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Found 2,337 results
  1. News Article
    Spain's large-scale study on the coronavirus indicates just 5% of its population has developed antibodies, strengthening evidence that a so-called herd immunity to COVID-19 is "unachievable," the medical journal the Lancet reported on Monday. The findings show that 95% of Spain's population remains susceptible to the virus. Herd immunity is achieved when enough of a population has become infected with a virus or bacteria – or vaccinated against it – to stop its circulation. The European Center for Disease Control told CNN that Spain's research, on a nationwide representative sample of more than 61,000 participants, appears to be the largest study to date among a dozen serological studies on the coronavirus undertaken by European nations. "In light of these findings, any proposed approach to achieve herd immunity through natural infection is not only highly unethical, but also unachievable," said the Lancet's commentary authors, Isabella Eckerle, head of the Geneva Centre for Emerging Viral Diseases, and Benjamin Meyer, a virologist at the University of Geneva. Read full story Source: CNN, 6 July 2020
  2. Content Article
    Regularly updated data from GOV.UK on tests processed and testing capacity in the UK.
  3. News Article
    NHS England is launching a new service for people with ongoing health problems after having coronavirus. The government says "tens of thousands" of people have long-term symptoms after catching COVID-19. "Your Covid Recovery" will be an online portal for people in England to access tutorials, contact healthcare workers and track their progress. The project will be rolled out in two phases, with the web portal launching later this month. It will only be accessible via a personal log-in and will be available to virus patients who had to be treated in hospital, as well as to those who managed their illness at home. Later in the summer, tailored rehabilitation will also be offered to those who qualify, following an assessment. Each programme will last a maximum of 12 weeks, the Department of Health and Social Care said. Read full story Source: BBC News, 5 July 2020
  4. News Article
    Figures released by the Office for National Statistics show that about two-thirds of fatalities from this disease during its peak from start of March to mid-May were people with disabilities. That is more than 22,000 deaths. Then dig down into the data. It indicates women under 65 with disabilities are more than 11 times more likely to die than fellow citizens, while for men the rate is more than six times higher. Even for older people the number of deaths was three times as high for women and twice as high for men. There are some explanations for such alarming figures, although they tend to reveal other profound concerns. Yet the report showed even when issues such as economic status and deprivation are taken into account, people with disabilities died at about twice the rate of their peers. So where was the fury over this obvious and deep inequality, even in death? Where was the fierce outcry over persistent failures that left many citizens and their families at risk, lacking even the most basic advice, support or protection from the state? Chris Hatton, the dedicated professor of public health and disability at Lancaster University, delved into all available data. He found people with autism and learning disabilities were in reality at least four times more likely to die at the peak of pandemic than other citizens. They also died at far younger ages. “Information released about deaths of autistic people and people with learning disabilities has been minimal, grudging and seems deliberately designed to be inaccessible,” he says. This adds up to one more shameful episode in the scandal of how Britain treats such citizens. Read full story Source: iNews, 5 July 2020
  5. News Article
    Most people experience COVID-19 as a short-term illness: once the infection has been fought off, they bounce back to health. But evidence is emerging of a significant minority – sometimes referred to as “long haulers” – who struggle with long-term symptoms for a month or longer. Anecdotal reports have abounded of people left with fatigue, aching muscles and difficulty concentrating. Online support groups on Facebook and Slack have sprung up, already hosting thousands of members who say they have not got better. Speaking to the BBC’s Andrew Marr Show on Sunday, Matt Hancock said it was difficult to gauge the scale of the problem. “This is a really serious problem for a minority of people who have Covid,” the health secretary said. “Some people have long-term effects that look like a post-viral fatigue syndrome.” Scientists are only just beginning to investigate the potential causes of enduring fatigue, but say that there are likely to be a wide variety of reasons why some people face a longer road to recovery. Read full story Source: The Guardian, 5 July 2020
  6. Content Article
    The scale of the challenge facing the NHS after the first wave of COVID-19 in England is only just coming to light. The NHS adapted at speed to redeploy staff, change estate configurations, reduce non-COVID-19 face-to-face appointments and redesign patient pathways. The deployment of the NHS physician workforce provides an insight into the NHS response. In the middle of May, 32% of Royal College of Physicians (RCP) members reported working in a clinical area that was different from their normal practice.By the start of June this had reduced by 10% to 22%, but that still means one-fifth of the workforce were working outside their usual area. This has knock-on effects for patients and the resumption of services.   The RCP, in partnership with our specialist societies, has been working with NHS England to plan specialty-specific restart activity. This is based on different scenarios regarding specialty capacity across the country, and the impact of COVID-19 is being felt unevenly. Consultants in respiratory medicine and gastroenterology expect it to take 2 years to recover from the backlog created by COVID-19, while those in cardiology are expecting it to take 18–21 months. Providing accurate estimates and projections about what the next 12 months hold for the NHS is difficult, as we can’t be certain about whether there will be future outbreaks and waves of COVID-19. This report highlights just why it is so important that the government, the NHS and politicians openly discuss the significant unmet need in the patient population.
