COVID-19 resources

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Solving the COVID-19 crisis in post-acute and long-term care

Journal of the American Medical Directors Association

This special article presents five keys to solving the COVID-19 crisis in post-acute and long-term care, related to policy, collaboration, individualization, leadership, and reorganization. Taking action during this crisis may prevent sinking back into the complacency and habits of our pre-COVID-19 lives. Suggests that the nursing home industry has been in need of overhaul for decades—a situation made all the more evident by COVID-19. The editorial is from the AMDA–The Society for Post-Acute and Long-Term Care Medicine.

Last updated on hub: 21 August 2020

Somewhere over the rainbow ‐ third sector research in and beyond coronavirus

Voluntary Sector Review

The coronavirus pandemic has rapidly become a multifaceted global crisis, disrupting economies, livelihoods and ways of life, with significant ramifications for the third sector. This paper seeks to prompt a conversation about third sector research agendas, which might be animated in and beyond coronavirus, focusing primarily on the experience of the sector in the UK but including references globally. After a brief discussion of the acute three-dimensional crisis facing the sector, the paper raises questions for now and later at three interconnected levels: of practice, organisation and society. The paper concludes with a call for critically engaged curiosity about the role and fortunes of the third sector in a time of lockdown and its aftermath.

Last updated on hub: 20 July 2020

Special educational needs: support in England

House of Commons Library

The Children and Families Act 2014 introduced major reform of the system for identifying children and young people in England with special educational needs (SEN), assessing their needs and making provision for them. This briefing provides an overview of the system introduced in 2014, and also includes, in an annex, a brief history of the movement towards reform that took place in the years preceding the 2014 Act. Topics covered include: support for children and young people with Special Educational Needs (SEN); funding system; statistics – tribunals, children and young people with SEND; accountability – Ofsted and CQC inspections from May 2016; impact of the coronavirus pandemic; and reports on the effectiveness of support for children with SEN. [Last updated 11 February 2021]

Last updated on hub: 25 November 2020

Spotlight on: recent NHS discharges into care homes

NHS Providers

This briefing sets out how national guidance around NHS discharges into care homes developed during the coronavirus pandemic in March and April 2020 and how NHS trusts implemented this guidance. It outlines why trusts refute the suggestion that they 'systematically' and 'knowingly' transferred known COVID-19 patients into care homes and looks at how the NHS has sought to support care homes and the social care sector during this period. It argues that any future public inquiry should consider whether the government gave sufficient priority in its considerations to the care sector and provided the right support at the right time during this crisis.

Last updated on hub: 26 May 2020

Spotlight on: the impact of COVID-19 on Mental Health Trusts in the NHS

NHS Providers

This briefing sets out the immediate challenge of Covid-19 for mental health trusts, how the sector has responded and what is needed to navigate the next phase. It argues that NHS trusts providing mental health and learning disability services have been playing a key role, both to maintain services and to respond to the current environment presented by COVID-19 pressures. Key challenges are identified in the following areas: access to personal protective equipment (PPE) and testing; prioritisation and demand and capacity planning to meet the needs of people who have not sought help during lockdown: funding to meeting the extra demand for mental health services; and securing a sufficient workforce.

Last updated on hub: 08 June 2020

Spotting the signs of economic abuse during the coronavirus (COVID-19) outbreak For family, friends, neighbours and colleagues

Surviving Economic Abuse

Guide designed to help you notice signs that someone you care about may be experiencing economic abuse at this time, and to know what you can do to support them.

Last updated on hub: 04 June 2020

Staff movement: a risk management framework: briefing for adult care home providers

Care Provider Alliance

This briefing outlines a risk management approach that care homes can use to manage restrictions on staff movements. The briefing relates to CQC registered care homes with or without nursing in England. The Government is introducing legislation that will require care home providers to restrict all but essential movement of staff between settings in order to reduce transmission of COVID-19 – with a particular focus on care home staff. At the same time, care homes are facing staff shortages due to sickness and the ongoing high vacancy rates. A risk management framework can enable care homes to have a discussion with other agencies, such as their regulator or commissioner, about care home staff movement. This framework can assist services to manage the situation and provide operational tools that – over time – can drive down the number of staff movements and hence reduce the transmission of the virus. Many providers have already been pursuing such actions without an overall structure to work within. The briefing highlights the key factors which will affect staff movement over the coming months and which need to be considered within the risk management framework; actions for initial assessment; and how care homes should work with notifiable agencies, including the Care Quality Commission, local authorities and CCG commissioners, to agree contingency arrangements in advance of situations arising.

