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Found 2,339 results
  1. Content Article
    These guidance materials show how to use a COVID-19 swab testing kit. A significant number of results have shown as 'false negatives'. It is therefore important to follow the techniques described in these guidelines so that inaccurate results decrease and transmission rates can be reduced.
  2. News Article
    The NHS faces a new set of wide-ranging requirements as part of a comprehensive plan to mitigate the impact of COVID-19 on black, Asian and minority ethnic staff, HSJ has discovered. A draft NHS England/NHS Improvement document, seen by HSJ, proposes trusts ensure every staff member has “a risk assessment to keep them safe”. It says the centre will provide: “Guidance and support to employers on creating proactive approaches to risk assessment for BAME staff, including physical and mental health.” The document, Addressing Impact of Covid-19 on BAME Staff in the NHS, will call for five actions: 1. Every member of staff, current and returning, will have a risk assessment to keep them safe. 2. Every organisation with a CEO, and for primary care CCGs and ICSs, needs a BAME co-leader. 3. Diversity at every level of the health and care system starts with the podium, through our senior decision-making forums and across all organisations and at all levels of the workforce. 4. A bespoke health and wellbeing (including rehab and recovery) offer for BAME staff will be developed and rolled out for the system. 5. Every part of the system will use guidance on increasing diversity and inclusion in communications will be produced, led by the system. Read full story Source: HSJ, 6 April 2020
  3. Content Article
    A blog published in the Metro from a London hospital cleaner on how he is trying to keep himself safe during the coronavirus. "There are always fears you're going to get coronavirus but I try not to overthink it too much".
  4. News Article
    A Nottingham mum recovering from breast cancer surgery said she 'hates to think' what could have happened, if she had let the cancer go undetected. Claire Knee, 45 of Beeston, was diagnosed with breast cancer in March shortly before lockdown measures were introduced. Having felt slightly off and noticing lumps in her breast, she was encouraged to contact her GP who referred her for tests. After a serious of diagnostic tests at Nottingham City Hospital's Breast Institute, specialists confirmed the presence of a tumour in the early stages. Surgeons successfully removed the tumour from her right breast amid the pandemic and Claire has been recommended some follow up treatment. She now wants to share her experience of seeking help and getting treatment to advise others who may be showing signs of cancer but are too scared to contact their GP. "Looking back I just think that if I hadn’t made the call to my GP I would be walking around with undetected breast cancer, which could still be growing now. I would urge anyone in similar circumstances to contact their GP and get checked - even if it’s just for peace of mind.” Read full story Source: Nottinghamshire Live, 4 May
  5. Content Article
    Calum McGregor shares with the Q Community practical tips and tools to help with team-working and staff wellbeing during the COVID-19 pandemic. Calum highlights some principles and examples which have helped with team-working in his Acute Medical Unit recently and in the past.
  6. News Article
    The health secretary Matt Hancock has been threatened with a judicial review amid fears patients’ human rights are at risk from the incorrect use of controversial do not resuscitate orders during the coronavirus pandemic. Ministers have been told they should use emergency powers to issue a direction to doctors and nurses in the NHS requiring them to comply with the law on do not attempt resuscitation orders (DNARS) and to ensure patients are properly consulted. In recent weeks there have been a number of reports of patients having DNARs put in place without their knowledge or in GPs imposing blanket decisions, prompting a warning letter from NHS England’s chief nurse last month. The legal action is being brought by Kate Masters, the daughter of Janet Tracey, who died at Addenbrooke's hospital in 2011 after a DNAR was put in place without her knowledge. In 2014, Tracey's husband David won a landmark victory at the Court of Appeal which gave patients a new legal right to be consulted by doctors when DNARS were being considered. Not consulting a patient was a breach of their human rights, the court ruled. Read full story Source: The Independent, 6 May 2020
  7. News Article
    Pregnancy support helplines are experiencing a massive spike in distressed pregnant women asking for urgent help as charities warn coronavirus upheaval is placing pregnant women at risk. Frontline service providers warn mothers-to-be are anxious about whether they will be denied pain relief options and be separated from their newborn babies due to them being put in neonatal units. Birthrights, a maternity care charity, found enquiries to its advice line in March were up by 464 per cent in comparison to March last year. Women getting in touch also raised concerns about home birth services being withdrawn, midwifery-led birth centres shutting their doors and elective caesareans being discontinued due to the COVID-19 crisis. Baby charity Tommy’s experienced a 71% surge in demand for advice from midwives on its pregnancy helpline last month. The organisation warned coronavirus turmoil is placing pregnant women at risk after their midwives answered 514 urgent calls for help in April which is a sizeable rise from the 300 enquiries they would generally get. Jane Brewin, the charity’s chief executive, said: “Antenatal care is vital for the wellbeing of mother and baby – but the coronavirus outbreak means that many don’t know who they can ask for help, or don’t want to bother our busy and beloved NHS." “Although services are adapting, they are still running, so pregnant women should not hesitate to raise concerns with their midwife and go to appointments when invited. The large increase in people contacting us demonstrates that coronavirus is creating extra confusion and anxiety for parents-to-be, making midwives’ expert advice and support even more important at this time.” Read full story Source: The Independent, 5 May 2020
