think these data are the best data yet. “And very importantly, this is a vaccine that we think can be manufactured and deployed, very widely.” He added that the vaccine could be produced for a few dollars a dose, and together with existing measures, like mosquito nets and sprays, could help save children’s lives. Read full story Source: The Independent, 8 September 2022
  13. News Article
    The decision to reduce the number of children who are offered Covid jabs has prompted outcry from parent groups and academics. The UK Health Security Agency (UKHSA) said children who had not turned 5 by the end of last month would not be offered a vaccination, in line with advice published by the UK’s Joint Committee on Vaccination and Immunisation (JCVI) in February 2022. UKHSA said the offer of Covid jabs to healthy 5 to 11-year-olds was always meant to be temporary. UKHSA’s Green Book, which provides information on the vaccine rollout for public health professionals, states: “This one-off programme applies to those aged 5 to 11 years, including those who turn 5 years of age before the end of August 2022". “Subject to further clarification, on-going eligibility in 2022/23, after the one off-programme, is expected to be for children in the academic years where children are aged 11 or 12 years.” However, Prof Christina Pagel, of University College London, criticised the move. “JCVI itself considered there to be a benefit to young children to be vaccinated – even if most of them had already been infected,” she said. “There is also the additional benefit to children of providing additional protection from developing long Covid, missing school during the acute illness and reducing transmission to household members, other children and teachers.” Pagel said that at least one serious Covid wave was expected later this year, but that many children about to start school would now have to wait six years for vaccination, with likely relatively frequent infections in that time. “When we know there is a safe and effective vaccine available this seems unjustifiable to me,” said Pagel, adding that – while rare – children had died from Covid. Read full story Source: The Guardian, 6 September 2022
  14. News Article
    Millions of people will be invited for their autumn Covid booster jab in England and Scotland, with care home residents the first to receive them. Although infections are falling, health bosses are predicting a resurgence of Covid and flu this autumn and winter. They are urging those eligible to protect themselves from serious illness by getting vaccines against both. A recently approved vaccine against the Omicron variant will be used first. However, there is not enough of Moderna's "bivalent" vaccine to protect everyone aged over 50 so health officials say people should take whichever booster they are offered. These will be the vaccines used in the spring. The UK's Medicines and Healthcare products Regulatory Agency (MHRA) announced on Saturday that it had approved a second "bivalent" coronavirus vaccine from Pfizer/BioNTech for people aged 12 and over. Read full story Source: BBC News, 4 September 2022
  15. News Article
    Covid vaccination advice in pregnancy has not changed, contrary to false social media posts, UK health agencies have clarified. Inaccurate messages shared by thousands claimed that pregnant or breastfeeding women were now recommended not to take the vaccine. In fact, the NHS says the vaccine is both safe and strongly recommended for this group. The misleading claim came from a now out-of-date document from 2020. The document went viral after a Twitter user - whose account has since been suspended - shared a post stating incorrectly that the UK government had, "quietly remove[d] approval for use of Covid vax in pregnant and breastfeeding women". She linked to a report from December 2020 which said, "reassurance of safe use of the vaccine in pregnant women cannot be provided at the present time", because of an absence of data and that, "women who are breastfeeding should also not be vaccinated". This was true at the time, but since then data has been gathered finding no link between the vaccine and problems in pregnancy or birth. In fact, the Covid vaccine seems to reduce the risk of still-birth and pre-term delivery. And unvaccinated pregnant women are more likely to need hospital treatment if they catch Covid, especially in the third trimester. This evidence led to the recommendation being changed - so the statement found in this report no longer stands. Read full story Source: BBC News, 1 September 2022
  16. News Article
    Britain faces a low uptake of the Covid booster jab this autumn amid “vaccine fatigue” and complacency about the virus, the new Pfizer boss has warned. The booster campaign starts next week, with care home residents and the housebound the first to be invited. Over-75s and the clinically vulnerable will be able to book appointments from September 12, with a wider rollout for over-50s taking place in phases. Roughly 26 million in England will be eligible. Susan Rienow, who was appointed UK managing director at Pfizer in February, said: “We have to remain vigilant. I recognise there may be some vaccine fatigue in the population. But making sure that people are boosting their immunity, so that we can prevent people from being hospitalised, is going to be really important.” Read full story (paywalled) Source: The Times (28 August 2022)
