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Found 2,339 results
  1. News Article
    Boris Johnson has been forced to shift strategy on the government’s testing regime for coronavirus after criticism of the slow pace of checks being carried out on frontline NHS staff. Private laboratories are now being drafted in to do the tests where before these were being performed through a centralised process. The prime minister accepted last night that mass testing was the way out of the crisis and said in a tweet that it would “eventually unlock the puzzle of coronavirus”. Read full story (paywalled) Source: The Times, 2 April 2020
  2. News Article
    A father has described the "huge impact" of losing respite care for his young daughter who has complex special needs. Tim Clarke and his wife Ana look after their six-year-old daughter Molly at home in Worcester. The family normally receives a few hours of outside care and educational help a week, but that ended with the coronavirus pandemic. Molly has been diagnosed with autism and also has medical issues including a cyst on her brain. One charity worker from the Pathological Demand Avoidance (PDA) Society, a condition which is on the autism spectrum, described parents of children with special needs as being in "survival mode". Watch video Source: BBC News, 1 April 2020
  3. News Article
    The procurement of digital tools to support online primary care services during the coronavirus outbreak are to be fast-tracked for providers who don’t have the resources. In a letter sent to primary care providers and commissioners, GP surgeries were told to move to a triage-first model of care as soon as possible as the NHS bolsters its response to COVID-19. The letter, sent by medical director for primary care, Nikita Kanani, and director of primary care strategy and NHS contracts, Ed Waller, states practices and commissioners should promote online consultation services where they are in place or “rapidly procure” them. “Rapid procurement for those practices that do not currently have an online consultation solution will be supported through a national bundled procurement,” wrote in the letter. Read full story Source: Digital Health, 30 March 2020
  4. News Article
    Doctors have been reminded not to prioritise coronavirus patients at the expense of others in new ethical guidance backed by royal colleges. There are increasing concerns that patients are not getting treatment for serious problems, including strokes or heart attacks, because they are afraid to go to hospitals. The guidelines were drawn up by the Royal College of Physicians (RCP) amid worries that a shortage of ventilators and beds could force doctors to make difficult decisions on which patients get lifesaving treatment. Read full story (paywalled) Source: The Times, 2 April 2020
  5. News Article
    Stable coronavirus patients could be taken off ventilators in favour of those more likely to survive, it emerged on Wednesday, as another sharp rise in deaths left the UK braced for the outbreak to reach up to 1,000 deaths a day by the end of the week. In a stark new document issued by the British Medical Association (BMA), doctors set out guidelines to ration care if the NHS becomes overwhelmed with new cases as the outbreak moves towards its peak. Under the proposals, designed to provide doctors with ethical guidance on how to decide who should get life-saving care when resources are overstretched, hospitals would have to impose severe limits on who is put on a ventilator. Large numbers of patients could be denied care, with those facing a poor prognosis losing the potentially life-saving equipment even if their condition is improving. The BMA suggested that younger, healthier people could be given priority over older people and that those with an underlying illness may not get treatment that could save them, with healthier patients given priority instead. Read full story Source: The Guardian, 1 April 2020
  6. News Article
    A major hospital trust has told staff they should attend work even if a household member is showing covid-19 symptoms, contrary to national guidance. Newcastle Upon Tyne Hospitals Foundation Trust’s occupational health department has told staff who had reported having family members with covid-19 symptoms they were still expected to attend work. In the email exchanges seen by HSJ, some as recently as a couple of days ago, the trust’s occupational health department was clear there was an NUTH policy agreement with Public Health England. Read full story Source: HSJ, 1 April 2020
  7. News Article
    Healthcare professionals have been told to consider not treating patients with the COVID-19 coronavirus if they themselves would be put at risk, part of new ethical guidance that calls on doctors to prioritise some ailments over the pandemic. The new recommendations for healthcare professionals over 70 years, or with pre-existing conditions, to put themselves first when tackling the pandemic comes following the death of a doctor who returned to the frontlines as a volunteer following a call to arms from the government. The guidance from the Royal College of Physicians (RCP) makes up part of a sweeping list of ethical considerations faced by healthcare workers in the face of the global pandemic. Read full story Source: The Independent, 2 April 2020
