Covid 19

Updates on the Covid 19 Pandemic

Update on COVID-19 pandemic.
BMJ Best Practice; 2020.

(Epidemiology: updated data on children and pregnant women; updated risk factors (solid organ transplant). Aetiology: updated data on viral shedding in immunocompromised people. Emerging: WHO Solidarity trial results published; NIH recommends against casirivimab/imdevimab as standard of care for patients with mild to moderate disease; UK trial starts investigating use of colchicine. Prevention: first vaccine authorised for use in the UK; WHO updates guidance on mask use in community settings.)

Mask use in the context of COVID-19.
World Health Organization (WHO); 2020.

(This document provides updated guidance on mask use in health care and community settings, and during home care for COVID-19 cases. It is intended for policy makers, public health and infection prevention and control professionals, health care managers and health workers. Updated 1 December 2020.)

COVID-19: vaccination programme guidance for healthcare practitioners.
Public Health England (PHE); 2020.

(Guidance for healthcare practitioners about the coronavirus (COVID-19) vaccination programme. 4 December 2020: Update report: details on page 3.)

COVID-19 vaccination: women of childbearing age, currently pregnant, planning a pregnancy or breastfeeding.
Public Health England (PHE); 2020.

(Information for all women of childbearing age, those currently pregnant, planning a pregnancy or breastfeeding on coronavirus (COVID-19) vaccination.)

Covid-19 Insight: issue 5.
Care Quality Commission (CQC); 2020.

(In this month’s report, we build on the learning about good practice in infection prevention and control that we discussed in the last issue by focusing on care homes. We also present the key findings from a survey to understand the experience of inpatients who were discharged from hospital from April to May 2020, when the first wave of the pandemic was at its height.)

Public Health

Current Awareness Updates

Befriending programmes for people with psychosis can be challenging but beneficial to both parties.
NIHR Evidence; 2020.

(People with psychosis are at a high risk of social isolation, and can take part in befriending programmes. It is understood that these schemes can be mutually beneficial, but there is little research into how befrienders and patients, particularly those with mental health problems, experience such schemes. This is the first study to explore specific challenges, experiences and benefits of befriending in both volunteers and people with psychosis within the same programme.)

Flu vaccine uptake among people aged 65+ on track to be highest on record.
Public Health England (PHE); 2020.

(Three-quarters (75%) of those aged 65 and over in England received the free vaccine so far this year – up from 72.4% at the end of the last flu season.)

The Covid-19 long-term care situation in England.
International Long Term Care Policy Network; 2020.

(This report provides an overview of the impact of Covid-19 so far on people who use and provide long-term care in England, and of the policy and practice measures adopted to mitigate its impact. It finds that the initial policy responses did not adequately consider the social care sector and that the pandemic has laid bare longstanding problems in the long-term care system in England.)

Long term care centres: making space for ageing.
Autonomy; 2020.

(By 2030, there will be a 60 per cent increase in the number of individuals with caring responsibilities in the UK. This shift in the kind of work that we will be doing will require not just new funding arrangements but also robust infrastructure and working conditions. This paper proposes a network of long-term care centres that can form a key part of the new ‘caring economy’ that delivers for those who need care and those providing it.)

Learning from Lockdown: 12 Steps to Eliminate Digital Exclusion.
Carnegie UK Trust; 2020.

(The scale of digital exclusion has been highlighted during the Covid-19 pandemic. Impacts on work, income, education and social life have been felt by many people across the UK. This report lays out a series of 12 recommendations calling for ambitious action from policy makers, practitioners, academics and industry to tackle this issue.)

Priority groups for coronavirus (COVID-19) vaccination: advice from the JCVI, 2 December 2020 Department of Health and Social Care, December 2020

(This advice is provided to facilitate the development of policy on COVID-19 vaccination in the UK.)

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Joint Committee on Vaccination and Immunisation

Advice on priority groups for Covid-19 vaccination

Source: Gov.uk

This advice is provided to facilitate the development of policy on Covid-19 vaccination in the UK.

JCVI advises that the first priorities for any COVID-19 vaccination programme should be the prevention of COVID-19 mortality and the protection of health and social care staff and systems. Secondary priorities could include vaccination of those at increased risk of hospitalisation and at increased risk of exposure, and to maintain resilience in essential public services. This document sets out a framework for refining future advice on a national COVID-19 vaccination strategy.

To read the report click here.

Spending Review 2020

Policy paper

Source: Kings Fund

The Spending Review 2020 prioritises funding to support the government’s response to Covid-19, invest in the UK’s recovery and deliver on promises to the British people. It sets departmental budgets for 2021-22 and devolved administrations’ block grants for the same period.

For more information click here.

Public Health

Current Awareness

Staying mentally well: winter plan 2020 to 2021 Gov.uk. 23rd November 2020

(This plan sets out the support that will be in place in the immediate term to help support individuals to stay well during the second wave of Covid-19 and the winter months ahead.)

Learning from local authorities with downward trends in childhood obesity Public Health England

(This report, a set of practice examples researched by University College London and an executive summary by Public Health England, identifies common approaches being implemented by local authorities that had a small but significant 10-year downward trend in childhood obesity. The findings show the value of engagement with and integration of the National Child Measurement Programme and the importance of addressing health inequalities, with 76 per cent of local authorities having a focus on deprivation.) To view the summary click here.

How are the lives of families with young children changing? The changing face of early childhood in the UK Nuffield Foundation

(This evidence review reveals the extent of changes to family life in the UK over the past 20 years and highlights how these changes are experienced unequally across the population. The report argues that, without understanding family life today, the policies and initiatives that seek to address other key areas of society – education, the economy, physical health and mental health – will falter.)

