COVID-19 resources

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Delirium: a missing piece in the COVID-19 pandemic puzzle

Age and Ageing

This editorial argues that delirium is an important missing component in the assessment and management of older people for COVID-19. Guidelines should include delirium as a presenting feature, screening should be a standard of care, and non-pharmacological approaches for delirium prevention and management need to be implemented as early and often as possible. Resources to assist healthcare providers should be built into electronic medical records, order sets and protocols. Key points raised in this paper include: older people are most vulnerable to severe COVID-19 infections and mortality; current guidance for diagnosis does not routinely include delirium, which may lead to under-detection of COVID-19; the care home population is particularly at risk, as failure to promptly detect COVID-19 may lead to outbreaks; non-pharmacological approaches to management of delirium may be more difficult to implement but remain the priority.

Last updated on hub: 18 August 2020

Webinar recording: Harnessing the power of data to transform social care

Social Care Institute for Excellence

Webinar co-hosted by SCIE and Xantura about using data to transform adult social care. Includes contributions from local authority partners.

Last updated on hub: 17 August 2020

Voices from lockdown: a chance for change: interim findings report

Agenda

This report focuses on the first three months of lockdown in the UK, looking at the needs and experiences of marginalised women and girls and the implications for the voluntary and community organisations that support them. It provides insights collected from an online survey of 72 organisations working with women and girls at risk, in-depth interviews with professionals from those organisations and interviews with the women and girls who use those support programmes whilst facing multiple disadvantages. The research highlights the challenges faced by this specialist sector, as well as important learnings and innovations being developed. It suggests that two concerning trends are emerging: firstly, that more women and girls are in need of support; and secondly, that their needs are increasingly more complex and urgent. While the demand for services is growing, nearly half, 46 per cent, of organisations reported that their financial position during the lockdown had worsened. Of those organisations that saw their financial position worsen, 30 per cent were small providers, supporting less than 25 women a month, with an income of less than £50,000. The report makes recommendations to ensure four core ambitions for recovery can be achieved and the specialist sector is adequately funded and supported: ensuring equality, insight and transparency to achieve effective commissioning and funding decisions; building respect, dignity and participation, removing the barriers to support services for women and girls; empowering local responses and driving collaboration through funding and commissioning; valuing expertise and growing innovation, harnessing the full potential of the women’s voluntary and community sector.

Last updated on hub: 17 August 2020

Impacts of Covid-19 on the financial sustainability of the voluntary sector working in criminal justice

Clinks

This paper explores the impacts of the Covid-19 pandemic on the sustainability of the voluntary sector working in the criminal justice system. Evidence has been gathered from leading voluntary sector experts, surveys of the voluntary sector working in criminal justice and a series of national regional network events held by Clinks for voluntary sector organisations. Over 1,700 voluntary organisations work specifically in criminal justice, playing a unique and valuable role in prisons and local communities. A further 4,916 voluntary organisations work with people in the criminal justice system by nature of their work. These charities exist to support and advocate for some of the most stigmatised and excluded communities whose needs mainstream services often fail to meet. The paper looks at how long-term trends in funding and commissioning models have impacted on the sustainability of voluntary organisations working in the criminal justice system, and how Covid-19 has both exacerbated existing challenges and brought in new challenges. It makes a number of recommendations to the government, including for: greater use of discretionary public sector grants as low bureaucracy tools to provide sustainable grant funding for core costs; emergency funding to be made available to voluntary organisations to cover their costs where Covid-19 has disrupted their usual means to bridge shortfalls in funding for MoJ/HMPPS contracted services; targeted support to specialist services for people with protected characteristics, with a particular focus on ensuring funding streams for services delivered to and/or led by black, Asian and minority ethnic people; and engagement with voluntary organisations as strategic partners in the design and delivery of services, rather than solely as suppliers.

Last updated on hub: 17 August 2020

Rough sleeping in England: looking beyond 'Everyone In'

St Mungo's

This briefing sets out the actions needed to reduce the impact of the Covid-19 crisis on people ability to find somewhere safe to stay and access the necessary support to rebuild their lives away from the street. At the beginning of the pandemic, the Government charged local authorities with getting ‘Everyone In’, and supporting everyone sleeping rough to move into self-contained accommodation. The paper highlights a number of key challenges that remain to be addressed, including: new people have continued to start sleeping rough during the pandemic; the risk of rough sleeping is increasing as a result of the impact of the lockdown on the economy; a high number of people currently in emergency accommodation will be unable to access ongoing support due to their migration status; difficulty finding move on accommodation due to affordability and access to the right support. To ensure the long-term safety of homeless people the paper recommends: ensuring everyone who is homeless is offered suitable emergency accommodation; suspending the Benefit Cap and lift Local Housing Allowance (LHA) rates in line with average rents; and suspending ‘no recourse’ rules that restrict access to support for non-UK nationals for at least the next 12 months.

