COVID-19 resources

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COVID-19 Insight: focus on adult social care

Care Quality Commission

This Insight document highlights COVID-19 related pressures facing adult social care. It reviews data on outbreaks, deaths, and the availability of Personal Protection Equipment (PPE), and looks at the impact of COVID-19 on staff wellbeing and the financial viability of adult social care services. It also outlines future areas of focus for the Care Quality Commission (CQC), including infection control both within and between services, how local systems are engaging social care organisations in the management of COVID-19, and how the care for people from different vulnerable groups is being managed through the COVID-19 crisis. The document draws on information gathered from staff and people receiving care, data collection from domiciliary care services, and conversations with providers. It is the first in a series of Insight documents on key issues affecting health and care during COVID-19.

Last updated on hub: 21 May 2020

COVID-19 Insight: issue 2

Care Quality Commission

Highlights early findings from feedback from local stakeholders and analysis of local support plans around approaches to secure collaboration between providers, and examples of the positive impact of these efforts. The briefing examines the most important actions that health and social care providers can take collectively to manage the response to COVID-19; looks at how leaders have collaborated to plan and deliver services and support staff across providers to work together; considers the barriers to provider collaboration in responding to COVID-19. Examples of good practice are included.

Last updated on hub: 22 June 2020

COVID-19 Insight: issue 3

Care Quality Commission

Explores the need for providers and other organisations to collaborate to tackle COVID-19. The briefing focuses on better care through collaboration, looking at the importance of collaboration among providers, views on shared local vision for services, the importance of shared governance, and the challenge of ensuring enough staffing capacity; responding to feedback about care services, looking at the issues that have prompted CQC to inspect a number of services and the campaign ‘Because we all care’; financial viability and stability in the adult social care sector; the impact of COVID-19 on the use of Deprivation of Liberty Safeguards; and protecting people's rights under the Mental Health Act.

Last updated on hub: 04 August 2020

Covid-19 Insight: issue 4

Care Quality Commission

The report explores some of the learning about good practice in infection prevention and control, and shares some of the good examples in understanding how providers have worked together to tackle COVID-19. In particular, the report looks at good practice in infection prevention and control in three key settings: acute hospital trusts; care homes; and GP surgeries. It introduces the work CQC has carried out to understand provider collaboration; some early headlines from the work; and examples of good practice. The report also updates regular data including outbreaks and staff absences in homecare services; and numbers of deaths of people detained under the Mental Health Act.

Last updated on hub: 23 September 2020

Covid-19 Insight: issue 5

Care Quality Commission

The report explores some of the learning about good practice in infection prevention and control, and shares some of the good examples in understanding how providers are taking action to minimise the risk of cross-infection. In particular, the report looks at infection prevention and control in care homes, revealing that effective use of personal protective equipment (PPE) and having up-to-date policies in place were the two areas with the most gaps in assurance; and the experiences of hospital inpatients during the early stage of the pandemic, showing that while people’s experiences remained positive, in line with previous inpatient surveys, discharge and care after leaving hospital were the most problematic aspects of care. The report also updates regular data including outbreaks and deaths in homecare services; numbers of deaths of people detained under the Mental Health Act; deaths of people with learning disabilities; and deaths of people from Black and minority ethnic groups in adult social care settings.

Last updated on hub: 25 November 2020

Covid-19 Insight: issue 6

Care Quality Commission

This report shares regional data on the designated settings that allow people with a COVID-positive test result to be discharged safely from hospital, and the latest data on registered care home provision. It also looks at how providers have collaborated to provide urgent and emergency care during the pandemic. In addition, the report updates data on outbreaks and staff absences in homecare services; numbers of deaths of people detained under the Mental Health Act; numbers of deaths of people with a learning disability; breakdown of deaths in adult social care settings by ethnicity.

