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Found 2,343 results
  1. Content Article
    In her latest blog, Claire, a critical care outreach nurse, reflects on how the 'ad hoc' team has to adapt to the new challenges the coronavirus pandemic brings. She offers insights into the challenges she and her team face and gives examples of potential solutions.
  2. Content Article
    This guidance, from the Intensive Care Society, states that prone positioning is a simple intervention that can be done in most circumstances, is compatible with all forms of basic respiratory support and requires little or no equipment in the conscious patient. Given its potential for improving oxygenation in COVID-19 patients the authors advocate that a trial of conscious prone positioning be performed on all suitable patients on the ward. This guidance includes a flow diagram to identify when it may be beneficial to trial conscious proning.
  3. Content Article
    Read the latest episode in a series of podcasts from the Clinical Human Factors Group giving tips from frontline staff working with Covid patients.
  4. News Article
    Some seriously ill COVID-19 patients in London may not have been taken to hospital by ambulance because of a system temporarily used to assess people, a BBC investigation suggests. Patients could have "become very sick or died at home" instead, a paramedic claimed. One family said they had to plead to get hospital care. Medical professionals use 'NEWS2', as one way of identifying patients at risk of deteriorating, a check normally used for sepsis patients. Under normal circumstances, ambulance teams would blue-light anyone with a score of five or above to hospital. But on 18 March, LAS workers were told to apply the NEWS2 check to suspected Covid patients and that many of those with a score up to seven could be "suitable for community care", even if there were issues with breathing rate, oxygen supply and consciousness. But one paramedic, who wanted to remain anonymous because she did not have permission to speak to the media, said she believed that as a result of the NEWS2 advice, crews went to patients "who may have been seen by ambulance before and then suddenly became very sick or even just dropped dead." Read full story Source: BBC News, 23 April 2020
  5. News Article
    The availability of dialysis equipment used to treat more than a quarter of ventilated COVID-19 patients has reached “critical” levels, HSJ has learned. Concerns are growing over an “exceptional shortage” of specialist dialysis machines used to treat intensive care patients with acute kidney failure. Although hospitals are able to deploy alternative machines which are not typically used in intensive care, this is logistically challenging and can carry increased risks for patients. Read full story Source: HSJ, 22 April 2020
  6. Content Article
    This blog published in the Intelligencer explores the impact COVID-19 will have on frontline staffs' mental health.
  7. Content Article
    AI health chatbots around the world have been racing to add coronavirus detection into algorithms or put up helpful information to demonstrate they are part of the response to coronavirus (COVID-19). But to be honest, it’s pointless. A symptom checker can’t diagnose you with COVID-19. That can only be done through testing. The symptoms are too close to cold and flu. However, Prof Dr. Maureen Baker, Chief Medical Officer at Your.MD and former Chair of the UK’s Royal College of General Practitioners, has been involved at the highest level of pandemic preparation planning in the UK for decades and she is clear that AI chatbots, like Your.MD, can play a vital role in reducing the number of people who unnecessarily seek medical treatment and the deaths of individuals who are endangered by symptoms unrelated to COVID-19. So, if AI health chatbots can’t reliably detect COVID-19 and should only advise you to stay at home, what else can they do? “They can work in tandem with governments and health services to stop the worried well not at risk from the virus from seeking treatment, and also support people to self-care where that is appropriate,” says Prof Baker. She thinks that with collaboration, there is enormous potential for chatbots to act as reliable companions providing guidance and tracking symptoms.
  8. News Article
    A third of pharmacists cannot obtain continuous supplies of personal protective equipment (PPE), according to a survey conducted by the Royal Pharmaceutical Society (RPS). The survey found that 34% of respondents said they were not able to source continued supplies of PPE as they work in the face of COVID-19. The poll of 445 pharmacists also revealed that 94% were unable to maintain social distancing of two metres from other staff in their pharmacy, mainly because the pharmacies — and the dispensaries in particular — were too small. A further 40% of respondents said they were unable to maintain social distancing of two metres from patients. The results of the survey, which ran between 14 and 20 April 2020, have come after Public Health England (PHE) updated its PPE guidance on 10 April 2020, which recommends that pharmacy staff only wear fluid-resistant (type IIR) surgical masks (FRSMs) when in “contact with possible or confirmed cases of COVID-19” and not around other pharmacy staff. Read full story Source: The Pharmaceutical Journal, 22 April 2020
  9. News Article
    In recent weeks, there has been sustained public and media interest in the death from COVID-19 of health and social care workers. Both mainstream and social media outlets have been reporting on these deaths individually or collectively, but there has been no formal analysis of this data. The deaths of 119 NHS staff have now been analysed by three leading clinicians and the results are been published by HSJ. HSJ highlights three key findings from the analysis: 1. The disproportionately high rate of BAME individuals among those who have died; 2. The absence of those members of staff considered at high risk of viral exposure and transmission; and 3. The overall rate of fatalities compared to the population. Read full story Source: HSJ, 22 April 2020
  10. News Article
