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Found 2,343 results
  1. News Article
    Drugs that could relieve the symptoms of coronavirus in vulnerable patients and help them avoid admission to hospital are to begin trials in homes across the UK. The experiment, led by a team at Oxford University, seeks to test pre-existing treatments for older people in the community who show signs of the disease. Known as Principle, or “Platform Randomised trial of interventions against Covid-19 in older People”, it is the first to take place in primary care settings such as health clinics. Read full story (paywalled) Source: The Independent, 12 May 2020
  2. News Article
    The number of deaths linked to coronavirus in care homes in England and Wales has fallen, figures show. The Office for National Statistics analysis showed there were 2,423 fatalities where the virus was mentioned on the death certificate in the week ending 1 May. That is down from nearly 2,800 the week before. More than 8,300 deaths in care homes have been linked to virus since the epidemic started. The number of hospital deaths have been falling since early April but the government and care sector had been struggling to contain outbreaks in care homes. Despite the drop, the virus is still have a major impact on the overall number of deaths in care homes. The total number seen in the week to 1 May is still nearly three times higher than you would normally expect. That means there a large number of deaths happening where the cause is unclear. One suggestion has been that the lack of testing in care homes has meant coronavirus has not always been listed on death certificates when it should. Read full story Source: BBC News, 12 May 2020
  3. News Article
    The NHS will this week begin to publish the numbers of people who are dying from coronavirus in mental health and learning disability units, the government has announced. England's national medical director Stephen Powis told the Downing Street daily press briefing that the figures would be published on an "ongoing basis" after calls to paint a clearer picture of the problem. It comes as figures from the Care Quality Commission showed a sharp increase in deaths among mental health patients compared to last year. Asked by The Independent whether the numbers could be made public, he replied: "Yes, I can commit that we will publish that data. "We've been looking at how we can do that; we publish deaths daily, we're looking at how we can report on those groups and I can commit that from next week we'll be publishing data on learning disabilities, autism, and mental health patients who have died in acute hospitals and we will do that on an ongoing basis." Read full story Source: The Independent, 9 May 2020
  4. Content Article
    The steps that need to be taken to end the coronavirus crisis are not unknown; they are clear and informed by evidence and the experience of other countries. The public deserves a plan of action to ease and ultimately lift restrictions in a careful manner that does not risk a resurgence of the epidemic, resulting in an endless cycle of infection waves and economic depression. In this article, Emanuel et al. outline the steps the federal government and states need to take and systems to implement, at a minimum, to prevent a second wave and allow a return to some degree of normal life.
  5. News Article
    Ministers have asked local directors of public health to take charge of COVID-19 testing in English care homes in what will be seen as a tacit admission that centralised attempts to run the programme have fallen short. In a letter to sector leaders, seen by the Guardian, the care minister, Helen Whately, acknowledged that testing of care home residents and staff needs to be “more joined up”. She describes the new arrangements as “a significant change”. Under the new approach, public health directors employed by local councils will take lead responsibility for arranging the testing of some 400,000 care home residents and 500,000 staff, in discussion with directors of adult social services, local NHS bodies and regional directors of Public Health England (PHE). Critically, the local public health directors will decide which homes should have priority in the testing programme, which is still working up to a capacity of 30,000 tests a day for the sector. The switch is a conspicuous, if belated, vote of confidence in local government’s ability to help get a grip on the Covid crisis. There has been frustration and incomprehension that public health teams have until now been left as bit-players in the testing programme and in tracking and tracing carriers of the virus. Read full story Source: The Guardian, 8 May 2020
  6. News Article
    The NHS in London is planning to “fundamentally shift the way we deliver health and care” in the wake of coronavirus, according to documents obtained by HSJ. The plans from NHS England and Improvement’s London office say leaders should: Plan for elective waiting times to be measured at integrated care system level, rather than trust level. Accept “a different kind of risk appetite than the one we are used to”. Expect decisions from the centre on the location of cancer, paediatric, renal, cardiac, and neurosurgical services. Plan for a permanent increase in critical care capacity. Transform to a “provider system able to be commissioned and funded on a population health basis”. Work towards “a radical shift away from hospital care”. Expect “governance and regulatory landscape implications” plus “streamlined decision-making”. The document, titled Journey to a New Health and Care System, says there are three “likely” phases, with the final new system in place “from November 2021”. The preceding two phases are “action programmes” over the next 12 to 15 months which will be about reconfiguring services to deal with “immediate covid, non-covid and elective need”, and “transition” when the move to new configurations is evaluated and “public consent” sought. Read full story Source: HSJ, 11 May 2020