  8. News Article
    Hospitals should allow parents to be with children who are being treated for the coronavirus, NHS England has confirmed, after a 13-year-old boy died without any family members beside him. Under its national guidance to hospitals, parents are considered essential visitors, but hospitals do have discretion to suspend visitors if it is “considered appropriate”. Anyone who has symptoms of COVID-19 should not be allowed to visit a hospital. NHS England confirmed the position after 13-year-old Ismail Mohamed Abdulwahab died at King’s College Hospital in south London in the early hours of Monday without any family members present. A statement by his family suggested he was alone because of the risk of infection. On its website the hospital repeated the guidance sent to trusts by NHS England that states children are allowed one parent or carer as a visitor, but declined to explain why his family were not with him. The end-of-life charity Marie Curie has also called on doctors to allow families to be with their loved ones, describing it as an “important part of their duty of care”. Read full story Source: The Independent, 2 April 2020
  9. News Article
    The government has ordered an urgent national audit of personal protective equipment (PPE), body bags, swabs and infection control products, HSJ can reveal. Local resilience forum planners were earlier this week asked to share stock levels and daily consumption rates of the items at ambulance, acute trusts and in primary care and other services by 9pm on Tuesday. They were asked to indicate whether each figure represented a “major” or “minor” supply problem, or no problem at all, in an email seen by HSJ. As well as trusts, resilience forum staff were asked to share stock levels among adult social care services, numbers of mortuary staff, other local authority staff, police, prisons, fire and rescue services and funeral directors. The email also asked planners if local services had access to PPE supplies above their immediate need and whether local authorities were in discussions with any private PPE suppliers. The email noted the Department of Health and Social Care wanted to develop a “systematic days of supply picture” for all PPE at all providers. Read full story (paywalled) Source: HSJ, 1 April 2020
  10. News Article
    GPs are having end of life conversations with their patients because of concerns over a lack of intensive care beds during the coronavirus crisis. Multiple GPs have told HSJ they are talking to patients who are older or in very high risk groups about signing “do not attempt to resuscitate” forms in case these patients were to go on to contract the virus. Some practices have also sent letters to patients requesting they complete the forms, it is understood. One leader of a primary care network, who asked not to be named, told HSJ: “Those in the severe at-risk group and those over 80 are being told they won’t necessarily be admitted to hospital if they catch coronavirus.” Read full story Source: HSJ, 1 April 2020
  11. News Article
    Special body recovery teams have begun work to deal with suspected coronavirus victims who die in their homes. Small units of police, fire and health service staff will confirm death and the identity of the dead and remove their bodies to a mortuary. Known as Pandemic Multi-Agency Response Teams, or PMART, they will be dispatched when victims die outside hospitals and there is a high probability they had COVID-19. The teams have been set up, initially in London, to relieve pressure on hospitals overwhelmed with coronavirus emergency cases. Read full story Source: Sky News, 1 April 2020
  12. News Article
    Healthcare staff in the West Midlands have been told not to start chest compressions or ventilation in patients who are in cardiac arrest if they have suspected or diagnosed covid-19 unless they are in the emergency department and staff are wearing full personal protective equipment (PPE). The guidance from the University Hospitals Birmingham NHS Foundation Trust says that patients in cardiac arrest outside the emergency department can be given defibrillator treatment if they have a “shockable” rhythm. But if this fails to restart the heart “further resuscitation is futile,” it says. If a patient with suspected covid-19 is in cardiac arrest they should be given cardiac compressions and be ventilated only if they are in the emergency department and the person attending them is wearing aerosol generating procedures (AGP) PPE. That means wearing an FFP3 mask, full gown with long sleeves, gloves, and eye protection. The advice rests on the premise that performing cardiac compressions risks virus particles being released into the air that could infect staff. Read full story Source: BMJ, 29 March 2020
  13. News Article
