COVID-19 resources for managers and leaders

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Next steps for funding mental healthcare in England: prevention

Royal College of Psychiatrists

Focusing on prevention, this paper considers the next steps for funding mental healthcare in England. It is the second in a series covering four areas that must be fully and sustainably resourced if there is to be the progress in the access to and quality of mental health services. These areas include infrastructure, prevention, people, and technology. The COVID-19 pandemic has demonstrated the importance of community cohesion and drawing on community resources in the widest sense and the need to promote healthy lifestyles and prevent poor mental and physical health at the earliest opportunity. The paper makes a case for an increase in the funding available to local government and the NHS to enable: local authorities to prepare and respond to increasing levels of mental distress and co-morbid physical health problems in the population due to COVID-19 and as a result of lockdown, which has caused anxiety and loneliness, amongst other issues; mental health providers to prepare for an increase in demand for NHS mental health services (both planned and unplanned) as services deliver the ambitions of the LTP while also addressing a backlog of patients; local authorities and the NHS to prepare for an increase in demand for drug and alcohol use disorder services given the way in which the pandemic has exacerbated these illnesses, and the reduced availability of some services during the peak; and local authorities and the NHS to prepare for an increase in demand for mental health social care support, given the need to discharge patients safely into the community with a package of care in place and for the impact the pandemic is having on children and young people and their families.

Last updated on hub: 17 September 2020

Women and Equalities Committee sub-inquiry: Unequal impact? Coronavirus and BAME people

Clinks

In this submission, Clinks provides the Women and Equalities Select Committee with additional evidence about the impact of Covid-19 on black, Asian and minority ethnic (BAME) people in the criminal justice system. The briefing highlights the lack of transparency over the number of people in prison and under probation supervision from BAME communities who have tested positive for Covid-19; the impact of the heavily restricted regimes in prison on the mental health and wellbeing of BAME prisoners; and the lack of communication from the government and prison and probation services with BAME-led voluntary organisations delivering support to BAME people in the criminal justice system. The submission makes a number of recommendations including for the statistics on infections and deaths related to Covid-19 in prison to be broken down by ethnicity and published; for BAME-led organisations to be engaged in efforts to mitigate the disproportionate impact of Covid-19, and the impact of lockdown, on BAME people in the criminal justice system; and for clear action plans to be developed in the recovery planning process for prisons and probation of how the needs of BAME groups will be identified and met.

Last updated on hub: 17 September 2020

COVID-19: In conversation with Paul Burstow

Social Care Institute for Excellence

Presented by SCIE Co-production Steering Group member Laura Able, asking SCIE Chair Paul Burstow the SCIE COVID-19 and beyond report.

Last updated on hub: 17 September 2020

Interim phase: area SEND

Ofsted

An operational note for Her Majesty’s Inspectors and Care Quality Commission inspectors carrying out interim visits to local areas regarding their special educational needs and disabilities arrangements from October 2020. From October, Ofsted and the Care Quality Commission (CQC) will be visiting local areas to find out about their arrangements for children and young people with special educational needs and/or disabilities (SEND). The visits are designed to understand the impact of the COVID-19 pandemic on the SEND system and to support improvement. Inspectors will work collaboratively with local areas to identify what has worked well for children and young people with SEND and their families over recent months, what the challenges and lessons learned have been, and what the opportunities are for improvement for the future.

Last updated on hub: 17 September 2020

Generation COVID-19: building the case to protect young people’s future health

The Health Foundation

This long read examines the new challenges young people face as a result of the COVID-19 pandemic and considers what action is required to secure the foundations for young people’s healthy future. This analysis shows that the challenges touch on many different areas of their lives, from emotional wellbeing to their housing, work and relationships and will affect their transition into adulthood. The piece recommends fundamental changes to housing policy; preventing short-term losses in income and monitoring the availability of high quality work; boosting funding to youth services; more actively monitoring young people’s wellbeing in educational settings. As the government looks to ‘build back better’, this long read argues that a national cross-government health inequalities strategy is needed to level up health outcomes and improve the population’s health and wellbeing.

