A systematic review and meta analysis of over 800,000 patients most likely to get Long Covid has found women, smokers and those who had severe COVID-19 infection are at a higher risk of Long COVID.
Researchers also found that patients who had at least two doses of the COVID vaccine had a significantly lower risk of getting Long COVID.
Tackling mental health disparities.
Centre for Mental Health; 2022.
(The pandemic is accompanied by a rise in demand for mental health services. Even before the pandemic, mental ill health was one of the most prevalent forms of illness. Inequalities mean that while it is true that anyone can experience mental illness, the risks are much higher for certain groups who experience structural discrimination and disadvantage. Tackling mental health disparities shares ten evidence-based actions that the Government could take in the forthcoming white paper.)
Grassroots participation in sport and physical activity.
National Audit Office (NAO); 2022.
(This report examines how far the Department for Digital, Culture, Media & Sport and Sport England have achieved value for money in their spending on grassroots sport and physical activity amongst those aged 16 and over, and have supported value for money in the system-wide spending across government. We consider the decade since the London 2012 Olympic and Paralympic Games, with a particular focus on the period since 2015, when government launched its Sporting Future strategy.)
Menopause and the workplace: how to enable fulfilling working lives: government response Department for work and pensions; July 2022 This report lays out the government’s response to the recommendations made in the independent report Menopause and the workplace, published in November 2021. This report aimed to bring about comprehensive change and support for those experiencing the menopause, in key areas of government policy, employer practice, and wider societal and financial change.
The rollout of the Covid-19 vaccine programme in England House of Commons Comittee of Public Accounts; July 2022 This report calls for efforts to be redoubled to reach those not vaccinated or fully vaccinated as it warns that nearly three million adults in England are unvaccinated against Covid-19. It finds that comparatively low vaccination rates persist in many vulnerable groups and have even dropped further for some. It calls for NHS England and UKHSA to urgently evaluate which methods are most effective for increasing uptake, including fresh approaches to tackle the persistent low uptake observed in some ethnic groups.
Creating a smoke-free South Yorkshire and Bassetlaw integrated care system NHS Confederation; June 2022 This case study details a smoking cessation programme in South Yorkshire and Bassetlaw that aims to saves lives, decrease health inequalities and reduce hospital re-admissions by making effective treatment for tobacco addiction part of the routine care offered in hospitals.
Daily Insight: Covid can’t peak too soon.
HSJ: Health Service Journal (Daily Insight) 2021;:7030598.
[Confirmed covid cases in the community fell again on Tuesday, offering further hope that the current wave could have peaked. Most experts are highly cautious about saying so – there is likely to be further growth following ‘freedom day’. Also: In the Cheshire and Merseyside ICS, the nine local authorities have issued a series of “red lines” and pre-conditions to health service leaders. 28 July.]
Daily Insight: Covid puts one in 10 beds to sleep.
HSJ: Health Service Journal (Daily Insight) 2021;:7030631.
[A major hospital trust has made its highest number of bed closures “for many years” due to covid staffing pressures. Newcastle upon Tyne Hospitals Trust lost 933 bed days in the first week of June due to staff testing positive for covid or being required to isolate. Also: Latest figures show just 3 per cent of A&E attendances nationally are ‘booked’ through the 111 First service. And Healthwatch England says the NHS has not done enough to publicise this new service. 3 August.]
New study into COVID-19 vaccine dose interval for pregnant women.
Department of Health and Social Care (DHSC); 2021.
[The Preg-CoV clinical trial has been launched to help determine optimal gap between doses as well as explore potential side-effects in more detail. Research shows pregnant women more likely to become seriously ill from COVID-19 and 98% of those in hospital due to COVID-19 are unvaccinated.]
Coronavirus: the consequences for mental health.
Mind; 2021.
[This research with almost 12,000 people found that those with mental health problems report an increase in the severity of challenges they’re facing now and concerns about the future. The authors call for services to be ready for the increase in severity of people’s mental health problems, and to take into account the trauma that people have experienced over the past year and how this might affect the support they need.]
