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Found 2,339 results
  1. News Article
    With the first phase of the UK’s vaccination programme now fully under way, the government’s self-congratulatory tone suggests all clinically vulnerable groups are soon in line for protection. There’s certainly reason to be positive: millions of people are on their way to safety. But look a little closer and many high-risk people are struggling to access the vaccine. When the vaccine was first introduced last year, the Joint Committee on Vaccination and Immunisation (JCVI) put shielders – or the “clinically extremely vulnerable” (CEV) – as low as sixth on the priority list, behind older people with no underlying health conditions. It resulted in the baffling situation where a marathon-running 65-year-old was given priority for the vaccine over a 20-year-old with lung disease who needs oxygen support. The government U-turned after pressure, moving CEV people up to fourth spot behind healthy over-75s. These are complex calculations, but there are still fears some will miss out. Some young disabled people who don’t meet the government’s narrow criteria of CEV and are worried they won’t be prioritised at all. Shielders – many of whom are of working age and live with children – also have extra risk factors compared with older people. As the British Medical Association said this month, we need a more sophisticated vaccine delivery that takes into account circumstantial factors such as race, health inequality and employment. I’ve received many messages from shielders who are terrified of being forced out to work, or of schools reopening before they get their vaccine. There are also those with learning disabilities to consider. Currently, only older people with a learning disability, those who have Down’s syndrome or people who are judged as having a severe learning disability are on the priority list. This means that people with a mild or moderate learning disability aren’t prioritised at all. This is despite the fact all people with learning disabilities have a death rate six times higher than the general population. Young adults with a learning disability are 30 times more likely to die of Covid than young adults in the general population. Read full story Source: The Guardian, 3 February 2021
  2. News Article
    Coronavirus patients who call an ambulance but are not yet sick enough to go to hospital are being given new home oxygen monitoring kits to help spot those who may deteriorate earlier. Across the Thames Valley region, thousands of patients will be given the kits which include a pulse oximeter device to monitor blood oxygen levels, a diary to track their symptoms and advice on what to do if they become sicker. South Central Ambulance Service Trust (SCAS) has become the first ambulance service in the country to launch the scheme after research showed a small drop in oxygen levels among some patients could be an early warning sign of serious complications. Patients with pneumonia and non-Covid lung conditions often experience shortness of breath before a drop in oxygen levels. But with coronavirus, patients can suffer what has been called ‘silent hypoxia’ where their oxygen levels can fall before the patient becomes breathless and calls for help. Read full story Source: The Independent, 2 February 2021
  3. News Article
    The Oxford-AstraZeneca vaccine could lead to a "substantial" fall in the spread of the virus, say scientists. The impact of Covid vaccines on transmission has been a crucial unknown that will dramatically shape the future of the pandemic. The study, which has not been formally published, also showed the vaccine remained effective while people waited for a second dose. It was 76% effective during the three months after the first shot. The UK, amid global debate and in sharp contrast to other countries, is prioritising giving the first dose to as many people as possible. The idea is to save more lives by giving more people some protection, but it means people will have to wait around three months for the booster instead of three weeks. This study - on 17,000 people in the UK, South Africa and Brazil - showed protection remained at 76% during the three months after the first dose. This rose to 82% after people were given the second dose. Prof Andrew Pollard, from the Oxford Vaccine Trial, said: "These new data provide an important verification of the interim data that was used by more than 25 regulators including the MHRA and EMA to grant the vaccine emergency use authorisation." "It also supports the policy recommendation made by the Joint Committee on Vaccination and Immunisation for a 12-week prime-boost interval, as they look for the optimal approach to rollout." The report does not tackle the impact of the new variants on how well the vaccines work. Read full story Source: BBC News, 2 February 2021
  4. News Article
    The NHS’s London regional team has told its integrated care systems (ICS) to draw up plans for ‘another possible [covid-19] surge later in 2021’, HSJ has learned. The guidance, dated February 2021 says: “Later in March/early April we will ask for systems to begin to plan for a possible wave 3 covid surge.” The NHS England and Improvement London presentation adds: “[The] purpose of the critical care de-surge plan [is to] ensure that the… bed base can expand safely in the event of a 3rd covid surge and/or other major incident/event.” Any surge in covid cases is likely to be caused by new variants of the virus, such as those originating in Brazil and South Africa, which are more resistant to vaccines, becoming dominant in the UK. At present government advisers think this is unlikely and that even if this scenario did arise, it will be possible to modify vaccines to combat the new strain. The guidance sets out three other “strategic goals” the ICSs should address. But it has “surprised” senior figures from outside London who were waiting for the national framework for tackling the NHS’ growing elective waiting list expected later this month. The presentation said the other key goals were to: ensure “staff get… immediate rest and respite”; set out plans to “desurge critical care”; and plan for elective recovery. Read full story (paywalled) Source: HSJ, 3 March 2021
