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Found 2,339 results
  1. 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
  2. Content Article
    This page provides a list of useful resources for healthcare staff who are working in intensive care units and critical care roles during the COVID-19 pandemic.
  3. 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
  4. Content Article
    Below is a list of key websites for anyone looking to access up-to-date information and guidance on the coronavirus pandemic. 
  5. 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
  6. Content Article
    Difficult conversations are always needed in healthcare and are important in order to offer informed choice of what treatments will be of benefit to the patient and are important to manage the expectations of patients, families and clinicians. But what is currently happening during the coronavirus pandemic in primary care? What should be best practice? Claire, a clinical outreach nurse, explores this in her latest blog.
  7. 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
  8. 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
  9. 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
  10. 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
  11. Content Article
    Blog from Ken Spearpoint on the aerosol generating procedures in cardiopulmonary resuscitation in Covid-19 patients. Ken is a Lecturer in Post Graduate Medicine at the University of Hertfordshire and critical care nurse for the match day medical team at Millwall FC,
  12. Content Article
    The charity, British Association for Immediate Care (BASICS), has launched a wobble line. Free to access for pre-hospital care workers.
  13. 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
  14. Content Article
    During the covid-19 pandemic trainees may be asked to work in unfamiliar environments. Abi Rimmer asks experts how doctors can deal with the change
  15. Content Article
    This FAQ resource from the Royal College of General Practitioners, provides information about a number of topics relevant to general practice and how to keep patients and staff safe during the coronavirus pandemic.
  16. Content Article
    A trainee ophthalmologist shares his experience with BMJ Opinion of being redeployed to the frontline of COVID-19 preparation and hopes that it will allay fears.
  17. Content Article
    Sara Albolina and Giulia Dagliana share the lessons learned from Italy and provide valuable guidance in this podcast shared on the Project Patient Care website. The podcast has been widely circulated among US healthcare provider organisations, patient advocates, and government organisations.
  18. 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
  19. 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
  20. Content Article
    In response to the ongoing coronavirus situation, the Government has put a call out for businesses who can provide support in the supply of ventilators and ventilator components for the healthcare system.[1] This has been met with a positive reaction from industry, with firms such as Dyson, Smiths Group and an industrial consortium (including Rolls-Royce, Airbus, McLaren, Thales, BAE Systems and Ford) responding to this.[2] Patient Safety Learning has been engaging with key leaders in Parliament, the healthcare system and international colleagues on matters in relation to patient safety during the pandemic. With forthcoming introduction of thousands of new ventilators, we have been collaborating with human factors/ergonomics experts and colleagues regarding the design and development of these.  It’s important that we have ventilators. It’s important that they’re safe. 
  21. Content Article
    In this blog, Adele Doherty, Head of Dementia Voice at Alzheimer's Society, highlights the difficulties and fears for dementia patients and their families and carers during the coronavirus pandemic.
  22. 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
  23. 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
  24. 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
  25. Content Article
    The findings of this study suggest that, among Chinese healthcare workers exposed to COVID-19, women, nurses, those in Wuhan, and front-line health care workers have a high risk of developing unfavourable mental health outcomes and may need psychological support or interventions. 
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