  7. News Article
    The deaths of more than 50 hospital and care home workers have been reported to Britain’s health and safety regulator, which is considering launching criminal investigations, the Guardian has learned. The Health and Safety Executive (HSE), which investigates the breaking of safety at work laws, has received 54 formal reports of deaths in health and care settings “where the source of infection is recorded as COVID-19”. These are via the official reporting process, called Riddor: Reporting of Injuries, Diseases and Dangerous Occurrences. Separately, senior lawyers say any failures to provide proper personal protective equipment (PPE) may be so severe they amount to corporate manslaughter, with police forces drawing up plans to handle any criminal complaints. Despite weeks of pleading, frontline medical staff complain that PPE is still failing to reach them as hospitals battle the highly contagious virus. Senior barristers say criminal investigations should be launched, and that there are grounds to suspect high-level failures. Read full story Source: The Guardian, 10 May 2020
  8. News Article
    About 8,000 more people have died in their own homes since the start of the coronavirus pandemic than in normal times, a Guardian analysis has found, as concerns grow over the number avoiding going to hospital. Of that total, 80% died of conditions unrelated to COVID-19, according to their death certificates. Doctors’ leaders have warned that fears and deprioritisation of non-coronavirus patients are taking a deadly toll. Doctors’ leaders have warned that some sick people are too scared to go to hospital and are aware that much of the usual NHS care had been suspended in the pandemic. “These figures underline that the devastation wrought by Covid-19 spreads far beyond the immediate effects of the illness itself,” said Dr Chaand Nagpaul, the council chair of the British Medical Association. “While all parts of the NHS have rallied round in a bid to meet the immediate rocketing demand caused by the pandemic, more than half of doctors in a recent BMA survey have told us that this is worsening the care of non-Covid patients.” Read full story Source: The Guardian, 8 May 2020
  9. News Article
    Surgeons have invented a new device to make it safer to diagnose some cancers during the coronavirus pandemic. Most nose and throat investigations have been cancelled due to increased risks of medics contracting COVID-19 via patients' coughs and sneezes. Two consultants have developed a device that clips over patients' masks and protects front-line workers. The West Midlands-based doctors want to raise £50,000 they say is enough to make devices for use across the NHS. Chris Coulson, a consultant ear, nose and throat surgeon at University Hospitals Birmingham NHS Foundation Trust, said procedures involving an endoscope to examine the nose or throat were known to put clinicians at a significantly increased risk of contracting coronavirus. "When clinicians carry out a nasendoscopy it can make patients cough, sneeze, and splutter - which risks spreading the virus to doctors, nurses and therapists," he said. His company endoscope-i Ltd, co-founded with Ajith George, a consultant head and neck surgeon at University Hospitals North Midlands, has now developed the SNAP. It clicks on to a conventional surgical mask, creating a hole through which the clinician can pass an endoscope directly into a patient's nose. A valve means, despite there being a hole, any coughs, sneezes or splutters are caught within the mask. Mr George said: "If we can raise the money needed to produce the devices, we can keep looking after patients and ensure that diagnosis and treatment is not delayed." Read full story Source: BBC News, 11 May 2020
  10. Content Article
    A blog in the Guardian from an anonymous care worker about the unfair treatment of care home workers, the lack of personal protective equipment available, the fear of speaking up, and the stress and anxiety the pandemic is causing.
  11. Content Article
    This month’s Private Eye podcast is all about COVID-19. The Eye’s medical correspondent, Dr Phillip Hammond, discusses the latest developments, plus some faint lights at the end of the tunnel.
  12. Content Article
    New Brunswick is the first province in Canada to begin relaxing the restrictions it put in place to control the spread of the novel coronavirus. On 24 April, Premier Blaine Higgs was joined by other political parties in announcing the immediate reduction of safety restrictions. It was an act of cross-party support in response to the COVID-19 pandemic which has seen Higgs invite the fellow party leaders to form an all-party cabinet committee. The decision to relax the restrictions came as New Brunswick experienced a sixth straight day of no new cases. Read their four-step plan.
