Jump to content

Search the hub

Showing results for tags 'Recovery'.

More search options

  • Search By Tags

    Start to type the tag you want to use, then select from the list.

  • Search By Author

Content Type


  • All
    • Commissioning, service provision and innovation in health and care
    • Coronavirus (COVID-19)
    • Culture
    • Improving patient safety
    • Investigations, risk management and legal issues
    • Leadership for patient safety
    • Organisations linked to patient safety (UK and beyond)
    • Patient engagement
    • Patient safety in health and care
    • Patient Safety Learning
    • Professionalising patient safety
    • Research, data and insight
    • Miscellaneous


  • Commissioning, service provision and innovation in health and care
    • Commissioning and funding patient safety
    • Digital health and care service provision
    • Health records and plans
    • Innovation programmes in health and care
    • Climate change/sustainability
  • Coronavirus (COVID-19)
    • Blogs
    • Data, research and statistics
    • Frontline insights during the pandemic
    • Good practice and useful resources
    • Guidance
    • Mental health
    • Exit strategies
    • Patient recovery
  • Culture
    • Bullying and fear
    • Good practice
    • Occupational health and safety
    • Safety culture programmes
    • Second victim
    • Speak Up Guardians
    • Staff safety
    • Whistle blowing
  • Improving patient safety
    • Clinical governance and audits
    • Design for safety
    • Disasters averted/near misses
    • Equipment and facilities
    • Error traps
    • Health inequalities
    • Human factors (improving human performance in care delivery)
    • Improving systems of care
    • Implementation of improvements
    • International development and humanitarian
    • Safety stories
    • Stories from the front line
    • Workforce and resources
  • Investigations, risk management and legal issues
    • Investigations and complaints
    • Risk management and legal issues
  • Leadership for patient safety
    • Business case for patient safety
    • Boards
    • Clinical leadership
    • Exec teams
    • Inquiries
    • International reports
    • National/Governmental
    • Patient Safety Commissioner
    • Quality and safety reports
    • Techniques
    • Other
  • Organisations linked to patient safety (UK and beyond)
    • Government and ALB direction and guidance
    • International patient safety
    • Regulators and their regulations
  • Patient engagement
    • Consent and privacy
    • Harmed care patient pathways/post-incident pathways
    • How to engage for patient safety
    • Keeping patients safe
    • Patient-centred care
    • Patient stories
  • Patient safety in health and care
    • Care settings
    • Conditions
    • Diagnosis
    • High risk areas
    • Learning disabilities
    • Medication
    • Mental health
    • Men's health
    • Patient management
    • Social care
    • Transitions of care
    • Women's health
  • Patient Safety Learning
    • Patient Safety Learning campaigns
    • Patient Safety Learning documents
    • Patient Safety Learning news archive
    • 2-minute Tuesdays
    • Patient Safety Learning Annual Conference 2019
    • Patient Safety Learning Annual Conference 2018
    • Patient Safety Learning Awards 2019
    • Patient Safety Learning Interviews
    • Patient Safety Learning webinars
  • Professionalising patient safety
    • Accreditation for patient safety
    • Competency framework
    • Medical students
    • Patient safety standards
    • Training
  • Research, data and insight
    • Data and insight
    • Research
  • Miscellaneous


  • News


  • Files


  • Community Calendar

Find results in...

Find results that contain...

Date Created

  • Start

Last updated

  • Start

Filter by number of...