Last updated on hub: 22 December 2020

COVID-19 insights: impact on workforce skills

Skills for Health

Based on the Covid-19 Workforce Survey, this report explores the extent of the pandemic’s impact on the health sector employers and employees. It reveals that the pressure of working in the healthcare sector during the pandemic has led to many staff retiring or resigning. As a result, nearly half of the respondents report that their organisation is planning on increasing recruitment over the next 6 months. However, several organisations have frozen training activities which has led to skills gaps. The pandemic has brought along new ways of working which has meant that COVID-19 awareness and knowledge relating to social distancing as well as infection prevention and control have become crucial for healthcare staff. In addition, the sector has seen a change in the clinical management of patients with COVID-19 infection as well as an increase in home working and the use of PPE – however, 40.6% of respondents state that their organisation was not adequately prepared for this sudden shift in working methods. Many respondents report on issues obtaining PPE as well as inadequate IT systems and digital skills to facilitate remote working. As a result of the pandemic, 44.3% of employers report that their organisational structure will look different. To aid revised organisational structures and potential new ways of working, employers state that they would like immediate support with staff wellbeing processes, employee engagement and workforce planning.

Last updated on hub: 03 September 2020

COVID‐19 interconnectedness: health inequity, the climate crisis, and collective trauma

Family Process

The COVID‐19 pandemic brings to the forefront the complex interconnected dilemmas of globalization, health equity, economic security, environmental justice, and collective trauma, severely impacting the marginalized and people of color in the United States. This lack of access to and the quality of healthcare, affordable housing, and lack of financial resources also continue to have a more significant impact on documented and undocumented immigrants. This paper aims at examining these critical issues and developing a framework for family therapists to address these challenges by focusing on four interrelated dimensions: cultural values, social determinants of health, collective trauma, and the ethical and moral responsibility of family therapists. Given the fact that family therapists may unwittingly function as the best ally of an economic and political system that perpetuates institutionalized racism and class discrimination, we need to utilize a set of principles, values, and practices that are not just palliative or after the fact but bring forth into the psychotherapeutic and policy work a politics of care. Therefore, a strong call to promote and advocate for the broader continuum of health and critical thinking preparing professionals to meet the challenges of health equity, as well as economic and environmental justice, is needed. The issues discussed in this paper are specific to the United States despite their relevance to family therapy as a field. We are mindful not to generalize the United States' reality to the rest of the world, recognizing that issues discussed in this paper could potentially contribute to international discourse.

Last updated on hub: 14 October 2020

COVID-19 mortality and long-term care: a UK comparison

International Long-term Care Policy Network

This article reviews the path of the COVID-19 pandemic across the UK long-term care (LTC) sector, indicating how it evolved in each of the four home nations. It prefaces this with a description of LTC across the UK, its history and the difficulties encountered in establishing a satisfactory policy for the care of frail older people across the home nations. The analysis indicates that throughout the pandemic, 54,510 COVID-19 related deaths were registered in the UK, across all age groups and all locations of death. Of these, 17,127 (31%) occurred within care homes and at least 21,775 (40%) were accounted for by care home residents. In terms of excess deaths (measured against the average weekly deaths during the previous 5-year period) during the pandemic England had a 38% increase in mortality compared with 29% in Scotland, 22% in Wales, and 20% in Northern Ireland. England is the only UK nation that has released COVID-19 mortality data on those receiving care at home. That data show that throughout the pandemic period there were a large number of excess deaths in the domiciliary setting. The majority of which were not recorded as being COVID-19 related. Overall, the English data demonstrate that, compared to care homes, the overall proportional increase in deaths was greater in the domiciliary setting.

Last updated on hub: 10 September 2020

COVID-19 Nursing Homes Expert Panel: examination of measures to 2021: report to the Minister for Health

Department of Health (Ireland)

This report provides a summary of the work conducted by the Nursing Homes Expert Panel, looking at the effectiveness and appropriateness of both national and international protective public health and other measures adopted to safeguard residents in nursing homes, in light of COVID-19. The evidence-informed and consultative approach taken by the Panel is described in Chapter 2. Chapter 3 presents an overview of relevant epidemiological information and data. Chapter 4 presents a summary and the results of a systematic evidence review completed under the direction of the Panel. Chapter 5 gives an overview of the results of a three-part consultation process conducted by the Expert Panel. Chapter 6 sets out the views and considerations of the Panel in respect of healthcare policy for older persons, and finally, Chapter 7 sets out the in-depth discussion on learning and the recommendations of the Panel. These address a number of thematic areas, including: public health measures; infection prevention and control; outbreak management; future admissions to nursing homes; nursing home management; . data analysis; community support teams; clinical – general practitioner lead roles on community support teams and in nursing homes; nursing home staffing/workforce; education-discipline-specific and inter-disciplinary; palliative care; visitors to nursing homes; and communication.

Last updated on hub: 07 September 2020