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Content Article
Main findings: Overall for many cancer patients the COVID-19 pandemic appears to have had a significant impact on their testing and treatment, and most notably their care. This has resulted in a negative impact on the emotional well-being of many cancer patients. The government actions that yielded the strongest support during the COVID-19 pandemic were those that would continue to allow testing and treatment to go ahead safely. The actions most supported after the COVID-19 pandemic were ones that would ensure capacity could be met and the backlog of cancer patients addressed. -
News Article
U-turn on mass expansion of covid care units as no funding available
Patient Safety Learning posted a news article in News
Plans for a mass expansion of rehabilitation beds in new “Seacole centres” have been scrapped, with local leaders now told there is no capital funding to build them. In late May, NHS England announced the “first” Seacole Centre in Surrey, for patients recovering from coronavirus, and asked other local systems to draw up proposals for similar units ahead of a possible second peak of the virus over winter. The policy was designed to provide significant extra bed capacity to help get covid and other respiratory patients out of hospital more quickly, while offering effective rehab care. -
News Article
Patients suffering heart attacks during the coronavirus lockdown stayed away from hospitals with some dying as a result, a new study has found. In an analysis of more than 50,000 patients who suffered heart attacks and were treated in 99 NHS hospitals in England both before and after lockdown, researchers found the proportion of deaths for patients with a milder form of heart attack jumped during the first month of lockdown. Those suffering more severe heart attacks actually saw a lower death rate with hospitals keeping their emergency heart services running. Dr Jianhua Wu, asso- Posted
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The world turned upside down: Uncertainty and COVID-19
lzipperer posted an article in Letter from America
There is a lot to be uncertain about these days: school, work, health, family. However, in July one thing was certain: the streaming release of “Hamilton” in the US was going to be epic. The acclaimed musical production tells the story of a U.S. founding father Alexander Hamilton, intensely American, exploring themes of love, anger, arrogance, heroism, betrayal, mistakes, politics, policy, devotion, family, sacrifice and death. In some ways, it sounds like healthcare in the era of COVID-19. While months of the coronavirus pandemic are behind us, the uncertainties caused by the pace o- Posted
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News Article
Coronavirus '90-minute tests to be provided in care homes and hospitals'
Patient Safety Learning posted a news article in News
Two new tests for COVID-19 that are said to deliver results within 90 minutes are to be introduced across NHS hospitals and care homes, to speed up diagnosis ahead of winter and differentiate coronavirus infection from flu, the government says. But some experts were surprised by the government’s decision, saying the particular tests were not well-known. No data had been published concerning their evaluation. The government had made mistakes in buying tests that turned out to be sub-standard in the past, they said. “Repeatedly through the pandemic the government has raced ahead purcha -
News Article
NHS told to return to "near-normal" performance before winter
Patient Safety Learning posted a news article in News
Trusts have been set a series of “very stretching” targets to recover non-covid services to nearly normal levels in the next few months, in new guidance from NHS England. NHS England and Improvement set out the system’s priorities for the remainder of 2020-21 in a “phase three letter” sent to local leaders. It said the NHS must “return to near-normal levels of non-covid health services, making full use of the capacity available in the ‘window of opportunity’ between now and winter”, when further emergency and covid pressures are anticipated. In recent weeks providers have found -
Content Article
Third phase of NHS response to COVID-19 (31 July 2020)
Patient Safety Learning posted an article in Exit strategies
Following discussion with patients’ groups, national clinical and stakeholder organisations, and feedback from seven regional ‘virtual’ frontline leadership meetings, NHS England and Improvement have set out NHS priorities for this third phase. Their shared focus is on: Accelerating the return to near-normal levels of non-Covid health services, making full use of the capacity available in the ‘window of opportunity’ between now and winter. Preparation for winter demand pressures, alongside continuing vigilance in the light of further probable Covid spikes locally and possibly natio -
News Article
From ‘brain fog’ to heart damage, COVID-19’s lingering problems alarm scientists
Patient Safety Learning posted a news article in News
The list of lingering maladies from COVID-19 is longer and more varied than most doctors could have imagined. Ongoing problems include fatigue, a racing heartbeat, shortness of breath, achy joints, foggy thinking, a persistent loss of sense of smell, and damage to the heart, lungs, kidneys and brain. The likelihood of a patient developing persistent symptoms is hard to pin down because different studies track different outcomes and follow survivors for different lengths of time. One group in Italy found that 87% of a patient cohort hospitalized for acute COVID-19 was still struggling 2 mo- Posted
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New analysis lays bare government’s failure to protect social care from COVID-19
Clive Flashman posted a news article in News
New analysis by the Health Foundation reveals the devastating impact the pandemic has had on social care in England. The independent charity says the findings provide further evidence that the government acted too slowly and did not do enough to support social care users and staff, and that protecting social care has been given far lower priority than the NHS. The Health Foundation finds that policy action on social care has focused primarily on care homes and that this has risked leaving out other vulnerable groups of users and services, including those receiving care in their own homes -
