Covid

Current Awareness Updates

Covid-19 recovery and resilience: what can health and care learn from other disasters? The King’s Fund

What do communities need to be able to recover from Covid-19 and build resilience? This long read identifies key insights from people involved in disaster recovery around the world.

Covid-19: rapid point of care or near-person testing for service providers Public Health England

(This guidance, aimed at service providers, describes the main types of coronavirus (Covid-19) tests currently available for use in point of care or near-person settings.)

Factors influencing COVID-19 vaccine uptake among minority ethnic groups, 17 December 2020.
Scientific Advisory Group for Emergencies (SAGE); 2021.

(Paper by the ethnicity sub-group on factors influencing COVID-19 vaccine uptake among minority ethnic groups. It was considered at SAGE 73 on 17 December 2020. The paper is the assessment of the evidence at the time of writing.)

COVID-19 Clinical management: living guidance.
World Health Organization (WHO); 2021.

(This document is the update of interim guidance published in May 2020. This guideline now also includes Best Practice Statement on caring for COVID-19 patients after their acute illness and 5 new recommendations.)

Prioritising the first COVID-19 vaccine dose: JCVI statement.
Department of Health and Social Care (DHSC); 2021.

(Statement from the Joint Committee on Vaccination and Immunisation (JCVI) about increasing the short-term impact of the COVID-19 vaccination programme. Updated 26 January 2021: Added document ‘Annex B: comparison between 1 and 2 dose prioritisation for a fixed number of doses’.)

COVID-19: Ensuring a quality patient experience with the rise of digitisation in a healthcare setting.
Mobiquity; 2021.

(This report, commissioned by Mobiquity and conducted by Censuswide, reveals that half of UK patients aged over 55 preferred digital tools instead of in-person consultations during COVID-19. The most preferred digital tools used by over 55s included remote monitoring (50%) and video examinations (50%).)


Covid Virtual Ward (secondary care).
Wessex Academic Health Science Network (AHSN); 2021.

(The Covid Virtual Ward model is a secondary care led initiative to support early and safe discharge (step down) for Covid patients and builds on the Covid Oximetry @home model. NHS England and Improvement has now written out to all ICSs and trusts in the country; outlining why this work must be implemented, and how to do it.)

Covid 19

Current Awareness updates

Evidence base for PCR and lateral flow testing.
Carried out by Frankie Marcelline from Brighton and Sussex on 7/1/2021
https://www.knowledgeshare.nhs.uk/index.php?PageID=literature_search_request_download&RequestID=26921
(This is a rapid review for evidence on PCR and lateral flow testing. It focuses on the most recent articles including evaluations on their use in the community.)

Clinical practice guide for improving the management of adult COVID-19 patients in secondary care: Shared learning from high performing trusts during COVID-19 pandemic
Getting it Right First Time (GIRFT); 2021.
(Summarises challenges faced and responses used by high performing trusts visited as part of the GIRFT cross-specialty COVID-19 deep dives, as well as identifying successful innovations they implemented.
Covers infection prevention and control, emergency medicine, critical care and anaesthesia, acute and general medicine, respiratory medicine, geriatric medicine and community care and diabetes. Cross cutting themes: Trust leadership and management, research and clinical coding).

Ensuring provision of Sexual and Reproductive Healthcare (SRH) services during the second COVID-19 wave and beyond in the UK.
Faculty of Sexual and Reproductive Healthcare (FSRH); 2020.
(This latest FSRH guidance is aimed at healthcare professionals and commissioners across the UK. It outlines essential services that must remain available to women during and past the pandemic as well as recommendations on delivering services and prioritising patients.)

COVID-19 vaccination: easy-read resources.
Public Health England (PHE); 2021.
(Easy-read guides providing information on coronavirus (COVID-19) and vaccination.)

UK COVID-19 vaccines delivery plan.
Department of Health and Social Care (DHSC); 2021.
(How the UK government was able to build up a supply of vaccines and how it is planning to deploy them. 11 January.)

Prioritising the first COVID-19 vaccine dose: JCVI statement.
Department of Health and Social Care (DHSC); 2021.
(Statement from the Joint Committee on Vaccination and Immunisation (JCVI) about increasing the short-term impact of the COVID-19 vaccination programme. 6 January.)

