COVID-19 resources

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Adult social care coronavirus winter plan 2020-21: briefing and gap analysis for councils

Local Government Association

This briefing summarises the key messages in the Adult Social Care Winter Plan, highlighting the role local authorities must play in the delivery of the plan. It includes a summary of the key actions for local authorities within the plan, in a format which enables them to verify that actions are in place, ready for the assurance that has to be submitted to the Department of Health and Social Care on 31 October. The actions are grouped into four themes: preventing and controlling the spread of infection in care settings; collaboration across health and care services; supporting people who receive social care, the workforce, and carers; and supporting the system.

Last updated on hub: 12 October 2020

State of the nation 2020: children and young people’s wellbeing: research report

Department for Education

This report collates published evidence on the wellbeing in children and young people over the period of March to August 2020, including statistics on the personal wellbeing of children and young people in England and the UK; and a wider set of indicators on their relationships, health, education and skills, personal finance, activities, and where they live. Overall, the data gives a surprisingly positive picture of the wellbeing and experiences of the majority of children and young people at this time, especially in light of anticipated impacts of the Covid-19 pandemic identified in reviews of previous literature. However, there are indications that children and young people with particular characteristics may have experienced lower subjective wellbeing, for example disabled children and young people, children and young people from disadvantaged backgrounds and some children from Black, Asian and Minority Ethnic backgrounds. In addition, there are early indications that children’s self-reported and parental reported mental health and wellbeing had declined during the spring and summer months. Behaviour and restlessness or attention difficulties were noted to have increased during these months for children and young people, while older young people have reported a general deterioration in their psychological wellbeing.

Last updated on hub: 12 October 2020

What is the risk of transmission of COVID-19 when delivering domiciliary care, and how effective are interventions that aim to minimise that risk?: a rapid review

Public Health England

A review of the evidence related to the transmission of COVID-19 in domiciliary care. No studies were found describing the risk of transmission when delivering domiciliary care (either from the care worker to care receiver or vice versa). Furthermore, no studies were found describing the effectiveness of interventions that aim to reduce the spread of COVID-19 when delivering domiciliary care. Professional opinions on how to safely deliver domiciliary care were identified in the literature; these support the application of general infection prevention and control practices, the use of risk assessments, ensuring staff are appropriately trained and employing an ‘only when necessary’ approach to face-to-face contact.

Last updated on hub: 12 October 2020

Limiting staff movement and cohorting of residents to reduce the transmission of Covid-19 in care homes: a rapid review

Public Health England

Findings from a review of the evidence to examine the effectiveness of strategies to restrict staff movement and isolate groups of residents showing symptoms of Covid-19 (‘cohorting’) in reducing the transmission of the virus. The review found low-level evidence from three Covid-19 outbreaks in North America suggesting that restricting staff movement and cohorting of residents could help to reduce the transmission of Covid-19 within care homes. To fully understand the effectiveness of these two types of intervention in relation to Covid-19, more high-quality research is needed. Indirect evidence from the management of influenza and other outbreaks in care home settings may help to supplement understanding of effectiveness.

Last updated on hub: 12 October 2020

Resources to help digital enabling

National Care Forum

A series of simple practical resources – 15 crib sheets – to help care providers make the best use of digital technology for their residents and staff during the COVID-19 pandemic. The crib sheets are designed to be printed and laminated by care settings for multiple use, but they may be just as useful to help anyone in their own home, as well as carers and families and friends. The sheets are grouped into three themes, covering basic skills, connectivity and wellbeing and resilience.

Last updated on hub: 12 October 2020

Beating the Virus

Beyond Words

A short wordless story to help people understand what to do if they have Coronavirus and how to keep themselves and those who they care about safe. The story also shows how to safely help others who may be self-isolating. Supplementary text at the end of the story gives information on where people can seek help if they are unwell and signposts to other useful resources.