Last updated on hub: 17 August 2020

Matching interventions and people: A decision-making tool to establish the best means of working with people

Social Care Institute for Excellence

This decision-making tool supports social workers and social care practitioners to decide the best format, or combination of formats, for a given interaction.

Last updated on hub: 14 August 2020

Personalisation and pandemic: an unforeseen collision course?

Disability and Society

The outbreak of a pandemic provokes fear and risk of ill health for all individuals, however, these events pose even more of a threat to people with disability who often have poorer health outcomes because of underlying conditions, have difficulties in accessing health and other services, and typically fare worse once they are in the healthcare system. The growth of personalisation schemes in disability internationally is now exacerbating those risks and could lead to high morbidity and mortality if swift action is not taken.

Last updated on hub: 14 August 2020

COVID-19 social distancing: a snippet view of the autistic social world

Disability and Society

This paper uses the National Health Service guidelines on hand hygiene and social distancing measures (which the UK government introduced in March, 2020, to combat the COVID-19 coronavirus) to give readers an insight into the restricted social life of an autistic person, using auto/biography to explore my personal experience of social isolation and being a 'vulnerable adult'. The author is an Autistic, newly qualified sociologist and will be using my positionality as a vantage point, as the public adjust to my 'normal'. The author acknowledges the element of 'choice' in autistic individuals' self-isolation but focus here on the social restrictions imposed on us from outside (social isolation). The author calls for social change, once the social distancing measures are lifted. These changes might occur at the individual level (e.g. being a friend) but will still broaden our social world.

Last updated on hub: 14 August 2020

Future-proof the roof: the case for sustainable investment to tackle homelessness and rough sleeping post-COVID-19

The Salvation Army

This report considers how greater and more sustained investment can improve the outcomes of England’s homelessness and rough sleeping system. This investment has become even more imperative given the economic shock caused by COVID-19 and to maintain the progress made in response to the pandemic. The report outlines a framework for how policymakers should think about investment in the homelessness and rough sleeping system and the service, human and economic costs of homelessness. It presents new analysis of England’s homeless and rough sleeping population and sets out a policy blueprint to help tackle homelessness and rough sleeping in both the short and long term. The report acknowledges that each local area will have different priorities in relation to the types of investment that they need to make to improve outcomes while also identifying types of investment that are needed across the entire homelessness and rough sleeping system. These include introducing measures to increase and sustain housing and accommodation options for homeless households and rough sleepers – through the Next Steps Accommodation Programme, incentivising councils to bring empty homes back into use, making use of new construction techniques to increase housing options, and giving councils first refusal to buy local properties that have been repossessed; addressing the restrictions for those with No Recourse to Public Funds (NRPF); and giving certainty to the funding of employment programmes that help those with experience of homelessness and rough sleeping.

Last updated on hub: 13 August 2020

Mental health services and COVID-19: preparing for the rising tide

NHS Confederation

Examines the impact of COVID-19 on mental health and the long-term implications for mental health services. While during the peak of the crisis there was a 30-40 per cent reduction in mental health referrals, since the lift in lockdown restrictions providers anecdotally report that referrals are rising to above pre-COVID-19 levels. The report argues that in the next phase three drivers of additional demand will be at play: (1) demand from people who would have been referred to services had the pandemic not struck; (2) people requiring more support due to a deterioration of their mental health during the pandemic; and (3) new demand driven by people needing support due to the wider impacts of the pandemic, such as self-isolation and increases in substance abuse and domestic violence. The report indicates that there is a need to better understand expected demand and its impact in different areas and on different groups, including black and minority ethnic (BME) communities, and that funding levels should be adjusted to meet increased levels of demand. In addition, meeting the expected increase in demand for mental health services will require partnership working from across the health and care system, and beyond; supporting staff wellbeing; sustaining innovation, including financially supporting the increased use of digital approaches; and adopting a mental health in all policies approach, reflecting the fact that many of the determinants of mental health are outside of the NHS’s direct control.

Last updated on hub: 13 August 2020

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