COVID-19 resources on infection control

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The need to include assisted living in responding to the COVID-19 pandemic

Journal of the American Medical Directors Association

The risk of complications and death from COVID-19 is markedly skewed toward older adults. In the United States and many other countries, nursing homes are not the only congregate setting that serves older adults with underlying chronic medical conditions. More so, they have been a shrinking component of the residential long-term care system, with some of the largest growth having been in assisted living. Assisted living communities are not the same as nursing homes. In fact, there are several distinct components of assisted living that make this a unique setting and one not to be ignored in relation to COVID-19 planning and response. This editorial summarises key differences between nursing homes and assisted living and their related implications for care during the coronavirus pandemic.

Last updated on hub: 05 May 2020

Webinar recording: COVID-19 and care providers

Social Care Institute for Excellence

Watch the SCIE COVID-19 webinar hosted by Paul Burstow, Chair of SCIE. He was joined by Kathryn Smith, the incoming Chief Executive of the SCIE and a former care worker.

Last updated on hub: 30 April 2020

When to release the lockdown: a wellbeing framework for analysing costs and benefits

London School of Economics and Political Science

In choosing when to end the lockdown, policy-makers have to balance the impact of the decision upon incomes, unemployment, mental health, public confidence and many other factors, as well as upon the number of deaths from the coronavirus (COVID-19). To facilitate the decision, it is helpful to forecast each factor using a single metric. The report analyses the impact of many factors such as incomes, unemployment, mental health, air quality and death rates with a view to understanding when the costs of continuing the lockdown exceed the benefits. These factors are brought together using a common currency of their impact on individuals’ wellbeing resulting from each date of ending the lockdown. This new metric makes it possible to compare the impact of each factor in a way that is relevant to all public policy decisions.

Last updated on hub: 30 April 2020

Guidance for those who provide unpaid care to friends or family

Department of Health and Social Care

Information and advice for people who are caring, unpaid, for friends or family during the coronavirus outbreak. It builds on other guidance published by the Government, including Stay at home guidance and guidance on social distancing for everyone in the UK and protecting older people and vulnerable adults. [First published 8 April 2020; last updated 13 August 2020]

Last updated on hub: 29 April 2020

Can social prescribing support the COVID-19 pandemic?

Centre for Evidence Based Medicine

This document looks at how social prescribing can be implemented within the current coronavirus (COVID-19) pandemic. It finds that although there is limited evidence on how social prescribing can be best implemented within the current COVID-19 pandemic, there are an increasing array of anecdotal accounts that suggest the importance of maintaining community connectedness during this time.

Last updated on hub: 29 April 2020

How can pandemic spreads be contained in care homes?

Centre for Evidence Based Medicine

A rapid review of evidence to examine how pandemic spreads, such as the coronavirus, can be contained in care homes. It considers: human resources, nursing activities and medication, and external visitors. The review, carried out on behalf of the Oxford COVID-19 Evidence Service Team, found that the effectiveness of infection control measures is dependent upon a number of factors and a combination of strategies. The most significant factors were identified as: hand hygiene, environmental cleaning and decontamination and cleaning, avoiding staff rotation and allocating staff to one facility consistently, restricting visitors, and testing which creates rapid response to contain and prevent further spread.

Last updated on hub: 28 April 2020

Personal protective equipment (PPE): resource for care workers delivering homecare (domiciliary care) during sustained COVID-19 transmission in the UK

Public Health England

Guidance for those working in domiciliary care providing information on the use of personal protective equipment (PPE) during sustained coronavirus (COVID-19) transmission in the UK. It explains how PPE guidance applies to the homecare (domiciliary care) setting and is drawn from full infection prevention and control (IPC) and PPE guidance. The guidance is primarily for care workers and providers delivering care in visiting homecare, extra care housing and live-in homecare settings. [Published 27/04/202. Updated 7/10/2020]

Last updated on hub: 28 April 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

Professional practice guidance for home visits during Covid-19 Pandemic

British Association of Social Workers England

This guidance has been produced to help social workers and their employers manage the risks of home visits during the coronavirus (Covid-19) pandemic. It aims to help social workers keep themselves safe and reduce risks of infection during home visits, enable social workers to fulfil their duties without undue risk, and minimise the risk of infection of others by social workers entering homes. It covers key issues to consider when planning a home visit, during a visit, and action to take immediately after a home visit. The key principles may also be helpful for social workers planning and carrying out face to face activities in other settings, such as hospitals or care homes during Covid-19. It does not cover social care workers who are providing hands-on personal care. The guidance has been developed by the British Association of Social Workers (BASW) in consultation with practitioners, managers and sector leaders and is applicable for all social workers across the UK. It will be reviewed and updated frequently.

Last updated on hub: 27 April 2020

The psychological impact of quarantine and how to reduce it: rapid review of the evidence


The coronavirus disease (COVID-19) outbreak has seen many countries ask people who have potentially come into contact with the infection to isolate themselves at home or in a dedicated quarantine facility. Decisions on how to apply quarantine should be based on the best available evidence. This review looks at the psychological impact of quarantine using three electronic databases. Of 3166 papers found, 24 are included. Most reviewed studies reported negative psychological effects including post-traumatic stress symptoms, confusion, and anger. Stressors included longer quarantine duration, infection fears, frustration, boredom, inadequate supplies, inadequate information, financial loss, and stigma. Some researchers have suggested long-lasting effects. In situations where quarantine is deemed necessary, officials should quarantine individuals for no longer than required, provide clear rationale for quarantine and information about protocols, and ensure sufficient supplies are provided. Appeals to altruism by reminding the public about the benefits of quarantine to wider society can be favourable.

Last updated on hub: 27 April 2020

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