National Child Measurement Programme: childhood obesity.
Public Health England (PHE); 2020.

(Research by University College London shares learning from local authorities that have a downward trend in childhood obesity, including practice examples.)

COVID-19: suggested principles of safer singing.
Public Health England (PHE); 2020.

(Outlining the available evidence on virus transmission associated with singing and suggested actions to reduce the risk of transmission while singing.)

The state of ageing in 2020.
Centre for Ageing Better; 2020.

(This online, interactive report captures a snapshot of how people in the UK are ageing today, while looking at past trends and our prospects if action isn’t taken. It warns that the Covid-19 pandemic risks setting people in mid-life on a path to poverty and ill health in old age.)

Covid 19

Winter Plan

The UK Government’s COVID-19 Winter Plan presents a programme for suppressing the virus, protecting the NHS and the vulnerable, keeping education and the economy going and providing a route back to normality. The plan sets out the Government’s approach to ending the national restrictions on 2 December.

To find out more or read the summary click here.

Public Health

Current Awareness

Total restriction of online advertising for products high in fat, sugar and salt (HFSS) .
Department of Health and Social Care (DHSC) and Department for Digital, Culture, Media & Sport; 2020.
[Open consultation. They want your views on their proposal for a total online advertising restriction for HFSS products to reduce the amount of HFSS advertising children are exposed to online. This consultation closes at
11:59pm on 22 December 2020.]

Statistics on NHS Stop Smoking Services in England April 2019 to March 2020.
NHS Digital; 2020.
[Data show of 221,678 people setting a quit date, 114,153 were successful. Quitting success increased with age; 41% under 18 and up to 56% aged 60 and over. Also 45% of 13,779 pregnant women who set a quit date successfully quit.]

Online bullying in England and Wales: year ending March 2020.
Office for National Statistics (ONS); 2020.
[Estimates of the prevalence and nature of online bullying among children using data from the 10- to 15-year-olds’ Crime Survey for England and Wales (CSEW).]

COVID-19: deaths of people with learning disabilities.
Public Health England (PHE); 2020.
[Review of available data on the deaths of people identified as having learning disabilities in England during the COVID-19 pandemic.]

COVID-19: mental health and wellbeing surveillance report.
Public Health England (PHE); 2020.
[This is a routinely updated report about population mental health and wellbeing in England during the COVID-19 pandemic. 12 November 2020: All relevant chapters updated. Academic studies included up to 4 September 2020; weekly data may be more recent.]

People with learning disabilities had higher death rate from COVID-19.
Public Health England (PHE); 2020.
[England death rate up to 6 times higher from coronavirus during the first wave of the pandemic than the general population, Public Health England study finds.]

Public Health

Current Awareness

Health matters: cold weather and COVID-19 Public Health England

(As we approach the first winter with coronavirus (COVID-19) circulating, it’s essential that action is taken across the health and social care sector to enable people to stay safe and well and to ensure that the NHS is not overwhelmed. This edition of Health Matters will cover the impact of cold weather on health, how COVID-19 amplifies cold-related risks, and actions that can be taken to prevent harm, particularly to those most vulnerable.)

KINSHIP IN THE CITY REPORT: Urban Loneliness and the built environment Future Spaces Foundation

(This report explores the impact of urban loneliness and ideas for reshaping our built environment to improve social cohesion. Produced as part of the Future Spaces Foundation’s Vital Cities programme, it builds on our existing body of research into the building blocks of dynamic, socially sustainable cities where individuals and communities can thrive.)

Play and social skills may protect children who have difficulties with spoken language.
NIHR Evidence; 2020.

(NIHR Alert. Researchers looked at the social and play skills of young children with developmental language disorder (DLD). They found that those with good early social and play skills developed fewer behaviour or mental health problems as they grew up. The research suggests that therapies and education techniques based on play and understanding other children could help children with DLD avoid later problems.)

COVID-19: guidance on shielding and protecting people defined on medical grounds as extremely vulnerable.
Department of Health and Social Care (DHSC); 2020.

[Updated guidance in line with national restrictions commencing 5 November 2020.]

Behaviour change: guides for national and local government and partners.
Public Health England (PHE); 2020.

(Based on the Behaviour Change Wheel framework, these guides are for national and local government and partners, such as the NHS, emergency services and third sector, to support people to have healthier behaviours.
6 November 2020: Added document: ‘Achieving behaviour change: a guide for national government’ and policies to change behaviour.)

Community pharmacies: promoting health and wellbeing NICE

(This quality standard covers how community pharmacies can support the health and wellbeing of the local population. It describes high-quality care in priority areas for improvement.)

Performance Tracker 2020: How public services have coped with coronavirus.
Institute for Government; 2020.

(This report analyses the disruptions in hospitals, general practice, adult social care, schools and criminal courts, and the changes made in response. It finds that coronavirus has resulted in backlogs across public services and calls for reviews of the impact of remote general practice and hospital appointments.)

The Strategy Unit

Working together for a healthier post- Covid future

Source- King’s Fund

This analysis, commissioned by the Healthier Futures Academy in the Black Country and West Birmingham, illustrates the effects that a Covid-driven recession could have on population health. It frames a discussion about how the NHS, with other local organisations, can more effectively address the causes as well as the effects of ill health.

To read the summary click here.

Podcast

Why are people from ethnic minorities disproportionately affected by Covid-19?

Black people are two to three times more likely to have been diagnosed with Covid-19 compared to white people, after adjusting for age. But what is causing this shocking disparity and how does systemic racism play a role? 

In this podcast, Helen McKenna sits down with Natalie Creary, Programme Delivery Director at Black Thrive, and James Nazroo, Professor of Sociology at the University of Manchester.

King’s Fund Podcast

To listen to the Podcast, click the image above.