Covid 19

Current awareness updates

COVID-19 rapid guideline: managing COVID-19.
National Institute for Health and Care Excellence (NICE); 2022.
[This guideline covers the management of COVID-19 for children, young people and adults in all care settings. In February 2022, NICE added recommendations on molnupiravir and remdesivir for people with COVID-19 who do not need supplemental oxygen.]

A systematic scoping review of research on COVID-19 impacts on eating disorders: A critical appraisal of the evidence and recommendations for the field.[Abstract]
Linardon J. International Journal of Eating Disorders 2022;55(1):3-38.
[Symptom escalation and mental health worsening during-and due to-the pandemic were commonly reported, and those most susceptible included confirmed eating disorder cases, at-risk populations, and individuals highly anxious or fearful of COVID-19. Evidence emerged for increased demand for specialist eating disorder services during the pandemic. The forced transition to online treatment was challenging for many, yet telehealth alternatives seemed feasible and effective.]

Growing problems: What has been the impact of Covid-19 on health care for children and young people in England?
Quality Watch; 2022.
[This analysis from QualityWatch (a Nuffield Trust and Health Foundation programme) shows that the pandemic has led to an unprecedented increase in demand for mental health services for children and young people. Despite children and young people being 10 times less likely to be hospitalised with Covid, the period has had a heavy toll on them. The briefing explains the findings and discusses the potential implications for the younger generation.]

Beyond recovery: the case for transforming UK clinical cancer research.
Cancer Research UK (CRUK); 2022.
[This position paper finds that Covid-19 has worsened pre-existing barriers to clinical cancer research, and recovering to a pre-pandemic ‘normal’ for research won’t be enough to deliver world-class cancer outcomes. Instead, the UK government must choose to go beyond recovery by expanding clinical research capacity, transforming how research is delivered, and supporting innovative cancer research.]

Living with Covid-19.
House of Commons Library; 2022.
[This page provides an overview of the Government’s strategy on Living with Covid-19 and a summary of the relevant policy changes.]

Social care reform: an independent review by Baroness Cavendish.
Department of Health and Social Care (DHSC); 2022.
[A report looking at how the government can lock in the lessons of the COVID-19 pandemic to build a more robust, sustainable and joined-up system of social care.]

The rollout of the COVID-19 vaccination programme in England.
National Audit Office (NAO); 2022.
[According to this report, the Covid-19 vaccination programme met stretching and unprecedented targets, helping to save lives and reduce serious illness and hospitalisation. However, it concludes that there are risks to be managed as the programme continues to evolve in response to the Covid-19 pandemic and to new clinical advice and evidence about vaccines. The report concludes that the programme has provided value for money to date.]

Coronavirus (COVID-19) vaccination uptake in school pupils, England: up to 9 January 2022.
Office for National Statistics (ONS); 2022.
[Figures on vaccine uptake in school pupils aged 12 to 17 attending state funded schools, broken down by demographic and geographic characteristics, using a linked schools and vaccinations dataset, up to 9 January 2022 (experimental statistics).]

The response of the scientific community to a global crisis: a systematic review of COVID-19 research in 2020.
Srivastava PR. British Journal of Healthcare Management 2022;28(2):1-7.
[This article provides a bibliometric analysis of the direction of research relating to COVID-19 during the first year after the virus was first identified as a potential threat to public health.]

Covid 19

Current awareness updates

Latest data reinforces the safety of COVID-19 vaccinations in pregnant women.
UK Health Security Agency (UKHSA); 2022.
[The UK Health Security Agency (UKHSA) urges pregnant women to get vaccinated as latest data reinforces previous findings on the safety of COVID-19 vaccines in pregnancy.]

Coronavirus: adult social care key issues and sources.
House of Commons Library; 2022.
[This briefing provides an overview of key issues facing the adult social care sector during the coronavirus (Covid-19) pandemic, and provides links to some of the key official guidance for the sector. Updated 28 January 2022.]

