COVID-19 resources on infection control

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COVID-19 related mortality and spread of disease in long-term care: a living systematic review of emerging evidence

medRxiv

Background: Policy responses to mitigate the impact of the COVID-19 pandemic on long-term care (LTC) require robust and timely evidence on mortality and spread of the disease in these settings. The aim of this living systematic review is to synthesise early international evidence on mortality rates and incidence of COVID-19 among people who use and provide LTC. Methods: We report findings of a living systematic review (CRD42020183557), including studies identified through database searches up to 26 June 2020. We searched seven databases (MEDLINE; Embase; CINAHL Plus; Web of Science; Global Health; WHO COVID-19 Research Database; medRxiv) to identify all studies reporting primary data on COVID-19 related mortality and incidence of disease among LTC users and staff. We excluded studies not focusing on LTC. Included studies were critically appraised and results on number of deaths and COVID-19 related mortality rates, case fatality rates, and excess deaths (co-primary outcomes), as well as incidence of disease, hospitalisations, and ICU admissions were synthesised narratively. Findings: A total of 54 study reports for 49 unique primary studies or outbreak reports were included. Outbreak investigations in LTC facilities found COVID-19 incidence rates of between 0.0% and 71.7% among residents and between 0.4% and 64.0% among staff at affected facilities. Mortality rates varied from 0.0% to 17.1% of all residents at outbreak facilities, with case fatality rates between 0.0% and 33.7%. In included studies of outbreaks, no LTC staff members had died. Studies of wider LTC populations found that between 0.4% and 40.8% of users, and between 4.0% and 23.8% of staff were infected, although the generalisability of these studies is limited. There was limited information on the impact of COVID-19 on LTC in the community. Interpretation: Long-term care users have been particularly vulnerable to the COVID-19 pandemic. However, we found wide variation in spread of disease and mortality rates between outbreaks at individual LTC facilities. Further research into the factors determining successful prevention and containment of COVID-19 outbreaks is needed to protect long-term care users and staff.

Last updated on hub: 04 November 2020

COVID-19 staff risk assessment flow chart

British Association of Social Workers England

This flow chart is to help managers and staff to identify what risk assessments need to be carried out for their individual staff and what measures should be put in place to minimise risk during the COVID-19 crisis. Whilst all risks to social workers cannot be completely eliminated, employers should take all possible steps that they can to minimise the risks.

Last updated on hub: 09 June 2020

COVID-19: essential training

Skills for Care

The impact of COVID-19 has created an extremely challenging time for the social care workforce. This resource highlights the training that remains a priority during this period to ensure there is a skilled and competent workforce. The essential training, which does not comprise all the training that is usually undertaken, is available as three individual packages of learning: rapid induction programme (aimed at new staff), refresher training (aimed at existing staff) and a volunteer programme. This approach is supported by the Care Quality Commission. A list of endorsed learning providers have received grant funding to support care providers with the cost of this essential training during this period. The page signposts to relevant information and guidance, including training content and to contact details of endorsed learning providers.

Last updated on hub: 29 June 2020

COVID-19: guidance for 16-21+ jointly commissioned supported accommodation settings

Department of Health, Social Services and Public Safety, Northern Ireland

Guidance for providers of jointly commissioned/funded supported accommodation projects for young people aged 16-21+ in Northern Ireland to support planning and preparation for widespread transmission of the coronavirus (COVID-19). This guidance sets out key messages, and includes information on: what to do if someone develops symptoms of COVID-19, what to do if someone refuses to self-isolate, use of shared spaces, hygiene and infection control, and Personal Protective Equipment (PPE). The guidance may be updated to reflect the changing situation.