  17. News Article
    The Biden administration plans to offer the next generation of coronavirus booster shots to Americans 12 and older soon after Labor Day, a campaign that federal officials hope will reduce deaths from Covid-19 and protect against an expected winter surge. Dr. Peter Marks, the top vaccine regulator for the Food and Drug Administration, said in an interview on Tuesday that while he could not discuss timing, his team was close to authorizing updated doses that would target the versions of the virus now circulating. Even though those formulations have not been tested in humans, he said, the agency has “extremely good” data showing that the shots are safe and will be effective. “How confident am I?” he said. “I’m extremely confident.” Read full story Source: The New York Times (23 August 2022)
  18. News Article
    At the beginning of this year, there was a thrum of excitement among global health experts: Eradication of polio, a centuries-old foe that has paralyzed legions of children around the globe, seemed tantalizingly close. But there were several ominous setbacks. Malawi in February announced its first case in 30 years, a 3-year-old girl who became paralyzed following infection with a virus that appeared to be from Pakistan. Pakistan itself went on to report 14 cases, eight of them in a single month this spring. In March, Israel reported its first case since 1988. Then, in June, British authorities declared an “incident of national concern” when they discovered the virus in sewage. By the time New York City detected the virus in wastewater last week, polio eradication seemed as elusive as ever. “It’s a poignant and stark reminder that polio-free countries are not really polio-risk free,” said Dr. Ananda Bandyopadhyay, deputy director for polio at the Bill & Melinda Gates Foundation, the largest supporter of polio eradication efforts. The virus is always “a plane ride away,” he added. Read full story (paywalled) Source: The New York Times (18 August 2022)
  19. News Article
    Vaccine coverage continued to decline worldwide in 2021, with 25 million children missing out on lifesaving vaccines, according to data published by the World Health Organization and UNICEF. "The largest sustained decline in childhood vaccinations in approximately 30 years has been recorded," the organisations have said. Between 2019 and 2021, there was a 5-point drop in the percentage of children who got three doses of DTP3, the vaccine against diphtheria, tetanus and pertussis. This took the coverage down to 81%. DTP3 coverage is used as a marker for broader immunization coverage, WHO and UNICEF said. "As a result, 25 million children missed out on one or more doses of DTP through routine immunization services in 2021 alone. This is 2 million more than those who missed out in 2020 and 6 million more than in 2019, highlighting the growing number of children at risk from devastating but preventable diseases," they said. Eighteen million of these children didn't get a single dose of the vaccine, the majority of whom lived in low- and middle-income countries. Other decreases were seen in HPV, with which over a quarter of the coverage achieved in 2019 was lost, and measles, with which first-dose coverage dropped to 81% in 2021. WHO notes that this is the lowest level since 2008 and means 24.7 million children missed their first dose in 2021. Read full story Source: CNN, 14 July 2022
  20. News Article
    The UK has become the first country to approve a dual vaccine which tackles both the original Covid virus and the newer Omicron variant. Ministers say the vaccine will now form part of the autumn booster campaign. Moderna thinks 13 million doses of its new vaccine will be available this year, but 26 million people are eligible for some form of booster. Health officials say people should take whichever booster they are offered as all jabs provide protection. Moderna's latest vaccine - called Spikevax - targets both the original strain and the first Omicron variant (BA.1), which emerged last winter. It is known as a bivalent vaccine as it takes aim at two forms of Covid. The UK's Medicines and Healthcare Products Regulatory Agency has considered the evidence and given the vaccine approval for use in adults. Dr June Raine, the regulator's chief executive, said: "What this bivalent vaccine gives us is a sharpened tool in our armoury to help protect us against this disease as the virus continues to evolve." Read full story Source: BBC News, 16 August 2022
  21. News Article