Measures implemented in the school setting to contain the COVID-19 pandemic: a rapid review. [Abstract]
Krishnaratne S. Cochrane Database of Systematic Reviews 2022;1:CD015029.
[OBJECTIVES: To assess the effectiveness of measures implemented in the school setting to safely reopen schools, or keep schools open, or both, during the COVID-19 pandemic, with particular focus on the different types of measures implemented in school settings and the outcomes used to measure their impacts on transmission-related outcomes, healthcare utilisation outcomes, other health outcomes as well as societal, economic, and ecological outcomes. ]


Covid 19

Current awareness updates

Original Research

Factors influencing self-harm thoughts and behaviours over the first year of the COVID-19 pandemic in the UK: Longitudinal analysis of 49 324 adults.
Paul E. British Journal of Psychiatry 2022;220(1):31-37.
[Conclusions: Findings suggest that a significant portion of UK adults may be at increased risk for self-harm thoughts and behaviours during the pandemic. Given the likelihood that the economic and social consequences of the pandemic will accumulate, policy makers can begin adapting evidence-based suicide prevention strategies and other social policies to help mitigate its consequences.]

COVID-19: stepdown of infection control precautions and discharging patients to home settings.
UK Health Security Agency (UKHSA); 2022.
[17 January 2022: Updated to reflect change in isolation period in hospitals from 14 to 10 days for cases and contacts of cases of COVID-19, as well as clarification of isolation period for severely immunocompromised patients.]

COVID-19: management of staff and exposed patients and residents in health and social care settings.
UK Health Security Agency (UKHSA); 2022.
[17 January 2022: Updated to reflect change in isolation period in hospitals from 14 to 10 days for cases and contacts of cases of COVID-19 and includes new changes to self-isolation periods for staff in health and care settings.]

COVID-19: infection prevention and control (IPC)
UK Health Security Agency (UKHSA); 2022.
[17 January 2022: Updated to reflect change in isolation period in hospitals from 14 to 10 days for cases and contacts of cases of COVID-19.]

Preventing and controlling outbreaks of COVID-19 in prisons and places of detention.
UK Health Security Agency (UKHSA); 2022.
[17 January 2022: Updated information on: ending self-isolation for prisoners/detainees and staff who test positive for COVID-19; testing information for staff and prisoners/detainees who are identified as a contact; return to work criteria for staff who test positive for COVID-19 or who are identified as a contact; visitors to prisons.]

Daily Insight: Vax to the future.
HSJ: Health Service Journal (Daily Insight) 2022;:7031723.
[The expiry date on some batches of the Pfizer covid vaccine supplies has been extended to 45 days, following concerns that large quantities would be wasted. Also: LSE research finds no significant relationship between the number of managers or the amount spent on management and the quality of NHS hospital services. 18 January.]





Covid 19

Current awareness updates

Interim Clinical Commissioning Policy: Neutralising monoclonal antibodies and intravenous antivirals in the treatment of COVID-19 in hospitalised patients.
Department of Health and Social Care (DHSC); 2021.
[This rapid policy statement from 24th December outlines the eligibility criteria for the use of casirivimab with imdevimab or sotrovimab for patients hospitalised with COVID-19, and those with hospital onset COVID-19.]

The European clinical research response to optimise treatment of patients with COVID-19: lessons learned, future perspective, and recommendations.
Goossens H. The Lancet Infectious Diseases 2021;:doi.org/10.1016/S1473-3099(21)00705-2.
[We discuss how the clinical research community responded to the pandemic in Europe, what lessons were learned, and provide recommendations for future clinical research response during pandemics. We focused on two platform trials: RECOVERY and REMAP-CAP.]

Remote general practitioner consultations during COVID-19.
Green MA. The Lancet Digital Health 2022;4(1):E7.
[[Letter.] Advances in digital technology had already stimulated debate on consultation methods; despite offering convenience for some patients, there were concerns about widening inequalities for others. Given that the pandemic offered a natural experiment to assess the potential implications of remote consultations, we analysed data from NHS Digital to better understand these implications. Our analyses showed that any suggestion that GPs were not seeing patients in person was not true.]

Delivering outpatient virtual clinics during the COVID-19 pandemic: early evaluation of clinicians’ experiences.[Abstract]
Vas V. BMJ Open Quality 2022;11(1):doi: 10.1136/bmjoq-2020-001313.
[Conclusions: In response to the pandemic, outpatient services across the trust were rapidly redesigned and virtual clinics implemented. As a result, services have been able to sustain some level of service delivery. However, clinicians have identified challenges in delivering this model of care and highlighted enablers needed to sustaining the delivery of virtual clinics longer term, such as patient access to diagnostic tests and investigations closer to home.]

