COVID-19 resources

Results 131 - 140 of 774

Vulnerable children and young people survey: summary of returns waves 1 to 8

Department for Education

Summary of local authority survey in England to help understand the impact of the coronavirus (Covid-19) outbreak on children’s social care. The analysis in the survey covers: contact with children supported by the local authority children’s social care; children’s social care workforce; cost pressures; and system pressures. The analysis reveals that the majority of children looked after, children on a child protection plan and other children in need have had their cases reviewed in light of the outbreak (89%, 91% and 86% respectively); the proportion of social workers not working due to the pandemic has remained stable across the time period, with between 87% and 89% of local authorities reporting between 0 to 10% of social workers unavailable due to coronavirus; just over three quarters of local authorities have reported a rise in foster and residential placements costs due to the pandemic; in Wave 4 the average number of referrals to children’s social care services per local authority was 12% lower than the same period over the previous three years – this compares to 22% lower in Wave 3; the total number of referrals reported in Waves 1 to 4 of the survey was 41,190 – this is around 18% lower than the same period over the past three years; the total number of children who have started to be looked after reported in Waves 1 to 4 of the survey was 1,640 – this is around 34% lower than the same period over the past three years.

Last updated on hub: 01 September 2020

Children’s social care: Government consultation response

Department for Education

Sets out the Government’s response to a consultation seeking views on proposed changes to the Adoption and Children (Coronavirus) (Amendment) Regulations 2020. These are intended to provide flexibilities to support the effective delivery of children’s social care services, whilst ensuring children’s safety. A majority of responses were in favour of each of the proposals to extend individual regulations on medical reports, virtual visits, and the continued suspension of the regular cycle of Ofsted inspections of children’s services providers. The majority of responses also agreed that all other temporary flexibilities introduced in April 2020 should lapse and the need to introduce additional safeguards. However, many consultees also raised concerns in the way the regulations were introduced, and many felt the regulations should not be extended and should be revoked immediately. On the basis of responses to the consultation the Government has decided to continue with plans to allow the majority of regulations to lapse on 25 September, save those specifically set out in this document, on medical assessments, virtual visits and Ofsted inspections. The Government has no plans to extend the regulations beyond March 2021.

Last updated on hub: 01 September 2020

Evaluating the importance of scale in proposals for local government reorganisation

Pricewaterhouse Coopers LLP

The purpose of this report is to consider the importance of scale in proposals for local government reorganisation. Throughout the report, the implications for the organisation and delivery of children and adults’ social care services are discussed. The report identifies considerations relating to the costs associated with disaggregation; what this might mean in terms of risk and resilience of service provision; how service performance might be impacted; what it could mean for the place agenda; and issues arising from the response to Covid-19. It also sets out the financial implications of four unitary scenarios: establishing one unitary authority in every two-tier area in England; establishing two new unitary authorities in every two-tier area in England; establishing three new unitary authorities in every two-tier area in England; and establishing two new unitary authorities and a children’s trust in every two-tier area in England.

Last updated on hub: 01 September 2020

Covid-19 infection and attributable mortality in UK long term care facilities: cohort study using active surveillance and electronic records (March-June 2020)

