COVID-19 resources on Infection control

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Mitigating the impact of Covid-19 on health inequalities

British Medical Association

Outlines a range of measures for Governments across the UK to ensure that those who have been most impacted by Covid-19 are protected in the immediate and longer term. The impact of the Covid-19 pandemic on the UK has been enormous, but not everyone has borne the brunt equally. The impact of the virus, as well as the restrictions designed to reduce its spread, have affected and will continue to affect different groups to varying degrees of severity. To mitigate the impact of Covid-19 on health inequalities across the UK, the government should focus on reducing overall transmission of the virus; ensuring vaccine access for groups most vulnerable to the virus; improving financial security; protecting the long-term health outcomes of children living in deprivation; investing in a strong public mental health response.

Last updated on hub: 13 April 2021

Mitigating the impact of SARS-CoV-2 on residential facilities for persons with intellectual disability and/or autism spectrum disorder: two experiences from the Italian red zone

Advances in Mental Health and Intellectual Disabilities

Purpose: Persons with intellectual disability and/or low-functioning autism spectrum disorder are with high support need (ID/ASD-HSN) are among the people who are most vulnerable to the COVID-19 pandemic. The specific vulnerability and the protective factors for persons with ID/LF-ASD attending residential and rehabilitative facilities have however received little attention. This paper aims to describe how two facilities located in the Italian COVID-19 red zone faced the risks associated with the spread of the pandemic and the results they have achieved so far. Design/methodology/approach: Interventions to contrast the spread of the pandemic and preserve clients’ health conditions have been systematically monitored and recorded since the very beginning of the pandemic. Findings: 26/138 clients had to undergo clinical screening and laboratory tests for COVID-like symptomatology, but only one resulted affected by COVID-19 and survived. Considering that Lombardy had 89,595 cases and 16,262 deaths (January–May 2020), one COVID-19 case/138 clients is a good result. Temporarily limiting physical contacts with friends/family in favor of reducing the burden of risk and adopting a system of prevention/safety strategies directed for persons with ID/LF-ASD attending and their caregivers have been useful measures. Research limitations/implications: Structured or semi-structured interviews (using professional caregivers as informant) to confirm behavioral and emotional changes in the clients could not be carried out because of lack of time and resources (which were captured by the management of the pandemic) and could be the next goal for our residential facilities to implement the management of epidemic acute phases in a research-oriented view. Originality/value: This study is a service evaluation report about facing COVID-19 pandemic. Only few such studies are present in medical literature about ID/ASD.

Last updated on hub: 03 December 2021

Mitigating the impact of the COVID-19 outbreak: a review of international measures to support community-based care

International Long-term Care Policy Network

This report provides a brief overview of the policy responses and practice measures used internationally to respond to the impact of COVID-19 on the provision of community-based care. The data provided is largely collected from the country reports on the COVID-19 long-term care situation, including Australia, Austria, Brazil, China, England, Germany, Hong Kong, Ireland, Israel, Italy, Netherlands, Slovenia, South Korea, and the United States. Key findings include: community-based care faces unique challenges during the COVID-19 pandemic compared to other parts of the long-term care continuum; several countries have taken steps to prevent the spread of COVID-19 infections in community-based care including the closure of adult day centres and other service providers; continuity of care is of upmost importance – a disruption of care and support could have serious negative impacts on individual health and well-being due to increased risk of loneliness and social isolation; the dispersed nature of community based care suggests that direct governmental action and oversight may be more difficult to provide than for residential care settings such as care homes or nursing facilities; efforts to maintain continuity of care in community-based care include government financial support to home care workers; recruitment of volunteers and family members to act as paid carers; and the provision of remote psychological supports to home care workers; some countries have taken steps to move patients and home care workers to residential care settings; few countries are specifically reporting data on infections and deaths among users of home care – an exception to this is Australia; overall evidence of national measures to support community-based care is still lacking for most countries.

Last updated on hub: 04 November 2020

Mitigation of risks of COVID-19 in occupational settings with a focus on ethnic minority groups – consensus statement from PHE, HSE and FOM

Public Health England

Consensus statement from Public Health England (PHE), Health and Safety Executive (HSE ) and the Faculty of Occupational Medicine (FOM) on the mitigation of risks of COVID-19 in occupational settings with a focus on ethnic minority groups.

