COVID-19 resources on Infection control

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Is visiting [in the social context] associated with increased incidence of COVID-19 in long-term residential care facilities?

HSE Library

This summary of evidence contains a comprehensive representation of available research evidence, key reference sources and collated information on the impact of visitors on the incidence of COVID-19 in long-term residential care facilities.

Last updated on hub: 26 October 2020

Testing guidelines for nursing homes: interim SARS-CoV-2 testing guidelines for nursing home residents and healthcare personnel

Centers for Disease Control and Prevention

This document provides guidance on the appropriate use of testing among nursing home residents. It covers: testing residents with signs or symptoms of COVID-19; testing asymptomatic residents with known or suspected exposure to an individual infected with; testing of asymptomatic residents without known or suspected exposure to an individual infected with; and Testing to determine resolution of infection.

Last updated on hub: 26 October 2020

Covid-19: interim guidance on the extended use of face masks and face coverings in hospitals, primary care, wider community care and adult care homes

Scottish Government

Guidance on the extended use of face masks and face coverings by staff within acute hospitals (including mental health, maternity, neonatal and paediatrics), community hospitals, primary care (GP practices, dentists, opticians and pharmacies) and wider community care (including adult social or community care and adult residential settings, care home settings and domiciliary care). The guidance also contains advice for visitors to care homes and hospitals, including those attending for an appointment.

Last updated on hub: 26 October 2020

Guidance on COVID-19 PCR testing in care homes and the management of COVID-19 PCR test positive residents and staff

Health Protection Scotland

The focus of this guide is on the application of PCR testing in care homes, primarily but not exclusively, as part of outbreak investigation and management and on managing the consequences of finding PCR test positive residents and staff. It helps NHS Boards, care home providers and others to interpret and implement this extended testing policy; and to identify what is required to achieve the greatest potential reduction in the risk of transmission of the virus within all forms of residential care home settings for the elderly, in the shortest possible time. The advice is written from a clinical perspective and reflects a consensus on which health protection measures are likely to be the most effective in achieving the maximum reduction in the risk of infection, most quickly.

Last updated on hub: 26 October 2020

Care homes action plan: summary of progress

Welsh Government

This document summarises the progress that has been made – and is being made – against the high-level actions in the Care Homes Action Plan. The Plan sets out high-level actions under six themes to ensure the care home sector in Wales is well supported ahead of winter pressures, learning lessons from the Covid-19 pandemic. The six themes are: infection prevention and control; personal Protective Equipment (PPE); general and clinical support for care homes; residents’ wellbeing; social care workers’ wellbeing; and financial sustainability.

Last updated on hub: 26 October 2020

Ethnic inequalities in Covid-19 are playing out again – how can we stop them?

Institute for Public Policy Research

This long read by IPPR and Runnymede Trust looks at how Covid-19 is set to continue to hit minority ethnic communities hardest as we enter the second wave. It proposes measures to help control the pandemic and mitigate immediate ethnic inequalities. including increasing access to treatment.

Last updated on hub: 26 October 2020

Webinar recording: Sharing voices in response to COVID-19

Social Care Institute for Excellence

This webinar was chaired by Baroness Ilora Finlay and the technical host was Prof Wayne Martin. It was about sharing voices in response to COVID-19.

Last updated on hub: 22 October 2020

Winter discharges: designated settings

Department of Health and Social Care

This letter sets out: an overview of the requirement for designated care settings for people discharged from hospital who have a COVID-19 positive status; and an instruction for local authorities to commence identifying and notifying the Care Quality Commission (CQC) of sufficient local designated accommodation and to work with CQC to assure their compliance with the infection prevention control (IPC) protocol. [First published 21 October 2020. Updated 13 November 2020, Added the letter 'Designated settings requirements: FAQs']

Last updated on hub: 22 October 2020

The predictable crisis: why Covid-19 has hit Scotland’s care homes so hard

Common Weal

This paper considers how government in Scotland has managed the Covid-19 crisis, using what has happened at Home Farm Care Home on Skye to illustrate the issues but also, potentially, to point to the way forwards. It argues that much of the Covid-19 disaster in care homes was quite predictable and, as such, represents a failure by both care home providers and the public authorities. It then looks at these failures within the broader context of the development of the care home sector in the last 27 years, with a particular focus on how this has provided for the health of older people. It concludes with some recommendations, both for immediate action and for more fundamental reform of the sector and the role of public authorities within it. Key points include: based on quality ratings at the outset of the crisis more than one quarter of Scotland's care homes (those rated adequate or below) could have been expected to be unable properly to protect older people in the event of a pandemic; the Care Inspectorate, which has few enforcement powers, was incapable of brining care homes up to the standard required by the Covid crisis; the result is that six out of ten care homes in Scotland have had a case of Covid and about 45 per cent still have a current case (as of Monday 18 May); for the first eight weeks of the crisis the Scottish Government was adamant that the providers (and not the Scottish Government) were responsible for protecting care home residents – this effectively represented the privatisation of the responsibility for older people in care during the crisis and restricted adequate access to medical treatment; the repeated updating of guidelines created a confusing impact.

Last updated on hub: 21 October 2020

Updating ethnic contrasts in deaths involving the coronavirus (COVID-19), England and Wales: deaths occurring 2 March to 28 July 2020

The Office for National Statistics

Updated estimates of mortality involving the Covid-19 by ethnic group and investigation of the explanatory power of hospital-based comorbidity on ethnic differences, building on previous models published by the Office for National Statistics. Considering deaths up to 28 July 2020, males and females of Black and South Asian ethnic background were shown to have increased risks of death involving the Covid-19 compared with those of White ethnic background. In England and Wales, males of Black African ethnic background had the highest rate of death involving COVID-19, 2.7 times higher than males of White ethnic background; females of Black Caribbean ethnic background had the highest rate, 2.0 times higher than females of White ethnic background. All ethnic minority groups other than Chinese had a higher rate than the White ethnic population for both males and females. Looking separately at the care home population, males of Asian ethnic background and females of Black and Asian ethnic backgrounds (using broader ethnic groupings) also had a raised rate of death involving COVID-19 compared with people of White ethnic background after taking account of geography and health measures. These findings show that ethnic differences in mortality involving COVID-19 are most strongly associated with demographic and socio-economic factors, such as place of residence and occupational exposures, and cannot be explained by pre-existing health conditions using hospital data or self-reported health status.

Last updated on hub: 21 October 2020

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