Last updated on hub: 16 September 2020

Guidance for local authorities and clinical commissioning groups in the delivery of direct payments and personal health budgets

Department of Health and Social Care

This guidance sets out key expectations of Local Authorities and Clinical Commissioning Groups in their delivery of direct payments and personal health budgets to support people’s continuing care and support needs, and to manage and mitigate the impacts of COVID-19. The guidance covers: continuity of care and support; allowing flexibility; key steps for LAs and CCGs to take; supporting the person and direct payment capability; supporting personal assistants with Statutory Sick Pay (SSP); contingency arrangements for people who employ personal assistants; and support for people using direct payments and receiving community health provision. This guidance intends to complement existing guidance and statutory duties. Any inconsistency between this guidance and the legislation is to be interpreted in favour of the legislation. [Last updated 11 September 2020].

Last updated on hub: 15 September 2020

Review of the impact of mass disruption on the wellbeing and mental health of children and young people, and possible therapeutic interventions

Welsh Government

This rapid evidence assessment explores the available literature on the impact of disasters on the wellbeing and mental health of school aged children and young people (3 to 18 years) and possible therapeutic interventions. The literature review focused on finding out about children and young people’s wellbeing and mental health as a result of the COVID-19 pandemic, as well as previous international disasters, in order to understand the current and anticipated impacts of COVID-19. Risk and protective factors for children’s post-disaster mental health were explored for COVID-19 and international disasters that caused mass disruption. International research reveals that the pandemic and isolation through home confinement has changed children’s behaviour. An increase in symptoms of depression and anxiety, as well as greater behaviour difficulties and worries, have been found. However, some studies also found positive outcomes such as more prosocial behaviour and reflection. Similarly, UK COVID-19 research has suggested that the pandemic is adversely affecting the mental health of children and young people. Risk factors for greater problems in children included older age, level of exposure, experiencing isolation, parents’ wellbeing and mental health, and children’s pre-existing mental health. Protective factors that can reduce children and young people’s post-disaster mental health have been found to include well-developed cognitive skills and coping strategies. Community solidarity and social support from parents and peers were also found to be protective. Interventions were often whole school approaches to mental health, and were shown to be successful. Other interventions such as Cognitive Behavioural Therapy were found to reduce post-traumatic stress disorder and depression in children and young people.

Last updated on hub: 15 September 2020

Left stranded: the impact of coronavirus on autistic people and their families in the UK

National Autistic Society

This report highlights how the coronavirus outbreak has impacted the life of autistic people and their families. It is based on 4,232 responses (1,810 from autistic people and 2,422 from family members) to an online survey. The survey reveals that compared to the general public, autistic people were seven times more likely to be chronically lonely during June and July and six times more likely to have low life satisfaction. The impact on mental health and loneliness was felt most strongly on those with higher support needs and on autistic women and non-binary people. According to the responses from parents and family members of autistic people, those with relatives who require more support were almost twice as likely in every case to worry about friends or family members contracting coronavirus; not getting the support they or their family needed; what would happen when lockdown ended; their mental health and social distancing than those who require little support. In addition, 68% of family members said their autistic child was anxious at the loss of routine and 65% couldn’t do online work. Finally, lockdown and restrictive measures caused fear and anxiety among autistic people, who felt overwhelmed by rapidly changing and unclear advice. 78% or responded said they were concerned about following the Government’s rules. The report makes specific recommendations for each nation in the UK, calling on all four governments to create an action plan to protect autistic people and their families in case of a second wave, covering social care, health, education, transport and shops.

Last updated on hub: 15 September 2020

Webinar recording: Online Q and A: COVID-19 and safeguarding in faith-based organisations

Social Care Institute for Excellence

SCIE, as part of the Safeguarding Training Fund, and in collaboration with the Department of Culture, Media and Sport and the National Lottery Community Fund, held an online Q and A webinar on the safeguarding implications of COVID-19 for those working in faith-based organisations.

Last updated on hub: 15 September 2020

DoLS and Best Interests in response to Covid-19

National Mental Capacity Forum

This webinar explores the implications of Covid-19 and the lockdown for deprivation of liberty safeguarding and best interest decisions. It covers early issues raised with the Welsh Government; worries from those with learning difficulties; DoLS guidance; DoLS in practice; the law regarding best interests decision making; and critical care decision making and Covid-19.

Last updated on hub: 15 September 2020