CG Report 6: Effects of COVID-19 In Care Homes: A Mixed Methods Review.
Collateral Global; 2021.
[The report, using national datasets for 25 countries on mortality, provides an up-to-date review of global effects of COVID-19 pandemic in care homes, assessing care home mortality by country, how the deaths compared with previous periods, and how excess deaths may be explained.]

Regulation and use of confidential patient information for genomic and medical research during and post Covid-19.
PHG Foundation; 2021.
[At the start of the Covid-19 pandemic the government in England introduced measures to enable the use of confidential patient information for Covid-19 purposes without consent or another form of approval that would normally be required. This report considers how these regulatory changes to the governance of confidential patient information have impacted genomic and medical research, and whether these changes should be integrated into the regulatory framework longer term.]

Frequently asked questions: Demonstrating Covid-19 and vaccination status.
House of Commons Library; 2021.
[This briefing sets out responses to FAQs about demonstrating Covid status (otherwise called Covid status certification or vaccine passports) and use of the NHS Covid Pass in England.]

Clearing the backlog caused by the pandemic: ninth report of Session 2021–22.
House of Commons Health and Social Care Committee; 2021.
[This report finds that elective recovery plans are threatened by pressure on emergency care with a record number of 999 calls and waiting times in emergency departments at record levels. It concludes that tackling the wider backlog caused by the pandemic is a major and ‘unquantifiable’ challenge. It calls for a broad national health and care recovery plan to include mental health, primary care, community care and social care as well as emergency care.]

Telephone survey two: PCNs and Covid-19.
PRUComm; 2021.
[The purpose of the telephone survey was to try to understand the role primary care networks (PCNs) had played in response to the Covid-19 pandemic, focusing on whether the pandemic had influenced and shaped the development and operation of PCNs and whether PCNs had worked collectively or as individual practices in their Covid-19 response. This short report comprises data collected between August and December 2020.]

Inequality and the Covid crisis in the United Kingdom.
Institute for Fiscal Studies (IFS); 2022.
[IFS Working Paper W22/01. This report reviews the effects on the Covid-19 pandemic on inequalities in education, the labour market, household living standards, mental health and wealth in the UK.]

Effects of COVID-19 lockdown on eating disorders and obesity: A systematic review and meta-analysis.[Abstract]
Sideli L. European Eating Disorders Review 2021;29(6):826-841.
[The majority of individuals with EDs and obesity reported symptomatic worsening during the lockdown. However, further longitudinal studies are needed to identify vulnerable groups, as well as the long-term consequences of COVID-19.]

Covid 19

Current awareness updates

COVID-19: infection prevention and control (IPC).
UK Health Security Agency (UKHSA); 2021.
[November 2021 Updates: 1) Guidance broadened to include seasonal respiratory infections; 3 COVID-19 specific pathways removed; section on the hierarchy of controls added; physical distancing advice updated. 2) Updated to clarify text on aerosol generating procedures. 3) Dental appendix broadened to include seasonal respiratory infections; 3 COVID-19 specific pathways removed and replaced with respiratory and non-respiratory pathways.]

COVID-19 rapid guideline: managing COVID-19
National Institute for Health and Care Excellence (NICE); 2021.
[In November, NICE added a new recommendation on ivermectin.]

Daily Insight: Another test for NHS staff.
HSJ: Health Service Journal (Daily Insight) 2021;:7031436.
[A letter sent by Chris Whitty, Ruth May and Susan Hopkins has strengthened expectations on NHS staff who have just returned from abroad. NHS workers returning from any non red-list country must have a negative PCR test before returning to work. Also: New guidance has recommended that trusts relax the segregation of patients according to covid-19 risk. There is likely to be a developing picture on infection control guidance over the next few weeks in light of the Omicron variant. 30 November.]

Frequently asked questions: Demonstrating Covid-19 and vaccination status.
House of Commons Library; 2021.
[This briefing paper provides answers to frequently asked questions about demonstrating Covid-19 status (otherwise called Covid-19 status certification) and use of the NHS Covid Pass in England.]

Covid-19 status certification.
House of Commons Library; 2021.
[Covid-19 status certification (also referred to as a “vaccine passport”) has been proposed as a means of reducing the risk of transmitting the Covid-19 virus in a number of settings. This briefing explores the Government’s policy on certification. It also provides discussion on the scientific evidence and other issues associated with the use of certification.]

