{"id":14313,"date":"2020-12-18T15:49:55","date_gmt":"2020-12-18T15:49:55","guid":{"rendered":"http:\/\/www.lihnnhs.info\/Sando\/?p=14313"},"modified":"2020-12-18T15:59:31","modified_gmt":"2020-12-18T15:59:31","slug":"knowledge-lert-for-friday-18th-december","status":"publish","type":"post","link":"https:\/\/www.lihnnhs.info\/Sando\/2020\/12\/18\/knowledge-lert-for-friday-18th-december\/","title":{"rendered":"Knowledge @lert for Friday 18th December"},"content":{"rendered":"<p><strong>COVID-19\u00a0rapid guideline: managing the long-term effects of COVID-19 [NG188], NICE (published 18th December 2020)<\/strong><br \/>\nThis <a href=\"https:\/\/www.nice.org.uk\/guidance\/ng188\">guideline<\/a> covers identifying, assessing and managing the long-term effects of COVID-19, often described as &#8216;long COVID&#8217;. It makes recommendations about care in all healthcare settings for adults, children and young people who have new or ongoing symptoms 4 weeks or more after the start of acute COVID-19. It also includes advice on organising services for long COVID.<\/p>\n<hr \/>\n<p><strong>COVID-19:\u00a0guidance for stepdown of infection control precautions within hospitals and discharging COVID-19 patients from hospital to home settings, PHE (updated 18th December 2020)<\/strong><br \/>\n<a href=\"https:\/\/www.gov.uk\/government\/publications\/covid-19-guidance-for-stepdown-of-infection-control-precautions-within-hospitals-and-discharging-covid-19-patients-from-hospital-to-home-settings\">Update in this version<\/a> (published 18th December 2020) &#8211; updated to include information on designated settings and exemption from re-testing. Update in version published 30th July 2020 &#8211; changes to self-isolation policy for all admitted patients to 14 days; updated section 3 to include the provision of written instructions for ongoing isolation when discharging patients.<\/p>\n<hr \/>\n<p><strong>COVID-19:\u00a0management of staff and exposed patients and residents in health and social care settings, PHE (updated 17th December 2020)<\/strong><br \/>\nThis is <a href=\"https:\/\/www.gov.uk\/government\/publications\/covid-19-management-of-exposed-healthcare-workers-and-patients-in-hospital-settings\">guidance<\/a> on the management of staff, patients and residents who have been exposed to COVID-19. Update in this version (published 17th December 2020) &#8211; added information on isolation periods and re-testing exemptions. Update in version published 14th December 2020 &#8211; updated self-isolation period.<\/p>\n<hr \/>\n<p><strong>Weekly publication of Covid-19 admissions and bed occupancy data<\/strong><br \/>\nThis file contains Covid data on measures of hospital admissions and the number of beds occupied by Covid patients and the number of MV beds (beds capable of supporting mechanical ventilation) occupied by Covid patients.\u00a0<a class=\"xls-link\" href=\"https:\/\/www.england.nhs.uk\/statistics\/wp-content\/uploads\/sites\/2\/2020\/12\/Weekly-covid-admissions-and-beds-publication-201217.xlsx\">Weekly Admissions and Beds 17 December 2020 (XLSX, 2.3MB)<\/a><\/p>\n<hr \/>\n<p><strong>Safety\u00a0of COVID-19 vaccines when given in pregnancy -PHE (published 18th December 2020)<\/strong><br \/>\nGuidance for health professionals to <a href=\"https:\/\/www.gov.uk\/government\/publications\/safety-of-covid-19-vaccines-when-given-in-pregnancy\">share with pregnant women immunised with COVID-19 vaccines<\/a>.<\/p>\n<hr \/>\n<p><strong>Guidance:\u00a0Roll out of lateral flow tests to local authorities &#8211; Department of Health and Social Care<\/strong><br \/>\nA <a href=\"https:\/\/www.gov.uk\/government\/publications\/roll-out-of-lateral-flow-tests-to-local-authorities\">list of local authorities<\/a> across England issued with rapid coronavirus (COVID-19) tests by the Department of Health and Social Care.<\/p>\n<hr \/>\n<p><strong>How\u00a0charges for NHS hospital care will apply to overseas visitors from 1 January 2021 &#8211; Department of Health and Social Care<\/strong><br \/>\nThis <a href=\"https:\/\/www.gov.uk\/government\/publications\/how-charges-for-nhs-hospital-care-will-apply-to-overseas-visitors-from-1-january-2021\/how-charges-for-nhs-hospital-care-will-apply-to-overseas-visitors-from-1-january-2021\">guidance<\/a> sets out information for overseas visitors on charging for NHS hospital care from 1 January 2021.<\/p>\n<div class=\"page-title\">\n<hr \/>\n<p><strong>Essential Brexit information and resources &#8211; NHS Confederation<\/strong><br \/>\nAs the negotiation deadline nears, access the most relevant resources, information and commentary to help you prepare your organisation for the EU exit.