    Delays in diagnosing and treating people with cancer could lead to more years of lost life than with COVID-19, according to a leading cancer expert. A drop-off in screening and referrals means roughly 2,700 fewer people are being diagnosed every week, Cancer Research UK says. Cancer screening has paused in Wales, Scotland and Northern Ireland, with few invitations sent out in England. People are still advised to contact their GP with worrying symptoms. But Richard Sullivan, professor of cancer and global health at King's College London, said there was more fear of Covid-19 than of having cancer at the moment. With GPs more difficult to contact than normal, this was resulting in a "dramatic drop-off" in referrals to specialists, he said. "Most modellers in the UK estimate excess of deaths is going to be way greater than we are going to see with Covid-19," he said. Read full story Source: 22 April 2020, BBC News
  11. News Article
    Military personnel have criticised the NHS for its “appalling” handling of distributing personal protective equipment. The armed forces are helping with the distribution of equipment and staff have been seconded to help planning across seven hubs. A senior army source lambasted the health service for its logistics for PPE, alleging that masks, aprons, gloves and other items were being assigned to hospitals without regard to relative need, leading to oversupply in some areas and shortages in others. Read full story (paywalled) Source: The Times, 22 April 2020
  12. News Article
    The coronavirus pandemic has already caused as many as 41,000 deaths in the UK, according to a Financial Times analysis of the latest data from the Office for National Statistics. The estimate is more than double the official figure of 17,337 released by ministers on Tuesday, which is updated daily and only counts those who have died in hospitals after testing positive for the virus. The FT extrapolation, based on figures from the ONS that were also published on Tuesday, includes deaths that occurred outside hospitals updated to reflect recent mortality trends. The ONS data also showed that deaths at home and in care homes had also jumped sharply during the pandemic. In the week ending 10 April, deaths in care homes reached 4,927, almost double the figure of 2,471 a month earlier. The ONS said on Tuesday it had asked Public Health England to investigate why care home deaths were rising so sharply. Read full story Source: The Financial Times, 22 April 2020
  13. Content Article
    This resource has been developed by a group of multi-disciplinary health professionals at Lancashire Teaching Hospitals. The purpose of the website is to support patients with their initial recovery once discharged from hospital following treatment for COVID-19. It is hoped that the information and advice provided will assist patients and their families starting their rehabilitation journey. Although hospital admission is referred to throughout this resource, it can also be used for patients who remain in their own homes and we hope that the information and advice provided will assist all patients and their families starting their rehabilitation journey following COVID-19.
  14. Content Article
    Health Education England (HEE) has created this accelerated preceptorship guide, for use with newly qualified practitioners (NQPs) and Health Care Professionals (HCP's) on the NMC Covid-19 temporary register in response to the COVID-19 pandemic. The guidance is focused on how health and care organisations pan-London can support newly qualified practitioners (NQPs) and health care professionals (HCPs) on the Covid-19 temporary register. This is a fast-changing and emerging situation and guidance may be subject to further development. Therefore, these principles should be used in conjunction with advice and guidance from the regulatory councils (e.g. Nursing and Midwifery Council (NMC), the royal colleges, trade unions and national HEE guidance.
  15. News Article
    Significant concerns about the NHS’ refusal to share data with councils have emerged in a letter from a leading council chief executive and clinical commissioning group accountable officer. Steven Pleasant, chief executive of Tameside Metropolitan Borough Council and accountable officer of Tameside and Glossop CCG, said the failures are “becoming increasingly exasperating”, in a letter intended for the Ministry of Housing, Communities and Local Government’s shielding sounding board. Steven said he understands NHS Digital has decided the most recent version of the list cannot be shared with councils even though it is being shared with police, fire, voluntary organisations and companies offering logistical support. “I am sure that you will appreciate that this is counterproductive and frustrating given that local authorities are leading and coordinating the response to the most vulnerable in communities,” he wrote. He also raised concerns about how the NHS’ shielded patients team is passing on to councils information about people needing additional support — for instance, if the recipient’s food parcel stock is running low, requiring the council to step in. Welfare concerns and medication information could also need to be passed on. Mr Pleasant said although his council had asked for this information to be provided via email, staff “have been told by the NHS shielding team that they do not have permission to do this and that details can only be provided verbally over the phone”. “We believe this significantly increases the chances of error and presents significant risk… around incorrect information being captured,” he wrote. Read full story Source: HSJ, 21 April 2020
  16. News Article
    Dozens of patients with Covid-19 have been turned away from the NHS Nightingale hospital in London because it has too few nurses to treat them, the Guardian can reveal. The hospital has been unable to admit about 50 people with the disease and needing “life or death” care since its first patient arrived at the site, in the ExCeL exhibition centre, in London’s Docklands, on 7 April. Thirty of these people were rejected because of a lack of staff. The planned transfer of more than 30 patients from established London hospitals to the Nightingale was “cancelled due to staffing issues”, according to NHS documents seen by the Guardian. The revelation raises questions about the role and future of the hospital, which up until Monday had only treated 41 patients, despite being designed to include almost 4,000 beds. One member of staff said: “There are plenty of people working here, including plenty of doctors. But there aren’t enough critical care nurses. They’re already working in other hospitals and being run ragged there. There aren’t spare people [specialist nurses] around to do this. That’s the problem. That leads to patients having to be rejected, because there aren’t enough critical care nurses.” Read full story Source: The Guardian. 21 April 2020