  7. Content Article
    The purpose of this guide from the Chartered Institute of Ergonomics and Human Factors (CIEHF) is to help people working in the health and social care ecosystem capture valuable practice and improvements made during their response to COVID-19. The aim is to contribute to organisational change at a policy, strategic and operational level. If left too late, there is a real danger that positive change is not documented and will be lost as the health system emerges from the pandemic. 
  8. News Article
    We’re swiftly learning the symptoms of Covid-19 may last longer than previously thought. One in 10 people are reporting a longer tail of symptoms, which exceeds the suggested two-week recovery time. It’s thought around 30,000 people in the UK could be impacted by a prolonged version of the illness – what some are calling ‘long covid’. These people are months into their recovery from the virus and still fighting a range of persistent symptoms. In some cases, the symptoms disappear for a while before coming back. In others, they’re gradually improving over time. Research from the Covid-19 Symptom Study in the UK, led by Professor Tim Spector of King’s College London, shows after three weeks of first reporting symptoms, a group of people continue to experience fatigue, headaches, coughs, loss of smell, sore throats, delirium and chest pain. People with mild cases of the disease are more likely to have a wide range of symptoms that come and go over an extended period, Prof Spector found. And these people are often flying under the radar because they’re not in hospital. Those who believe they’ve had ‘long covid’ are now calling on the government to recognise their plight, invest in research and put support in place. Read full story Source: Huffpost, 2 July 2020
  9. News Article
    The “hazardous” use of personal protective equipment (PPE) required because of COVID-19 is contributing to the spread of secondary infections in intensive care units and other hospital settings, a leading expert has told HSJ. Infection Prevention Society vice president Professor Jennie Wilson, said: “[PPE] has been used to protect the staff, but the way it has been used has increased the risk of transmission between patients. The widespread use of PPE particularly in critical care environments has exacerbated the problem (of patient to patient transmission). Unless we tackle the approach to PPE we will continue to see this major risk of transmission of infections between patients.” Professor Wilson warned this was espeically worrying as the risk includes spreading antibiotic resistant infections among ICU patients. There is increasing concern these are developing more often in covid patients due to widespread use of broad spectrum antibiotics in the early days of the pandemic, she added. Read full story (paywalled) Source: HSJ, 3 July 2020
  10. News Article
    Psychiatrist Dr. Scott Krakower was diagnosed with the coronavirus in April and continues to have symptoms more than two months later, making him what’s known as a “long hauler.” Although Krakower said he's feeling better, he is not able to return to work. “Each day is different. Some days are up, some days are down. I would say the mornings are better for me and then by 1 or 2 o’clock is when my voice and my shortness of breath kick in more and then it’s harder to do things.” Krakower hasn’t had a clear answer about when he will recover or whether that may happen, although he takes solace in the fact that he is improving. Krakower continues to try and shake off the symptoms, a signature of long hauling. It’s a trait that has been on display before with MERS and SARS, says Dr Robert Glatter, an emergency physician at Lenox Hill Hospital in New York City. “What we’re seeing is that this is a byproduct of the inflammation from the virus itself. In other words, dead fragments of virus elicit an immune response. And as a result of this, the body reacts and produces certain types of substances that can really have adverse effects,” Glatter said. Read full story Source: Today, 1 July 2020
  11. News Article
    Staff working in care homes are to be tested every week starting on Monday, with residents tested every month, the government has said. The expansion of testing comes as a whistleblower at one of the testing laboratories revealed dozens of shifts had been cancelled throughout May and June because of a lack of test samples. Ministers hope that the expansion of testing will help to prevent the spread of infection to vulnerable residents. Read full story Source: The Independent, 3 July 2020
  12. Content Article
    This interview is part of the hub's 'Frontline insights during the pandemic' series where Martin Hogan interviews healthcare professionals from various specialties to capture their experience and insight during the coronavirus pandemic. Here Martin interviews an oral surgeon who has been in the post for a year in a trust that covers two sites in the West Country. 
