COVID-19 resources on infection control

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#LeftInLockdown – parent carers’ experiences of lockdown

Disabled Children’s Partnership

Findings from an online survey to assess the impact of the coronavirus pandemic and lockdown on families with disabled children across the UK. The survey was promoted between 1 -17 May 2020 via social channels, direct emails to supporters of DCP charities, parent carer groups and networks. The survey covers the following areas: caring in lockdown, information and support, health and social care, education and learning; money and work; and what the government could do to help now and with the transition from lockdown. Parents report an increased caring load, both for themselves and for their disabled children's siblings; they feel exhausted, stressed, anxious and abandoned by society – in many cases, the support families previously received has now stopped. Many families are seeing declines in both mental and physical health – parents are particularly concerned about the pressure of children's behaviour and mental wellbeing; managing home-schooling; and what will happen to their children if they contract Covid-19. The little support that had previously been provided for families has often stopped altogether. Children's friendships, learning and communications, mental and physical health, and emotions and behaviour have all been negatively impacted. In addition, the lockdown is increasing financial pressures on families. Parents call for action now, including: acknowledgement and respect for their situation and the challenges they face; increased support – both financial and services; information and guidance more specifically at families with disabled children; flexibility – including from employers, schools, and around lockdown rules to enable family and friends to provide support.

Last updated on hub: 09 December 2020

4 reasons housing providers must revise their telecare needs post COVID-19

Appello

This guide highlights the changing landscape for the delivery of technology enabled care services (TECS). It draws on findings from interviews and independent research undertaken with the Housing Learning and Improvement Network (LIN) of 120 senior executives from providers of supported, sheltered and retirement housing. The analysis indicates that 85% housing providers report their perceptions on the use of technology have changed as a result of COVID-19 while 74% feel that their requirements for telecare and wellbeing technologies have changed as a result of the pandemic. The document sets out four key reasons that support the strengthening and consolidation of the telecare offer within housing settings and makes recommendations on how to achieve this. The four reasons are: vulnerable communities need support to maintain their social connections – there is huge potential for housing providers to harness communication technologies to help connect older people and promote digital inclusion; remote working will be here to stay – 80% of housing providers believe video communication between residents and staff is becoming more important to their organisation because of COVID-19; how we access healthcare services will change – for instance, it is likely that the pandemic will be the catalyst for greater use of video appointments within the health sector; more services are being accessed online – in an uncertain world, with shielding and social distancing it is becoming even more vital to help older and vulnerable people to access support, and services from paying bills online to accessing pensions and shopping from home while keeping safe.

Last updated on hub: 04 August 2020

A country report: impact of COVID-19 and inequity of health on South Korea’s disabled community during a pandemic

Disability and Society

The South Korean media boasts of its leading success–during the escalation of the coronavirus outbreak–in flattening of the curve thereby mitigating the grave outcomes of the public health crisis. Much of the success is reportedly attributed to the rapid and advanced development of test kits, essential equipment and implementation of protocols in precautionary measures. However, it has been an arduous task to stay afloat for one particular vulnerable community. The disabled citizens of Korea were confronted by the realities of health inequity during this disastrous period. Pre-existing the pandemic onset, the disabled community have faced stigmatization and under many circumstances de-prioritization by their own society. Through the lens of a visiting physician, my hope is to poignantly and respectfully share personal experiences and thoughts on these realties impacted by the COVID-19 pandemic in South Korea.

Last updated on hub: 07 November 2020

A COVID-19 guide for care staff supporting an adult with learning disabilities/autism

Social Care Institute for Excellence

A guide to help care staff and personal assistants supporting adults with learning disabilities and autistic adults through the COVID-19 crisis.

Last updated on hub: 17 April 2020

A COVID-19 guide for carers and family supporting an adult with learning disabilities/autism

Social Care Institute for Excellence

A guide to help family members and carers supporting adults and children with learning disabilities and autistic adults through the COVID-19 crisis.

Last updated on hub: 17 April 2020

A COVID-19 guide for social workers supporting an adult with learning disabilities/autism

Social Care Institute for Excellence

A guide to help social workers and occupational therapists supporting autistic adults and adults with learning disabilities through the COVID-19 crisis.

Last updated on hub: 17 April 2020

A national Covid-19 resilience programme: improving the health and wellbeing of older people during the pandemic

This report makes the case for a National Covid-19 Resilience Programme to support older people in preparing themselves for the continuation of the pandemic and to keep them healthy over the winter. With the pandemic showing no sign of abating, it is important to ensure that older people are able to feel more control over their lives, and that they receive clearer guidance about how best to protect themselves physiologically. Covid-19 disease severity rises with age and is also associated with comorbidities, such as obesity, diabetes and coronary vascular disease, that can accompany chronological age. Home confinement in older people may cause (i) cardiorespiratory and metabolic deconditioning, (ii) insulin resistance, (iii) muscle loss and (iv) increased fat mass. In addition, social isolation may be worsened. In the absence of vaccines and treatments, physical activity (with tailored exercise or physical activity goals) represents the single most impactful way in which older people can reduce the risk of developing severe Covid-19, improve recovery, and limit deconditioning and frailty from home confinement. The report argues that a resilience programme should: encourage appropriate exercise and physical activity; support optimal nutrition; enhance mental health and wellbeing; support behaviour change to embed these behaviours. This programme might be supported by a digital platform and by national broadcasters, e.g. regular televised activity classes.