  8. News Article
    Isolation during lockdown is exacerbating psychosis in some patients, a consultant psychiatrist at a leading mental-health trust warns. Steve Church said the South London and Maudsley NHS Trust had now had to shift its focus to crisis management. He leads the psychosis recovery team, one of the trust's five teams helping patients struggling with their mental health during the coronavirus pandemic. Some have had to move homes to isolate and many no longer visit the clinic. Dr Church, who has been working in the field for almost three decades, said: "In normal times, and we're not in normal times, the whole treatment is about trying to help people not self-isolate, trying to help people to re-engage with society. "Self-isolation is one of the red flag-hallmarks of somebody becoming unwell in the first place, where they take themselves into a psychosis-induced lockdown." One of his patients, Tracey, told Dr Church, in a phone consultation, staying at home had increased her hallucinations. "It's been quite daunting," she said. "I do hear the voices a little bit more now. They're domineering - they tell me to run across the road and they're following me and they say horrible and nasty things." Read full story Source: BBC News, 5 May 2020
  9. News Article
    A leading doctor has called on the government to address regional health inequalities surrounding coronavirus. Dr George Rae, the British Medical Association's regional chairman for the North East, has written an open letter saying the area is "suffering disproportionately". He said it was "time to ask why" and wanted action to "close the gap". A government spokesman said it was working "incredibly hard" to protect the nation's public health. "This is gravely disconcerting," Dr Rae wrote. "Not only does this mean that we're suffering from a disproportionate amount of serious cases and deaths but also that, as a consequence, gradual lockdown measures may be affected - prolonging the hurt caused to our local economy. Covid-19 has shone a light on the health inequalities in the North East". "What we need now is action from the government to close this gap and reduce the vulnerability of people in the North East to many medical conditions and, indeed, any future viruses." Read full story Source: BBC News, 5 May 2020
  10. News Article
    An NHS app that aims to track the spread of coronavirus is being rolled out for the first time, as part of a trial on the Isle of Wight. Council and healthcare workers will be the first to try the contact-tracing app, with the rest of the island able to download it from Thursday. The app aims to quickly trace recent contacts of anyone who tests positive for the virus. However, the new NHS coronavirus app will have “unintended consequences”, according to the head of the unit developing it. Officials do not know “exactly how it will work”, Matthew Gould, chief executive of NHSX, told a parliamentary committee. “There will be unintended consequences, there will for sure be some things we have to evolve,” he said. Privacy campaigners have raised concern over the potential for “mission creep” with the data that will be gathered on people’s movements and contact with others. The Health Service Journal reported that it has not yet passed tests on cyber security, performance and clinical safety needed to be included in the NHS app library. Read full story Source: The Independent, 4 May 2020
  11. Content Article
    Philip Anderson’s able-bodied daughter, Lucy, joins Philip in sharing their perspectives of positive developments during the coronavirus lockdown, and their hopes for the future. Philip acquired a debilitating rare disease and has had to learn to live with remorseless erosion of his physical capacity, and increasing dependency. "I confess that when I was able-bodied, I was not aware of the extent of restrictions imposed by organisations on those with physical impairments. I’m only as disabled by the choices others make, rather than by loss of my motivation to live life ‘normally'. I hope that many who are experiencing some of our restrictions for the first time, will be passionate advocates for those with disability," says Philip in this thought-provoking article published in Independent Living.
  12. Content Article
    We can use what we’ve learned from the crisis to make a 21st-century service fit for patients and staff alike, says Joel Schamroth in a blog to the Guardian. This pandemic is forcing us to rethink how we deliver healthcare. For too long patients have experienced fragmented services, administrative hurdles and unreliable lines of communication. The “patient experience” often remains an afterthought in the NHS, leading to worse health outcomes, and costing the NHS dearly. The lesson the public is learning is that money can be made available when it’s deemed to be important. In a matter of weeks COVID-19 has shown us that change is possible. 
  13. News Article
    Public Health England PHE) has made new changes to its guidance on the use of face masks as “a pragmatic approach for times of severe shortage”. The update came as trust procurement leads reported receiving substandard face masks from national stocks over the weekend, although a PHE spokesman told HSJ that this had not caused the change to guidance. PHE on Sunday updated its guidance on the use of certain facemasks facing “acute shortages”. The new advice states that FFP2 respirators can be worn without fit testing in lieu of surgical masks in non-surgical settings. The new guidance says: “This is a pragmatic approach for times of severe shortage of respiratory protective equipment, FFP2 respirators being used in this way will not be carrying out the function they were designed to perform.” However, FFP2 respirators must still be properly fit-tested in situations where this level of protection is required, the new PHE advice states. Read full story Source: 4 May 2020
  14. Content Article
    The Florence Nightingale Foundation has launched an NHS leadership support service, Nightingale Frontline.