    Frontline doctors have told the Independent they have been gagged from speaking out about shortages of protective equipment as they treat coronavirus patients – with some claiming managers have threatened their careers. Staff have been warned not to make any comments about shortages on social media, as well as avoiding talking to journalists, while NHS England has taken over the media operations for many NHS hospitals and staff. The Independent has seen a series of emails and messages warning staff not to speak to the media during the coronavirus outbreak. One GP has been barred from working in a community hospital in Ludlow after making comments about the lack of equipment, while another in London said they were told to remove protective equipment they had purchased themselves. NHS England confirmed it was controlling media communications, which it said was part of its national emergency incident planning to ensure the public received “clear and consistent information”. Read full story Source: The Independent, 1 April 2020
  14. News Article
    Amid growing shortages of vital protective equipment in New York hospitals, healthcare workers are desperately scrounging to find facemasks, hiding supplies from colleagues in other departments, and sometimes even pilfering for themselves. The novel coronavirus has infected nearly 45,000 across New York, and more than 550,000 globally. Nurses in New York City were shaken on Tuesday, when Kious Kelly, a nurse manager at a Mount Sinai Health System hospital, died after being infected. Nurses who would normally use masks and other protective gear only once are keeping them for entire shifts or longer to conserve supplies. "Masks disappear," said Diana Torres, a Mount Sinai nurse. "We hide it all in drawers in front of the nurses' station. We hide masks, we have to hide chucks for beds," she said, referring to incontinence pads. Read full story Source: MedScape Nurses, 30 March 2020
  15. News Article
    A GP surgery has apologised after sending a letter asking patients with life-limiting illnesses to complete a "do not resuscitate" form. A letter, from Llynfi Surgery in Maesteg, asks people to sign to ensure emergency services would not be called if their condition deteriorated due to coronavirus. "We will not abandon you.. but we have to be frank and realistic," it said. Cwm Taf health board issued an apology from the surgery, the Guardian reports. The letter says in an "ideal situation" doctors would have had this conversation in person but had written to them due to fears they were carrying the virus and were asymptomatic. Read full story Source: BBC News, 1 April 2020
  16. News Article
    A paramedic in the London Ambulance Service (LAS) has claimed the kit workers have been given to protect them from coronavirus would be more suitable for people making sandwiches. The south London medic, who did not want to be identified, said the basic apron, gloves and masks were not sufficient protection from infection. "It feels like every day I'm exposing myself and potentially my family to this virus," he told the BBC. In a document seen by the BBC, LAS has told its paramedics to wear basic PPE - a plastic apron, gloves and a surgical mask - for most call-outs. The advanced PPE - including a white boiler suit, FFP3 mask, and goggles - is reserved only for confirmed cases of coronavirus, and in situations where paramedics have to perform invasive procedures such as full CPR. Read full story Source: BBC News, 31 March 2020
  17. News Article
    More than 80% of young people with a history of mental ill health have found their conditions have worsened since the coronavirus crisis began in the UK, a survey has found. In a study by the mental health charity YoungMinds, 2,111 people aged under 25, who had a history of mental health needs, were asked how the pandemic had affected them. Of the 83% who said the pandemic had made their mental health worse, 32% said it had made it “much worse” and 51% said it had made it “a bit worse”. Among the respondents who were accessing mental health support leading up to the crisis – including from the NHS, school and university counsellors, charities, helplines and private providers – 74% said they were still receiving support and 26% said they were unable to access support. Emma Thomas, the chief executive of YoungMinds, said the pandemic was a “human tragedy that will continue to alter the lives of everyone in our society. The results of this survey show just how big an impact this has had, and will continue to have, on the mental health of young people.” Read full story Source: Guardian, 31 March 2020
  18. News Article
    Patients in England can now have home abortions during the COVID-19 outbreak, the government in England has said. Abortion policy has changed several times during the current pandemic. Women and girls wanting to terminate an early pregnancy were first told the service would be available but that decision was then retracted. Now, the government has decided patients can take two pills at home instead of going to a clinic to avoid exposure to coronavirus. Charities had been worried that women who want an abortion but have underlying health conditions would put themselves at risk to have the procedure or turn to dangerous alternatives. Read full story Source: BBC News, 31 March 2020
  19. 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
  20. News Article