  5. News Article
    The pandemic has had a deep impact on children, who are arriving in A&E in greater numbers and at younger ages after self-harming or taking overdoses, writes Dr John Wright of Bradford Royal Infirmary. Children are a lost tribe in the pandemic. While they remain (for the most part) perplexingly immune to the health consequences of COVID-19, their lives and daily routines have been turned upside down. From surveys and interviews carried out for the Born in Bradford study, we know that they are anxious, isolated and bored, and we see the tip of this iceberg of mental ill health in the hospital. Children in mental health crisis used to be brought to A&E about twice a week. Since the summer it's been more like once or twice a day. Some as young as 10 have cut themselves, taken overdoses, or tried to asphyxiate themselves. There was even one child aged eight. Lockdown "massively exacerbates any pre-existing mental health issues - fears, anxieties, feelings of disconnection and isolation," says A&E consultant Dave Greenhorn. Read full story Source: BBC News, 2 February 2021
  6. News Article
    A hospital has reported a "significant" increase in the number of pregnant women being treated for coronavirus. New Cross Hospital, in Wolverhampton, said part of its maternity ward had been sectioned off for Covid patients. Nationally, the proportion of pregnant women in intensive care has almost doubled since the first wave. The Royal College of Obstetricians and Gynaecologists said pregnant women were at no greater risk of being infected with Covid than the general public. The Royal Wolverhampton NHS Trust's chief executive said the cause of the increase in the city was unclear. "We're seeing a lot more pregnant women now suffering with Covid and some of them have been very, very ill," Prof David Loughton said at a regional coronavirus briefing on Friday."We have had some deaths," he continued, "so that is really sad". An intensive care audit has shown the percentage of pregnant women aged 16-49 has almost doubled in the second wave compared to the first wave of the pandemic. Up until the end of August, 29 women in that age bracket who had been admitted with coronavirus were pregnant, compared to 103 from September to the end of January. Recently, the intensive care unit treated two Covid-positive pregnant patients and almost 200 expectant mothers tested positive in the city during the past quarter. Read full story Source: BBC News, 2 February 2021
  7. News Article
    More than 2.5 million people over the age of 80 have received their first dose of the COVID-19 vaccine, NHS England has said. But the vaccine is failing to reach thousands of elderly people who receive care in their own homes, according to a provider, because they are too frail to travel to vaccination centres or fear catching the virus if they do. The Guardian spoke to three people who have family members over 80 still waiting to be vaccinated. “How on earth are elderly people expected to negotiate the system if they don’t have any help?” says Amanda Elliott, 59. Her father-in-law, George Elliott, 98, of Polegate, East Sussex, is still waiting to be vaccinated. “It seems very unfair,” she says. George, who was a glider pilot in the second world war, doesn’t feel entitled to a jab but finds the situation “puzzling”, Amanda says. He has chronic obstructive pulmonary disease (COPD), finds it very difficult to move and has a carer going into his home twice a day. Amanda, a support worker at a school in Sutton, says George received a letter inviting him to book his vaccination online and “tried without success”. He then called to book over the phone and was offered an appointment in Brighton, Hastings or Petersfield, to which he would have difficulty travelling. “I called the booking line on his behalf last week to find out what he should do as he is housebound. I was directed to his GP and his surgery told me they are not carrying out vaccinations and that I shouldn’t have contacted them about this. They were very unhelpful,” Amanda says. In Kirkcaldy, Fife, 88-year-old Christina McPhee, who is housebound, is still waiting to be vaccinated. “The district nurse has to administer the vaccine to those who can’t leave their homes, but the local GP practice told me last Friday they have none allocated for those in the area,” says her niece Mary. AdMcPhee has a tracheostomy and has carers and nurses visiting her several times a day, making her “very vulnerable” because she is high risk. Her sister, Mary’s mother, who is 82 and lives with McPhee, was able to get the vaccine because she could travel to the surgery, but there is no news about when McPhee is likely to receive hers. Read full story Source: The Guardian, 1 February 2021
  8. Content Article
    At the beginning of 2020, before the coronavirus (COVID-19) started spreading, many people had no idea they may own a face mask in their lifetime. Today, almost everyone has one. In the Asian countries where people are used to wearing face masks, many took them in their stride. Questions lingered in other parts of the world as some expressed doubts about the value of face masks and coverings in slowing down the coronavirus spread. As face masks become the new normal in many parts of the world, many different types of masks, including home-made cloth masks, surgical masks, and cone style masks, have become more common. To an ordinary person who has little knowledge about masks, it can be challenging to determine the right mask for adequate protection. Shandong Deqi Intelligent Technology Co.,Ltd, a surgical face mask making company in China, in this article answers some of the most common questions about face masks and face protection. With all the fake news and incorrect information spreading around, they aim to separate fact from myth.  