Responding to violence against women and children during COVID-19: impact on service provision, strategies and actions in the WHO European Region (2021).
World Health Organization (WHO); 2021.
[A new report published by WHO/Europe shows that helplines providing support to women and children experiencing violence saw a spike in calls during the first 9 months of the COVID-19 pandemic. The data in the new report was collected between January and September 2020, a time in which millions of people in the WHO European Region were confined to their homes because of lockdowns or other restrictive measures.]

UK vaccine response to the Omicron variant: JCVI advice.
Department of Health and Social Care (DHSC); 2021.
[Advice from the Joint Committee on Vaccination and Immunisation (JCVI) in response to the emergence of the Omicron variant. This statement sets out the JCVI’s advice on extending the UK COVID-19 vaccination programme to offer booster doses to adults aged 18 to 39 years, and second doses to children and young people aged 12 to 15 years.]

Covid 19

Current awareness updates

How many care home staff in England have received two Covid-19 vaccine doses? Nuffield Trust chart.
Nuffield Trust; 2021.
[After the deadline passed, care home staff in England now need to have received two Covid-19 jabs to carry on working. Nina Hemmings looks at how many had been vaccinated twice only a few weeks before the deadline.]

Effects of COVID-19 pandemic on mental health outcomes in a cohort of early psychosis patients.[Abstract]
Szmulewicz AG. Early Intervention in Psychiatry 2021;15(6):1799-1802.
[AIM: To evaluate the impact of the COVID-19 pandemic on clinical outcomes, we used data from Electronic Health Records from 128 patients receiving care at a First Episode Psychosis clinic. CONCLUSIONS: We report that patients have avoided accessing higher levels of care, except in extreme cases. We argue that this is not a sustainable trajectory and that public health actions are required.]

Provider collaboration review: Mental health care of children and young people during the COVID-19 pandemic.
Care Quality Commission (CQC); 2021.
[Review of care in 7 areas of England in June and July 2021 found COVID-19 pandemic has had an enormous impact on the mental health of children and young people, and has led to an increased demand on services, particularly eating disorder services.]

Effectiveness of public health measures in reducing the incidence of covid-19, SARS-CoV-2 transmission, and covid-19 mortality: systematic review and meta-analysis.
BMJ; 2021.
[This systematic review and meta-analysis suggests that several personal protective and social measures, including handwashing, mask wearing, and physical distancing are associated with reductions in the incidence covid-19. Public health efforts to implement public health measures should consider community health and sociocultural needs.]

COVID-19 Young people and vaccines Toolkit.
Cabinet Office; 2021.
[An updated vaccines toolkit for younger people has been launched by the Cabinet Office. The toolkit includes links to assets and videos designed to encourage vaccine uptake among young people aged 18 to 29.]

Covid 19

Current awareness updates

Protecting Nursing Homes and Long-Term Care Facilities From COVID-19: A Rapid Review of International Evidence.
Dykgraaf SH. Journal of the American Medical Directors Association 2021;22(10):1969-1988 .
[High-quality evidence of effectiveness in protecting LTCFs from COVID-19 was limited at the time of this study, though it 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 summarizes current evidence regarding strategies that may be effective.]

Coronavirus: lessons learned to date.
House of Commons Library; 2021.
[This inquiry looked at six key areas of the response to the pandemic in England: the country’s preparedness for a pandemic; the use of non-pharmaceutical interventions such as border controls, social distancing and lockdowns to control the pandemic; the use of test, trace and isolate strategies; the impact of the pandemic on social care; the impact of the pandemic on specific communities; and the procurement and roll-out of covid-19 vaccines.]

The Big Ask: The Big Answer.
The Children’s Commissioner; 2021.
[The Children’s Commissioner’s Big Ask set out to hear the voices of as many children in England as possible, to amplify them, and to deliver improved life chances for this generation and beyond, following recovery from the pandemic.]

The digital divide: Amplifying health inequalities for people with severe mental illness in the time of COVID-19. [Editorial]
Spanakis P. British Journal of Psychiatry 2021;219(4):529-531.
[People with severe mental illness face profound health inequalities (eg. a >20-year mortality gap). Digital exclusion puts this population at risk of heightened or compounded inequalities. This has been referred to as the ‘digital divide’. For new digital means introduced in clinical practice to augment healthcare service provision, issues of accessibility, acceptability and usability should be addressed early in the design phase, and prior to implementation, to prevent digital exclusion.]