  13. Content Article
    A recent Health Foundation long read suggests that the COVID-19 pandemic could be a watershed moment in creating the social and political will to build a society that values everyone’s health – now and in the long term. The global pandemic and the wider governmental and societal response, is certainly bringing health inequalities into sharp focus. And it has been apparent from the early stages of the pandemic that some groups are at much higher risk of catching and dying from the virus than others. Factors such as age, gender, ethnicity and socioeconomic deprivation are all known to be important. Critically, these factors combine in complex ways to put some people at much greater risk. In addition, the measures taken to control the spread of the virus are having unequal socioeconomic impacts, which are likely to deepen health inequalities in the long term. Over the coming months, the Health Foundation will continue to round up key evidence on COVID-19 and inequalities. In this article the Health Foundation give an overview of some key themes emerging from recent work on the unequal impact of COVID-19, focusing on how children and young people are being affected, and the economic effects of the pandemic.
  14. Content Article
    Since the rise of COVID-19 in the UK, many consultations between surgeons and patients take place remotely, via phone or video. These consultations include pre-operative assessments, discussions between surgeons and patients about the benefits and risks of their surgery, and gaining the patient’s consent to proceed with treatment.  This transition to remote consultations has been central in the healthcare system’s effort to prevent transmission of COVID-19, and has required a series of adjustments by patients, hospitals and members of the surgical team. However, when it comes to the consent process, the same principles and requirements should apply as set out by the GMC and The Royal College of Surgeons of England, regardless of whether the conversation takes place face-to-face or via phone or video. In addition, during the COVID-19 period, the consent discussion should include further considerations to ensure that patients have the necessary information to make an informed decision about their treatment. This guide sets out the main principles of the consent process and provides advice on what additional information should be included in conversations with patients while COVID-19 is still prevalent in society.
  15. Content Article
    The COVID-19 pandemic has suddenly challenged many healthcare systems. To respond to the crisis, these systems have had to reorganise instantly, with little time to reflect on the roles to assign to their patient safety (PS) and quality improvement (QI) experts. In many cases, staff who had a background in clinical care was called to support wards and critical care. Others were deemed “non-essential” and sent back to work from home, while their programmes were placed in hibernation mode. This has meant that many QI and PS experts with skills to offer in their field have ended up carrying out tasks unrelated to the current crisis.
  16. Content Article
    Motivated by the COVID-19 pandemic, Perla et al. developed a novel Shewhart chart to visualise and learn from variation in reported deaths in an epidemic.
  17. News Article
    Waiting times for tests and treatment not related to COVID-19 are likely to increase significantly in the second half of 2020 because of the fallout from the pandemic, the head of NHS England has acknowledged. Giving evidence to the Commons health select committee on 30 June, NHS England’s chief executive Simon Stevens said that contrary to some commentary, the NHS’s overall waiting list actually dropped by over half a million people between February and April 2020 because fewer people were coming forward for treatment. But, he added, “As referrals return we expect that will go up significantly over the second half of the year.” Stevens said that there were 725 000 fewer elective admissions to NHS hospitals during March and April, but that number has begun to recover significantly. “As we speak, we think we’re now somewhere north of 55% of pre-covid-19 elective activity levels,” he said. He added that he hoped the NHS would return to around three quarters of normal activity levels by July or August. Stevens told MPs that the NHS would pursue a range of measures to increase capacity over the coming months, including extending the deal with the private sector to use its facilities, and repurposing some of the Nightingale hospitals for diagnostic testing. Read full story Source: BMJ, 1 July 2020
  18. News Article
    The government must set out plans for an inquiry into its handling of the coronavirus pandemic, the health service ombudsman has said. This was not about blaming staff but about "learning lessons", he said. Ombudsman Rob Behrens said patients were reporting concerns about cancelled cancer treatment and incorrect COVID-19 test results. Ministers have not committed to holding an inquiry, but have accepted there are lessons to be learned. The Parliamentary and Health Service Ombudsman (PHSO) stopped investigating complaints against the NHS on 26 March, to allow it to focus on tackling the COVID-19 outbreak. But people had continued to phone in with these concerns, Mr Behrens said. "Complaining when something has gone wrong should not be about criticising doctors, nurses or other front-line public servants, who have often been under extraordinary pressure dealing with the Covid-19 crisis," he said. "It is about identifying where things have gone wrong systematically and making sure lessons are learned so mistakes are not repeated." Read full story Source: BBC News, 1 July 2020
  19. Content Article
    Research has found that variations in cardiometabolic factors, vitamin D levels and socioeconomic or behavioural factors do not adequately explain why COVID-19 disproportionately affects black, Asian and minority ethnic populations. In this study published in the Journal of Public Health, Raisi-Estabragh et al. examined whether the greater severity of coronavirus disease 2019 (COVID-19) amongst men and Black, Asian and Minority Ethnic (BAME) individuals is explained by cardiometabolic, socio-economic or behavioural factors. They found ethnicity differential pattern of COVID-19 was not adequately explained by variations in cardiometabolic factors, vitamin D levels, or socioeconomic or behavioural factors. This, the researchers said, suggests that alternative biological pathways or genetic susceptibilities may have importance in driving the higher rates of severe COVID-19 in BAME populations and should be investigated.
