Tag: UKHSA

Covid 19

Current awareness updates

Designated settings for people discharged to a care home.
Department of Health and Social Care (DHSC); 2022.
[Guidance on the designated settings scheme for people discharged from hospital to a care home with a positive coronavirus (COVID-19) test (UPDATED: 07 February 2022 The ‘designated settings’ guidance has been updated throughout in line with the latest clinical advice from UKHSA. This update reflects the change in isolation period in care settings from 14 to 10 days for cases of COVID-19. It also provides information on how individuals can end their isolation before day 10)]

Patient experience before the omicron wave: the storm before the storm.
Patients Association; 2022.
[This report, based on a survey of more than 1,000 UK patients conducted over a month just before Christmas 2021, finds the disruption to health and care services caused by the pandemic is profound and long-term.]

COVID-19 Schools Infection Survey, England: attitudes to vaccines and preventative measures, November to December 2021.
Office for National Statistics (ONS); 2022.
[Initial insights from the first round of questionnaire data collected as part of the Schools Infection Survey. Questionnaires are completed by parents of participating children, secondary school aged children and headteachers. Topics cover vaccine sentiment, ventilation in schools and preventative measures implemented in schools.]

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.]





Public Health

Current awareness updates

Campaigning to eliminate drink spiking.
Stamp Out Spiking UK; 2022.
[This campaign offers anti-drink spiking resources and solutions that help people to stay safe, with a mission to raise awareness and promote personal safety issues, by providing people with information and a practical means of protecting themselves, and ultimately, to stamp out drink spiking.]

Delivering safe, face-to-face adult day care.
Social Care Institute for Excellence (SCIE); 2022.
[Supporting care managers, social workers, commissioners and providers, with activities. The latest updates to the guidance include: Infection control and testing; vaccination information; and changes to restrictions due to Omicron.]

Recent increase in group B meningococcal disease among teenagers and young adults.
UK Health Security Agency (UKHSA); 2022.
[Teenagers and young adults are urged to look out for symptoms and check that they have received all routine vaccinations. Recent data and analysis shows that in autumn 2021 there was an increase in the number of cases of meningococcal disease in teenagers and young adults, mainly caused by group B meningococcal disease (MenB) – with the majority among university students.]

Focusing on men’s health: it’s time for a national strategy.
Baker P. British Journal of Nursing 2022;31(1):50-51.
[It is surely time for a men’s health strategy in the UK. Or, rather, a strategy for each of the UK’s nations. Seven other countries—including our nearest neighbour, Ireland—already have men’s health strategies or policies. The UK Government has also signed up to World Health Organization (WHO) Europe’s regional men’s health strategy (WHO Regional Office for Europe, 2018). A Women’s Health Plan for Scotland was published in August and a women’s health strategy for England is being developed.]

Stop Abuse Together.
Cabinet Office; 2022.
[Tool to help parents, carers, teachers or other professionals working with children, to spot the potential signs of child sexual abuse and where to go for support. This website brings together advice and resources to help you keep the children in your life safe.]

Public Health

Current awareness updates

Weight management tier 2 interventions and their effectiveness.
Carried out by Frankie Marcelline from Sussex Health on 2/12/2021
[This evidence search report looks for recent evaluations and reports on the effectiveness of weight management tier 2 interventions for families, adults and children. A starting point might be Public Health England’s 2020 summary: Weight management services during COVID-19: phase 1 insights. Another source is Heggie’s: Tackling reporting issues and variation in behavioural weight management interventions.]

Brain tumours (primary) and brain metastases in adults.
National Institute for Health and Care Excellence (NICE); 2021.
[This quality standard covers diagnosing, monitoring and managing any type of primary brain tumour or brain metastases in adults (aged 16 or over). It describes high-quality care in priority areas for improvement.]

Urinary incontinence in women.
National Institute for Health and Care Excellence (NICE); 2021.
[This quality standard covers managing urinary incontinence in women (aged 18 and over). It covers assessment, care and treatment options. It describes high-quality care in priority areas for improvement.
It does not cover urinary incontinence in women with neurological disease. In December 2021, changes were made to align this quality standard with the new NICE guideline on pelvic floor dysfunction.]