  • Start



First name

Last name


Join a private group (if appropriate)

About me



Found 357 results
  1. Content Article
    Since the beginning of the Covid-19 pandemic, we have known that the virus can affect the heart and cardiovascular system.[1] Covid is not primarily a respiratory disorder, it is a disease of the blood vessels. Recent statistics also suggest there has been an increase in excess deaths due to cardiovascular causes since the end of lockdown measures—but these deaths are not being linked to Covid-19 in official data. This area needs further research so that we can better understand the ways in which Covid is causing morbidity and mortality in the wider population. Research shows the link between Covid and cardiac events There have been many personal accounts of otherwise healthy people experiencing ongoing cardiac symptoms [2] due to Covid-19 infection. Now, over two years into the pandemic, we have significant research evidence establishing the link between Covid-19 and cardiovascular disease.[3] Multiple studies highlight an increased risk of stroke and heart attack after Covid,[4][5] and many show that the virus causes new onset cardiovascular issues in previously healthy individuals. Thrombosis and embolism can occur up to a year after infection,[4][7][8] even in people in their twenties, leading to significantly increased rates of cardiac events, angina, strokes and blockage of arteries to limbs. Despite this growing body of evidence, awareness is low among the public and the medical community that Covid-19 is a vascular disease. This means that patients are not always being assessed for potential heart problems, as they should be, when seeing a doctor or attending A&E with chest pain, palpitations or shortness of breath. Patients are being misinformed because of gaps in doctors’ knowledge As a result of this knowledge gap, there are also concerns that patients are being given inappropriate advice about exercise during and in the weeks following a Covid infection. Exercising with the virus can lead to cardiovascular issues developing or worsening, sometimes with devastating consequences. In addition to research about cardiovascular disease and Covid, we have a wealth of knowledge about exercise and myocarditis from sport scientists who have been studying cardiovascular disease in athletes for decades. A US study carried out in 2021 highlights that, “Emerging observational data coupled with widely publicized reports of athletes in competitive sports with reported Covid-19–associated cardiac pathology suggest that myocardial injury may occur in cases of Covid-19 that are asymptomatic and of mild severity.”[9] While the rates of cardiac involvement in athletes after Covid have been low, it is important to take a cautious approach. There is currently a lack of consistency in the advice patients are given about exercise and Covid, both in the acute stage of infection and afterwards in patients that develop Long Covid. Some people report having been actively advised by healthcare professionals to exercise following a recent Covid-19 infection, but this advice goes against what research tells us: As with any viral infection, exercising with an acute Covid infection, even if it is asymptomatic, increases the small risk of developing myocarditis—inflammation of the heart. If it occurs, myocarditis can cause sudden unexplained death in a small proportion of otherwise healthy adults. People with confirmed myocarditis should not undertake significant exertion for 3-6 months as there is a small but significant risk of sudden death.[10] Promoting a safe approach to Covid, work and exercise Part of the issue is the lack of guidance for GPs and other doctors dealing with both acute Covid patients and those with Long Covid. A rapid guideline on Managing the long term effects of COVID-19 published by the National Institute for Health and Care Excellence (NICE) in March 2022 stated that “in the absence of evidence relating to people with ongoing symptoms from Covid-19 [the panel] could not make specific recommendations,” although it also asserted that “the panel considered careful self-pacing of exercise to be an important element of self-management.”[11] But we now know enough to be able to provide some clear principles around safe exercise related to both acute Covid-19 infection and Long Covid. The World Health Organization living guideline on rehabilitation in Post Covid Condition recommends that in adults with Long Covid, “exertional desaturation and cardiac impairment following Covid-19 should be ruled out and managed before consideration of physical exercise training… Red flags for safe rehabilitation are those complications where commencing rehabilitation could cause an acute event or deterioration.”