COVID-19 resources on Infection control

Results 441 - 450 of 597

Order by    Date Title

Protecting children at a distance: summary of findings from Stage 2: A multi-agency investigation of child safeguarding and protection responses consequent upon COVID-19 lockdown/social distancing measures

King's College London

This study sets out the findings from the second stage of a study designed in response to widespread concerns about the operation of child safeguarding and protection arrangements consequent upon the Covid-19 lockdown and social distancing measures. In light of the challenges to intra- and interagency communication and the impact on joint working of actions taken by individual agencies, the study focuses on the multiagency response to the COVID-19 pandemic and the implications for professional practice and service provision. Stage 2 comprised a national survey of safeguarding leaders and children’s social care, health, police, law, education and mental health services, to explore the evolving concerns and response to the COVID-19 pandemic following the full reopening of schools in September 2020 – 417 responses from data collected from 1st February – 8th March 2021 were 2 analysed. It appears that the pandemic has helped to embed Safeguarding Partnerships arrangements through increased activity and communication in response to the crisis. Broader joint/collaborative working between individual agencies seems to have held up well overall, with many respondents reporting that levels of collaboration had been maintained. One of the biggest impacts on professional practice has been the social distancing measures put in place to control the pandemic, which have significantly reduced the in-person contact between universal/early help/specialist safeguarding practitioners and children/families. The study highlights the different approaches to, and appetite for, face-to-face work, both between and within disciplines in the early stages of the pandemic but it is clear that there are many potential benefits to be gained from remote communication in the operation of statutory meetings, conferences and court hearings, particularly in terms of the efficient use of professionals’ time and in facilitating ‘attendance’ at meetings which might otherwise require significant time taken up in travelling. Coordinated cross-government attention and investment is needed to address the complexity of inter- and multi-agency information sharing, assessment and service delivery to safeguard children and young people.

Last updated on hub: 10 August 2021

Protecting nursing home residents from Covid-19: federal strike team findings and lessons learned

NEJM Catalyst Innovations in Care Delivery

As part of the national response to Covid-19 in nursing homes, a federal strike team initiative: (1) offered technical assistance and recommendations to facilities experiencing large outbreaks; (2) identified innovative actions taken to safeguard the residents, visitors, and staff; and (3) explored opportunities to strengthen federal, state, and local guidance and support. Between July and November 2020, federal teams visited 96 nursing homes in 30 states. These facilities faced challenges related to staffing, personal protective equipment supplies, Covid-19 testing, and infection prevention and control (IPC) measure implementation. Promising practices included actions taken at the facility level to bolster IPC, as well as system-level support from health departments, health care coalitions, and quality improvement partners. Addressing a novel emerging infectious pathogen such as SARS-CoV-2, the pathogen that causes Covid-19, requires both guidance and education for best practices, along with robust surveillance and a culture of collective accountability across health care settings, including nursing homes.

Last updated on hub: 13 August 2021

Protecting nursing homes and long term care facilities from COVID-19: a rapid review of international evidence