medRxiv

This article is a preprint and has not been peer-reviewed. The lead researcher was Peter F Dutey-Magni. Background: Rates of Covid-19 infection have declined in many countries, but outbreaks persist in residents of long-term care facilities (LTCFs) who are at high risk of severe outcomes. Epidemiological data from LTCFs are scarce. This study used population-level active surveillance to estimate incidence of, and risk factors for Covid-19, and attributable mortality in elderly residents of LTCFs. Methods: Cohort study using individual-level electronic health records from 8,713 residents and daily counts of infection for 9,339 residents and 11,604 staff across 179 UK LTCFs. This study modelled risk factors for infection and mortality using Cox proportional hazards and estimated attributable fractions. Findings: 2,075/9,339 residents developed Covid-19 symptoms (22.2% [95% confidence interval: 21.4%; 23.1%]), while 951 residents (10.2% [9.6%; 10.8%]) and 585 staff (5.0% [4.7%; 5.5%]) had laboratory confirmed infections. Confirmed infection incidence in residents and staff respectively was 152.6 [143.1; 162.6] and 62.3 [57.3; 67.5] per 100,000 person-days. 121/179 (67.6%) LTCFs had at least one Covid-19 infection or death. Lower staffing ratios and higher occupancy rates were independent risk factors for infection. 1,694 all-cause deaths occurred in 8,713 (19.4% [18.6%; 20.3%]) residents. 217 deaths occurred in 607 residents with confirmed infection (case-fatality rate: 35.7% [31.9%; 39.7%]). 567/1694 (33.5%) of all-cause deaths were attributable to Covid-19, 28.0% of which occurred in residents with laboratory-confirmed infection. The remainder of excess deaths occurred in asymptomatic or symptomatic residents in the context of limited testing for infection, suggesting substantial under-ascertainment. Interpretation: 1 in 5 residents had symptoms of infection during the pandemic, but many cases were not tested. Higher occupancy and lower staffing levels increase infection risk. Disease control measures should integrate active surveillance and testing with fundamental changes in staffing and care home occupancy to protect staff and residents from infection.

Last updated on hub: 31 August 2020

Guidance for supporting vulnerable and disadvantaged learners

Welsh Government

This guidance provides specific advice for supporting vulnerable and disadvantaged learners returning to school setting in Wales. A wide definition of vulnerable and disadvantaged learners has been adopted, including learners who are in one or more of the following groups: learners with special educational needs (SEN); learners from minority ethnic groups who have English or Welsh as an additional language (EAL/WAL); care-experienced children, including looked after children; learners educated other than at school (EOTAS); children of refugees and asylum seekers; Gypsy, Roma and Traveller children; learners eligible for free school meals (eFSM); young carers; and children at risk of harm, abuse or neglect. The guidance covers: the legislative background; preparing an approach from September 2020; and preparing for a further lockdown or blended learning approach.

Last updated on hub: 27 August 2020

The experience of care home staff during Covid-19: a survey report by the QNI’s International Community Nursing Observatory

The Queen's Nursing Institute

Findings of a survey a survey to understand more about the impact of Covid-19 on the care home nurse workforce within the UK. The survey was distributed online via the QNI Care Home Nurse Network (n~400 members), ranging from staff delivering care directly to residents, to leaders overseeing several homes. There was a total of 163 responses to the survey, equating to a response rate of 41%. The analysis shows that for the majority of respondents working through the pandemic resulted in very negative experiences such as not being valued, poor terms and conditions of employment, feeling unsupported/blamed for deaths, colleagues in other areas refusing help, feeling pressured to take residents from hospitals with unknown Covid-19 status and lack of clear guidance. 66% of respondents reported always having appropriate PPE and 75% reported that their employer had provided all their PPE. During March and April 2020, 21% reported receiving residents from the hospital sector who had tested positive for Covid-19 in hospital and 43% reported receiving residents from the hospital with an unknown Covid-19 status. Being able to access other services was an issue for some respondents. A significant proportion of respondents reported it was somewhat difficult or very difficult to access hospital care, GP services, District Nursing services, end of life medication/services. 56% of respondents felt worse or much worse in terms of their physical and mental wellbeing, while 36% reported no change. Only 62 respondents stated that they could take time off with full pay, while some felt pressure not to take time off at all.