[12] World Physiotherapy also urges caution when it comes to exercise. In its briefing paper on safe rehabilitation in Long Covid, it states that, “It is critical to establish the reason or source of chest pain, dyspnoea, tachycardia, or hypoxia, to prevent harm and appropriately guide physical activity including exercise.”[13] It highlights that before physical activity is used as a rehabilitation intervention for people living with Long Covid, individuals should be screened for: post-exertional symptom exacerbation cardiac impairment exertional oxygen desaturation autonomic dysfunction and orthostatic intolerances.[13] Here are the key messages about Covid and safe exercise that we need to be getting across as widely as possible. Key messages for healthcare professionals The basic problem in Covid-19 is thrombotic vasculitis (inflammation of blood vessels) which leads to increased rates of serious cardiac and vascular complications in people of any age. Healthcare staff in accident and emergency, hospital medicine and general practice should know that cardiac complications of Covid-19 (angina, acute coronary events, arrhythmias and myocarditis) occur commonly after initial infection, even in young people, and can be present for a prolonged period after infection. Emergency department staff must be aware that myocarditis may occur during acute Covid-19, often caused directly by the virus, or in the weeks and months after infection, which is likely to be caused by an immune-mediated reaction.[14] Blood tests, including Troponin T and BNP should be taken, an ECG carried out and an urgent cardiac MRI should be arranged.[15] Key messages for the public and employers As with any viral infection, if you have Covid-19 you should rest during the first days of infection, when symptomatic. You should then follow a gradual approach to exertion following infection as recommended by the Faculty of Sport and Exercise Medicine UK’s Graduated Return to Play guidance following Covid-19 infection. It can be helpful to use a wearable tech device such as a heart rate and heart rate variability watch. You should also go by how you feel and not push through fatigue. If you have new and persistent chest pain in the days, weeks and months after Covid-19, you should not be undertaking exercise until you have had it investigated by a doctor. This advice also needs to be applied to returning to physically strenuous work following Covid; it’s vital to consider the cardiovascular aspects of Covid before staff can return to ‘heavy work’. To provide clear guidance for employers, the Society of Occupational Medicine recently published a position paper on Long Covid and return to work. The paper pulls together current evidence on how to return to work safely and sustainably after Covid-19. It collates practices from occupational health services around the world, and a range of medical specialists contributed lists of investigations, red flags and reasons for referral, and guidance on best practice for activity. A key theme through the document is the need for early intervention to prevent cardiovascular damage. Although exercise and exertion are part of many people’s daily routine, just pushing through Covid and Long Covid symptoms to maintain your routine is a dangerous approach. It’s better to miss your jog for a few weeks than risk long-term damage to your cardiovascular system. References 1 Eunjung Cha A. Young and middle-aged people, barely sick with covid-19, are dying of strokes. Washington Post, 25 April 2020 2 Dolgin E. COVID’s cardiac connection. Nature. 9 June 2021 3 Part 3: Graham Lloyd-Jones, The anatomy of COVID-19. Oro-Systemic Health Symposium 2022. 12 April 2022 4 Xie Y, Xu E, Bowe B et al. Long-term Cardiovascular Outcomes of COVID-19. Nature Medicine. 2022:28;583-90 5 Al-Aly Z, Bowe B, Xie Y. Outcomes of SARS-CoV2 Reinfection (preprint). 17 June 2022 6 Basu-Ray I, Almaddah N, Adeboye A et al. Cardiac Manifestations Of Coronavirus (COVID-19). StatPearls. 2 May 2022 7 Katsoularis I, Fonseca-Rodríguez O, Farrington P et al. Risks of deep vein thrombosis, pulmonary embolism, and bleeding after COVID-19: nationwide self-controlled cases series and matched cohort study. BMJ. 6 April 2022 8 Raman B, Bluemke DA, Lüscher TF et al. Long COVID: post-acute sequelae of COVID-19 with a cardiovascular focus. Eur Heart J. 2022:43(11);1157–72 9 Kim JH , Levine BD , Phelan D , et al. Coronavirus disease 2019 and the athletic heart: emerging perspectives on pathology, risks, and return to play. JAMA Cardiol. 2021:6;219–27 10 Salman D, Vishnubala D, Le Feuvre P, Beaney T, Korgaonkar J, Majeed A, et al. Returning to physical activity after COVID-19. BMJ. 8 January 2021 11 National Institute for Health and Care Excellence. COVID-19 rapid guideline: managing the long-term effects of COVID-19. 1 March 2022 12 World Health Organization. Clinical management of COVID-19: Living guideline, 15 September 2022 13 World Physiotherapy. Briefing paper 9 - Safe rehabilitation approaches for people living with Long Covid: Physical activity and exercise, 14 July 2021 14 Raman B, Bluemke DA, Lüscher TF et al. Long COVID: post-acute sequelae of COVID-19 with a cardiovascular focus. Eur Heart J. 2022:43(11);1157–72 15 Lampejo T, Durkin SM, Bhatt N, Guttmann O. Acute myocarditis: aetiology, diagnosis and management. Clinical Medicine. 2021:21(5);e505–10