Time use and mental health in UK adults during an 11-week COVID-19 lockdown: A panel analysis.
Bu F. British Journal of Psychiatry 2021;219(4):551-556.
[To examine the associations between specific activities (or time use) and mental health and well-being among people during the COVID-19 pandemic. Conclusions: These results are relevant to the formulation of guidance for people obliged to spend extended periods in isolation during health emergencies and may help the public to maintain well-being during future lockdowns and pandemics.]

COVID-19 vaccination: women of childbearing age, currently pregnant or breastfeeding.
UK Health Security Agency (UKHSA); 2021.
[Information for all women of childbearing age, those currently pregnant or breastfeeding on coronavirus (COVID-19) vaccination. 8 October 2021: Updated ‘COVID-19 vaccination: a guide on pregnancy and breastfeeding’ and links to translated versions of the poster and social media cards.]

Delivering safe, face-to-face adult day care.
Social Care Institute for Excellence (SCIE); 2021.
[The latest updates to the guidance include: Isolation and vaccination info; Lifting of restrictions (Step 4); Webinar recording on day care; How to access testing; What to do in case of an outbreak; Free provider PPE until March 2022.]

Covid 19

Current awareness updates

COVID-19 rapid guideline: managing COVID-19.
National Institute for Health and Care Excellence (NICE); 2021.
[In October, NICE added new recommendations on casirivimab and imdevimab. New data on the use of heparins (from the REMAP-CAP trial results) does not change the current recommendations.]

The consequences of COVID-19 lockdown for formal and informal resource utilization among home-dwelling people with dementia: results from the prospective PAN.DEM study.[Abstract]
Vislapuu M. BMC Health Services Research 2021;21(1):1003.
[The care situation for PwD changed dramatically in the early phase of the COVID-19 pandemic, especially for those living alone who received less support from homecare services and visiting caregivers. For future crises and the forthcoming post-pandemic period, health authorities must plan better and identify and prioritize those in greatest need.]

The impact of the COVID-19 pandemic on patterns of attendance at emergency departments in two large London hospitals: an observational study.[Abstract]
Vollmer MAC. BMC Health Services Research 2021;21(1):1008.
[Our study findings reflect broader trends seen across England and give an indication how emergency healthcare seeking has drastically changed. At ICHNT, we find that a larger proportion arrived by ambulance and that hospitalisation outcomes of patients without COVID-19 did not differ from previous years. The extent to which these findings relate to ED avoidance behaviours compared to having sought alternative emergency health services outside of hospital remains unknown.]

Remote schooling through the coronavirus (COVID-19) pandemic, England: April 2020 to June 2021.
Office for National Statistics (ONS); 2021.
[How remote learning has affected the amount of learning materials covered by pupils and the dependence of remote learning on parental input over the course of the coronavirus (COVID-19) pandemic.]

Inequalities in accessing dementia care and support during COVID-19.
The Mental Elf; 2021.
[Catherine Talbot reviews a recent qualitative study on accessing post-diagnostic dementia care before and since COVID-19, which highlights the need to reduce inequalities in dementia care.]

COVID-19: provision of immunisation sessions for outbreaks in schools.
Public Health England (PHE); 2021.
[Guidance for School Age Immunisation Services on the provision of immunisation sessions in schools where there are cases or an outbreak of COVID-19.]

UKHSA review into IPC guidance.
Department of Health and Social Care (DHSC); 2021.
[Recommendations for changes to COVID-19 infection prevention and control (IPC) advice to help ease pressure on the NHS.]

Impacts of the COVID-19 pandemic on youth mental health among youth with physical health challenges.[Abstract]
Hawke LD. Early Intervention in Psychiatry 2021;15(5):1146-1153.
[CONCLUSIONS: Mental health concerns are highly prevalent among youth with physical health concerns, and also appear to be exacerbated by the COVID-19 pandemic. Physical health concerns appear to constitute risk factors for heightened mental health responses to the pandemic situation. System planners striving to adapt mental health services to meet distancing recommendations are urged to consider youth with physical health conditions and ensure that integrated supports are available to them.]

