COVID-19 resources on infection control

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Direct and indirect impacts of COVID-19 on health and wellbeing: rapid evidence review

Liverpool John Moores University

This rapid review identifies the current evidence on the direct and indirect impacts of COVID-19 on health and wellbeing. Rapid searches were carried out of the academic and grey literature between 18 May and 8 June 2020 to scope and collate evidence. These sources were analysed and used to prepare this rapid evidence review. The findings show that the impacts of COVID-19 have not been felt equally – the pandemic has both exposed and exacerbated longstanding inequalities in society. Conversely, there is also evidence of increased civic participation in response to the pandemic and a positive impact on social cohesion. However, social isolation and loneliness have impacted on wellbeing for many. There are serious concerns about how the combination of greater stress and reduced access to services for vulnerable children and their families may increase the risk of family violence and abuse. Compounding this, safeguarding issues have been largely hidden from view during lockdown. In addition, the review finds that the pandemic has both disrupted and changed the delivery of NHS and social care services. Concerns have been raised about significant drops in A&E use and the health care needs of people with long-term conditions have been significantly impacted. The report concludes by arguing that as we move from the response phase into recovery, the direct and wider impacts of the pandemic on individuals, households and communities will influence their capacity to recover.

Last updated on hub: 28 July 2020

Safe, happy and together: design ideas for minimising the spread of infection whilst nurturing social interaction in later living communities

Housing LIN

This report outlines a series of practical design recommendations to control the transmission of coronavirus, and other everyday infections, in later-living housing whilst maintaining social interaction for residents. Later living, in this paper, refers to residential accommodation consisting of self-contained apartments with associated communal, support and ancillary spaces under one roof. The document is intended to be a practical guide for designers, operators and developers refurbishing ageing later-living housing projects or considering new ones. It identifies thirteen specific areas that would require improvements in order to safeguard the mental and physical health of residents, and to enable staff to manage additional tasks that might be required of them during a pandemic. Key recommendations include creating a separate entrance for staff and deliveries, additional storage for PPE, ventilators, sanitation equipment at all entrances and installing a traffic light system in the lobby to control movement in and out of the building or a ‘pop-up’ shelter in the entrance courtyard for supervised visits.

Last updated on hub: 28 July 2020

Covid 19, low incomes and poverty

The Institute for Research and Innovation in Social Services

This summary provides an overview of recent evidence relating to Covid 19, low incomes and poverty. It is based on the findings of a search for academic research and grey literature using a wide range of search terms including: Covid-19, poverty, low incomes, deprivation, unemployment, health inequalities, housing, school closures, food poverty, fuel poverty, benefits system. The paper reveals that those living with socio-economic disadvantages and inequalities are more likely to experience poorer health, housing and education, lower income, and lack of access to quality outdoor space, all things most immediately affected by the Covid-19 pandemic. Poorer groups also have additional barriers as those who traditionally support them – friends and family, care groups and charities – may also experience a crisis or be unavailable. The report highlights the additional hardship for carers and those they care for – they are often already living on lower incomes so anything that stretches, reduces or removes it altogether will cause further deprivation. The need to maintain a focus on the gendered impact of the crisis is also highlighted – social isolation policies, and thus the current lockdown, increases women’s vulnerability to domestic abuse, with financial dependence and poverty as primary risk factors. The evidence also shows that structural inequalities put Black and Ethnic Minority (BAME) groups at much higher risk of illness from Covid-19, and facing harsher economic impacts from government measures to deal with the virus.

