COVID-19 resources on Infection control

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Covid-19 and the deaths of care home residents

The Nuffield Trust

This explainer from Sarah Scobie looks in detail at new data on the deaths of care home residents as a result of the pandemic. The numbers have exposed the fragile state that the care sector was in before the pandemic, as well as the shortcomings in the response to Covid-19.

Last updated on hub: 22 February 2021

COVID-19 and the female health and care workforce: survey of health and care staff for the Health and Care Women Leaders Network, August 2020

NHS Confederation

This report sets out the findings of a survey to understand the impact the Covid-19 pandemic has had on women working across health and care services. A total of 1,308 women responded to the survey. While the overwhelming majority of respondents to the survey were white, there were some key differences in the findings in relation to participants from black and minority ethnic (BME) backgrounds. The survey found that most respondents – almost three-quarters – had reported that their job had a greater negative impact than usual on their emotional wellbeing as a result of the pandemic, and more than half had suffered a negative impact on their physical health. Staff from BME backgrounds also reported feeling traumatised by the disproportionate impact of the virus, compounded by concerns over risk assessments not being performed in a timely manner, if at all. In addition, the analysis shows that PPE availability and training have been broadly adequate, but could be stronger; managerial support has been strong, but some issues emerge over sharing concerns; struggles with work-life balance since lockdown started; some respondents had safety concerns when working from home. The report also draws out some of the positive experiences, such as opportunities for learning and the strength of support many have received from their managers. Recommendations to improve the working conditions for women in health and care services are included.

Last updated on hub: 27 August 2020

COVID-19 and the MCA 2005

Mental Capacity Law and Policy

This page includes resources relating to COVID-19 and the Mental Capacity Act 2005. It offers an overview of DHSC, NHS England and NHS Improvement, and CQC guidance. It also signposts to additional guidance from the Social Care Institute for Excellence, NICE and ADASS. The key message is that the MCA 2005 is not, itself, changed by the current circumstances. Nothing in the Coronavirus Act 2020 (for instance) changes the obligations imposed under it. However, the Act is having to be applied in a different context, which will require all those involved to think creatively about how to secure its core principles, as well as to be clear as to when a particular option is simply not available so that it does not fall for consideration as part of any best interests decision-making process.

Last updated on hub: 21 September 2020

COVID19 care home support: implementation status

Department of Health and Social Care

Template for local authorities care home support planning.

Last updated on hub: 25 January 2021

COVID-19 checklist for choosing a care home: 5 questions for residents, families, friends and carers to ask

National Care Forum

This short guide helps think about what individuals need to know and the questions they might ask when thinking about a choice of home during COVID-19. The pandemic means that care homes have had to learn to do things differently while continuing to provide high quality care. The questions focus on the quality of the home; the extent to which residents are able to maintain contacts with friends and family in a safe way; the testing programme; the use of personal protective equipment; and the health and hygiene measures that are in place to stop the spread of COVID-19.

Last updated on hub: 24 September 2020

COVID-19 guide for drug and alcohol residential rehab and detox services

Social Care Institute for Excellence

This guide aims to provide specific and useful information for all drug and alcohol residential detox and rehab services dealing with COVID-19.

Last updated on hub: 22 July 2020

COVID-19 in long-term care facilities: An upcoming threat that cannot be ignored

Perspective published in the Journal of Microbiology, Immunology and Infection in June 2020. The perspective considers the the spread of COVID-19 in long-term care facilities in the United States up to the time of publication. Concludes that infection prevention and control (IPC) polices should be established in long-term care facilities and strictly adhered to in order to prevent this disease from entering these facilities and spreading within and outside of them. Citation: Lai, C. C., et al. (2020). COVID-19 in long-term care facilities: An upcoming threat that cannot be ignored. Journal of Microbiology, Immunology, and Infection, 53(3), 444.

Last updated on hub: 19 October 2020

Covid-19 infection and attributable mortality in UK long term care facilities: cohort study using active surveillance and electronic records (March-June 2020)

medRxiv

This article is a preprint and has not been peer-reviewed. The lead researcher was Peter F Dutey-Magni. Background: Rates of Covid-19 infection have declined in many countries, but outbreaks persist in residents of long-term care facilities (LTCFs) who are at high risk of severe outcomes. Epidemiological data from LTCFs are scarce. This study used population-level active surveillance to estimate incidence of, and risk factors for Covid-19, and attributable mortality in elderly residents of LTCFs. Methods: Cohort study using individual-level electronic health records from 8,713 residents and daily counts of infection for 9,339 residents and 11,604 staff across 179 UK LTCFs. This study modelled risk factors for infection and mortality using Cox proportional hazards and estimated attributable fractions. Findings: 2,075/9,339 residents developed Covid-19 symptoms (22.2% [95% confidence interval: 21.4%; 23.1%]), while 951 residents (10.2% [9.6%; 10.8%]) and 585 staff (5.0% [4.7%; 5.5%]) had laboratory confirmed infections. Confirmed infection incidence in residents and staff respectively was 152.6 [143.1; 162.6] and 62.3 [57.3; 67.5] per 100,000 person-days. 121/179 (67.6%) LTCFs had at least one Covid-19 infection or death. Lower staffing ratios and higher occupancy rates were independent risk factors for infection. 1,694 all-cause deaths occurred in 8,713 (19.4% [18.6%; 20.3%]) residents. 217 deaths occurred in 607 residents with confirmed infection (case-fatality rate: 35.7% [31.9%; 39.7%]). 567/1694 (33.5%) of all-cause deaths were attributable to Covid-19, 28.0% of which occurred in residents with laboratory-confirmed infection. The remainder of excess deaths occurred in asymptomatic or symptomatic residents in the context of limited testing for infection, suggesting substantial under-ascertainment. Interpretation: 1 in 5 residents had symptoms of infection during the pandemic, but many cases were not tested. Higher occupancy and lower staffing levels increase infection risk. Disease control measures should integrate active surveillance and testing with fundamental changes in staffing and care home occupancy to protect staff and residents from infection.

Last updated on hub: 31 August 2020

COVID-19 infection prevention and control guidance for family and friends (informal carers) who support people in their own homes

Health Service Executive

This guidance has been developed to help carers and people who are cared for on how to protect each other from COVID-19. It is also intended to help healthcare workers who advise people who provide care about how to keep safe from infection. It sets out the steps that carers need to take before and during their visit to the person they care for.

Last updated on hub: 22 December 2020

COVID-19 infection rises: letter to care providers from Director of Adult Social Care Delivery

Department of Health and Social Care

A letter from Stuart Miller, Director of Adult Social Care Delivery, to care providers to highlight rising infection rates and request action on testing and PPE in all care settings.

Last updated on hub: 18 September 2020

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