Covid 19

Current awareness updates

Inequalities in healthcare disruptions during the Covid-19 pandemic: Evidence from 12 UK population-based longitudinal studies.
medRxiv; 2021.

[The research, led by UCL and the University of Glasgow, found further evidence that minority ethnic groups were more likely to have their healthcare affected by the Covid crisis than white people, with the combined results of the 12 studies suggesting minority ethnic groups reported 19% more problems during the epidemic. This article is a preprint and has not been certified by peer review.]

An obesity strategy to reduce COVID-19 morbidity and mortality.
Glasper A. British Journal of Nursing 2021;30(10):612-614.

[In 2020 Prime Minister Boris Johnson launched a series of policy initiatives as part of his government’s new obesity strategy. The prime minster himself was admitted to an intensive care unit after being infected with the SARS-CoV-2 coronavirus and succumbing to COVID-19. Following his successful treatment and discharge from hospital he acknowledged that his deterioration was probably linked to his own excess body weight.]

Importance of patient bed pathways and length of stay differences in predicting COVID-19 hospital bed occupancy in England.[Abstract]
Leclerc QJ. BMC Health Services Research 2021;21(1):566.

[We identified five bed pathways, with substantial variation in LoS by bed type, pathway, and geography. This might be caused by local differences in patient characteristics, clinical care strategies, or resource availability, and suggests that national LoS averages may not be appropriate for local forecasts of bed occupancy for COVID-19.]

Delivering routine immunisations in London during the Covid-19 pandemic: lessons for future vaccine delivery.
Skirrow H. British Journal of General Practice Open 2021;(18 May)

[Mixed-methods study of immunisation delivery in London including an online survey of GP practices and interviews were used to explore new immunisation delivery models which built on existing local knowledge, experiences and networks.]

Strategies and action points to ensure equitable uptake of COVID-19 vaccinations: A national qualitative interview study to explore the views of undocumented migrants, asylum seekers, and refugees.
Deal A. Journal of Migration and Health 2021;4(-):100050.

[Report of in-depth semi-structured qualitative interviews (n=32) of recently arrived migrants (foreign-born, >18 years old; <10 years in the UK) to the UK with precarious immigration status, seeking their input into strategies to strengthen COVID-19 vaccine delivery and uptake.]

Community-based volunteering in response to COVID-19: the COV-VOL project.
NIHR Applied Research Collaboration, Kent, Surrey and Sussex; 2021.

[A study by a team from the University of Kent, Brighton and Sussex Medical School and Sussex University shows how voluntary community and social enterprise (VCSE) organisations have made a significant, positive impact on the well-being of older people self-isolating at home during the first COVID-19 lockdown. The pandemic has highlighted the importance of volunteers and community and the role VCSE organisations can play as key and essential partners in our health and social care systems.]

The 3 R’s of Social Care Reform: How constructive risk taking, respectful relationships and a sense of reciprocity characterised a positive response to the Covid-19 pandemic.
Think Local Act Personal; 2021.

[TLAP has been talking to people across social care, and including those who draw on care and support, about their experiences during the pandemic. This paper reflects on these conversations and identifies drivers of the promising examples of practice, marked by changes in behaviour and increased levels of trust. It suggests that positive risk-taking, respectful relationships and a sense of reciprocity are key ingredients in characterising a positive response to the pandemic.]

Unlocking the digital front door – keys to inclusive healthcare.
National Voices; 2021.

[This report explores how the move to remote service models impacted people and how the Voluntary, Community and Social Enterprise sector (VCSE) has led innovative ways to deliver healthcare and support to people during the COVID 19 pandemic. Also available is a literature review and insight data, personal narratives and recommendations for better practice, better policy, and better innovations.]

School closures and parents’ mental health.
Institute for Social and Economic Research (ISER); 2021.

[In this study, researchers from the universities of Essex, Surrey and Birmingham, funded by the Nuffield Foundation, consider the dynamics of parents’ mental health during the pandemic. The study is the first of its kind to look specifically at the impact of having children at home as a result of school closures, separating it from other factors affecting parents’ mental health during the pandemic.]

