COVID-19 resources

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Preventing respiratory illness in older adults aged 60 years and above living in long-term care

Centre for Evidence Based Medicine

This rapid overview of reviews identifies evidence from systematic reviews on infection protection and control measures for preventing respiratory illness (including coronavirus and influenza) in older adults aged 60 years and above living in long-term care. The results of the included systematic reviews suggest that high quality evidence supports treating residents with antiviral chemoprophylaxis with adamantine, as well as adamantine in combination with personal protective equipment. For the rest of the strategies, there was either no evidence of effectiveness (e.g., social isolation) or mixed evidence of effectiveness (e.g., rimantadine, zanamivir, hand hygiene, personal protective equipment). The mixed evidence on hand hygiene and use of personal protective equipment does not imply these should not be used in outbreaks.

Last updated on hub: 06 May 2020

Guidelines for preventing respiratory illness in older adults aged 60 years and above living in long-term care

Centre for Evidence Based Medicine

The findings of a rapid review of clinical practice guidelines to identify infection protection and control measures for preventing respiratory viruses (including coronavirus and influenza) in older adults aged 60 years and older in long-term care settings. The review found, that recommendations from current guidelines seem to support environmental measures for infection prevention and antiviral chemoprophylaxis for infection management as the most appropriate first-line response to viral respiratory illness in long-term care. The review notes that the findings should be treated with caution as it is unclear how many of these guidelines are based on the best available evidence due to their poor overall quality.

Last updated on hub: 06 May 2020

Kinship carers' experiences during the coronavirus crisis

Family Rights Group

This report, produced by the Family Rights Group on behalf of the Parliamentary Taskforce on Kinship Care, looks at the experiences faced by kinship care households as a result of the Coronavirus (Covid-19) crisis. It also makes recommendations on the urgent action Government, local authorities and other agencies need to take to support kinship carers during the crisis. It provides the results of a survey completed by more than 660 kinship carers across England and Wales. Most respondents were grandparents raising their grandchildren and four in ten are single carers. The report provides details of questions from the survey and responses, including illustrative quote. It also makes recommendations to increase support for kinship carers to prevent the breakdown of placements. These include financial support to reduce financial hardship, legal and practical advice and support for kinship care households; and educational support for children in kinship care.

Last updated on hub: 06 May 2020

Are some ethnic groups more vulnerable to COVID-19 than others?

Institute for Fiscal Studies

This report brings together evidence on the unequal health and economic impacts of the coronavirus (COVID-19) on the UK's minority ethnic groups. It presents information on risk factors for each of the largest minority groups in England and Wales: white other, Indian, Pakistani, Bangladeshi, black African and black Caribbean. The analysis focuses on risk factors in terms of both infection risk and economic vulnerability. The analysis shows the impacts of the COVID-19 crisis are not uniform across ethnic groups, and that understanding why these differences exist is crucial for thinking about the role policy can play in addressing inequalities. The report looks at the risk factors of demographics, geography - the location where people live, occupation, and the risk of underlying health conditions. The analysis also shows that many ethnic minorities are also more economically vulnerable to the current crisis than are white ethnic groups, with more men from minority groups likely to be affected by the shutdown.

Last updated on hub: 05 May 2020

Age-friendly health systems design to address COVID-19

Institute for Healthcare Improvement

Advice to help limit the exposure of older adults to coronavirus (COVID-19) by reducing their need to present to the hospital, reducing hospitalisations and, if hospitalised or in post-acute or long-term care community, increase the rate of safe discharges. It provides advice for professionals working in the community, in emergency departments and hospitals, and in long-term care.

Last updated on hub: 05 May 2020

Guidance for managers and decision makers in supporting care home workers during COVID-19

University College London (UCL)

Evidence-based guidance for managers who are involved in supporting staff working in care home settings during the coronavirus (COVID-19) pandemic. The guidance is based on a rapid synthesis of published research, expert clinical opinion and the experiences of care home mangers and staff. It highlights the unique challenges care home workers face and provides recommendations for supporting care home workers in the following areas: provision of basic needs; accessible information about COVID-19; protocols for dealing with residents and staff who are symptomatic; communication and social support; support for psychological wellbeing; grief and bereavement training; and self-care.

Last updated on hub: 05 May 2020

The need to include assisted living in responding to the COVID-19 pandemic

Journal of the American Medical Directors Association

The risk of complications and death from COVID-19 is markedly skewed toward older adults. In the United States and many other countries, nursing homes are not the only congregate setting that serves older adults with underlying chronic medical conditions. More so, they have been a shrinking component of the residential long-term care system, with some of the largest growth having been in assisted living. Assisted living communities are not the same as nursing homes. In fact, there are several distinct components of assisted living that make this a unique setting and one not to be ignored in relation to COVID-19 planning and response. This editorial summarises key differences between nursing homes and assisted living and their related implications for care during the coronavirus pandemic.

Last updated on hub: 05 May 2020

Rapid research COVID-19: how will communities respond to and recover from this crisis?

Local Trust

This research briefing connects communities currently responding to COVID-19 to others who have faced major disasters such as epidemics, floods and wars. It reflects on the literature and describes how communities forge new bonds and find common purpose, and identifies factors that may shape how well they fare during the urgent period of crisis in recovery. It highlights the importance of existing social networks and shared social identity which can lead to the quick formation of new groups. It identifies key questions, including how new COVID-19 support networks might be strengthened and sustained. The briefing is the first in a series to share insights from research to explore how local communities are responding as the coronavirus crisis. The research is led by a team of researchers coordinated by the Third Sector Research Centre at the University of Birmingham.

Last updated on hub: 05 May 2020

Accounting for the variation in the confirmed Covid-19 caseload across England: an analysis of the role of multi-generation households, London and time

New Policy Institute

This paper develops a model to measure the size of the impact of various socio-economic variables on the confirmed Covid-19 caseload. The model shows a statistical link across local authority areas between the confirmed Covid-19 caseload and the proportion of households where pensioners and working-age live together, especially in areas of high deprivation. The paper then draws out the short- and long-term implications and policy questions raised by the model. These include the policy response to the coronavirus over the coming months, such as advice on social distancing; and current housing policy, especially the standards that determine what counts as adequate accommodation.

Last updated on hub: 05 May 2020

Responding to COVID-19: issues affecting services for children and young people

Children England

This paper highlights some of the issues that professional from across the children’s sector are experiencing in the course of their work during the coronavirus (Covid-19) pandemic. It highlights: difficulties in reaching children and young people in need of support; the large amount of often conflicting guidance and information being issued by agencies, local and national government and industry bodies; and concerns about the financial stability of organisations, particularly third sector organisations, and their ability to provider services. The briefing suggests solutions to address each issue.

Last updated on hub: 04 May 2020