  2. News Article
    More than two million people in the UK say they have symptoms of Long Covid, according to the latest Office for National Statistics (ONS) survey. Many long Covid patients now report Omicron was their first infection. But almost three years into the pandemic there is still a struggle to be seen by specialist clinics, which are hampered by a lack of resources and research. So has the condition changed at all, and have treatments started to progress? NICE defines Llong Covid, or post-Covid syndrome, as symptoms during or after infection that continue for more than 12 weeks and are not explained by an alternative diagnosis. An estimated 1.2m of those who answered the ONS survey reported at least one such symptom continuing for more than 12 weeks - health issues that they didn't think could be explained by anything else. It's easy to assume that new cases of long Covid have significantly decreased, given recent research suggesting the risk of developing long Covid from the Omicron variant is lower. However, the sheer scale of cases over the past year has resulted in more than a third of people with long Covid acquiring it during the Omicron wave, according to the ONS. Patients are usually referred to post-Covid assessment clinics after experiencing symptoms for 12 weeks - however, waiting times have not improved much within the past year. The latest NHS England figures show 33% of Londoners given an initial assessment had to wait 15 weeks or more from the time of their referral, compared to 39% from a similar period in 2021. The British Medical Association (BMA) has called on the government to increase funding for Long Covid clinics to deal with ever-increasing patient numbers. The BMA says that NHS England's 2022 strategy set out in July failed to announce any new funding. Read full story Source: BBC News, 18 November 2022
  3. Content Article
    The NHS has opened 81 long COVID assessment clinics across England and invested more than £50m in research to help improve understanding of the condition, from diagnosis and treatment to rehabilitation and recovery. In Scotland and Wales, Long Covid is primarily being managed in primary care through GPs. However, access to help has been patchy. Geraint Jones, advanced pharmacist specialising in HIV and homecare at Cwm Taf Morgannwg University Health Board in Wales, is frustrated by the lack of a clear pathway for managing Long Covid and has struggled to access services in Wales. In Yorkshire, Rani Khatib — a consultant cardiology pharmacist at Leeds General Infirmary — is waiting for a clinic dedicated to long COVID to be set up in his local area. In the meantime, he has received physiotherapy support through the local pulmonary rehabilitation team, as well as a 12-week Covid-19 rehabilitation programme provided through the charity arm of Nuffield Health. Karen Cook, a clinical services manager for a private hospital chain, has found support from others with Long Covid through Facebook groups, some of which have swelled to tens of thousands of members. She says other professional groups, such as physiotherapists and occupational therapists, have developed effective Long Covid support networks. She would like to see something similar for pharmacists. The Royal Pharmaceutical Society is developing support alerts, blogs and professional guidance relating to Long COVID, and has a support line available for one-to-one discussion and support.
  4. Content Article
    What did the researchers do and find? The researchers used comprehensive healthcare data from a sample of almost half of the German population to investigate the risk of post-COVID-19 disease patterns in children, adolescents and adults. They identified all patients with polymerase chain reaction (PCR)-confirmed diagnosis of COVID-19 (157,134 individuals in total, 11,950 children/adolescents and 145,184 adults) and matched them to a control cohort of individuals with identical age and sex, and similar preexisting medical conditions without COVID-19. They recorded medical conditions documented by a physician at least 3 months after the date of COVID-19 diagnosis and compared them to the matched controls without COVID-19. The researchers observed increased rates of newly diagnosed physical and mental health problems in the COVID-19 group, compared to the control group, which differed according to age. What do these findings mean? Although healthcare utilisation may differ between those who have suffered COVID-19 and those who have not, the results of this study indicate that people of all age groups (children, adolescents, and adults) are at risk of Long Covid and that the spectrum of health problems differs between age groups.