Last updated on hub: 11 January 2021

State of health and care: the NHS Long Term Plan after Covid–19

Institute for Public Policy Research

This report sets out to examine what the effect of the Covid-19 pandemic on key targets in the NHS Long Term Plan and what is required to ‘build back better’ health and care. It analyses the disruption – and innovation – that has arisen from the pandemic across the four leading causes of death and disability in the UK: cancer, mental health, cardiovascular disease, and multimorbidity. Each of these are central tenets of The NHS Long Term Plan, clinical priorities after the pandemic, and key to Conservative party manifesto pledges. Where possible, the report models the impacts the pandemic has had on delivering the NHS Long Term Plan’s key targets for each health condition, and indicate where efforts should be focussed moving forwards. The analysis shows the scale of the damage done by the pandemic across several major health conditions. The impact of Covid-19 is a significant backward step for people with cancer, mental illness, cardiovascular disease and multiple long term conditions. There is an urgent need to recapture the trajectory of The NHS Long Term Plan and Covid-19 should not become an excuse for low ambition. The report recommends a package of six ambitious changes to ‘build back better’, forming a £12 billion blueprint: ensure a sustainable workforce; fund the NHS to deliver and sustain transformation; empower integration from the bottom up; upgrade the digital NHS; fund and reform social care; level up the nation’s health. The report argues that the NHS is at its best when social care is at its best. That requires bold reform – including free personal care for everyone aged 65 and over, improving the quality of social care, better pay for care workers, and immigration rules that do not lead to catastrophic shortages.

Last updated on hub: 22 March 2021

State of the nation 2020: children and young people’s wellbeing: research report

Department for Education

This report collates published evidence on the wellbeing in children and young people over the period of March to August 2020, including statistics on the personal wellbeing of children and young people in England and the UK; and a wider set of indicators on their relationships, health, education and skills, personal finance, activities, and where they live. Overall, the data gives a surprisingly positive picture of the wellbeing and experiences of the majority of children and young people at this time, especially in light of anticipated impacts of the Covid-19 pandemic identified in reviews of previous literature. However, there are indications that children and young people with particular characteristics may have experienced lower subjective wellbeing, for example disabled children and young people, children and young people from disadvantaged backgrounds and some children from Black, Asian and Minority Ethnic backgrounds. In addition, there are early indications that children’s self-reported and parental reported mental health and wellbeing had declined during the spring and summer months. Behaviour and restlessness or attention difficulties were noted to have increased during these months for children and young people, while older young people have reported a general deterioration in their psychological wellbeing.

Last updated on hub: 12 October 2020

State of the Nation: understanding public attitudes to the early years

Ipsos MORI

This report seeks to provide an overview of the public’s and parents’ perceptions of the early years in the UK today. The study used a mixed methods methodology, with several sizeable quantitative surveys (predating and during the COVID-19 pandemic) alongside observational and qualitative research with parents and families. The report is structured around the key themes that emerged from the analysis: the importance of promoting education and dissemination of evidence on the primacy of the early years to parents, parents of the future and the whole of society; the need to cultivate and sustain more support networks for parents to enhance their mental health and wellbeing; and encouraging society as a whole be more supportive of parents, carers and families in the early years. Key insights include: parents recognise that they play a key role in their child’s development – the vast majority of parents recognise that children’s brains do not develop independently of their surroundings; a significant proportion of UK parents of a 0-5-year-old (69%) underestimate the primary importance of the early years – this could result in less active interaction with children in the early years and a more ‘passive’ approach to caring for children; parents find it difficult to prioritise their own wellbeing; feelings of judgement have a huge impact on both parents and their children – seven in ten (70%) parents of a 0 to 5-year-old say they feel judged by; support networks are crucial for parents – including on issues such as child health, nutrition, behaviour and sleep; the role of wider society and primary schools – parents of a 0 to 5-year-old tend to assume that the responsibility for giving children the best chance of health and happiness is purely theirs (58%), rather than the joint responsibility of everyone in society (20%) or the equal responsibility between parents and society (18%).

Last updated on hub: 30 November 2020

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