  20. Content Article
    The COVID Trauma Response Working Group has been formed to help coordinate trauma-informed responses to the COVID outbreak. It is made up of psychological trauma specialists, coordinators of the psychosocial response to trauma, wellbeing leads at NHS Trusts and people with lived experience of psychological trauma. The working group is being coordinated by staff at University College London and the Traumatic Stress Clinic at Camden and Islington NHS Trust. On their website you will find many resources and information on the work they are doing.
  21. News Article
    Delays in going to the emergency department because of the coronavirus pandemic lockdown may have been a contributory factor in the deaths of nine children, a snapshot survey of consultant paediatricians in the UK and Ireland has shown. Three of the reported deaths associated with delayed presentation were due to sepsis, three were due to a new diagnosis of malignancy, in two the cause was not reported, and one was a new diagnosis of metabolic disease. Read full story (paywalled) Source: BMJ, 30 June 2020
  22. News Article
    A quarter of people who sought help for mental health problems during lockdown were unable to access NHS services, a new survey shows. A survey by the mental health charity Mind found that 25% of respondents who contacted primary care services could not get support. More than a fifth (22%) of adults with no previous experience of poor mental health now say that their mental health has deteriorated, according to the survey. Many people who were previously well will develop mental health problems as a “direct consequence of the pandemic and all that follows”, according to Mind. Two out of three (65%) adults aged 25 and over and three-quarters of young people aged 13-24 with an existing mental health problem reported worse mental health during the lockdown. Mind predicts that prolonged worsening of wellbeing and “continued inadequate access” to NHS mental health services will lead to a marked increase in people experiencing longer-term mental health problems. Read full story Source: The Independent, 30 June 2020
  23. Content Article
    The COVID-19 pandemic is emerging as the defining health crisis of our generation. Healthcare organisations were already a high-risk environment for workers, who are exposed on a daily basis to the suffering of their patients, tragedy, and the potential for failure. Now, healthcare staff of all kinds are straining to meet the demands of caring for patients with the novel coronavirus. Caring for patients with COVID-19 places them at personal risk for infection, and also poses a threat to their emotional well-being. If workers are not provided with sufficient emotional support, the distress can be disabling. It may render them less able to work to their full ability. This in turn can threaten the integrity of the health care workforce to deliver the volumes of care required by the pandemic. In the longer term individual workers are at risk for accelerated burnout, and for mental health problems like post traumatic stress disorder (PTSD). The Journal of Patient Safety and Risk Management asked their international editorial board to provide advice for healthcare leaders and managers and frontline clinicians for meeting the emotional needs of healthcare workers and supporting one another. They identified several priority areas central to maintaining and promoting the well-being of the workforce during the pandemic. These included meeting basic needs, improving crisis leadership and communication, promoting well-being, and providing mental and emotional support.
  24. Content Article
    Face coverings have become a flashpoint in the US, particularly now as COVID-19 cases continue to surge in Texas, Florida, and Arizona, among other states. Misinformation and mixed signals about masking have spread almost as quickly as the virus. And political debates pitting civil liberties vs. civic responsibilities have drowned out the growing body of evidence that shows wearing masks significantly reduce infection risk. Sonja Bartolome is a specialist in lung disorders and pulmonary disease, treating respiratory infections every day and has seen firsthand the aggressive nature in which they can spread. She lists the most common myths surrounding masks and separate them from the medical and scientific realities of the current situation.
  25. News Article
    A new report by Research Australia details more than 200 ongoing COVID-19 studies that extend far beyond the search for a vaccine. Almost every COVID-19 research project being led by Australians has been in the new report, including studies of breastfeeding guidelines for parents with COVID-19, filter systems to remove the virus via air-conditioning systems, monitoring of sewage to detect the prevalence of COVID-19, and repurposing technology normally used to identify explosives to see if it can detect the presence of COVID-19. The report was compiled by Research Australia, the national peak body for health and medical research. It’s chief executive, Nadia Levin, said the report was not a complete catalogue of COVID-19 related research in Australia, but provided a useful insight into the scale of the response from the health and innovation sectors. “All of this Australian research kept popping up and we were blown away by the scale and scope of it, so we asked all of our members to share what they are working on,” Levin told the Guardian Australia. Read full story Source: The Guardian, 27 June 2020
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