COVID-19 resources for managers and leaders

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Safe, happy and together: design ideas for minimising the spread of infection whilst nurturing social interaction in later living communities

Housing LIN

This report outlines a series of practical design recommendations to control the transmission of coronavirus, and other everyday infections, in later-living housing whilst maintaining social interaction for residents. Later living, in this paper, refers to residential accommodation consisting of self-contained apartments with associated communal, support and ancillary spaces under one roof. The document is intended to be a practical guide for designers, operators and developers refurbishing ageing later-living housing projects or considering new ones. It identifies thirteen specific areas that would require improvements in order to safeguard the mental and physical health of residents, and to enable staff to manage additional tasks that might be required of them during a pandemic. Key recommendations include creating a separate entrance for staff and deliveries, additional storage for PPE, ventilators, sanitation equipment at all entrances and installing a traffic light system in the lobby to control movement in and out of the building or a ‘pop-up’ shelter in the entrance courtyard for supervised visits.

Last updated on hub: 28 July 2020

Supporting children and young people with SEND as schools and colleges prepare for wider opening

Department for Education

Risk assessment guidance for settings managing children and young people with an education, health and care (EHC) plan or complex needs during the coronavirus (COVID-19) outbreak, including special schools, specialist colleges, local authorities and any other settings managing children and young people with SEND. [Updated 24 July 2020]

Last updated on hub: 28 July 2020

Adult social care: shaping a better future: nine statements to help shape adult social care reform

Association of Directors of Adult Social Services

This paper sets out nine statements which are intended to help shape the future of adult social care in a radical, person-centred and transformative way. As a result of Covid-19, a number of challenges have emerged and been brought to light– they offer an opportunity to rethink, redesign and reorientate care. The document argues that what is required now is a total reset; a wholesale reimaging of adult social care, built around the following statements: we need a public conversation about adult social care reform; locally integrated care, built around the individual, should be the norm; we need a complete review of how care markets operate; we must address existing and historical inequalities; housing is central to care and to our lives; we need a workforce strategy; we must prioritise access to technological and digital solutions; we need a cross-government strategy; we need to manage the transition. The paper calls for a two-year funding settlement in 2020 that ensures the short-term sustainability and continuity of care; creates the space to undertake the national conversation that will ultimately shape a new person-centred vision for adult social care, secure new deal for those that work in social care and family carers; and help properly transition to the new models of care that emerge as a result.

Last updated on hub: 27 July 2020

Preventing and managing COVID-19 across long-term care services: policy brief

World Health Organization

This briefing provides policy objectives and key action points to prevent and manage COVID-19 across long-term care settings. The brief builds on currently available evidence on the measures taken to prevent, prepare for and respond to the pandemic across long-term care services including care providers. COVID-19 has affected older people disproportionately, especially those living in long-term care facilities. In many countries, evidence shows that more than 40% of COVID-19 related deaths have been linked to long-term care facilities, with figures being as high as 80% in some high-income countries. Concerted action is needed to mitigate the impact across all aspects of long-term care, including home- and community-based care, given that most users and providers of care are those who are vulnerable to severe COVID-19. Specifically, the paper argues that the following policy objectives should be pursued to mitigate the impact of COVID-19 across long-term care: include long-term care in all phases of the national response to the pandemic; mobilise adequate funding; ensure effective monitoring and evaluation of the impact of COVID-19 on long-term care; secure staff and resources, including adequate health workforce and health products; ensure the continuum and continuity of essential services for people receiving long-term care; ensure that infection prevention and control standards are implemented and adhered to in all long-term care settings; prioritise testing, contact tracing and monitoring of the spread of COVID-19 among people receiving and providing long-term care services; provide support for family and voluntary caregivers; prioritise the psychosocial well-being of people receiving and providing long-term care services; ensure a smooth transition to the recovery phase; and initiate steps for the transformation and integration of health and long-term care systems.

Last updated on hub: 27 July 2020

The impact of Covid-19 on the health and care voluntary sector

National Voices

Findings of a survey of forty health and care charities on the impact of the coronavirus emergency on their services and their income. By providing a listening ear when people need it most, signposting and advocating for the right support, delivering accurate and trusted information and advice about the virus itself or connecting to people who are experiencing similar challenges, the voluntary sector is on the frontline of combatting COVID-19. The analysis shows that 77% of respondents reported a slight or significant increase in demand for their services; 28% of respondents predicted at least a 40% drop in their fundraising income over the next 12 months; respondents estimated an approximate 30% reduction in activities during COVID-19. Key workstreams that have reduced include research programmes, core support services, cancellation or postponement of fundraising events, postponement of NHS service improvement programmes, halting of support worker training and the cessation of peer support groups. 45% of respondents had furloughed staff or were about to – of those who intended to furlough staff or had already done so, approximately 50% of staff were on furlough. From the analysis of the data, a number of key messages emerge, including: the health and care voluntary sector is central to combatting the virus and supporting those facing unique challenges during the pandemic; the sector has innovated and adapted quickly in order to maintain their services and meet increased demand but it is particularly hard hit by COVID-19; while current Government support fails to meet its unique needs, a strong and diverse health and care charity sector is needed in order to build back better from COVID-19.