NDNS: Diet and physical activity – a follow-up study during COVID-19.
Public Health England (PHE); 2021.
[This report presents the findings from a follow-up study of National Diet and Nutrition Survey Rolling Programme (NDNS RP) participants which aimed to describe and assess the impact of the COVID-19 pandemic on the diet and physical activity of people in the UK in 2020.]

Vaxzevria (AstraZeneca) Covid-19 vaccine: Recognition of batches manufactured in India.
House of Commons Library; 2021.
[This briefing provides an overview of the regulatory concerns associated with batches of the Vaxzevria (previously called AstraZeneca) vaccine which were manufactured in India.]


Covid 19

Current awareness updates

Preventing and controlling outbreaks of COVID-19 in prisons and places of detention.
Public Health England (PHE); 2021.
[Information for prisons and other prescribed places of detention on coronavirus (COVID-19).]

COVID-19 rapid guideline: managing COVID-19.
National Institute for Health and Care Excellence (NICE); 2021.
[In September 2021, NICE added new recommendations on non-invasive respiratory support and doxycycline, and updated existing recommendations on heparins.]

COVID-19 shared learning from NHS trusts.
NHS Employers; 2021.
[Despite the relentless pressures of COVID-19 on NHS trusts, we have seen innovation, transformational change, and real improvements to enhance the experience of staff across the service. This page presents seven examples of good practice from trusts that have adapted and innovated during the pandemic.]

Debate: Is there a true global children and young people’s mental health crisis, fact or fiction?[Abstract]
Ford T. Child and Adolescent Mental Health 2021;26(3):272-273.
[Following COVID-19, there has been increasing concern about the well-being of children and young people across the United Kingdom; however, our major problem is the lack of robust data. We discuss emerging research capturing the impact of restrictions and experiences of COVID-19 on children and young people.]

Debate: The toll of the COVID-19 pandemic on children’s risk for suicidal thoughts and behaviors.[Abstract]
Melhem NM. Child and Adolescent Mental Health 2021;26(3):274-275.
[The consequences of the COVID-19 pandemic on risk for suicidal thoughts and behaviors (STBs) in children are still not fully known. However, COVID-19 and the mitigation strategies to limit its transmission have affected children and adolescents through increased parental morbidity and mortality, increased poverty and financial strain, social isolation, and lost connectedness to school, peers, and afterschool activities.

Experiences of maternity care during the COVID-19 pandemic in the North of England.
Stacey T. British Journal of Midwifery 2021;29(9):516–523.
[During 2020, UK maternity services made changes to service delivery in response to the COVID-19 pandemic. This study aimed to explore service users’ and their partners’ experiences of maternity services in the North of England during the COVID-19 pandemic. Respondents (n=606) completed a co-produced survey during August 2020. Data were analysed using descriptive statistics and content analysis.]

Covid 19

Current awareness updates

Covid-19 Loneliness Fund evaluation.
Department for Digital, Culture, Media and Sport; 2021.
[The Covid-19 Loneliness Fund was launched in May 2020 to support 9 national organisations working to tackle loneliness and build social connections to help them to continue and adapt their critical work during the pandemic. The National Centre for Social Research was appointed as evaluator for this fund. This report presents the results of a process evaluation of the fund, to see how it supported the delivery and adaption of services aimed at addressing loneliness during Covid-19 restrictions.]

Annual Organ Donation and Transplantation Data for Black, Asian, and Minority Ethnic (BAME) communities: report for 2020/2021.
NHS Blood and Transplant; 2021.
[This report provides information related to organ donation and transplantation within the white and Black, Asian and minority ethnic (BAME) communities in the UK. It finds the Covid-19 pandemic has had a significant impact on the numbers of living donor kidney transplants that could be performed. In 2020/21 there was a comparable drop in both white and non-white deceased donors, but a 61 per cent decrease in the number of BAME living donors, compared with a 58 per cent drop overall.]

Association of the COVID-19 lockdown with smoking, drinking and attempts to quit in England: an analysis of 2019–20 data.
Addiction; 2021.
[Following the March 2020 COVID-19 lockdown, smokers and high-risk drinkers in England were more likely than before lockdown to report trying to quit smoking or reduce alcohol consumption and rates of smoking cessation and use of remote cessation support were higher. However, high-risk drinking prevalence increased post-lockdown and use of evidence-based support for alcohol reduction by high-risk drinkers decreased with no compensatory increase in use of remote support.]