Public Health

Current Awareness Updates

Impacts of outlets selling alcohol on drinking levels or alcohol related harm.
Carried out by Frankie Marcelline from Brighton and Sussex on 2/12/2020
https://www.knowledgeshare.nhs.uk/index.php?PageID=literature_search_request_download&RequestID=26501
(This evidence report is a very brief evidence search on the effect of reducing or increasing density of outlets selling alcohol on impacts of drinking levels or alcohol related harm. Most of the results are set in the UK.)

Mass asymptomatic testing: schools and colleges.
Department of Health and Social Care (DHSC); 2020.
(Find out how to administer testing which will begin in January 2021.)

Vitamin D for vulnerable groups.
Department of Health and Social Care (DHSC); 2020.
(This guidance accompanies the Department of Health and Social Care’s initiative to offer a free 4-month supply of vitamin D supplements to support general health, and in particular bone and muscle health. The guidance is for anyone who is clinically extremely vulnerable and has been offered a free supply of vitamin D supplements in England from January 2021.)

The safety of COVID-19 vaccines when given in pregnancy.
Public Health England (PHE); 2020.
https://www.gov.uk/government/publications/safety-of-covid-19-vaccines-when-given-in-pregnancy/the-safety-of-covid-19-vaccines-when-given-in-pregnancy

National lockdown: Stay at Home.
Cabinet Office; 2021.
(Coronavirus cases are rising rapidly across the country. Find out what you can and cannot do.)

A qualitative exploration of 14 to 17-year old adolescents’ views of early and preventative mental health support in schools.
Journal of Public Health; 2020.
(Preventative interventions may be effective in reducing and preventing symptoms of mental ill health in children and young people. However, there is a paucity of research in this area that explores the views of young people. This paper reports on a qualitative study to inform the future development of attractive and appropriate early and preventative school-based mental health interventions.)

Covid 19

Current awareness updates

COVID-19: guidance on shielding and protecting people defined on medical grounds as extremely vulnerable.
Department of Health and Social Care (DHSC); 2020.
(Information for shielding and protecting people defined on medical grounds as extremely vulnerable from COVID-19. Updated 31 December: Added new shielding advice for the clinically extremely vulnerable in Tier 4.)

COVID-19 vaccination programme 2020/21: COVID-19 Enhanced Service Vaccination Collaboration Agreement.
NHS England; 2020.
(The purpose of this COVID-19 ES Vaccination Collaboration Agreements to support the delivery of the individual and collective responsibilities of the Collaborating Practices as part of the COVID-19 vaccination programme as set out in COVID-19 vaccination programme 2020/21 Enhanced Service Specification.)

New SARS-CoV-2 variant.
Public Health England (PHE); 2020.
(Information on the new variant of the SARS-CoV-2 virus.)

Rapid evaluation confirms lateral flow devices effective in detecting new COVID-19 variant.
Public Health England (PHE); 2020.
(Public Health England (PHE) has confirmed that lateral flow devices (LFDs) used in mass testing can detect the new COVID-19 variant.)

Confirmed cases of COVID-19 variant from South Africa identified in UK.
Public Health England (PHE); 2020.
(Two cases of a new SARS-CoV-2 variant, which originated in South Africa, have been identified in the UK.)

Persistent symptoms after Covid-19: qualitative study of 114 “long Covid” patients and draft quality principles for services.[Abstract]
Ladds E. BMC Health Services Research 2020;20(1):1144.
Full-text availability
(Suggested quality principles for a long Covid service include ensuring access to care, reducing burden of illness, taking clinical responsibility and providing continuity of care, multi-disciplinary rehabilitation, evidence-based investigation and management, and further development of the knowledge base and clinical services.)

Covid-19 Insight: issue 6.
Care Quality Commission (CQC); 2020.
(In this month’s report, we share regional data on the designated settings that allow people with a COVID-positive test result to be discharged safely from hospital, and also the latest data on registered care home provision. We also look at how providers have collaborated to provide urgent and emergency care during the pandemic.)

Coronavirus data dashboard
UK Government; 2020.
(The official UK Government website for data and insights on Coronavirus (COVID-19))

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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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

Keeping up to date with current awareness

Childhood during coronavirus: protecting children from the effects of poverty

Action for Children

This report presents findings from an analysis of applications submitted to Action for Children’s Emergency Fund. It reflects on the socio-economic consequences of the pandemic for children and families and in doing so, the report also considers the recovery measures needed to ensure that children are supported to thrive – both now, and in the months and years ahead. More detail.