Community Post
GP Referrals: Your COVID Recovery
Goingviral posted a topic in Coronavirus (COVID-19)
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Why do we need GP referrals to this service for assessment? Early patients untested cannot get access to GPs, not being believed, dismissed, told they are delusional. se have been sat for months unable to get referrals ...today someone got a referral and the NHS denied them that too. So we are getting no support. We are having a host of around 200 effects (Ive documented them), most of us are weeks 12 to 33 and having lung cognitive and heart problems. We needs mri and ct scans now and we cant be joining the back of already lengthy outpatient appointments. theresa huge backlog. When is someone- Posted
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Personal experiences: Voices Of COVID-19
Claire Cox posted an article in AHSNs
These interviews include: Dr Julie Barker, GP, End of Life lead and member of Care Home cell. Clinical Design Authority clinical lead for Nottingham Nottinghamshire Integrated Care System (ICS) Joanne Taplin, GP Partner – Abbey Medical Centre, Beeston, Nottinghamshire. GP team member working with NottsWest PCN Advance Care Planning Nurses. Jane Borland, Care Home Manager Rathgar Care Home, Northamptonshire Patient story (anonymous).- Posted
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The outcome is that the RCP released a statement on its website relating to revised guidance on the use of early warning scores for COVID-19 inpatients. The RCP suggest that all staff should be aware that any increase in oxygen requirements should be an indicator of clinical deterioration as the early warning score might not significantly increase.- Posted
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News Article
Coronavirus (COVID-19) Infection Survey pilot: England, 24 July 2020
Clive Flashman posted a news article in News
Initial data from the COVID-19 Infection Survey. This survey is being delivered in partnership with IQVIA, Oxford University and UK Biocentre. Full article here Table of contents in the report: 1. Main points 2. Number of people in England who had COVID-19 3. Regional analysis 4. Incidence rate 5. Test sensitivity and specificity 6. COVID-19 Infection Survey data 7. Collaboration 8. Glossary 9. Measuring the data 10. Strengths and limitations 11. Related links -
News Article
Coronavirus: Thousands of COVID-19 survivors could be diagnosed with sepsis, charity warns
Clive Flashman posted a news article in News
People are being warned to familiarise themselves with the symptoms of sepsis after a study found that as many as 20,000 COVID-19 survivors could be diagnosed with the condition within a year. One in five people who receive hospital treatment for the coronavirus are at risk, according to the UK Sepsis Trust. Sepsis is triggered when the body overreacts to an infection, causing the immune system to turn on itself - leading to tissue damage, organ failure and potentially death. If spotted quickly, it can be treated with antibiotics before it turns into septic shock and- Posted
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Quarter of BAME staff have not had a covid risk assessment
Clive Flashman posted a news article in News
More than a quarter of black, Asian and minority ethnic NHS staff had not yet had a risk assessment in relation to their exposure to coronavirus, according to the latest data collection by national NHS leaders. Full article here on the HSJ website (paywalled)- Posted
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'We will live with this for years': virus expert on debilitating after-effects of Covid-19
Clive Flashman posted a news article in News
One of the world’s foremost virus experts has said survivors will be living with the effects of Covid-19 for “years to come” after he was struck down by a severe infection, and called for added support for those who have recovered from the disease. Professor Peter Piot, who as director of the London School of Hygiene and Tropical Medicine has been at the forefront of the academic response to the pandemic, has spent his entire career studying viruses such as Ebola and HIV. Prof Piot spent a week at the Royal Free Hospital in London in early April after contracting the disease. “I sp- Posted
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CDC: One-third of COVID-19 patients who aren't hospitalized have long-term illness
Clive Flashman posted a news article in News
The Centers for Disease Control and Prevention acknowledged last week that a significant number of COVID-19 patients do not recover quickly, and instead experience ongoing symptoms, such as fatigue and cough. As many as a third of patients who were never sick enough to be hospitalized are not back to their usual health up to three weeks after their diagnosis, the report found. Read the full article here- Posted
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Event
COVID-19: Sharing the international lessons learned
Clive Flashman posted a calendar event in Community Calendar
untilThe Royal Society of Medicine's International COVID-19 Conference brings together thought leaders from around the world to share the key clinical learnings about COVID-19.Session 1: Respiratory effects: critical care and ventilationChair: Dr Charles Powell, Janice and Coleman Rabin Professor of Medicine System Chief, Icahn School of Medicine, Mount Sinai> Professor Anita K Simonds, Consultant in Respiratory and Sleep Medicine, RBH NHS Foundation Trust> Dr Richard Oeckler, Director, Medical Intensive Care Unit, Mayo Clinic, Minnesota> Dr Eva Polverino, Pulmonologist, Vall D’Hebron Barc -
Content Article
HSJ revealed this month that the ’call before you walk’ model is being trialed in London, Portsmouth and Cornwall, with system leaders keen for a wider roll-out ahead of winter. In these trials, which have received the backing of the Royal College of Emergency Medicine, NHS 111 is being used as a “triage point” enabling patients needing urgent treatment, but not facing medical emergencies, to book access to primary care, urgent treatment centres or same-day emergency “hot clinics” staffed by specialists. Emergency patients just walking in, or those arriving via ambulance, will be tr