Journal of the American Medical Directors Association

Objectives: The COVID-19 pandemic has highlighted the extreme vulnerability of older people and other individuals who reside in long term care, creating an urgent need for evidence-based policy that can adequately protect these community members. This study aimed to provide synthesized evidence to support policy decision-making. Design: Rapid narrative review investigating strategies that have prevented or mitigated SARS-CoV-2 transmission in long term care. Setting and Participants: Residents and staff in care settings such as nursing homes and long term care facilities. Methods: PubMed/Medline, Cochrane Library and Scopus were systematically searched, with studies describing potentially effective strategies included. Studies were excluded if they did not report empirical evidence (for example commentaries and consensus guidelines). Study quality was appraised on the basis of study design; data were extracted from published reports and synthesised narratively using tabulated data extracts and summary tables. Results: Searches yielded 713 articles; 80 papers describing 77 studies were included. Most studies were observational with no randomized controlled trials identified. Intervention studies provided strong support for widespread surveillance, early identification and response, and rigorous infection prevention and control (IPC) measures. Symptom or temperature based screening, and single point-prevalence testing, were found to be ineffective, and serial universal testing of residents and staff was considered crucial. Attention to ventilation and environmental management, digital health applications and acute sector support were also considered beneficial although evidence for effectiveness was lacking. In observational studies, staff represented substantial transmission risk and workforce management strategies were important components of pandemic response. Higher performing facilities with less crowding and higher nurse staffing ratios had reduced transmission rates. Outbreak investigations suggested that facility-level leadership, inter-sectoral collaboration and policy that facilitated access to critical resources were all significant enablers of success. Conclusions and Implications: High quality evidence of effectiveness in protecting LTCFs from COVID-19 was limited at the time of this study, though continues to emerge. Despite widespread COVID-19 vaccination programs in many countries, continuing prevention and mitigation measures may be required to protect vulnerable long term care residents from COVID-19 and other infectious diseases. This rapid review summarises current evidence regarding strategies which may be effective.

Last updated on hub: 18 August 2021

Providing person-centred support for residents living with dementia who need to be isolated in care homes during the COVID-19 crisis

Association for Dementia Studies, University of Worcester

This information sheet supports care homes catering for people living with dementia during the COVID-19 pandemic. The document covers a range of strategies to help a person living with dementia understand the COVID-19 situation; to create an inviting isolation space; to help occupy the person in an isolation space; to use the environment to encourage isolation; to meet people’s need for human contact; and to encourage a person to comply with infection control requirements. It brings together current best practice, setting out general advice only. Each resident should be assessed on an ongoing and individual basis to find the best response and the latest national sector guidance should be followed.

Last updated on hub: 24 June 2020

Putting children first in future lockdowns

Children’s Commissioner for England

Sets out the key actions needed to ensure children are at the heart of planning for any future coronavirus lockdowns. The briefing focuses on a range of aspects and settings, including education, early years, mental health, play and activity, online harms, housing, children’s social care, and secure settings. It sets out ten principles that should guide any policy and action, arguing that children’s perspectives must be better reflected in scientific and public health advice; education should be prioritised over other sectors; full lockdowns must balance the epidemiological benefit to children against the social and health costs to children of closures to schools, leisure/youth centres and other facilities; any rights extended to adults must also be given to children in ways that work for them (e.g., right to exercise outdoor); communication about the lockdown must make clear that risk of infection should not prevent children and families seeking help they need, such as urgent healthcare which is not related to the virus or refuge from domestic abuse. The briefing also argues that more specific guidance is needed for children’s homes and further guidance should be issued to local authorities to prioritise the safeguarding of vulnerable children during any future lockdown, including those who do not currently have a social worker. Local authorities should also be working with local partners to proactively identify children who become vulnerable during the lockdown, including in families where domestic abuse may have arisen or increased or where parental substance misuse or mental health problems have escalated.

Last updated on hub: 11 August 2020

Putting on and taking off PPE: a guide for care homes

Public Health England

Video that provides advice to those working in care homes on how to work safely during this period of sustained transmission of COVID-19.The guidance includes: a flowchart for care workers providing care to residents to identify whether there is a need for personal protective equipment (PPE); PPE recommendations for care home staff; frequently asked questions on the use of PPE in care homes; and examples which help to identify the correct use of PPE when undertaking activities that require physical contact or activities which do not require physical contact but are carried out in close proximity to residents

Last updated on hub: 23 July 2020

Rapid evidence review: inequalities in relation to COVID-19 and their effects on London