  13. Content Article
    Kerala is a state in India. The Government of Kerala set up an Expert Committee on Strategy to look at easing lockdown restrictions and has produced the attached report.
  14. Content Article
    Charts comparing COVID-19 deaths across countries are appearing daily in our newsfeeds. Done well, these international comparisons can help us to understand how different national strategies and policies have affected the spread and severity of COVID-19 outbreaks. But sometimes what is presented in these neat charts is not quite as straightforward as it seems, and can draw misleading conclusions. Excess deaths is a better measure than COVID-19 deaths of the pandemic’s total mortality. It measures the additional deaths in a given time period compared to the number usually expected, and does not depend on how COVID-19 deaths are recorded. This report, written by Holly Krelle, Claudia Barclay and Charles Tallack, summarises some of the ways of comparing countries to help use make sense of data on deaths.
  15. Content Article
    "Some weeks ago my main worries were around my GCSEs. Now I hear every day about deaths from COVID-19." Teenager Zoya Aziz's parents are both doctors. In this blog in the Guardian, she gives a frank account of her life at the moment and her fears.
  16. News Article
    Deaths in mental health hospitals have doubled compared to last year after 54 deaths linked to coronavirus in just three months, it has emerged. The care watchdog, the Care Quality Commission (CQC), has issued a warning to mental health hospitals that they must take action to protect vulnerable patients. New data published by the regulator showed there was a total of 106 deaths of people in mental health hospitals between 1 March and 1 May compared to 51 in the same period in 2019. In total 54 of these deaths are from confirmed or suspected coronavirus infections. The CQC has now written to all mental health hospital providers highlighting its fears over the spread of the virus within secure hospitals and units. Read full story Source: The Independent, 8 May 2020
  17. Content Article
    The COVID-19 pandemic has affected some sections of the population more than others, and there are growing concerns that the UK’s minority ethnic groups are being disproportionately affected. Following evidence that minority groups are over-represented in hospitalisations and deaths from the virus, Public Health England has launched an inquiry into the issue. In the short term, ethnic inequalities are likely to manifest from the COVID-19 crisis in two main ways: through exposure to infection and health risks, including mortality; through exposure to loss of income. This report brings together evidence on the unequal health and economic impacts of COVID-19 on people in minority ethnic groups in the UK, presenting information on risk factors for each of the largest minority ethnic groups in England and Wales: white other, Indian, Pakistani, Bangladeshi, black African and black Caribbean. The analysis focuses on a limited but crucial set of risk factors in terms of both infection risk and economic vulnerability in the short term.
  18. News Article
    Deaths of those with learning disabilities and autism fromCOVID-19 are to be analysed by Public Health England (PHE), HSJ can reveal. Several senior sources have confirmed PHE has put together a group, which includes independent experts, to analyse mortality data. They had previously not been included in the government’s inquiry into the over-representation of some groups among covid fatalities. The news comes amid mounting concerns from major charities over the of lack transparency in data collected centrally on the deaths of people from these these groups during the pandemic. In a letter yesterday , seen by HSJ, Labour’s shadow secretary for social care Liz Kendall, urged Department of Health and Social Care minister Helen Whately to publish data on deaths reported to the Learning Disabilities Mortality Review Programme (LeDer). Earlier this week NHS England and NHS Improvement told HSJ the weekly data it is receiving from the national learning disability morality review programme (LeDer) on suspected and confirmed deaths of those with learning disabilities and autism from COVID-19 would not be published until next year. In her letter Ms Liz Kendall said the Government should “immediately” release the deaths notifications being provided by LeDer along with a “retrospective” analysis from the beginning of the pandemic. Read full story Source: HSJ, 7 May 2020
  19. News Article
    The Office for National Statistics (ONS) has published its first figures analysis Covid-19 related deaths by ethnic group in England and Wales between March 2 and April 10. The results showed that the risk of death involving the coronavirus among Black, Asian, and minority ethnic (BAME) groups is “significantly higher” than that of those of white ethnicity. Researchers found that when taking age into account, in comparison to white men and women, black men are 4.2 times more likely to die from a Covid-19-related death and black women are 4.3 times more likely. People with Bangladeshi, Pakistani, Indian and mixed ethnicities have a raised risk of death, too. Read full story (paywalled) Source: The Telegraph, 7 May 2020
  20. News Article