    All children aged one to nine and living in Greater London will be offered a polio vaccine after the virus was detected in sewage. The virus, which can cause paralysis, has been found 116 times in London's wastewater since February. The urgent immunisation campaign will see nearly a million children offered the vaccine - including those already up to date with their jabs. Parents and carers will be contacted by their GP within the next month. Polio is seen as a disease of the past in the UK after the whole of Europe was declared polio-free in 2003. Dr Vanessa Saliba, a consultant epidemiologist at UKHSA, said: "All children aged one to nine years in London need to have a dose of polio vaccine now - whether it's an extra booster dose or just to catch up with their routine vaccinations." She said the risk for the majority of the population who are vaccinated remains "low" but said it was "vital" parents ensure their children are fully vaccinated. Read full story Source: BBC News, 10 August 2022
  22. News Article
    A health official in New York State has told the BBC there could be hundreds or even thousands of undiagnosed cases of polio there. It follows an announcement last month that an unvaccinated man had been paralysed by the virus in Rockland County, New York. His case has been linked genetically to traces of polio virus found in sewage in London and Jerusalem. Developed countries have been warned to boost vaccination rates. Dr Patricia Schnabel Ruppert, health commissioner for Rockland County, said she was worried about polio circulating in her state undetected. "There isn't just one case of polio if you see a paralytic case. The incidence of paralytic polio is less than 1%," she said. "Most cases are asymptomatic or mildly symptomatic, and those symptoms are often missed. So there are hundreds, perhaps even thousands of cases that have occurred in order for us to see a paralytic case." "This is a very serious issue for our global world - it's not just about New York. We all need to make sure all our populations are properly vaccinated," she said. Read full story Source: BBC News, 9 August 2022
  23. News Article
    Sexual health charities and LGBT groups are calling for the government to step up efforts to control the monkeypox outbreak in the UK. In an open letter to Health Secretary Steven Barclay, they say that without a quicker and wider vaccine rollout, the virus could become "endemic". There have been more than 2,600 cases of monkeypox in the UK so far, mostly among men who have sex with men. The Department of Health & Social Care (DHSC) says it is working "rapidly" to vaccinate those at risk. The Terrence Higgins Trust, which co-wrote the letter, says the rollout needs to be speeded up across the UK to help combat "fear and anxiety" within the LGBT community. Trust head of policy Ceri Smith told BBC News: "We need to see far better co-ordination, increased vaccine procurement, improved delivery and a cash injection to sexual health services to treat monkeypox." The letter reads: "Without urgent action, we risk monkeypox becoming endemic in the UK. This poses a serious risk to health and will exacerbate the health inequalities already experienced by gay and bisexual men and other men who have sex with men. "Vaccinating those most at risk of monkeypox must be a priority if we are to stand a chance of preventing the virus from becoming endemic in the UK." Read full story Source: BBC News, 5 August 2022
  24. News Article
    More than 100,000 doses of the monkeypox vaccine have been acquired in order to combat the spread of the virus, the government has said. Last month the NHS stepped up its monkeypox vaccination programme in England as infections rose. Vaccines minister Maggie Throup said the majority of vaccines were being made available in London, with about 75% of confirmed cases in the capital. But she urged people to wait to be invited to receive their jabs. While anyone can get monkeypox, the majority of those with the virus are gay, bisexual and other men who have sex with men. The latest figures show that nationally there have been 2,436 confirmed cases, with 1,778 of those in London. Read full story Source: BBC News, 3 August 2022
  25. News Article
    NHS leaders have sometimes been “shouting into the void” about their fears of the health service being overwhelmed by Covid because of the absence of a single national command centre for the pandemic response, a new report argues. The Tony Blair Institute for Global Change has published a report which recommends short and long term actions for dealing with Covid and future health emergencies. It says the government should have previously, and should now, set up “a national centre for response” to have overriding national responsibility for managing Covid and future crises. The government should also shift away from traditional methods of communication, to instead listen to “communities… beliefs and fears” about Covid, and adjust messages to respond to these. The report has been authored by the institute’s head of health Henry Dowlen, who was seconded to work on several pandemic projects such as a setting up a Nightingale Hospital and coordinating regional and national response work. He said that if government did not change course then the NHS, along with other services and parts of society, would remain in a “vicious cycle” of operational problems. Read full story (paywalled) Source: HSJ, 20 July 2022
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