Greater London Authority

This report provides the outcomes of a rapid evidence review to document and understand the impact of COVID-19 (in terms of both health and the broader impacts on existing social and economic inequalities) on those with protected characteristics as well as those living in poorer, or more precarious, socioeconomic circumstances, paying particular attention to its effect in London. It highlights the disproportionate effect of Covid-19 in relation to disability, ethnicity, religion, gender, sexual orientation, gender identity, socioeconomic position, age and other factors, including homelessness and being in prison. This is both in terms of risk of COVID-19 infection, complications and mortality, and in terms of the negative economic, social and psychological consequences of Government policies to mitigate the health impacts of the pandemic. The research analysed existing data from local and national sources to assess the impact of the pandemic on people with characteristics protected by law. It reveals that, across the country: Black people are at almost twice the risk of death from Covid-19 than White people; men are disproportionately more likely to die from Covid-19, but women have experienced disproportionate economic, social and psychological impacts; death rates are three times higher for men in lower-paid, manual roles, such as construction and personal care, than in those in management, business and desk-based jobs; the pandemic has negatively impacted disabled Londoners who reported increased difficulties performing practical tasks such as shopping for groceries, as well as accessing up-to-date health information about the virus; almost four in five LGBTQ+ people said that their mental health had been negatively impacted by the coronavirus lockdown. The report also found that voluntary and community sector organisations play a crucial role in reaching those disproportionately impacted and marginalised groups, including disabled people.

Last updated on hub: 08 October 2020

Rapid learning review of domiciliary care in Northern Ireland

Northern Ireland. Department of Health

This rapid learning review has collated and considered any learning about domiciliary care issues during the Covid-19 pandemic in Northern Ireland in order to inform current and future planning as the pandemic continues. The review focused on four themes: service user and carer experience; service provision; workforce experience; and infection prevention and control. Work stream leads were appointed for each theme and they undertook a wide engagement with a range of stakeholders and using a variety of methods for collecting data. In addition, a workforce and management survey was carried out to seek feedback on three of the four themes. These were workforce, service provision/business continuity and infection prevention and control. A rapid literature review was also commissioned to add to the evidence from stakeholders. The evidence from the literature review was broadly consistent with the messages from the stakeholder engagement with common themes and lessons learned identified. The review highlighted some of the challenges domiciliary care staff faced such as PPE, training, testing and lack of adequate support. Staff felt overlooked and that domiciliary care did not get the recognition it deserved. The review has also highlighted the wider systemic issues that affect domiciliary care, including pay, terms and conditions of the workforce. Domiciliary care service users and their family carers reported feeling forgotten about and afraid to use domiciliary care because of fear of infection during the earlier stages of the pandemic. For many others, however, domiciliary care was the only service that continued for them. Both situations placed service users and carers under very significant pressure.

Last updated on hub: 26 November 2020

Rapid response guidance note: vaccination and mental capacity (first update)

39 Essex Chambers

A general discussion examining to the legal position in relation to testing for COVID-19, especially as testing (a) starts to be more generally available; and (b) is increasingly been rolled out as mandatory in certain settings. It primarily relates to the position in England in relation to those aged 18 and above; specific advice should be sought in respect of Wales and those under 18.

Last updated on hub: 12 January 2021

Rapid review for care homes in relation to Covid-19 in Wales

Welsh Government

This rapid review aimed to ensure that the lessons from best practice are learned and shared by Local Authorities and Health Boards who were involved in working with care homes during the initial period of the Covid-19 pandemic in the spring and summer of 2020. The work for the review has included reading some research studies, reading many submitted reports by Health and Social Care leaders from Wales and a series of interviews with stakeholders including a number of Care Home managers and owners. The report includes sections summarising the context for care homes, the initial impact of the virus and the response, and the best practices that were found in helping care homes to address the pandemic. The final section draws together a set of considerations that health and social care partners could use to assist them in completing their action plans for the winter. The review highlights the importance for health and care to work in partnership with care home managers to ensure that: every care home has an effective Infection Control Plan that is put into place; every care home has an effective plan for business continuity that includes ensuring that there are staff available to meet residents’ needs; every care home should be supported to ensure there are meaningful and helpful day to day activities for residents and that the wellbeing of both staff and residents are taken into account in all the decisions that are made; every care home has the right protective equipment; every care home has access to tests for residents and staff to know who may have the virus; and every care home has good access to primary health services including GPs.

Last updated on hub: 27 October 2020

Order by    Date Title