Outsourcing as a threat to public health: the case for insourcing public sector cleaners and facilities management.
New Economics Foundation; 2021.

[The evidence cited in this report suggests that outsourced health facilities management services pose a threat to public health. This represents a major weakness in the UK’s ability to cope with subsequent waves of Covid-19. As a matter of public health, this paper recommends that the government should launch an urgent and independent inquiry into the outsourcing of key workers.]

Targeted AF detection in COVID-19 vaccination clinics.
Getting It Right First Time (GIRFT), Oxford AHSN; 2021.

[This document brings together learning from several pilot sites which have been carrying out targeted detection of atrial fibrillation (AF) in COVID-19 vaccination clinics. The aim is to provide guidance for systems wishing to develop a standard operating procedure for offering targeted rhythm checks for AF detection in mass vaccination clinics.]

Coronavirus and vaccination rates in people aged 70 years and over by socio-demographic characteristic, England : 8 December 2020 to 9 May 202.
Office for National Statistics (ONS); 2021.

[Difference in vaccination rates by sociodemographic group, sex, ethnicity, religion, main language, living in areas of deprivation, and disability.]


Covid 19

Current Awareness Updates

Specific COVID-19 messaging targeting ethnic minority communities.
EClinical Medicine, The Lancet; 2021.

(The proportion of ethnic minority groups accepting vaccines remains low. A culturally appropriate COVID-19 information and messaging platform is urgently required (Fig. 1). The messaging should be clear in style and content, conveying simple, easy to understand, visual, consistent, and generic to all communities, ethnic groups, cultures, and faiths. Trust between healthcare staff and communities is essential for the success of any COVID-19 intervention.)

Mental health policy in England.
House of Commons Library; 2021.

(This briefing examines the Coronavirus Act 2020 and the potential impact on human rights. It also looks at the impact of the pandemic on population mental health, including for specific groups such as BAME communities. It briefly sets out resources to support population mental health and wellbeing during the pandemic, including specific mental health support for the health and social care workforce.)

COVID-19 vaccination: accelerating second doses for priority cohorts 1-9
NHS England & NHS Improvement; 2021.

(Letter from Emily Lawson (SRO Vaccine Deployment, NHS England and NHS Improvement), Dr Nikki Kanani (Medical Director for Primary Care) and Eleanor Kelly (LA CEO advisor). In response to advice from the independent JCVI, the Government sets out further action aimed at tackling rising cases of the COVID-19 B1.617.2 variant.)

Communicating with patients about COVID-19 vaccination: evidence-based guidance for effective conversations to promote COVID-19 vaccine uptake (2021).
World Health Organization (WHO); 2021.

(This training module is designed to equip health workers (HWs) with knowledge, skills, confidence and resources to help them in their role to recommend the COVID-19 vaccine. It is tailored to specific patient positions on vaccination and provides a structured approach to assist HWs with interpersonal communication during COVID-19 vaccination consultations.)

Pandemic Pressures: How Greater Manchester equalities organisations have responded to the needs of older people during the Covid-19 crisis.
Ambition for Ageing; 2021.

(This report highlights a number of recommendations for service commissioners, funders and contractors to contribute to future emergency planning and responses. It recognises the expertise of equalities organisations in understanding and meeting the needs of the communities they represent, and to involve them in coproducing emergency planning and responses.)

Characteristics and predictors of acute and chronic post-COVID syndrome: A systematic review and meta-analysis.
EClinical Medicine, The Lancet; 2021.

(A significant proportion of individuals experience lingering and debilitating symptoms following acute COVID-19 infection. NICE have coined the persistent cluster of symptoms as post-COVID syndrome. The aim of this review was to detail the prevalence of clinical features and identify potential predictors for acute and chronic post-COVID syndrome.)

British Medical Journal News

NHS launches Race and Health Observatory after BMJ’s call to end inequalities

A new NHS centre to investigate the effects of race and ethnicity on people’s health has got the go ahead after a special issue of The BMJ in February focused on the continuing problem of racism in medicine.

Read more here