Last updated on hub: 10 November 2020

A rapid systematic review of measures to protect older people in long term care facilities from COVID-19

medRxiv

The global COVID-19 pandemic produced large-scale health and economic complications. Older people and those with comorbidities are particularly vulnerable to this virus, with nursing homes and long term care facilities experiencing significant morbidity and mortality associated with COVID-19 outbreaks. The aim of this rapid systematic review was to investigate measures implemented in long term care facilities to reduce transmission of COVID-19 and their effect on morbidity and mortality of residents, staff, and visitors. Databases (including MedRXiv pre-published repository) were systematically searched to identify studies reporting assessment of interventions to reduce transmission of COVID-19 in nursing homes among residents, staff, or visitors. Outcome measures include facility characteristics, morbidity data, case fatalities, and transmission rates. Due to study quality and heterogeneity, no meta-analysis was conducted. The search yielded 1414 articles, with 38 studies included. Reported interventions include mass testing, use of personal protective equipment, symptom screening, visitor restrictions, hand hygiene and droplet/contact precautions, and resident cohorting. Prevalence rates ranged from 1.2-85.4% in residents and 0.6-62.6% in staff. Mortality rates ranged from 5.3-55.3% in residents. Novel evidence in this review details the impact of facility size, availability of staff and practices of operating between multiple facilities, and for-profit status of facilities as factors contributing to the size and number of COVID-19 outbreaks. No causative relationships can be determined; however, this review provides evidence of interventions that reduce transmission of COVID-19 in long term care facilities.

Last updated on hub: 17 November 2020

A study of universal SARS-CoV-2 RNA testing of residents and staff in a large group of care homes in South London

Corrected proof first published 5 September 2020. Background: Care homes have experienced a high number of coronavirus disease 2019 (COVID-19)–related deaths among residents since the onset of the pandemic. However, up to May 2020, there has been a lack of information about the extent of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection among residents and staff in care homes and limited testing in this setting. Methods: Combined nose and throat swab testing for SARS-CoV-2 RNA was carried out in 2455 residents and staff across 37 care homes in the London Borough of Bromley across a 3-week period. Results were reported within 24 hours of sample delivery, and data were collected on the presence or absence of symptoms. Results: Overall, the point prevalence of SARS-CoV-2 infection was 6.5%, with a higher rate in residents (9.0%) than in staff (4.7%). A key finding was the high proportion of asymptomatic infection detected in staff (69%) and residents (51%), with evidence of underdetection of symptoms by care home staff. Conclusions: The high proportion of asymptomatic infection combined with underdetection of symptoms by care home staff indicates that offering a test to all residents and staff in care homes with rapid reporting of results would assist accurate identification of infected individuals, facilitating prompt infection prevention and control action. Citation: Marossy, A. et al. (2020). A Study of Universal Severe Acute Respiratory Syndrome Coronavirus 2 RNA Testing Among Residents and Staff in a Large Group of Care Homes in South London. The Journal of Infectious Diseases.

Last updated on hub: 13 November 2020

A telling experience: understanding the impact of Covid-19 on people who access care and support: a rapid evidence review with recommendations

Think Local Act Personal

A review of the evidence exploring the impact of the Care Act Easements (CAE) and/or Covid-19 on the lives of people who accessed care and support, and unpaid carers. The evidence reviewed pointed to the general confusion and anxiety of the early pandemic upon the general public and specifically upon those who accessed care and support, focusing on: loneliness and isolation; financial pressures; practical issues around food shopping; increase in health anxiety; and changes to the streetscape. The research also revealed more specific findings related to those who accessed care and support and their unpaid or family carers, including: an overarching challenge around communications; concerns around Personal Protective Equipment (PPE); cancellations of respite and day services; and some examples of changes to care packages. The review also identifies areas of good practice and learning which might be drawn upon to help build a legacy for future care and support, including: support to shape future communications and advice around a potential second Covid-19 wave; building on aspects of flexible and agile working, particularly in terms of digital models of provision; supported living and extra care providers such as Shared Lives; potential of personalisation reaffirmed as the cornerstone of future delivery; pockets of good practice around co-production to build upon for future learning; innovation and good practice in commissioning to build a new a vision for mental health support and more widely across health and social care; potential of the informal networks of Mutual Aid groups and neighbourhood support and of national networks to share information, good practice and learning at a sector leadership level.

Last updated on hub: 13 October 2020

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