  15. News Article
    Doctors should reassure parents and carers of children who are immunocompromised that immunosuppression does not seem to increase the risk of severe COVID-19, the UK National Institute for Health and Care Excellence (NICE) advises in a rapid guideline. “Covid-19 usually causes a mild, self-limiting illness in children and young people, even in those who are immunocompromised,” NICE says. Children and teenagers who are immunocompromised and their carers may be feeling particularly anxious and fearful about covid-19, so it is important they are involved in decision making as much as possible, NICE advises. Doctors should also support patients’ and carers’ mental wellbeing through communication and by signposting to charities and support groups. The guideline says that patients should not avoid their usual appointments unless they have been told to and should continue with their usual treatment. However, face-to-face contact should be reduced where safely possible and alternative approaches such as telephone, video, or email consultations used instead. When deciding whether to start treatments that affect the immune system, doctors should discuss the risks and benefits with the patient and their carers. If it is safe to delay treatment then watchful waiting should be undertaken. Read full story Source: BMJ, 1 May 2020
  16. Content Article
    Some degree of post-viral fatigue (PVF) or debility is a fairly common occurrence after any type of viral infection.Fortunately, in most cases, this is short lived and there is a steady return to normal health over a period of a few weeks.However, in some cases, a full return to normal health takes months rather than weeks.Additional symptoms may also develop, where the term post-viral fatigue syndrome (PVFS) may be a more appropriate diagnosis. The situation with persisting fatigue following COVID-19 infection appears to be rather more complicated than what happens with other viral illnesses.
  17. Content Article
    This report, from the International Long Term Care Policy Network, provides examples of the policy and practice measures that have been adopted internationally to prevent COVID-19 infections in care homes and to mitigate their impact. This is a 'live' document that will be updated regularly and expanded as more information becomes available.
  18. News Article
    The health service will face a “tsunami” of coronavirus survivors discharged from hospitals needing long-term physical and mental support that the NHS will struggle to provide, The Independent has been told. Coronavirus can leave patients with lasting physical damage and scarring to their lungs, meaning many could struggle to breathe and move around as well as they did before – in some cases permanently. Patients admitted to intensive care can also suffer physical effects of being paralysed weeks and almost half who are ventilated with a tube in their windpipe will experience a form of delirium that can include terrifying hallucinations and leave survivors with lasting mental problems including post-traumatic stress. Experts have warned a long-term lack of funding of NHS rehabilitation services and post-discharge care for ITU patients means the health service will struggle to help the thousands of patients who beat the virus but face a long road to recovery. Read full story Source: 3 May 2020
  19. News Article
    Healthcare workers providing support outside of the NHS are finding it harder to access coronavirus tests than their colleagues inside the service, a survey of nurses has suggested. A poll of 22,000 health and care workers conducted by the Royal College of Nursing found 44% of respondents did not know how to access testing – while 76% said they had not been offered a test. The problem was also particularly pronounced among the temporary workers, with four in five not offered testing compared to three-quarters of full time workers. Meanwhile the survey found 79% of those working outside of the NHS had not been offered a test, compared with 75% in the health service. Dame Donna Kinnair, chief executive and general secretary of the RCN, said: “It is concerning to see that some nursing staff, particularly those outside the NHS, are still having issues accessing COVID-19 testing. Read full story Source: The Independent, 4 May 2020
  20. Content Article
    Roger Kline, Research Fellow at Middlesex University, highlights the three principles NHS organisations should take forward immediately to avoid unecessary staff deaths.
  21. Content Article
    With the ongoing Covid-19 crisis changing the way we live our lives and having a huge impact on the NHS, David Oliver speaks to the Nuffield Trust about what motivates him as a clinician at such a time, what the health service and the wider country need to learn from the past few months, and how pleased he is to be doing the job that he trained for.
  22. Content Article
    An analysis from Dr Rodney P. Jones, Lecturer in Healthcare Management.
  23. News Article
    Many people in Britain are likely to suffer from physical and mental problems for several years after the COVID-19 epidemic has subsided. That is the grim message from doctors and psychologists who last week warned that even after lockdown measures had been lifted thousands of individuals would still be suffering. Some of these problems will be due directly to the impact that the virus has had on those it has infected, especially those who went through life-saving interventions in intensive care units (ICUs) in hospital. In addition there will be a considerable impact on vulnerable people affected by the lockdown and isolation. Read full Source: The Observer, 2 May 2020
  24. Content Article
    This month sees the call from the Nursing Midwifery Council in the UK to ex nurses and students to join the emergency register in response to COVID-19. In this Episode of the 'This Is Nursing' podcast series, Gavin Portier reflects on his return to critical care and what he learnt about going from a corporate nursing role back into the direct care setting.r
  25. News Article
    The Chief Scientific Adviser reportedly warned the government in January that the care homes sector in the UK was particularly vulnerable to COVID-19 – and that has unfortunately proved to be the case. With care home deaths now being reported daily, what do the numbers tell us about this group? Have care home residents been disproportionately affected? And is there a chance the crisis could belatedly mark the start of better times for a sector in danger of collapse? Read full story Source: Nuffield Trust, 1 May 2020
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