Last updated on hub: 24 November 2020

Monthly statistics for adult social care (England)

Department of Health and Social Care

The Department of Health and Social Care (DHSC) publish monthly official statistics (experimental) on adult social care in England. This publication provides and overview on a range of information on social care settings, with a focus on the impact of COVID-19. Data in these reports includes: first and second COVID-19 vaccination uptake in social care settings; selected infection prevention control (IPC) measures in care homes at national, regional and local authority (LA) level; staffing levels and staff absences in care homes at national, regional and LA level; visiting in care homes; personal protective equipment (PPE) availability in care homes at national, regional and LA level; testing for COVID-19 in care homes at national, regional and LA level. Data on booster doses of COVID-19 vaccinations and flu vaccinations was added in November 2021.

Last updated on hub: 16 June 2021

More than just a visitor: a guide to essential family carers

Methodist Homes for the Aged

This guidance sets how Methodist Homes (MHA) can start to re-introduce family visits indoors in its care homes, as lockdown restrictions ease, especially for those who have been unable to have any outdoor visits. During lockdown, MHA enabled families to have regular video calls with residents, as well as telephone calls and opened up for outdoor visits in gardens when it was safe to do so. Sadly, not all residents have been able to take part in these so MHA has developed its guidance, in conjunction with that from the Government, for families to once again be able to come into care homes and see their loved one, albeit on a limited basis initially. An essential family carer (EFC) is a resident’s family member or friend whose care for a resident is an essential element of maintaining their mental or physical health. The guidance sets out what being an EFC involves, including following infection control measures including sharing evidence of having been free from COVID-19 for at least 28 days and wearing Personal Protective Equipment (PPE).

Last updated on hub: 15 March 2021

Mortality associated with COVID-19 in care homes: international evidence

International Long-term Care Policy Network

This document focuses on mortality associated with COVID-19 in care homes, summarising information from three types of sources: epidemiological studies, official estimates and news reports; and relies on national experts for confirmation of sources and definitions. Key findings include: official publicly available data on the numbers of deaths among care home residents linked to COVID-19 is not available in many countries; international comparisons are difficult due to differences in testing capabilities and policies, different approaches to recording deaths, and differing definitions of what constitutes a “care home”; there are three main approaches to quantifying deaths in relation to COVID-19: deaths of people who test positive (before or after their death), deaths of people suspected to have COVID-19 (based on symptoms or epidemiologically linked), and excess deaths (comparing total number of deaths with those in the same weeks in previous years); another important distinction is whether the data covers deaths of care home residents or only deaths in the care home; based on the data gathered for this report, the current average of the share of all COVID-19 deaths that were care home residents is 46% (based on 21 countries); the share of all care home residents who have died (linked to COVID-19) ranges from 0.01% in South Korea to over 4% (which would mean that over one in 25 care home residents have died linked to COVID-19) in Belgium, Ireland, Spain, the UK and the US; currently, there is limited evidence from anywhere in the world on how individuals who receive care in the community have been directly or indirectly affected by COVID-19.

Last updated on hub: 04 November 2020

Moving practice online: knowledge exchange for social service practitioners adapting to the covid -19 context

A summary of responses to a knowledge exchange held with social service practitioners in New Zealand on how they were adapting their practice to ensure physical distancing during the coronavirus (Covid-19) pandemic. Practitioners described many ways that their processes, practices and technologies were changing in order to continue their work. The document provides a brief overview paragraph summarising each area of practice adaptation and a list of ideas from practitioners. Four areas of practice adaptation are covered: engaging in direct practice - including managing potential risks related to heightened family stresses and the possibilities of family violence; managing service user pathways, including managing new referrals; ethical and cultural issue, such as balancing user needs with the need to reduce the spread of the virus; and staff issues relating to staff protections, work practices that reduce spread of the virus.

Last updated on hub: 07 May 2020

National Care Forum COVID-19 guidance and resources

National Care Forum

The COVID-19 section of the National Care Forum (NCF) website is a good source for government guidance and information relevant to the care sector. The resource includes links to information about: infection control, CPA Visitors’ Protocol, clinical guidance, regulation, information governance, workforce, supported housing and homeless, volunteering wellbeing and other practical resources.

Last updated on hub: 20 August 2020

National Care Forum infection, prevention and control (IPC) compliance assessment tool

National Care Forum

This compliance assessment is a simple tool which has been developed using the most recent information on infection prevention and control (IPC) from the CQC and others. It will help care providers know how well they are doing, identify areas in which they need to improve and bring the guidance together into one place. This completion of an assessment using this tool will also provide the evidence that they need to satisfy the CQC requirements and will help ensure services are prepared and in a strong position to manage any ‘second wave’ of COVID-19, or indeed, other yet unknown pressures. There are 8 sections to the tool covering the management of visitors, social distancing, admissions, PPE, testing, premises, staffing and policy. Each section contains a description of what is important to consider and examples of evidence that could be seen as good practice.

Last updated on hub: 28 September 2020

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