Pelvic floor dysfunction: prevention and non-surgical management.
National Institute for Health and Care Excellence (NICE); 2021.
[This guideline covers the prevention, assessment and non-surgical management of pelvic floor dysfunction in women aged 12 and over. It aims to raise awareness and help women to reduce their risk of pelvic floor dysfunction. For women who have pelvic floor dysfunction, the guideline recommends interventions based on their specific symptoms]

Management of acute respiratory illness in prisons and places of detention.
UK Health Security Agency (UKHSA); 2021.
[This guidance will assist in the management of outbreaks of acute respiratory illness in prisons and places of detention. The guidance covers risk assessment, testing recommendations, antiviral therapies and when an outbreak can be declared over. An associated flow chart gives information for management depending on whether COVID-19 and/or influenza have been detected.]

BCG vaccination and SCID screening: patient pathway.
UK Health Security Agency (UKHSA); 2021.
[Flowchart showing the Bacillus Calmette–Guérin (BCG) vaccination and SCID screening patient pathway (updated 09 December 2021)]

Optimising chronic wound care: a human and financial necessity.
Penfold J. British Journal of Healthcare Management 2021;27(11):269-271.
[Comment highlights the importance of evidence-based practice in wound care to reduce the burden on patients and healthcare services.]

Active Lives Children and Young People Survey: Academic year 2020-21.
Sport England; 2021.
[This report contains a full year of coronavirus (Covid-19) restrictions, including comparisons back to summer term 2020, when school sites were closed to most pupils for much of the period. The proportion of children and young people in England who are active remains unchanged compared to 12 months ago. However, inequalities have increased and for some groups of children and young people, in particular teenage girls and Black children are the least likely to be physically active.]

What science has shown can help young people with anxiety and depression.
Wellcome; 2021.
[This report summarises what we’ve learned about the evidence for ‘active ingredients’ of effective interventions for youth anxiety and depression – these are the aspects of interventions that make a difference in preventing or managing anxiety and depression.]

Project ADDER.
Department of Health and Social Care (DHSC); 2021.
[Information on Project ADDER (Addiction, Diversion, Disruption, Enforcement and Recovery), the government’s pathfinder programme combatting drugs misuse.]

Global Drug Survey (GDS) 2021 Global Report.
Global Drug Survey (GDS); 2021.
[The focus is on how COVID-19 changed people’s drug using behaviours especially with regard to alcohol, cannabis and cocaine, how people balance reducing harm and maximizing pleasure when using drugs, and whether microdosing has moved beyond those seeking to improve creativity and work performance to self-treatment for mental health issues.]

Alcohol-specific deaths in the UK: registered in 2020.
Office for National Statistics (ONS); 2021.
[Deaths caused by diseases known to be a direct consequence of alcohol misuse by sex, age, region and deprivation.]

From harm to hope: A 10-year drugs plan to cut crime and save lives.
Home Office, Department of Health and Social Care, Ministry of Justice, Department for Work and Pensions, Department for Education, and Department for Levelling Up, Housing and Communities; 2021.
[This policy paper sets out the government’s 10-year plan to cut crime and save lives by reducing the supply and demand for drugs and delivering a high-quality treatment and recovery system. Commitments are made across the government to break drug supply chains while simultaneously reducing the demand for drugs by getting people suffering from addiction into treatment, and deterring recreational drug use.]

Child of the North: building a fairer future after Covid-19.
NIHR Northern Health Science Alliance; 2021.
[This report paints a stark picture of inequality for children growing up in the north of England post-pandemic compared with those in the rest of the country. It looks at a wide range of factors, from child poverty to children in care, to build up a picture of ‘The Child of the North’. It sets out 18 clear recommendations that can be put in place to tackle the widening gap between the north and the rest of England.]

Children and young people’s mental health: Eighth Report of Session 2021–22.
House of Commons Health and Social Care Committee; 2021.
[Report highlights that the problems identified can only be addressed by government departments, local government and the health system acting together to promote good mental health and prevent new crises emerging. It recommends setting up a Cabinet sub-committee.]

