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Found 2,341 results
  1. Content Article
    Covid-19 has had a lasting impact on cardiovascular care since the outbreak began. The British Heart Foundation has predicted that the number of people in England waiting for care and diagnosis could more than double within two years, peaking at around 550, 385 in January 2024 if the NHS doesn't get the funding it needs. In order to provide a stronger and more resilient health system that supports healthcare staff, a cardiovascular strategy for England to support recovery from the Covid-19 pandemic is needed.
  2. Content Article
    This article focuses on the importance of integrating "the workplace, the workforce and the individual" in risk assessments during a pandemic and how it warrants highlighting health and safety laws that require "suitable and sufficient" risk assessment, particularly when workers are involved. The authors also discuss aerosol generating procedures and the risk of exposure to workers from main sources of viral aerosols and the need for appropriate workplace risk assessments to help protect staff.
  3. Content Article
    The waiting list for elective treatment in the NHS in England has reached an unprecedented level, with one in ten people – over 5.3 million – now waiting for a routine procedure. This report published by Policy Exchange sets out the scale of the challenge, opportunities to reform the existing approach to elective care and their proposed elective care recovery plan.
  4. Content Article
    This report describes the priorities for for safeguarding the health and the wellbeing of the UK population for winter 2021/22 and beyond and provides an overview of the current research available at the time of writing. The report also focuses on promoting the resilience of communities, populations and the health and social care system.
  5. Content Article
    This paper describes the results and rationale of a systematic review carried out across seven countries, including the UK. The authors aimed to study the implementation and impact of remote home monitoring models (virtual wards) for patients who were confirmed or suspected to have Covid-19, identify their main components, processes of implementation, target patient populations, patient impact on outcomes, costs and lessons learnt.
  6. Content Article
    The Surgeon General is warning the American public about the dangers of health misinformation during the Covid-19 pandemic and beyond. In order to tackle the issue, a new Surgeon General’s Advisory is now available.
  7. Content Article
    The Hierarchy of Controls is a system that is used to put in place effective controls within an organisation or wider community that identifies the most effective ways to control a hazard. In this diagram created by Doreen Geoghegan from the Galway-Mayo Institute of Technology the inverted cone shows the most effective controls at the top and the least effective at the bottom in relation to Covid-19.
  8. Content Article
    This article describes how healthcare workers contracted Covid-19 through occupational exposure. The authors discuss how taking appropriate precautions, following primary and secondary prevention protocols and implementing proper control measures is needed to help contain the rate of infections. The authors also express how lessons need to be learned from previous outbreaks and that vigilance, protection and preventative measures need to remain in place in preparation for any future variants.
  9. Content Article
    This review was undertaken as part of the remit of MBRRACE-UK to ensure that key learning and recommendations for changes to care and services for pregnant women during the second wave of the SARS-CoV-2 infection in the UK are identified in a timely manner in order to implement rapid change. The report’s authors reviewed the care of all pregnant and postnatal women who died with SARS-CoV-2 infection, and women who died and whose care or engagement with care was influenced by changes as a consequence of the pandemic between 1 June 2020 and 1 March this year. Fourteen women died with SARS-CoV-2 infection, ten from COVID-19 and four from other causes, three further women's deaths were influenced by changes as a consequence of the pandemic. The report identifies several themes affecting the care of pregnant and postpartum women in the context of the pandemic and suggests that there needs to be wider awareness of how best to treat pregnant and postnatal women with COVID-19.
  10. Content Article
    This Lancet article argues that the UK Government's plan to lift almost all COVID-19 restrictions on 19 July 2021 is a mistake, setting out five main concerns in this regard.
  11. Content Article
    This article is an open letter in the BMJ to the secretary of state describing ways to address past mistakes and suggesting 10 urgent actions.
  12. Content Article
    This toolkit is part of a series of explainers on vaccine development and distribution from the World Health Organization. It offers advice on how to have informed and supportive conversations with friends, family members or colleagues who may understandably have questions or express concerns about vaccination.
  13. Content Article
    The Long Covid Plan 2021/22 builds on the previous five-point plan announced in October 2020 and outlines 10 key next steps to be taken by the NHS to support people living with Long Covid. The plan highlights the need for equity of access, outcomes and experience in Long Covid support, as well as committing to extending the Your COVID Recovery website, collecting and publishing data.
  14. Content Article
    In addition to older individuals and those with underlying chronic health conditions, maternal and newborn populations have been identified as being at greater risk from COVID-19. It became critical for hospitals and clinicians to maintain the safety of individuals in the facility and minimise the transmission of COVID-19 while continuing to strive for optimised outcomes by providing family-centered care. Rapid change during the pandemic made it appropriate to use the plan–do–study–act (PDSA) cycle to continually evaluate proposed and standard practices. Patrick and Johnson describe how their team established an obstetric COVID-19 unit for women and newborns, developed guidelines for visitation and for the use of personal protective equipment, initiated universal COVID-19 testing, and provided health education to emphasize shared decision making.
