Knowledge @lert for Tuesday 7th July
2019 adult inpatient survey statistical release – Care Quality Commission (CQC)
The majority of people who stayed as an inpatient in hospital were happy with the care they received, had confidence in the doctors and nurses treating them and felt their fundamental needs were met, according to the latest CQC adult inpatient survey. However, survey respondents were less positive about arrangements and information received when leaving hospital, and access to support and further services once at home. This was a particular concern for people who self-reported as being frail. The survey was conducted before the Covid-19 pandemic.
Capturing beneficial change from the Covid-19 pandemic: response from the British Geriatrics Society – British Geriatrics Society (BGS)
This reportis a response to a request from NHS England and NHS Improvement for examples of beneficial innovations across the NHS that have been implemented during the Covid-19 pandemic and should be retained as the NHS starts to resume business as usual. BGS members contributed examples of innovations that have been implemented in their areas.
The impact of the Covid-19 epidemic on all-cause attendances to emergency departments in two large London hospitals: an observational study – Imperial College
This report aimed to assess how the reorganisation of hospital care and admission policies to respond to the Covid-19 epidemic affected emergency attendances and emergency hospital admissions. The report uses administrative patient level clinical hospital records from two large London hospitals from Imperial College Healthcare NHS Trust (St Mary’s and Charing Cross) to analyse trends in attendances to emergency departments and emergency admissions pre- and post-implementation of lock-down policies in England.
Coronavirus: health and social care key issues and sources – House of Commons Library
This briefing brings together and summarises some of the key issues that MPs have raised on behalf of their constituents around the impact of coronavirus on the health and care sectors.
Returning the NHS to an even keel – Royal College of Physicians
This briefing provides insight into the challenges facing medical specialties. It shows that almost half of physician specialities, including cardiology, gastroenterology and rheumatology, expect to be working at less than previous pre-Covid activity levels for at least 12 months or more. The briefing captures several aspects of restarting activity including specialty capacity, adaptations to services, co-dependencies. It also provides an insight into potential capacity scenarios in genitourinary medicine and rheumatology.
Recovery position: what next for the NHS? – NHS Providers
This report, based on the first full survey of NHS trust leaders since Covid-19 started, sets out the scale of increased demand and the dramatic loss of capacity many trusts are now facing as the NHS juggles treating Covid-19 patients with restarting the full range of services. The report shows that, while trusts are restoring services as fast as they can, some trusts – particularly acute hospitals – believe this restoration will take more than six months.
Supporting trainers, supporting doctors, supporting patients: progress since the postgraduate medical foundation programme review – Health Education England
This resource pack has been developed to help student doctors into foundation training and support them during the programme. It contains information and guidance that will help new doctors as they start their training in August 2020, as well as those currently in the foundation training programme.
NHS to launch ground breaking online COVID-19 rehab service – NHS England
Tens of thousands of people who are suffering long-term effects of coronavirus will benefit from a revolutionary on-demand recovery service, the head of the NHS has announced.
SAS doctor survey report – NHS Employers
Read the results and key findings from a survey about the recruitment and retention of specialty and associate specialist (SAS) doctors.