Last updated on hub: 12 October 2020

Child safety, protection, and safeguarding in the time of COVID-19 in Great Britain: proposing a conceptual framework

Child Abuse and Neglect

Background: Great Britain has the highest coronavirus death rate in Europe. While the pandemic clearly poses a risk to the lives and wellbeing of vulnerable groups, necessary public health measures taken to delay or limit the spread of the virus have led to distinctive challenges for prevention, family support, court processes, placement and alternative care. The pandemic has also come about at a time when statutory changes to partnerships have led to a reduction in the importance of educational professional representation in the new formulation in England and Wales. Objectives: This discussion paper proposes a novel and pragmatic conceptual framework during this challenging time. Participants: This study consulted with 8 education professionals and 4 field-based student social workers. Setting: Bodies responsible for safeguarding have been working quickly to develop new approaches to fulfilling their responsibilities, for example through online home visits and case conferences. However, some communities have been highlighted as experiencing particular challenges because of the pandemic and its impacts. Protection of vulnerable children is increasingly dependent on individualised - and often pathologising - practice with a lack of emphasis on the importance of the social. Holistic consideration of the child is side-lined. Results: The framework comprises two phases: pandemic and aspirational. Conclusion: The framework illuminates the importance of interconnected sectors and multi-agency working, the need for resilient and adaptable support systems, and the need to promote the importance of children’s rights and voices to be heard above the noise of the pandemic.

Last updated on hub: 08 October 2020

Achieving safe, effective, and compassionate quarantine or isolation of older adults with dementia in nursing homes

American Journal of Geriatric Psychiatry

Nursing homes are facing the rapid spread of COVID-19 among residents and staff and are at the centre of the public health emergency due to the COVID-19 pandemic. As policy changes and interventions designed to support nursing homes are put into place, there are barriers to implementing a fundamental, highly effective element of infection control, namely the isolation of suspected or confirmed cases. Many nursing home residents have dementia, associated with impairments in memory, language, insight, and judgment that impact their ability to understand and appreciate the necessity of isolation and to voluntarily comply with isolation procedures. While there is a clear ethical and legal basis for the involuntary confinement of people with dementia, the potential for unintended harm with these interventions is high, and there is little guidance for nursing homes on how to isolate safely, while maintaining the human dignity and personhood of the individual with dementia. This commentary discusses strategies for effective, safe, and compassionate isolation care planning, and present a case vignette of a person with dementia who is placed in quarantine on a dementia unit.

Last updated on hub: 08 October 2020

COVID-19 and youth living in poverty: the ethical considerations of moving from in-person interviews to a Photovoice using remote methods

Affilia: Journal of Women and Social Work

COVID-19 hit and instantaneously research using in-person methods were paused. As feminist and critical social work scholars and researchers, the authors began to consider the implications of pausing their ongoing project exploring the provisioning and resilience of youth living in low-income, lone mother households. Reflexively, the authors wondered how the youth, families, and issues they were connected to would be impacted by the pandemic. They were pulled into both ethical and methodological questions. While the procedural ethics of maintaining safety were clear, what became less clear were the relational ethics. What was brought into question were their own social positions and roles and responsibilities in their relationships with young people. For both ethical and methodological reasons, the original research scope was expanded from in-person interviews to include a photovoice to be executed using online, remote methods. This article, discusses those ethical and methodological tensions. The first part, discusses the relational ethics that propelled the authors to commit to expanding their work, while in the second part, discusses the move to combining photovoice and remote methods.

Last updated on hub: 08 October 2020

Combating heightened social isolation of nursing home elders: the telephone outreach in the COVID-19 outbreak program

American Journal of Geriatric Psychiatry

Objective: Social isolation and loneliness - common concerns in older adults - are exacerbated by the COVID-19 pandemic. To address social isolation in nursing home residents, the Yale School of Medicine Geriatrics Student Interest Group initiated a Telephone Outreach in the COVID-19 Outbreak (TOCO) Program that implements weekly phone calls with student volunteers. Methods: Local nursing homes were contacted; recreation directors identified appropriate and interested elderly residents. Student volunteers were paired with elderly residents and provided phone call instructions. Results: Three nursing homes opted to participate in the program. Thirty elderly residents were paired with student volunteers. Initial reports from recreation directors and student volunteers were positive: elderly residents look forward to weekly phone calls and express gratitude for social connectedness. Conclusions: The TOCO program achieved initial success and promotes the social wellbeing of nursing home residents. The authors hope to continue this program beyond the COVID-19 pandemic in order to address this persistent need in a notably vulnerable patient population.

Last updated on hub: 08 October 2020