  15. Content Article
    Yvonne Ormston shares her experience of dealing with Covid as the CEO of Gateshead Health FT and her own cancer journey during the pandemic. Published in HSJ.
  16. Content Article
    Approximately 1,000[1] UK health and care workers have died from Covid-19. Many were working with Covid-positive patients and with substandard Personal Protective Equipment (PPE). It is estimated that a further 122,000 health service workers who contracted Covid-19 are struggling with prolonged symptoms, often referred to as Long Covid. It has also become clear that a significant number of inpatients who had Covid-19, acquired the virus whilst in hospital.[2][3] In this opinion piece, Dr David Tomlinson argues that current PPE guidance still fails to adequately protect staff and patients against the airborne nature of the Covid-19 virus. David highlights the attempts made by many to raise their related safety concerns; arguing that the response to date has been inadequate, unsafe and unlawful.  
  17. Content Article
    This page from NHS Wales signposts employers and employees to key information and guidance for workplaces which will assist in taking appropriate action upon returning to the workplace, to prevent transmission of COVID-19 and provide relevant sector specific guidance. Documents found on this page will also be particularly useful for employers experiencing clusters of cases that may be associated with their workplace.
  18. Content Article
    The COVID-19 pandemic has imposed extraordinary strains on healthcare workers. But, in contrast with acute settings, relatively little attention has been given to those who work in mental health settings. Liberati et al. aimed to characterise the experiences of those working in English NHS secondary mental health services during the first wave of the pandemic.
  19. Content Article
    The aim of this study from Gurol-Urganci et al. was to determine the association between COVID-19 infection at the time of birth and maternal and perinatal outcomes. Covid infection at the time of birth is associated with higher rates of fetal death, preterm birth, preeclampsia and emergency Caesarean delivery. There were no additional adverse neonatal outcomes, other than those related to preterm delivery. Pregnant women should be counseled regarding risks of covid infection and should be considered a priority for vaccination.
  20. Content Article
    This qualitative study in Research in Social and Administrative Pharmacy examined how staff working in UK community pharmacy during the first waves of the Covid-19 pandemic in 2020 responded and adapted to new pressures on their services to maintain patient safety. From responses gathered from 23 community pharmacy staff in England and Scotland, the authors identified five themes: Covid-19, an impending threat to system Patient safety stressors during the first waves of Covid-19 Altering the system, responding to system stressors Monitoring and adjusting Learning for the future. They found that pharmacy staff responded and adapted to the evolving situation, monitoring the success of measures and protocols adopted in response to the pressures of the pandemic.
  21. Content Article
    The serious and growing workforce crisis in the NHS and social care is the biggest, most pressing threat to the viability of services for people who need them. COVID-19, Brexit, and points based immigration rules have accelerated issues around recruitment, retention, workload, and wellbeing that were already affecting the workforce even before the pandemic. What we need is a relentless focus on implementing solutions, resourcing them properly, and reporting progress, writes David Oliver in this BMJ article.
  22. Content Article
    Amid climbing covid case numbers and with scarce resources, Tara Vijayan describes what it has been like in the US to triage treatments that aim to prevent patients being hospitalised with COVID-19
  23. Content Article
    There has been a lot of discussion about whether the NHS will be overwhelmed this winter, if it is already overwhelmed, or if it is just having yet another “normal” winter crisis and will get through, as it always has, despite the additional pressures from omicron. The sight of the army being deployed in hospitals and ambulance services should be a clue that all is not well, but we are on a “war footing” after all. But can we be more precise about our current state?, writes Katherine Henderson, President of the Royal College of Emergency Medicine, in this BMJ opinion piece. Is the healthcare system delivering the needed level of patient care? The problem of the elective backlog—known and unknown—is well documented. Individual patients have lost months, or even years of good health. They have anxiety, pain, and debilities that limit their ability to engage fully with their families and society. But how about the ability of the NHS to provide safe and effective emergency care to the most seriously ill, distressed, or injured—the emergency part of the urgent and emergency care pathway? What service should we be delivering, and how do we match up to those standards at the moment?
  24. Content Article
    Decision makers should apply insights learnt from people living with chronic illness to collectively managing covid, says Charlotte Augst in this BMJ opinion article.
  25. Content Article
    After nearly two years of pandemic, 5,000 inpatients and 1,000 deaths, the staff of one of the largest hospitals in north-west England are frustrated and exhausted. While ministers talk of encouraging signs that the Omicron wave may be receding in parts of England, staff at the Royal Preston are struggling to keep their heads above water. The hospital has seen a near four-fold increase in Covid patients since Christmas Day, rising to 103 last week. It is one of the largest hospitals in a region with the highest infection levels in the UK and two neighbouring NHS Trusts have declared critical incidents. Despite a recent slowdown in admissions, the “horrendous” levels of staff absence means the pressure is ratcheting up.
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