  5. Event
    This Westminster conference will discuss the future for Long Covid research, services, and care. It will be an opportunity to assess Long Covid: the NHS plan for improving Long Covid services and how its ambitions for improving access to services, patient experience and outcomes for patients can be achieved. Further sessions examine priorities for research and improving understanding of Long Covid, looking at implementing the latest developments in research to improve services, and the long-term health implications of Long Covid. There will also be discussion on addressing concerns around inequalities, capacity and wait times for Long Covid services, as well as the primary care referral system, and utilisation of investment. Sessions in the agenda include: latest developments: trends - key issues - assessing the NHS plan for improving long COVID services. clinical research: taking forward the understanding of Long Covid - advancing clinical trials - utilising data - funding and investment. improving patient outcomes, prediction and prevention - accelerating the development of effective treatments - areas for focus, such as cardiology. examining the increased risk of long-term health conditions and impacts of reinfection for Long Covid patients. improving specialist Long Covid services: progress made so far and priorities for moving forward. options for increasing capacity - addressing inequalities in provision, access to services and information - applying latest developments from research. children’s Long Covid services: assessing delivery - implications for child development and attainment. primary care: tackling key challenges for diagnosis and referral. the workforce: priorities for education and training - support for long COVID patients in the workforce. Register
  6. Content Article
    Although we recommend you watching the entire session, some interesting parts include: 06:20 mins to 08:30 – BMA: comments about FFP3 masks etc. 11:30 to 13:05 – TUC: Occupational Exposure, under-reporting in RIDDOR and consequences thereof. 13:05 to 18:00 – IIAC: Industrial Injuries Advisory Council. 35:40 to 37:40 – IIAC: Lack of reliable data (RIDDOR not mentioned but under-reporting obviously an issue). 54:45 to 55:23 – IIAC: Emphasising the importance of gathering data about occupation whenever working with patients. 58:46 to 59:48 – A Doctor’s experience at front line – reference to masks.
  7. News Article
    Just a “fraction” of people with Long Covid is getting the help they need, with a third of them waiting more than three and a half months to be assessed after a GP referral, rising to almost half in some areas. More than 60,000 people in England had a first assessment for post-Covid syndrome in an NHS specialist service between July 2021 and August 2022. But the latest estimates released by the Office for National Statistics (ONS) show that about 277,000 people with Long Covid in England report that the disease has limited their day-to-day activities “a lot”. These are the people that experts would expect to be referred for an assessment; however, the numbers who have been seen are far lower. Dr Helen Salisbury, a GP and columnist for the BMJ, said: “A fraction of the people who have got this problem are actually being seen” within the existing services. She said reasons could include patients not realising that the help is available to them; GPs not recognising Long Covid in those who do not self-label as having the condition; and a lack of knowledge of, and local access to, specialised clinics. While Salisbury conceded that there was no current cure for long Covid, she added that patients require treatment that involves symptom management, psychology and knowing they are not alone in their diagnosis. Ondine Sherwood, a co-founder of the advocacy charity Long Covid SOS, said many people with long Covid “are struggling to get any healthcare. Many are not getting any treatment at all.” She said public misconceptions around long Covid made it harder for sufferers to ask for and get help. “There was a lack of preparedness for the potential long-term morbidity which was not conveyed to healthcare professionals and this has contributed to the lack of care for long Covid.” Read full story Source: The Guardian, 27 October 2022