COVID-19 resources

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Putting on and taking off PPE: a guide for care homes

Public Health England

Video that provides advice to those working in care homes on how to work safely during this period of sustained transmission of COVID-19.The guidance includes: a flowchart for care workers providing care to residents to identify whether there is a need for personal protective equipment (PPE); PPE recommendations for care home staff; frequently asked questions on the use of PPE in care homes; and examples which help to identify the correct use of PPE when undertaking activities that require physical contact or activities which do not require physical contact but are carried out in close proximity to residents

Last updated on hub: 23 July 2020

Q&A: COVID-19, dementia and care homes

Social Care Institute for Excellence

Alistair Burns and Rachel Thompson answer your questions about COVID-19, dementia and care homes.

Last updated on hub: 15 June 2020

Quarterly report on progress to address COVID-19 health inequalities

Her Majesty's Government

This is the first quarterly report on progress to address the findings of Public Health England’s ‘COVID-19: review of disparities in risks and outcomes’. The PHE review set out some of what was known at the time about COVID-19 and ethnicity, mainly focusing on what the disparities in risks and outcomes were rather than why they had arisen or what could be done about them. This report summarises the work undertaken across government since the report of the PHE review was published on 2 June. Working collaboratively across government and with the Office for National Statistics (ONS) and liaising with universities and researchers, the Race Disparity Unit (RDU) is building the evidence base to get a better understanding of what is driving these disparities. The report suggests that the current evidence shows that a range of socioeconomic and geographical factors such as occupational exposure, population density, household composition and pre-existing health conditions contribute to the higher infection and mortality rates for ethnic minority groups, but a part of the excess risk remains unexplained for some groups. The report looks at the progress so far made in relation to: the effectiveness and impact of current actions being undertaken by relevant government departments and their agencies to directly lessen disparities in infection and death rates of COVID-19; the development of new policy and guidance across Whitehall; understanding the key drivers of the disparities and the relationships between the different risk factors; understand the areas of general concern about data quality; leading engagement on the disparities highlighted with departmental ministers improving public health communications to ensure they can reach all communities across the country; building on and expand the stakeholder engagement undertaken by PHE; and improving public health communications to ensure they can reach all communities across the country.

Last updated on hub: 27 October 2020

Questions and answers for social care

Social Care Institute for Excellence

Questions and answers providing lots of advice to help social care providers during this time.

Last updated on hub: 29 June 2020

Race and ethnic group disparities in emotional distress among older adults during the COVID-19 pandemic

Gerontologist

Background and Objectives: Framed within Conservation of Resources theory, this study addressed race–ethnic differences in the relationships between emotional distress and current and expected coronavirus disease 2019 (COVID-19) pandemic stressors. Research Design and Methods: The study employed data from the Household Pulse Survey, a large national survey collecting weekly data to understand the experiences of Americans during the COVID-19 pandemic (age 55 and above; N = 94,550). Emotional distress included depression and anxiety symptoms. COVID-19 stressors included current and expected income, housing, health care, and food insecurities. Results: Older persons of color reported higher rates of stressors and emotional distress than their White counterparts. In relation to current stressors, older Black persons responded with less emotional distress and older Latino persons responded with more emotional distress than older White persons. In addition, older persons of color were more likely to expect future resource losses related to COVID-19, and the association between these expectations and emotional distress varied by race–ethnic group. Discussion and Implications: The findings reflected the disproportionate negative impact of COVID-19 stressors on emotional distress among older persons of color, providing a baseline for future studies to further examine the impacts of the pandemic among diverse older adult populations.

Last updated on hub: 06 March 2021

Rainy days: an audit of household wealth and the initial effects of the coronavirus crisis on saving and spending in Great Britain

Resolution Foundation

This report is the first in a series of comprehensive, annual reports covering the state of wealth in Britain. It focuses on: the scale and distribution of families’ assets and debt prior to the coronavirus crisis; what that means for living standards; and how families’ balance sheets have been affected in the early phase of the crisis. The report shows that those most at risk in the crisis have the weakest private savings safety net to fall back on, while the crisis itself is exposing Britain’s wealth gaps, and the ability of low-wealth households to weather the economic storm. Key findings include: the distribution of household wealth in the UK is very unequal; growing wealth levels and gaps are driven by falling interest rates and rising asset values; higher wealth boosts living standards through consumption smoothing, higher incomes and housing; the uneven impact of the coronavirus risks widening existing wealth gaps.