Recent publications by Southport & Ormskirk clinicians:
- Diabetes & Metabolic Syndrome: Clinical Research & Reviews. Learning opportunities from COVID-19 and future effects on health care system. Iyengar, K., Mabrouk, A., Jain, V.K., Venkatesan, A. and Vaishya, R. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7305503/
- Diabetes & Metabolic Syndrome: Clinical Research & Reviews. Differential mortality in COVID-19 patients from India and western countries. Jain, V.K., Iyengar, K., Vaish, A. and Vaishya, R. https://www.sciencedirect.com/science/article/pii/S1871402120302368
- Diabetes & Metabolic Syndrome: Clinical Research & Reviews. Pitfalls in telemedicine consultations in the era of COVID 19 and how to avoid them. Iyengar, K., Jain, V.K. and Vaishya, R. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7280804/
- Diabetes & Metabolic Syndrome: Clinical Research & Reviews. Redefining diabetic foot disease management service during COVID-19 pandemic. Jaly, I., Iyengar, K., Bahl, S., Hughes, T. and Vaishya, R. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7289094/
- BMJ Postgraduate Medical Journals. COVID-19 and remote consulting strategies in managing trauma and orthopaedics. Karthikeyan Iyengar, Abhishek Vaish, Eugene Toh, Raju Vaishya. https://pmj.bmj.com/content/96/1137/438.full
- British Journal of Healthcare Management. Managing trauma and orthopaedic outpatient services during the COVID-19 pandemic: early experience. Iyengar, K., Sangani, C. and Adam, R.F. https://www.magonlinelibrary.com/doi/full/10.12968/bjhc.2020.0041
- British Dental Journal. A DCT on a trauma and orthopaedic ward. Loh, M., Lyengar, K. and Loh, W.Y.C. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7294211/
- BMJ Case Reports. Isolated pyogenic tenosynovitis of tibialis anterior. Greenhalgh, M.S., Iyengar, K.P., Sangani, C. and Toh, E.M. https://casereports.bmj.com/content/bmjcr/13/6/e236368.full.pdf
- Journal of Clinical Orthopaedics and Trauma. Clinical practice algorithm for Eaton’s injury of the thumb. Iyengar, K., Sree, D.V. and Loh, W.Y. https://www.sciencedirect.com/science/article/abs/pii/S0976566220301764 (Contact the Hanley Library for full text)
- Journal of Orthopaedics. Challenges and strategies in management of osteoporosis and fragility fracture care during COVID-19 pandemic. Upadhyaya, G.K., Iyengar, K., Jain, V.K. and Vaishya, R. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7265833/
- Journal of Clinical Orthopaedics and Trauma. Post COVID-19: Planning strategies to resume orthopaedic surgery–challenges and considerations. Iyengar, K.P., Jain, V.K., Vaish, A., Vaishya, R., Maini, L. and Lal, H. https://www.sciencedirect.com/science/article/pii/S0976566220301594
- British Journal of Healthcare Management. Impact of the coronavirus pandemic on the supply chain in healthcare. Iyengar, K.P., Vaishya, R., Bahl, S. and Vaish, A. https://www.magonlinelibrary.com/doi/full/10.12968/bjhc.2020.0047
- Diabetes & Metabolic Syndrome: Clinical Research & Reviews. Challenges and solutions in meeting up the urgent requirement of ventilators for COVID-19 patients. Iyengar, K., Bahl, S., Vaishya, R. and Vaish, A. https://www.sciencedirect.com/science/article/pii/S1871402120301132
- Cochrane Database of Systematic Reviews. Glucocorticoid replacement regimens for treating congenital adrenal hyperplasia. Ng, S.M., Stepien, K.M. and Krishan, A. https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD012517.pub2/full
- Archives of Disease in Childhood. Longitudinal outcomes of well, term infants who present with persistent hyperthyrotropinaemia. Ng, S.M., Katkat, N., Oryan, T., Ayoade, O.M. and Aleem, M. https://adc.bmj.com/content/early/2020/04/26/archdischild-2020-318809
- Diabetic Medicine. Variations in diabetes transition care for children and young people: a national survey. Ng, S.M., Lay, J.T., Regan, F., Soni, A., Wright, N., Agwu, J.C., Williams, E., Timmis, A., Kershaw, M., Moudiotis, C. and Drew, J. Full text
- Rheumatology international. The prevalence and impact of depression in primary systemic vasculitis: a systematic review and meta-analysis. Pittam, B, Gupta, S, Ahmed, AE, Hughes, DM & Zhao, SS. https://link.springer.com/content/pdf/10.1007/s00296-020-04611-7.pdf
Psychological interventions to foster resilience in healthcare professionals – Cochrane
Do psychological interventions designed to foster resilience improve resilience, mental health and other factors associated with resilience in healthcare professionals? The work of healthcare professionals (e.g. nurses, physicians, psychologists, social workers) can be very stressful. They often carry a lot of responsibility and are required to work under pressure. This can adversely affect their physical and mental health. Interventions to protect them against such stresses are known as resilience interventions. Previous systematic reviews suggest that resilience interventions can help workers cope with stress and protect them against adverse consequences for their physical and mental health.