  17. News Article
    NHS staff should “feel free” to speak out about problems like protective equipment shortages, Matt Hancock has said, despite many having been warned not to do so. The health and social care secretary told the daily coronavirus briefing on 21 April that it’s “totally normal” for NHS staff to raise concerns about personal protective equipment shortages in their areas and said “transparency is important”. HSJ has heard from multiple senior local NHS leaders that they have been given strong warnings not to communicate externally about the COVID-19 response, with national officials seeking to closely grip information given to the media. There have been several reports of healthcare professionals having been “gagged” by hospitals and NHS bodies, with some reports of threats of disciplinary action if they raise concerns on social media or speak to journalists. Read full story Source: HSJ, 21 April 2020
  18. News Article
    Coronavirus tests given to thousands of NHS staff so they could return to work have been found to be flawed and should no longer be relied on, a leaked document reveals. The memo from Public Health England (PHE), sent earlier this month, warns of "degraded" performance, meaning the results are less reliable than first thought. Almost 100,000 NHS and social care workers and their relatives have now undergone tests in an effort to get as many staff back to the frontline as possible. But the memo, dated April 11, reveals that "discordant results" have been identified in the tests, run by PHE and NHS laboratories, requiring ambiguous samples to be re-checked. Read full story Source: The Telegraph, 22 April 2020
  19. Content Article
    In a crisis, normal processes must often be modified to ensure that the best possible care is provided while ensuring the safety of patients and personnel despite limited resources. ECRI has collated resources that include preparation checklists, patient handling checklists, equipment lists, lists of alternative suppliers, recommendations for patient care equipment such as ventilators, and recommendations for infection control.
  20. Content Article
    How do we protect individuals during lockdown and ensure their health needs are not exacerbated or overshadowed by COVID-19? Simple Stuff Works has created a webinar series to support those providing care for people with postural care needs (anyone who finds it difficult to change position independently and is reliant on others for their positioning / repositioning needs).
  21. News Article
    More than a quarter of patients with COVID-19 on ventilators also need renal support in the form of dialysis, raising concerns that there could be significant supply problems as countries attempt to stock up on the required fluid and plastic consumables. Nephrology consultant Graham Lipkin told The BMJ, “This is an under-recognised challenge. While the original focus has been on whether we have enough ventilators and intensive care beds, it has become apparent that there is a high incidence of acute kidney injury (AKI) requiring some form of renal replacement therapy (RRT) through dialysis. With the volume of people coming into intensive care, there are increasing challenges to capacity across the system.” Lipkin, who is president of the Renal Association, has been working with NHS England to develop new clinical guidelines for the prevention and optimal management of AKI in hospital. The guidance aims to reduce the incidence of AKI and therefore the demand for dialysis. Read full story Source: BMJ, 21 April 2020
  22. News Article
    UK medicines agencies have changed their advice on ibuprofen to say that the drug can be used to treat patients with symptoms of COVID-19, although the evidence that prompted the revision has not been made public. The change follows a review by the Commission on Human Medicines’ expert working group on COVID-19 which, along with previous reviews of evidence, concluded that there is currently insufficient evidence to establish a link between use of ibuprofen, or other non-steroidal anti-inflammatory drugs (NSAIDs), and contracting or worsening of COVID-19. The group’s review has not been published, but prompted the Medicines and Healthcare Products Regulatory Agency (MHRA), NHS England, and the National Institute for Health and Care Excellence (NICE) to update their advice to say that patients can take paracetamol or ibuprofen for symptoms of COVID-19, such as fever and headache. This is a change to NICE’s recommendation on 3 April that paracetamol should be used in preference to NSAIDs for managing fever in patients with suspected COVID-19 until more evidence is available. Read full story Source: BMJ, 17 April 2020
  23. News Article
    More than 16% of people who had tested positive for coronavirus when they died were from black, Asian and minority ethnic (BAME) communities, new data shows. On Monday, NHS England released data showing the ethnic breakdown of people who have died with coronavirus for the first time. The statistics come days after a review was announced to examine what appears to be a disproportionate number of BAME people who have been affected by Covid-19. Last week Downing Street confirmed the NHS and Public Health England will lead the review of evidence, following pressure on ministers to launch an investigation. Discussing the review, Professor Chris Whitty, the chief medical officer for England, said ethnicity is "less clear" than three others factors in determining who is most at risk from coronavirus. Read full story Source: The Independent, 21 April 2020
  24. Content Article
    The COVID-19: Recovery Response service has been set up by the UK Sepsis Trust and offers professional support to anyone who has been critically ill in hospital with COVID-19 and their family.
  25. Content Article
    Access to high quality community rehabilitation for those worst affected by COVID-19 will be critical. On the horizon is a significant increase in demand. These services already face major disruption from the pandemic due to the redeployment of the workforce and social distancing and shielding requirements. The Chartered Society of Physiotherapy have published some FAQs to help physiotherapists understand what this means for rehabilitation during the pandemic.
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