  9. News Article
    Maternity staff are facing extreme burnout during the pandemic as staff shortages and longer, busier shift patterns lead to the workforce becoming increasingly overwhelmed, healthcare leaders warned. Senior figures working in pregnancy services told The Independent healthcare professionals are working longer hours, covering extra shifts around the clock, and spending more time on call to compensate for increasing numbers of employees taking time off work after getting coronavirus. Staff say stress-related absences have reached “worryingly” high levels, with junior doctors and midwives “thrown into the deep end” due to having to fill in for colleagues. Professionals argued the coronavirus crisis will lead to a rise in doctors, nurses and midwives suffering post-traumatic stress disorder (PTSD) and other mental health issues – raising concerns staff exhaustion could curb patient safety and standards of care. Read full story Source: The Independent, 31 January 2021
  10. News Article
    Dozens and potentially hundreds of urgent operations for children have been cancelled during the third wave of the covid pandemic, HSJ can reveal. There are also concerns that national guidance for prioritising surgery “disadvantages” young people. Several well placed sources told HSJ that urgent operations for children have been delayed in recent weeks because of covid pressures. This is because of a combination of staff being diverted to help with adults sick with covid, and space in children’s facilities — including intensive care — being taken over for adult covid care, as well as other staff being absent due to covid. The royal college of surgeons has told HSJ that urgent children’s operations “are increasingly being cancelled around the country”. Dozens and potentially hundreds of children’s operations rated as priority two — those which are urgent and should be carried out within a month — have been cancelled and delayed in recent weeks in the capital, according to several well placed sources. This is alongside potentially thousands of priority three operations being cancelled, which are those needing to be carried out within three months. Read full story Source: HSJ, 31 January 2021
  11. News Article
    "Traumatised" and "exhausted" medical staff need time to recover before tackling an NHS backlog, says the group representing hospitals in England. Many staff could resign if their wellbeing is not factored into plans to cut waiting lists, NHS Providers said. The number of people waiting more than a year for surgery rose 1,613 to 192,000 during the Covid pandemic. NHS Providers said demand for hospital beds is easing, but the pressure on intensive care units is still intense. NHS Providers estimates that it is going to be at least a month before the NHS gets back to normal winter pressures, and trusts are concerned about the transition into the next phase of the pandemic. Critical work that has been postponed, including a small number of urgent cancer cases, will be a priority, but there remains a need to tackle a wider backlog of routine operations alongside the vaccination programme. NHS Providers said trusts will work as fast as possible to tackle the backlog, but leaders cannot do so at the expense of staff burnout. Last month, a study suggested that many hospital staff treating the sickest patients during the first wave of the pandemic were left traumatised by the experience. Nearly half reported symptoms of severe anxiety, depression, post-traumatic stress disorder or problem drinking. One in seven had thoughts of self-harming or being "better off dead". Read full story Source: BBC News, 1 February 2021
  12. Content Article
    Germ Defence is a website that has been developed by health experts in UK universities to help you find out how to reduce this risk of catching coronavirus or passing it on to others. After a bit of practice the ideas and advice in Germ Defence will become habits and they will help protect you from coronavirus - and other germs in the future.A research study with 20,000 people found:People who read the advice in Germ Defence are less likely to catch virusesIf they do become ill, the illness is likely to be less severe.
  13. Content Article
    The National COVID-19 Vaccination Strategy outlines Ireland’s high-level plan for safe, effective and efficient vaccination of the population, while safeguarding continued provision of health and social care services. The Strategy was prepared by the High-Level Task Force on COVID-19 Vaccination.
  14. Content Article
    In mid-December, the US Food and Drug Administration (FDA) granted emergency use authorisation (EUA) to both the Pfizer-BioNTech and Moderna COVID-19 vaccines. Since then, the Institute for Safe Medication Practices (ISMP) has received numerous voluntary reports of COVID-19 vaccine errors or hazards through the ISMP National Vaccine Errors Reporting Program (VERP), the ISMP National Consumer Medication Errors Reporting Program (C-MERP), and via email correspondence from professional colleagues. This article from ISMP highlights a few of the missteps happening across the nation and internationally, from vaccine dilution errors to look-alike product mix-ups. There is much to be gleaned from these reports, as the same types of errors are likely happening globally, and similar risks exist in most settings. They conclude with safe practice recommendations to help prevent these types of errors in your practice setting.