Coronavirus: Adult social care key issues and sources.
House of Commons Library; 2021.
[House of Commons Library research Briefing updated 23 July 2021. An overview of key issues facing the adult social care sector during the coronavirus (Covid-19) outbreak, with links to some of the key official guidance for the sector.]
Coronavirus and the social impacts of ‘long COVID’ on people’s lives in Great Britain: 7 April to 13 June 2021.
Office for National Statistics (ONS); 2021.
[Indicators from the Opinions and Lifestyle Survey covering the period 7 April to 13 June 2021 to understand the impact of the coronavirus (COVID-19) pandemic on people by their self-reported long COVID-19.]
Care homes: visiting restrictions during the Covid-19 pandemic House of Commons; 2021
(This report calls on the government to make the existing requirements for individualised assessment for visits mandatory by laying its draft regulations, as soon as possible. Government guidance now makes clear that care home providers should not impose blanket bans on visiting but should instead conduct individualised risk assessments for each resident. However, without statutory force, there is no legal recourse for residents to require their providers to implement the guidance.)
Racism and discrimination: the experience of primary care professionals in the Humberside region Humberside LMC: April 2021
(This report highlights discrimination faced by staff and patients from ethnic minority backgrounds in general practice. It finds that respondents reported experiences of discrimination in a wide range of areas such as training, working patterns and complaints, and it calls for a zero-tolerance approach to tackle racism in all its forms. )
Pandemic patient experience II: from lockdown to vaccine roll-out The Patient’s Association; April 2021
(In 2020, patients told the Patients Association about their experiences of living with health and care needs during the Covid-19 pandemic. Their testimony painted a bleak picture in many ways. This follow-up survey (drawing on 453 responses, submitted over February, March and early April 2021) finds that many aspects of their experiences are not much better, and some are worse. Accessing general practice services remains difficult for many, and patients overall do not regard remote consultations as an adequate replacement for in-person appointments.)
Outpatient appointments intended but not booked after inpatient stays Healthcare Safety Investigation Branch (HSIB); April 2021
(This investigation explores the patient safety risk of outpatient appointments that are intended but not booked following an inpatient stay. It also considers opportunities for building resilience into the process to ensure timely appointments. It concludes with two safety recommendations that are aimed at reducing the chance that patients will be lost after an inpatient stay and supporting the staff within trusts who are responsible for arranging appointments and tracking patients.)
Unemployment and mental health The Health Foundation; April 2021
(This analysis estimates that an increase of 900,000 people in unemployment expected by the end of the year, compared with before the pandemic, will lead to 200,000 more people with poor mental health in the UK. It acknowledges that while government action to reduce a rise in unemployment by extending the furlough scheme to September will support mental health, it suggests that the benefits system and employment support programmes currently fail to properly account for the mental health needs of those who are unemployed. It concludes that there is now an opportunity to ensure that efforts to tackle unemployment in the pandemic recovery are designed to better support mental health.)
Skin cancer awareness month toolkit Skin Cancer Foundation; May 2021
(A social media toolkit giving you downloadable skin cancer images and resources to help you share the facts during Skin Cancer Awareness Month)
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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With research suggesting that vaccines via a nasal spray or inhalation can protect people against the disease and help to reduce the transmission of this disease, a new clinical trial, funded by UKRI and NIHR, has been launched. The trial aims to explore the effect of the virus by administering the vaccine as inhaled airborne droplets rather than injection to the muscle. The aim is to induce a more effective immune response, potentially leading to the acceleration of an effective vaccine.
Lead researcher Dr Chris Chiu, from the Department of Infectious Disease at Imperial College London explained;
“The current pandemic is caused by a respiratory virus that primarily infects people through the cells lining the nose, throat and lungs.
“These surfaces are specialised and produce a different immune response to the rest of the body, so it is critical we explore whether targeting the airways directly can provide an effective response compared to a vaccine injected into muscle.”
With the clinical trials already going ahead and many countries working on their own form of vaccine- this trial may give some guidance on whether we have the right vaccine but wrong delivery method.
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