Last updated on hub: 29 June 2020

Rapid evaluation of health and care services – planning a sustainable solution for the post-COVID reset

The AHSN Network

In the first wave of COVID-19, health and care services innovated and adapted at unprecedented speed to provide care and protect staff and patients during a rapidly developing global pandemic. This white paper explores the barriers and facilitators to performing timely, rigorous and effective evaluations of these changes. Eighteen independent semi-structured interviews were carried out with leaders from a range of health policy, research and service delivery organisations. Interviews sought to understand stakeholders perspectives on two main questions: how can rapid evidence reviews and rapid service evaluations be resourced and prioritised to inform meaningful service transformation in health and social care systems; and what are the facilitators, barriers and opportunities to performing rapid service evaluations, regionally and nationally, both during and outside of a rapidly developing emergency. Using learning from the pandemic, the report sets out recommendations for how to prioritise and resource rapid service evaluations to enable more efficient and effective scale-up of health and care innovations, both regionally and nationally. These include: there should be a national policy to promote evaluation of all significant service changes; large-scale service change should have an appropriate funding allocation to support a relevant evaluation programme; clarity is required on expectations of different funded entities regarding balance of research and evaluation; greater parity for social care evaluation and research is needed; there should be a system for ongoing dialogue between the NHS and care with researchers to identify priority needs for service evaluation and research; there should be greater national and regional co-ordination of effort across research and evaluation potential partners; there should be a national repository of available evaluations and applied research; there is a need to increase the capacity for evaluation.

Last updated on hub: 01 March 2021

Rapid evidence review: inequalities in relation to COVID-19 and their effects on London

Greater London Authority

This report provides the outcomes of a rapid evidence review to document and understand the impact of COVID-19 (in terms of both health and the broader impacts on existing social and economic inequalities) on those with protected characteristics as well as those living in poorer, or more precarious, socioeconomic circumstances, paying particular attention to its effect in London. It highlights the disproportionate effect of Covid-19 in relation to disability, ethnicity, religion, gender, sexual orientation, gender identity, socioeconomic position, age and other factors, including homelessness and being in prison. This is both in terms of risk of COVID-19 infection, complications and mortality, and in terms of the negative economic, social and psychological consequences of Government policies to mitigate the health impacts of the pandemic. The research analysed existing data from local and national sources to assess the impact of the pandemic on people with characteristics protected by law. It reveals that, across the country: Black people are at almost twice the risk of death from Covid-19 than White people; men are disproportionately more likely to die from Covid-19, but women have experienced disproportionate economic, social and psychological impacts; death rates are three times higher for men in lower-paid, manual roles, such as construction and personal care, than in those in management, business and desk-based jobs; the pandemic has negatively impacted disabled Londoners who reported increased difficulties performing practical tasks such as shopping for groceries, as well as accessing up-to-date health information about the virus; almost four in five LGBTQ+ people said that their mental health had been negatively impacted by the coronavirus lockdown. The report also found that voluntary and community sector organisations play a crucial role in reaching those disproportionately impacted and marginalised groups, including disabled people.

Last updated on hub: 08 October 2020

Rapid learning review of domiciliary care in Northern Ireland

Northern Ireland. Department of Health

This rapid learning review has collated and considered any learning about domiciliary care issues during the Covid-19 pandemic in Northern Ireland in order to inform current and future planning as the pandemic continues. The review focused on four themes: service user and carer experience; service provision; workforce experience; and infection prevention and control. Work stream leads were appointed for each theme and they undertook a wide engagement with a range of stakeholders and using a variety of methods for collecting data. In addition, a workforce and management survey was carried out to seek feedback on three of the four themes. These were workforce, service provision/business continuity and infection prevention and control. A rapid literature review was also commissioned to add to the evidence from stakeholders. The evidence from the literature review was broadly consistent with the messages from the stakeholder engagement with common themes and lessons learned identified. The review highlighted some of the challenges domiciliary care staff faced such as PPE, training, testing and lack of adequate support. Staff felt overlooked and that domiciliary care did not get the recognition it deserved. The review has also highlighted the wider systemic issues that affect domiciliary care, including pay, terms and conditions of the workforce. Domiciliary care service users and their family carers reported feeling forgotten about and afraid to use domiciliary care because of fear of infection during the earlier stages of the pandemic. For many others, however, domiciliary care was the only service that continued for them. Both situations placed service users and carers under very significant pressure.

Last updated on hub: 26 November 2020

Rapid report: how mental health social workers are responding to the coronavirus pandemic

Think Ahead

This report looks at how mental health services, and the social workers within these teams, are responding to the coronavirus (COVID-19) pandemic. Based on a series of interviews with mental health social workers, the report explains the challenges services and professionals are facing and how mental health teams are transforming their work. Key findings show how services are reconfiguring roles to prepare for increased pressures, the challenges of digital contact with service users, the introduction of new forms of support for service users and the need to support staff welfare. The report also highlights examples of good practice from across the country.

Last updated on hub: 23 April 2020

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