  15. Content Article
    An article from McKinsey & Company looking at the risks and challenges of the COVID-19 vaccination rollout. This article considers the elements of this enormous undertaking, the risks that are inherent, and potential means of further accelerating vaccination.
  16. News Article
    Care watchdogs are investigating concerns that staff with Covid-19 have been working with care home residents as operators said absence levels are as high as 70% owing to sickness and self-isolation, increasing pressure to get staff back to work. The Care Quality Commission has ordered several councils to investigate allegations about the practice, which puts lives at risk, and possible breaches of the Care Act relating to abuse or neglect of residents. It is understood to be dealing with fewer than 10 cases. But the regulator has issued a warning to all care homes in England with the Department of Health and Social Care and council social services chiefs that “under no circumstances should staff who have tested positive for COVID-19, regardless of whether they are displaying symptoms or not, work in a care setting” until their self-isolation has ended. The Rights for Residents group said on Thursday it had been contacted by a carer whose boss had asked her to return to work only a few days after a positive test because of staff shortages. She refused and no longer works for the care home. In many homes, a quarter of staff are sick or self-isolating, with the ratio as high as 70% in some cases and operators are bringing in friends and family to try to cover shifts, said Nadra Ahmed, executive chairman of the National Care Association. Read full story Source: The Guardian, 28 January 2021
  17. News Article
    Surplus COVID-19 vaccines have been given to healthy young people in parts of England and some GPs have “run out” of eligible patients to vaccinate in the scramble to inoculate the country. While supplies have been cut in some areas, one GP in the Midlands told the Guardian he had “hundreds of unused vaccines” which he is not allowed to use, having already inoculated all priority patients. Other vaccination centres have taken a more liberal approach, inviting younger patients for jabs at the end of the day if they find themselves with surplus doses of the Pfizer vaccine, which has a shelf life of three days. Currently, only four groups are eligible for vaccines in England: the over-70s, the clinically extremely vulnerable, care home residents and frontline health and social care workers. But one 38-year-old in Sheffield in none of those groups said she was offered the jab on “the iciest day of the year” if she could get to the clinic within half an hour because of weather-related cancellations. A 24-year-old in Manchester said she’d had a spare after volunteering at a vaccination centre. In Reading, one clinic is calling local police stations and offering surplus jabs to officers at the end of the day. Others are offering spares to frontline charity workers. One medic in Greater Manchester told the Guardian they managed to receive their second dose of the vaccine by repeatedly turning up at their local vaccine site at the end of each day, receiving it on day three. Read full story Source: The Guardian, 29 January 2021
  18. News Article
    A new COVID-19 test that is able to detect even asymptomatic cases of the virus through saliva is being piloted in the UK. The new LamPORE test, developed by UK-based company Oxford Nanopore, will be tested in mobile laboratories in four areas across the country. It is already being used in Aberdeen, with plans to roll it out in Telford, Brent and Newbury, and results so far have shown it is even effective at detecting the virus in people who are not showing symptoms. LamPORE will allow for additional testing capacity where it is needed for large numbers of people and be used alongside existing PCR and lateral flow test, the Department of Health and Social Care (DHSC) said. Read full story Source: The Independent, 28 January 2021
  19. News Article
    Cancer services at large hospital trust have been at ‘catastrophic’ risk of being overwhelmed, after two of its hospital sites had to suspend life-saving cancer surgeries in the last month due to COVID-19. In its latest board papers Mid and South Essex Foundation Trust rated the “cancellation of cancer elective activity” at its highest risk level of 25 – which based on their own risk-scoring key is “catastrophic”. It said the expected consequences at this risk level include “permanent disability or death, serious irreversible health effects” and an “unacceptable… quality of service”. The trust runs three general acute hospitals in the county. Its 2,000 plus beds make it the third largest trust in England after University Hospitals Birmingham FT and Leeds Teaching Hospitals. The same board papers, dated 28 January, said cancer surgery at Southend University Hospital, one of three hospital sites run by the trust, “ceased on 24 December”. At a second hospital site, Mid Essex Hospital covid “hit hard just before Christmas” and elective work was “dramatically impacted with short period of life and limb only carried out on site”. This meant all P2 cancer surgery — which requires treatment in less than four weeks — did not take place. Both hospital sites said they hoped the independent sector could help them restart cancer surgeries this month with a focus on “long waiting and clinical urgent patients”. It is not clear how much capacity the sector has to work through waiting lists and the board papers said “some of this capacity may be reduced” because of recent changes to a new national contract for the independent sector. Read full story (paywalled) Source: HSJ, 29 January 2021
  20. News Article
    At least twenty-two people have died at a Basingstoke care home in one of the worst known outbreaks of the coronavirus pandemic to date. The deaths occurred at Pemberley House Care Home in Grove Road, Viables, operated by private firm, Avery Healthcare. The outbreak was first declared on Tuesday, January 5, with 60 per cent of its residents testing positive for the disease, according to sources. Within three weeks, 22 people had died - over one-third of the home's residents. The Gazette's former picture editor Ron Boshier was among the residents to have died after contracting the disease. A spokesman for Avery Healthcare told The Gazette they were "deeply saddened" by the loss of a number of their residents. Read full story Source: Gazette, 27 January 2021
  21. Content Article
    The Healthcare Safety Investigation Branch (HSIB) has been investigating piped oxygen gas supplies in hospitals and have produced an early interim bulletin to help trusts deal with oxygen flow issues in their organisations.