Last updated on hub: 28 April 2020

COVID-19: guidance for commissioners and providers of hostel services for people experiencing homelessness and rough sleeping

Public Health England

Information on coronavirus (COVID-19) for commissioners and providers of hostel services for people experiencing homelessness and rough sleeping. The guidance covers: hostels with individual self-contained rooms with en-suite facilities that have shared kitchens; and hostels without individual self-contained rooms and that have communal facilities. This guidance does not cover night shelters. [Published 16 March 2020; Last updated 3 September 2020]

Last updated on hub: 07 September 2020

COVID-19: guidance for commissioners and providers of services for people who use drugs or alcohol

Department of Health and Social Care

This guidance outlines COVID-19 advice for commissioners and service providers involved in assisting people who are dependent on drugs or alcohol or both. People who misuse or are dependent on drugs and alcohol may be at increased risk of becoming infected, and infecting others, with COVID-19. They may also be more vulnerable to poor health outcomes due to underlying physical and mental health conditions, as well as mental health issues associated with lockdown. The document sets out practice guidance on wide range of aspects, covering: symptoms; protection against infection; considerations for people using drugs or alcohol; children and families; mental health; access to opioid substitution treatment (OST); needle and syringe programmes (NSPs); drug detoxification; alcohol harm reduction and detoxification; non-medical support; those not in drug and alcohol treatment; what else commissioners and providers of drug and alcohol treatment services can do; and cleaning and waste. The guide also signposts to additional sources of information and advice. [Published 15 April 2020. Last updated 5 November 2020]

Last updated on hub: 23 July 2020

COVID-19: guidance for foster care and supported lodgings settings

Department of Health, Social Services and Public Safety, Northern Ireland

This guidance sets out key messages to support care providers in planning and preparation to prevent the widespread transmission of the coronavirus (COVID-19) in foster care and supported lodgings. It is aimed at Health and Social Care (HSC) Trusts, independent fostering providers, foster carers and their families, and providers of supported lodgings and host families. Key messages focus on Protecting and maintaining current placements; the importance of regular communication with foster carers and host families; and planning to ensuring there is as much capacity to provide foster care and Supported Lodging placements as possible. The guidance may be updated to reflect the changing situation.

Last updated on hub: 15 April 2020

COVID-19: guidance for homeless providers in Northern Ireland

Department of Health, Social Services and Public Safety, Northern Ireland

This guidance sets out key messages to support planning and preparation as Northern Ireland moves into delay phase of responding to the risk of widespread transmission of coronavirus disease (COVID-19). Key messages highlight the importance of co-ordination between providers; providers working in partnership to make best use of available workforce; and washing hands when entering and leaving hostel premises or rooms. The guidance is aimed at homeless providers, including hostels, refuges, day centres and shelters. It also includes important messages for hostel staff and residents. The guidance may be updated in line with the changing situation.

Last updated on hub: 24 March 2020

COVID-19: guidance for hostel or day centre providers of services for people experiencing rough sleeping

Public Health England

Information on coronavirus disease (COVID-19) for hostel or day centre providers of services for people experiencing rough sleeping. The guidance covers what to do if someone develops symptoms of coronavirus (COVID-19) in a hostel or in a day centre; use of shared spaces when individuals who live with others in hostels are required to stay in their room; considerations for populations living in a hostel or accessing a day centre; cleaning and laundry. One of the key messages of the guidance is that local authority public health, housing and social care teams are encouraged to work closely together to identify appropriate local solutions for people who don't have anywhere to self-isolate. This guidance may be updated in line with the changing situation.

Last updated on hub: 17 March 2020

COVID-19: guidance for nursing and residential care homes in Northern Ireland

Department of Health, Social Services and Public Safety, Northern Ireland

This guidance sets out key messages to support planning and preparation as Northern Ireland moves into the delay phase of responding to the risk of widespread transmission of the coronavirus (COVID-19). Key messages highlight the need for co-ordination between care providers, the voluntary sector and PHA; making best use of the workforce; and access to PPE. The guidance is aimed at Health and Social Care trusts and registered nursing and residential care home providers. It also contains information relevant for relatives and friends of those in nursing and residential homes.

Last updated on hub: 24 March 2020

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