Covid 19

Current awareness updates

COVID-19 lockdowns and school closures: what’s the impact on youth mental health?
The Mental Elf; 2021.
[Douglas Badenoch appraises a recent cross-sectional survey study, which looks at COVID-19 partial school closures and mental health problems.]

Investigation of SARS-CoV-2 variants of concern: variant risk assessments.
UK Health Security Agency (UKHSA); 2021.
[Risk assessment dated 09 December for Omicron variant added.]

Consensus statements on COVID-19.
UK Health Security Agency (UKHSA); 2021.
[Updated 10 December 2021: UKHSA has added the EMRG’s consensus statement for 24 November 2021 to its website.]

Resilience and recovery following COVID-19.
McIntosh B. British Journal of Healthcare Management 2021;27(11):263-264.
[The healthcare sector has a crucial role to play in the wider economic and social recovery of society following COVID-19. Events since March 2020 have highlighted the need to see health and public services as a crucial investment, not an afterthought.]

An evaluation of a virtual COVID-19 ward to accelerate the supported discharge of patients from an acute hospital setting.
Swift J. British Journal of Healthcare Management 2021;27(12):1-9.
[The virtual ward appeared to assist with earlier discharges, had a low rate of clinically necessary re-admissions, and seemed to reduce costs without compromising patient safety. The authors believe that this intervention could be applied across other NHS trusts facing similar capacity issues as a result of COVID-19.]

Nudging healthcare professionals to improve treatment of COVID-19: a narrative review.[Abstract]
Vilhelmsson A. BMJ Open Quality 2021;10(4):doi: 10.1136/bmjoq-2021-001522.
[Conclusion: Evidence suggests that different nudging techniques can be used in clinical settings as simple, cost-effective strategies to fight COVID-19, reduce complications for intubated patients, improve hand hygiene, increase vaccination rates and avoid unnecessary antibiotic prescriptions. These strategies could be important in the continued handling of the pandemic, which will not be over until the whole world reaches herd immunity from vaccination…]

COVID-19 rapid guideline: managing COVID-19 NICE guideline.
National Institute for Health and Care Excellence (NICE); 2021.
[This guideline covers the management of COVID-19 for children, young people and adults in all care settings. In December, NICE added new recommendations on COVID-19-associated pulmonary aspergillosis. NICE revised their statement about the Omicron variant in the recommendation on casirivimab and imdevimab.]

COVID-19 vaccination: resources for schools and parents.
UK Health Security Agency (UKHSA); 2021.
[17 December 2021: Added version 3 of the guidance for schools and guidance for parents.]

COVID-19: guidance for first responders.
UK Health Security Agency (UKHSA); 2021.
[Updated advice for first responders (as defined by the Civil Contingencies Act) and others where close contact may be required as part of their normal duties.]

COVID-19: infection prevention and control (IPC).
UK Health Security Agency (UKHSA); 2021.
[17 December 2021: Added UK IPC Cell consensus statement in response to the emergence of the Omicron variant of SARS-CoV-2. Added paragraph to main IPC guidance on risk assessment and use of RPE in response to Omicron variant.]

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.]

Public Health

Current awareness updates

Avian influenza: guidance for managing human cases.
UK Health Security Agency (UKHSA); 2021.
[Information to assist with the management of possible and confirmed human cases of avian influenza.]

Heart valve disease presenting in adults: investigation and management.
National Institute for Health and Care Excellence (NICE); 2021.
[This guideline covers investigation and management of heart valve disease presenting in adults. It aims to improve quality of life and survival for people with heart valve disease through timely diagnosis and appropriate intervention.]

Acute heart failure: diagnosis and management.
National Institute for Health and Care Excellence (NICE); 2021.
[This guideline covers diagnosing and managing acute heart failure or possible acute heart failure in people aged 18 and over. Heart failure may indicate acute myocardial injury in patients with COVID-19. See the recommendations in NICE COVID-19 rapid guideline on managing COVID-19. In November 2021, NICE withdrew the recommendations on valvular surgery and percutaneous intervention because they have been replaced by the NICE guideline on heart valve disease.]