It’s everywhere’: alcohol’s public face private harm

Independent Commission on Alcohol Harm

This Commission was set up by alcohol health experts and parliamentarians to examine the full extent of alcohol harm across the UK. In this, its final report, the Commission outlines recommendations for reducing harm and calls for a national strategy for alcohol. More detail.

The broken plate 2020: the state of the nation’s food system

The Food Foundation

This report presents 10 vital signs that document the health of our food system, how it impacts on our lives, and why we must change the food environment. It highlights the struggle for lower-income families to afford a healthy diet, arguing that 20 per cent of households with the lowest levels of disposable income would have to spend 39 per cent of their disposable income in order to eat a healthy diet, as defined by the government’s recommended Eatwell Guide. More detail.

NHS Covid App – over 10 million downloads

Department of Health and Social Care, September 2020

More than 10 million people downloaded the new NHS Covid-19 app between its launch on Thursday 24 September and Sunday 27 September.Six million of those downloads were on the first day.

Surge in people checking their risk of type 2 diabetes

NHE, September 2020

Almost 300,000 people have accessed the tool to check their risk of type 2 diabetes online less than two months after the NHS fast tracked access to its world leading Healthier You Diabetes Prevention Programme. Latest figures show that 291,325 people used the Diabetes UK Know Your Risk tool since the end of July – a 637% increase compared to two months previously.

Guidance publications from the Royal Colleges and Health Professionals

August Bulletin

This month includes the new edition of National Institute Health Research (NIHR), along with a range of materials, including research from the Covid-19 pandemic.

To read the latest bulletin click here.

Public Health Updates

Keeping up to date with current awareness

Cycling to work lowers risk of illness and death compared to driving.
NIHR Evidence; 2020.
(People who cycle to work are at lower risk of cardiovascular disease, cancer and death than those who drive. This is seen across all occupational groups and suggests that cycling to work could benefit people from all economic backgrounds. If fewer people are able to travel by public transport due to social distancing, measures to make cycling easier and safer could improve the nation’s health.)

Lung health checks in supermarket car parks reach older smokers in deprived communities.
NIHR Evidence; 2020.
( Tests carried out on mobile units parked in supermarket car parks were a popular and effective way to check the lungs of at-risk current and former smokers in a study in Manchester.)

Statement from the UK Chief Medical Officers on schools and childcare reopening.
Department of Health and Social Care (DHSC); 2020.
(Statement from the Chief Medical Officers and Deputy Chief Medical Officers of England, Scotland, Northern Ireland and Wales on the evidence of risks and benefits to health from schools and childcare settings reopening. 23 August.)

Drinking in the dark: alcohol labelling is failing consumers.
Alcohol Change UK; 2020.
(In this study we reviewed a random sample of 424 alcohol containers on shop shelves in October 2019 to assess whether labels included the UK’s Chief Medical Officers (CMOs) low-risk drinking guidelines and other essential pieces of information that would allow consumers to make informed choices.)

Recovering from COVID-19: Post viral-fatigue and conserving energy.
Royal College of Occupational Therapists (RCOT); 2020.
(Rehabilitation is fast becoming the new priority in dealing with the impact of this pandemic and is crucial for people recovering from COVID-19 infection. We’ve published three guides to support people to manage post-viral fatigue and conserve their energy as they recover from COVID-19. These guides are endorsed by the Intensive Care Society.)

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Local restrictions in the North of England

What you can and can’t do

The department of Health and Social Care have released new guidelines for areas under local restrictions. It outlines; affected areas, business and venue closures, travel restrictions and childcare and social limitations.

If you live in an infected area you must NOT

  • host people you do not live with in your home or garden, unless they’re in your support bubble
  • meet people you do not live with in their home or garden, whether inside or outside of the affected areas unless they’re in your support bubble
  • socialise with people you do not live with in other indoor public venues – such as pubs, restaurants, cafes, shops, places of worship, community centres, leisure and entertainment venues, or visitor attractions.
  • visit friends or family in care homes, other than in exceptional circumstances.

You CAN:

  • attend venues (pubs, restaurants, shops, places of worship, places of leisure and entertainment) with people you live with (or are in a support bubble with), but should avoid interaction with individuals or groups from other households.
  • socalise in outdoor public spaces in groups of up to 6 people
  • travel outside your area or go on holiday with people from your household
  • go to work
  • move house
  • arrange and use childcare provision

For more information and to read the whole guidance click here.