Last updated on hub: 27 July 2020

Child suicide rates during the COVID-19 pandemic in England: real-time surveillance

National Child Mortality Database (NCMD)

This briefing describes the findings from a real-time surveillance system (which was set up to respond to the COVID-19 pandemic) relating to child death by suicide in England during lockdown. The report identifies likely suicides between 1 January 2020 and 17 May 2020, and compared rates before and during lockdown (a comparison was also made with deaths occurring at a similar time in 2019). In 2020, during the 82 days before lockdown, there were 26 likely child suicides and a further 25 in the first 56 days of lockdown. In 12 of the 25 post-lockdown deaths, factors related to Covid-19 or lockdown were thought to have contributed to the deaths. While there is a concerning signal that child suicide deaths may have increased during the first 56 days of lockdown, the risk remains low and numbers are too small to reach definitive conclusions. Amongst the likely suicide deaths reported after lockdown, restriction to education and other activities, disruption to care and support services, tensions at home and isolation appeared to be contributing factors. Although the finding of increased risk is unconfirmed statistically, clinicians and services should be aware of the possible increase and the need for vigilance and support.

Last updated on hub: 27 July 2020

Children’s rights impact assessment on the response to Covid-19 in Scotland

Children and Young People's Commissioner Scotland

This report presents an independent children’s rights impact assessment on the emergency (CRIA) measures introduced by Scottish Government and UK Government to address the COVID-19 pandemic. The report outlines the framing and context for this independent CRIA and considers the predicted impacts of the COVID-19 measures on children and young people’s human rights. The overview then looks ahead to issues as Scotland comes out of the crisis, lessons learned, and conclusions for responding to the challenges and ensuring that children and young people’s human rights are respected, protected and fulfilled. While acknowledging that legislative decisions have been primarily concerned with protecting children’s, young people’s and their families’ rights to survival and development, the report looks at where such rights may have been limited unreasonably, and how such rights can be best addressed currently and into the future. It identifies three systemic issues that if addressed would ensure children and young people’s human rights are better respected, protected and fulfilled as the transition is made to the ‘new normal’. These are: law reform – COVID-19 has starkly highlighted areas of existing Scots law that are not compliant with the UNCRC; data and resources – for example, disaggregated data is needed to understand impact on children and young people from Gypsy/Traveller communities; asylum seeking, refugee and migrant children and young people; and those living in families affected by disability; and improving children’s rights impact assessments – ensuring for instance that they pay greater attention to children’s best interests, non-discrimination and participation.

Last updated on hub: 23 July 2020

Community development work: the approach in Camden Council

Research In Practice: Dartington

This podcast looks at Camden Council's role in community development, relational activism, and how the strength of the community has helped to mitigate the impact of COVID-19.

Last updated on hub: 23 July 2020

Update on policies for visiting arrangements in care homes

Department of Health and Social Care

Guidance for making arrangements for limited visits to care homes, aimed at care providers and directors of public health. Visiting policies and decisions must aim to minimise the risk of coronavirus (COVID-19) transmission wherever possible, taking into account the circumstances of the individual care home (for example, its employee availability, resident demographics and outbreak status); and its local circumstances (local epidemiological risk, presence of outbreaks in the community). The guide sets out the principles of a local approach to visiting arrangements and dynamic risk assessment; guidance for providers establishing their visiting policy; guidance for providers taking decisions on visiting for particular residents or groups of residents; infection control precautions; communicating with relatives and others about the visiting policy and visiting decisions. [Published 22 July 2020; Last updated 15 October 2020]

Last updated on hub: 23 July 2020

Adult specialist care: a key part of social care infrastructure validated by coronavirus

LaingBuisson

LaingBuisson in partnership with Grant Thornton held a conversation about adult social care. This webinar looked at questions about if lessons will have been learned and will social care in general be held in higher esteem? Following the media’s initial focus on acute care in the NHS, the social care sector has now been recognised as the new front line and a vital part of UK infrastructure. Will the funding follow and will the future be brighter? You can download the slide deck that goes with the webinar here:https://www.laingbuissonevents.com/wp-content/uploads/2020/05/LaingBuisson-Webinar_Adult-Specialist-Care_Final-Slide-Deck.pdf [Webinar recorded 14 May 2020]

Last updated on hub: 22 July 2020

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