  22. News Article
    Bereavement support charities are calling for more funding in light of what they call the "terrible toll of 100,000 deaths from Covid-19". They say many families have been unable to be with loved ones as they died or gather to support one another. They argue there has been "huge demand" for counselling and guidance but some providers lack sufficient resources. The government says it is committed to ensuring those who are grieving have access to the support they need. In a letter to the Health Secretary Matt Hancock, and mental health minister, Nadine Dorries, charities call for some of the £500 million funding allocated to mental health in England in the November spending review to be used to support the bereaved. The request has come from the National Bereavement Alliance, which represents a range of charities. Members include CRUSE Bereavement Care, Support after Suicide Partnership and AtALoss. The letter quotes academic research suggesting more than 80% of bereaved people since the start of the pandemic have had limited contact with family and friends and two-thirds have experienced social isolation or loneliness. They say there are long waiting lists for support but some services providing advice and guidance are not adequately funded. The alliance argues deaths have been heavily felt in disadvantaged and deprived communities where there is a greater need for assistance. Read full story Source: BBC News, 27 January 2021
  23. News Article
    People infected with the new variant of coronavirus that first emerged in the UK are less likely to report a loss of taste or smell, but more likely to report “classic” symptoms, such as coughing, sore throat or fatigue, a survey has found. According to the Office for National Statistics (ONS), the symptom of impaired taste and smell in those with COVID-19 was “significantly less common” in people who tested positive for the new variant compared with those who had other variants. However, there was no evidence of any difference in symptoms related to shortness of breath or headaches, according to the provisional data published in the organisation’s infection survey. The data also indicated that people infected with the new variant were more likely to report having symptoms. These were self-reported and not professionally diagnosed, and cover the period between 15 November and 16 January. Read full story Source: The Independent, 27 January 2021
  24. News Article
    The number of covid positive patients in English hospitals fell by 1,491 yesterday, by far the biggest decline recorded since the start of the pandemic. The previous record was set during the decline of the first wave, when numbers fell 1,055 on 17 April. The largest drop in the third wave before yesterday’s record was the 798 seen last Saturday. The national total of covid positive hospital patients now stands at 30,846, a drop of 9 per cent on the peak set on 18 January, but still 163 per cent of the mid-April peak. All seven English regions are now seeing a week-on-week decline in the number of their covid hospital patients for the first time. All have well established trends in falling admissions, with London and the south east seeing the running seven-day total fall by almost a third since a peak on 9 January. The east and south west have seen their admissions total decline by a fifth, while the midlands total has dropped 16 per cent in just five days and north east and Yorkshire nine in only four. Read full story (paywalled) Source: HSJ, 28 January 2021
  25. News Article
    Black people over the age of 80 were half as likely as their white peers to have been vaccinated against Covid by 13 January, a large study suggests. This is despite the fact black people are four times more likely to die with COVID-19 than their white counterparts. People living in deprived areas or who have severe mental-health conditions or learning disabilities were also less likely to have received a vaccination. The study was based on more than 20 million patient records in England. The OpenSafely study, by the University of Oxford and the London School of Hygiene and Tropical Medicine, found of the million of those over 80 but not living in a care home: 43% of the white people had been given their first dose of the vaccine 30% of the Bangladeshi and Pakistani people had 21% of the black people had. Bangladeshi and Pakistani people are twice as likely to die with COVID-19 as white peple. Birmingham-based business owner Tru Powell told BBC Radio 5 Live of a "lack of trust between the government and people of colour". "People of colour have been subject to institutionalised racism within the healthcare system," she said. "We are five times more likely to be detained under the Mental Health Act and four times more likely to die in childbirth." Read full story Source: BBC News, 28 January 2021
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