Public health commissioning in the NHS: 2021 to 2022.
Department of Health and Social Care (DHSC); 2021.
[Information about NHS England’s objectives and funding arrangements as it commissions public health services in the ongoing context of coronavirus (COVID-19).]

Cause for concern: Australian youth engaged with alcohol and other drug services are falling behind our community progress in reducing tobacco use.[Abstract]
Hallam KT. Early Intervention in Psychiatry 2021;15(6):1789-1792.
[Tobacco use is decreasing in the general youth population yet little evidence is tracking changes in young people who are engaged with youth alcohol and other drug (AOD) services that are often disengaged from school and work settings. Conclusion: The results highlight a need for the adoption of evidence-based tobacco early intervention programs in youth AOD services to address this significant health risk.]

Quality improvement project to decrease unnecessary investigations in infants with bronchiolitis in Cork University Hospital.[Abstract]
Jansen L. BMJ Open Quality 2021;10(4):DOI: 10.1136/bmjoq-2021-001428.
[Conclusion: An evidence-based protocol improved physicians’ ability in diagnosing and managing infants with bronchiolitis. This led to a reduction in unnecessary and potential harmful investigations, thereby improving patient quality of care. This improvement will contribute to decreased healthcare cost and appropriate use of resources during the high-pressured winter period.]

Covid 19

Current awareness updates

COVID-19: letter to patients on end of shielding programme.
UK Health Security Agency (UKHSA); 2021.
[Reference-only version of letter from the government to patients on the end of the shielding programme.]

COVID-19 rapid guideline: managing the long-term effects of COVID-19.
National Institute for Health and Care Excellence (NICE); 2021.
[This guideline covers identifying, assessing and managing the long-term effects of COVID-19, often described as ‘long COVID’. On 11 November, NICE made new recommendations and updated existing recommendations on identification; planning care; multidisciplinary rehabilitation; follow up, monitoring and discharge; and service organisation. NICE also updated the list of common symptoms, emphasising that these may be different for children.]

COVID-19 booster vaccine programme for winter 2021 to 2022: JCVI statement, November 2021.
Department of Health and Social Care (DHSC); 2021.
[This statement sets out further advice from JCVI on extension of the booster programme to revaccinate adults aged 40 to 49 years against COVID-19. The main aim of this booster vaccination programme is to reduce deaths, serious disease and hospitalisations from COVID-19 over the 2021 to 2022 winter period and through 2022.]

Why we think you should say yes to the COVID-19 vaccine.
Leeds Clinical Commissioning Group; 2021.
[An information leaflet about the COVID-19 vaccine where clinicians and faith leaders highlight the importance of having the vaccine. The leaflet has been translated into the following languages: Amharic, Arabic, Bengali, Czech, Farsi, Kurdish Sorani, Polish, Punjabi, Romanian, Slovak, Tigrinya and Urdu. Audio versions of the leaflet are available for each of those languages.]

No one wants to see my baby: challenges to building back better for babies.
Parent-Infant Foundation; 2021.
[This report explores the continued impact of Covid-19 on babies. It consists of a survey of professionals, in-depth studies with 11 families and a review of the literature, conducted with partner organisations Home-Start and Best Beginnings. The report shows that many services across the UK are not operating as they were before the pandemic, and babies and their families are missing out as a result.]

Essential and Invisible: Filipino irregular migrants in the UK’s ongoing COVID-19 crisis.
Kanlungan Filipino Consortium; 2021.
[For many in the United Kingdom, it might feel as if the “crisis” of the COVID-19 pandemic is coming to an end. Yet for irregular migrants, the pandemic has become a protracted struggle to survive. This report is based on interviews with Filipino irregular migrants based in the UK conducted in Spring 2021, compared to the same interviewees’ responses in Spring 2020.]

Coronavirus: support for landlords and tenants.
House of Commons Library; 2021.
[This briefing explains measures during the coronavirus outbreak to help renting households retain their homes. It covers calls for more assistance to prevent evictions and homelessness.]