    The shipment of 400,000 gowns from Turkey which was part of a delayed consignment of personal protective equipment (PPE) has been impounded in a warehouse after falling short of UK standards. The personal protective equipment (PPE) was flown into the UK by the RAF last month, arriving three days late, but has been held in a government warehouse near Heathrow since, the Daily Telegraph said. During mid-April, when coronavirus deaths in the UK were at their highest, the NHS required 150,000 gowns each day. Cabinet minister Brandon Lewis said the gowns were “not be of the quality that we feel is good enough for our frontline staff”. Speaking on Sky News, Mr Lewis said: “Well when we’re securing PPE from around the world you do it based on a set of standards that you’re looking to acquire to, but obviously once it’s here we check that it is good enough for what we want to use and in this instance some of this PPE turned out not to be good enough.” “I think it is right that if we have got particular standards for what we want our frontline staff to be able to have access to we make sure we stick to that. If something isn’t right, if we’re not even sure about it then I think it is better to be safe and not use that product and stick with products we are confident are the right products and the right standards.” Read full story Source: ITV News, 7 May 2020
  21. News Article
    Trials have begun in the UK to test the effectiveness of blood plasma transfusions in treating patients suffering from COVID-19. NHS Blood and Transplant (NHSBT) have started delivering the first units of convalescent plasma, which contains the antibodies of people who have recovered from coronavirus, to hospitals in England. In total, 14 units have been supplied to Guy’s and St Thomas’ NHS Foundation Trust, Imperial College Healthcare NHS Trust and University Hospitals Birmingham NHS Foundation Trust. The first transfusions have been administered, NHSBT confirmed on Wednesday, though the efficacy of the treatment will not be known until the trial ends. Seven hospitals are currently taking part in the trials, which will assess a patient’s speed of recovery and chances of survival, with more expected to join in the coming months as the number of people eligible to donate blood plasma increases. As of Tuesday, more than 6,500 people had signed up while around 400 donations had been made. Gail Miflin, Chief Medical Officer for NHS Blood and Transplant, said: “We’re delighted the first patients are receiving convalescent plasma transfusions thanks to the generosity of our donors." Read full story Source: The Independent, 7 May 2020
  22. News Article
    Concerns for the wellbeing of babies born in lockdown are being raised, as parents struggle to access regular support services. England's children's commissioner is highlighting pressures facing mothers caring for babies without the usual family and state support networks. Playgroups are closed and health visitor "visits" are being carried out remotely in most cases. The NHS said adaptations had been made to keep new mothers and babies safe. The briefing paper from Anne Longfield's office says an estimated 76,000 babies will have been born in England under lockdown so far. But births are not being registered, because of temporary rules tied to the virus pandemic, so even basic information about new babies is not being gathered. At the same time, support services provided by health visitors and GPs are not readily accessible, with many taking place via phone and video calls or not at all. There are concerns many babies may have missed their developmental health checks, due in the first few weeks of life to pick up urgent developmental needs. "In some areas, the six-week GP baby check hasn't been available or parents haven't wanted to attend it due to a potential risk of infection," she said. Read full story Source: BBC News, 7 May 2020
  23. News Article
    More than three quarters of GPs fear delays to care because of COVID-19 will harm patients, with one in three reporting that urgent referrals have been rejected during the pandemic, a GPonline poll shows. The poll of 415 GPs found that 77% were concerned that delays to operations and treatments for non-COVID-19 issues would result in patients coming to harm. Meanwhile, 30% of GPs said they have had an urgent referral rejected during the pandemic. Rejected referrals included two-week-wait referrals for suspected cancer as well as urgent referrals for investigations such as ECGs, echocardiograms and CT scans. GPs also highlighted concerns over delays to treatment for cancer, with respondents warning that breast cancer surgeries had been postponed or chemotherapy delayed. Read full story Source: GP Online, 5 May 2020
  24. Content Article
    This is a guide from the British Psychological Society, for leaders and managers of healthcare services who will need to consider the wellbeing needs of all healthcare staff (clinical and non-clinical) as a result of the Coronavirus outbreak. It offers practical recommendations for how to respond at individual, management and organisational level involving the appropriate utilisation of expertise within their practitioner psychologist and mental health professionals and anticipates the psychological reactions over time, and what people may need to recovery psychologically from this.
  25. Content Article
    A conversation between WIRED editor in chief Nicholas Thompson and Carbon Health co-founder Caesar Djavaherian.
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