    The Red Cross called Friday for increased psychological support to health workers and others fighting the COVID-19 pandemic, warning of rising suicides as a result of pressure and isolation. Countries around the world have taken dramatic measures to try to halt the spread of the virus, which first emerged in China late last year, with more than three billion people now living under lockdown. The demand for psycho-social support has "increased significantly" since the start of the crisis, said Jagan Chapagain, the Secretary-General of the International Federation of Red Cross and Red Crescent Societies (IFRC). In an interview with AFP, he said he understood that providing mental health support "may not be very high on the agenda as we are trying to contain the virus," but stressed that the issue is important and "impacts millions and millions of people." "I think that could be the big silent killer if sufficient attention is not paid to psychosocial needs and mental health needs," he said. Read full story Source: Agence France-Presse, 28 March 2020
  21. News Article
    Join Animah Kosai, Founder of Speak Up at Work, Roger Kline, Trustee Patients First UK, and Kernan Manion Executive Director, Center for Physician Rights as we explore essential crisis communication principles to ensure staff safety, healthcare team cohesion, and effective care delivery. Few in our local and national communities have ever experienced a pandemic causing complete shutdown and emergency isolation measures. With such an immense and unparalleled global catastrophe, despite play-acting disaster drills, few corporations are truly prepared for the emergency response demands and the accompanying requirement for a Crisis Response Mindset and its communication principles. Fortunately, wisdom gleaned from knowledge-based science and on-the-ground experience in prior epidemics and natural catastrophes is available to guide us through this very unfamiliar turf. A particular focus is on intra-organisational crisis management and communication with an aim toward sharing best practices. Further information
  22. News Article
    Acute trusts have been told to set aside 15% of their daily coronavirus tests for NHS key workers who are quarantining at home with others. New guidance for NHS trust chief executives on covid-19 testing has been published after NHS England chief executive Sir Simon Stevens announced hundreds of frontline staff would be given antigen tests from next week. The guidance from NHSE said acute trusts should prioritise testing staff working in critical care, emergency departments and ambulance services, along with “any other high priority groups you determine locally”. Read full story (paywalled) Source: HSJ, 30 March 2020
  23. News Article
    A breathing aid that can help keep coronavirus patients out of intensive care has been created in under a week. University College London engineers worked with clinicians at UCLH and Mercedes Formula One to build the device, which delivers oxygen to the lungs without needing a ventilator. Continuous Positive Airway Pressure (CPAP) devices are already used in hospitals but are in short supply. China and Italy used them to help Covid-19 patients. Forty of the new devices have been delivered to ULCH and to three other London hospitals. If trials go well, up to 1,000 of the CPAP machines can be produced per day by Mercedes-AMG-HPP, beginning in a week's time. The Medicines and Healthcare products Regulatory Agency (MHRA) has already given its approval for their use. Read full story Source: BBC News, 30 March 2020
  24. News Article
    Hundreds of thousands of pregnant women face a crisis as maternity and abortion services shut their doors because of the coronavirus outbreak. One MP this weekend warned that pregnant women were being treated like “second-class citizens” with the closure of NHS services and a lack of government guidance for those in need of urgent care. The NHS faces a severe shortage of midwives with the number of unstaffed positions doubling to one in five since the virus arrived in Britain. A fifth (22%) of senior midwives said their local maternity units had shut indefinitely because of staff self-isolating or being deployed elsewhere. Read full story (paywalled) Source: The Times, 29 March 2020
  25. News Article
    The NHS could have prevented “chaos and panic” had the system not been left wholly unprepared for the pandemic, the editor of the BMJ has said. Numerous warnings were issued but these were not heeded, Richard Horton wrote in the Lancet. He cited an example from his journal on 20 January, pointing to a global epidemic: “Preparedness plans should be readied for deployment at short notice, including securing supply chains of pharmaceuticals, personal protective equipment, hospital supplies and the necessary human resources to deal with the consequences of a global outbreak of this magnitude.” Horton wrote that the government’s Contain-Delay-Mitigate-Research plan had failed. “It failed, in part, because ministers didn’t follow WHO’s advice to ‘test, test, test’ every suspected case. They didn’t isolate and quarantine. They didn’t contact trace." “These basic principles of public health and infectious disease control were ignored, for reasons that remain opaque. The result has been chaos and panic across the NHS.” Read full story Source: Guardian, 28 March 2020
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