Last updated on hub: 27 August 2020

COVID-19 and the female health and care workforce: survey of health and care staff for the Health and Care Women Leaders Network, August 2020

NHS Confederation

This report sets out the findings of a survey to understand the impact the Covid-19 pandemic has had on women working across health and care services. A total of 1,308 women responded to the survey. While the overwhelming majority of respondents to the survey were white, there were some key differences in the findings in relation to participants from black and minority ethnic (BME) backgrounds. The survey found that most respondents – almost three-quarters – had reported that their job had a greater negative impact than usual on their emotional wellbeing as a result of the pandemic, and more than half had suffered a negative impact on their physical health. Staff from BME backgrounds also reported feeling traumatised by the disproportionate impact of the virus, compounded by concerns over risk assessments not being performed in a timely manner, if at all. In addition, the analysis shows that PPE availability and training have been broadly adequate, but could be stronger; managerial support has been strong, but some issues emerge over sharing concerns; struggles with work-life balance since lockdown started; some respondents had safety concerns when working from home. The report also draws out some of the positive experiences, such as opportunities for learning and the strength of support many have received from their managers. Recommendations to improve the working conditions for women in health and care services are included.

Last updated on hub: 27 August 2020

Overview of adult social care guidance on coronavirus (COVID-19)

Department of Health and Social Care

Brings together information for adult social care providers on COVID-19 guidance and support. The resource covers help with infection prevention and control; what to do when you suspect an outbreak; reporting an outbreak; caring for patients discharged from hospital or another social care facility; visits to care homes and other care settings; information for providers of care in supported living and domiciliary settings; how to get social care workers and people in care homes tested; managing care workers during COVID-19; securing PPE and related supplies; help for holders of direct payments, commissioners and care providers; information for social care providers on mental health and wellbeing and financial support; Capacity Tracker and guidance on using it; information for unpaid carers; easements of the Care Act; COVID-19 ethical framework for adult social care; caring for people who are protected by safeguards under the Mental Capacity Act 2005, including the deprivation of liberty safeguards; steps to take following a coronavirus-related death of a person who worked in adult social care.

Last updated on hub: 27 August 2020

How has Covid-19 and associated lockdown measures affected loneliness in the UK?

What Works Centre for Wellbeing

This briefing highlights findings from the Covid Social Study, a research project run by University College London, exploring the effects of the virus and social distancing measures on adults in the UK during the outbreak of COVID-19. Data collected by the study from over 70,000 people has shown how loneliness has been affected between March and July 2020. It provides insights into how many people have been lonely during this uncertain time and what the risk factors are that policy makers and practitioners should recognise in their efforts to alleviate loneliness. The initial analysis of the data shows that people who felt most lonely prior to pandemic now have even higher levels of loneliness. This increase began as physical distancing and lockdown measures were introduced in the UK, in March 2020. Adults most at risk of being lonely, and increasingly so over this period, have one or more of the following characteristics: they are young, living alone, on low incomes, out of work and, or with a mental health condition. The impact on wellbeing from people at risk of loneliness is likely to be compounded by other economic and social impacts experienced by the same people, such as those experiencing job losses and health anxieties.

Last updated on hub: 27 August 2020

Covid-19 and the nation’s mental health: forecasting needs and risks in the UK: July 2020

Centre for Mental Health

This briefing draws on international evidence to provide an assessment of the economic impacts of Covid-19 and their implications for public mental health. It also reviews evidence relating to the criminal justice system and to young adults and the potential longer-term psychological impacts of rising youth unemployment. Research has identified specific groups of people facing higher risks to their mental health at this time, including the families of people treated in intensive care, people with existing mental or physical health conditions, and pregnant women. There is also evidence that people with existing mental health difficulties have been experiencing a worsening of their mental health during the pandemic. The impact of the pandemic on children and young people’s mental health is greater in areas and communities hardest hit by the virus and by lockdowns. Children from low income families, from Black, Asian and minority ethnic communities and young carers are all more likely to experience poor mental health as a result of the pandemic. Children’s mental health has been affected by disruptions to their education, compounded by reduced access to support for their mental health. The paper makes a number of recommendations for action to protect the nation’s mental health, including: targeting mental health resources where they are most needed; proactively protecting the mental health of children and young people; facilitating a psychologically informed return to school; providing additional mental health support for groups facing further risks; improving safety in the criminal justice system; and supporting young people seeking employment.

Last updated on hub: 27 August 2020