Last updated on hub: 28 July 2020

Supporting children and young people with SEND as schools and colleges prepare for wider opening

Department for Education

Risk assessment guidance for settings managing children and young people with an education, health and care (EHC) plan or complex needs during the coronavirus (COVID-19) outbreak, including special schools, specialist colleges, local authorities and any other settings managing children and young people with SEND. [Updated 24 July 2020]

Last updated on hub: 28 July 2020

Preventing and managing COVID-19 across long-term care services: policy brief

World Health Organization

This briefing provides policy objectives and key action points to prevent and manage COVID-19 across long-term care settings. The brief builds on currently available evidence on the measures taken to prevent, prepare for and respond to the pandemic across long-term care services including care providers. COVID-19 has affected older people disproportionately, especially those living in long-term care facilities. In many countries, evidence shows that more than 40% of COVID-19 related deaths have been linked to long-term care facilities, with figures being as high as 80% in some high-income countries. Concerted action is needed to mitigate the impact across all aspects of long-term care, including home- and community-based care, given that most users and providers of care are those who are vulnerable to severe COVID-19. Specifically, the paper argues that the following policy objectives should be pursued to mitigate the impact of COVID-19 across long-term care: include long-term care in all phases of the national response to the pandemic; mobilise adequate funding; ensure effective monitoring and evaluation of the impact of COVID-19 on long-term care; secure staff and resources, including adequate health workforce and health products; ensure the continuum and continuity of essential services for people receiving long-term care; ensure that infection prevention and control standards are implemented and adhered to in all long-term care settings; prioritise testing, contact tracing and monitoring of the spread of COVID-19 among people receiving and providing long-term care services; provide support for family and voluntary caregivers; prioritise the psychosocial well-being of people receiving and providing long-term care services; ensure a smooth transition to the recovery phase; and initiate steps for the transformation and integration of health and long-term care systems.

Last updated on hub: 27 July 2020

Tips on visiting care home residents as lockdown eases

carehome.co.uk

Brings together guidance and advice on how the public can visit care home residents as the COVID-19 lockdown measures ease. The resource covers: government guidelines to care home visits for England, Wales, Scotland and Northern Ireland; how care homes enable visitors; what to do before visiting a care home; what to expect from the first visit after lockdown; and visiting a relative living with dementia in a care home.

Last updated on hub: 27 July 2020

Children’s rights impact assessment on the response to Covid-19 in Scotland

Children and Young People's Commissioner Scotland

This report presents an independent children’s rights impact assessment on the emergency (CRIA) measures introduced by Scottish Government and UK Government to address the COVID-19 pandemic. The report outlines the framing and context for this independent CRIA and considers the predicted impacts of the COVID-19 measures on children and young people’s human rights. The overview then looks ahead to issues as Scotland comes out of the crisis, lessons learned, and conclusions for responding to the challenges and ensuring that children and young people’s human rights are respected, protected and fulfilled. While acknowledging that legislative decisions have been primarily concerned with protecting children’s, young people’s and their families’ rights to survival and development, the report looks at where such rights may have been limited unreasonably, and how such rights can be best addressed currently and into the future. It identifies three systemic issues that if addressed would ensure children and young people’s human rights are better respected, protected and fulfilled as the transition is made to the ‘new normal’. These are: law reform – COVID-19 has starkly highlighted areas of existing Scots law that are not compliant with the UNCRC; data and resources – for example, disaggregated data is needed to understand impact on children and young people from Gypsy/Traveller communities; asylum seeking, refugee and migrant children and young people; and those living in families affected by disability; and improving children’s rights impact assessments – ensuring for instance that they pay greater attention to children’s best interests, non-discrimination and participation.

Last updated on hub: 23 July 2020

COVID-19 policy tracker: a timeline of national policy and health system responses to COVID-19 in England

The Health Foundation

This policy tracker documents national government and health and social care system responses to COVID-19 in England, and how they change over time. The full tracker includes data on what changes have been introduced, when, why, and by whom – as well as how these changes have been communicated by policymakers. Policy changes are tracked with respect to five areas – from health and care system changes to policy narrative, measures to limit spread, research and development and wider social and economic policy.

Last updated on hub: 23 July 2020

Supervision and social care practice in the time of COVID-19

Research In Practice: Dartington

A suite of resources to support supervision in the context of COVID-19. The pandemic, and consequent need for social distancing, have required a reorganisation of every aspect of social care practice, including supervision. The resources are intended to strengthen the effectiveness of remote supervision, building resilience, working with people who are experiencing grief and loss, as well as thinking about social work in the context of a crisis.

Last updated on hub: 23 July 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 31 July 2020]

Last updated on hub: 23 July 2020