<\/p>\n<div>\n<ul>\n<li><a href=\"https:\/\/www.nhsconfed.org\/resources\/2020\/11\/preparing-your-nhs-organisation-for-end-of-eu-exit-transition\">Preparing your NHS organisation for the end of the EU exit transition period &#8211; a quick guide<\/a><\/li>\n<li><a href=\"https:\/\/www.nhsconfed.org\/resources\/2020\/11\/data-adequacy-and-brexit\">Data adequacy and Brexit: practical implications for the NHS<\/a><\/li>\n<li><a href=\"https:\/\/www.nhsconfed.org\/resources\/2020\/08\/approaching-the-end-of-brexit-transition-implications-for-the-nhs\">Approaching the end of the Brexit transition: practical implications for the NHS<\/a><\/li>\n<\/ul>\n<\/div>\n<\/div>\n<hr \/>\n<p><strong>Mend\u00a0the gap: the independent review into gender pay gaps in medicine in England -Department of Health and Social Care<\/strong><br \/>\nThis <a href=\"https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/944246\/Gender_pay_gap_in_medicine_review.pdf\">review<\/a> aims to take a comprehensive approach to understanding the structural and cultural barriers affecting the female medical workforce. It responds to two primary concerns: the gender pay gap in medicine is large for a single professional group; and the new NHS contract for Doctors and Dentists in Training has a potentially negative impact on the pay gap due to a loss of increments during maternity leave.<\/p>\n<hr \/>\n<p><strong>HSJ\u00a0covid-19 coverage free to view &#8211; Health Service Journal<\/strong><br \/>\nHSJ is <a href=\"https:\/\/www.hsj.co.uk\/coronavirus\/hsj-covid-19-coverage-free-to-view\/7029208.article\">switching off its paywall for coronavirus stories<\/a> over Christmas and New Year\u2019s Eve.<\/p>\n<hr \/>\n<p><strong>Chief\u00a0Medical Officer\u2019s annual report 2020: health trends and variation in England &#8211; Department of Health and Social Care<\/strong><br \/>\nAfter a brief section on the coronavirus (Covid-19) pandemic in England, the main <a href=\"https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/945929\/Chief_Medical_Officer_s_annual_report_2020_-_health_trends_and_variation_in_England.pdf\">report<\/a> consists of a collection of charts that present a broad and high-level overview of the nation\u2019s health across a range of health outcomes and public health indicators. A key theme is the variation in health that exists across different dimensions: over geographies, over time, and between groups of people.<\/p>\n<hr \/>\n<p><strong>Cancer\u00a0services recovery plan &#8211; NHS England\u00a0<\/strong><br \/>\nOne of the most significant impacts of the coronavirus pandemic was a sharp reduction in the number of people coming forward and being referred urgently with suspected cancer and referred from screening programmes.<a href=\"https:\/\/www.england.nhs.uk\/coronavirus\/wp-content\/uploads\/sites\/52\/2020\/12\/C0821-COVID-19-Cancer-services-recovery-plan-14-December-2020.pdf\"> This plan<\/a> has several aims, including restoring demand at least to pre-pandemic levels and reducing the number of people waiting over 62 days from urgent referral.<\/p>\n<hr \/>\n<p><strong>Multidisciplinary\u00a0patient review in COVID-19 cohort wards &#8211; RCP\u00a0<\/strong><br \/>\nFive health organisations release new joint guidance today to support teams caring for people with COVID-19. The <a href=\"https:\/\/www.rcplondon.ac.uk\/news\/new-guidance-ward-rounds-and-patient-assessment-during-covid-19\">guidance<\/a> helps ward based teams to conduct multidisciplinary assessments while maintaining a safe and secure environment that protects both patients and healthcare staff from the risks of cross-contamination. The guidance has been developed by the Royal College of Physicians and Royal College of Nursing in collaboration with the Chartered Society of Physiotherapy, Royal Pharmaceutical Society and NHS England &amp; Improvement Emergency Care Improvement Support Team.<\/p>\n<hr \/>\n<p><strong>Transformation\u00a0of urgent and emergency care: models of care and measurement &#8211; NHS England<\/strong><br \/>\nThis <a href=\"https:\/\/www.england.nhs.uk\/wp-content\/uploads\/2020\/12\/Transformation-of-urgent-and-emergency-care_-models-of-care-and-measurement-report_Final.pdf\">report<\/a> sets out the recommendations from the clinically-led review of NHS access standards for urgent and emergency care.<\/p>\n<hr \/>\n<p><strong>COVID-19\u00a0Therapeutic Alert: Azithromycin in the Management of COVID-19 (SARS-CoV-2) Positive Patients, DHSC\u00a0<\/strong><br \/>\nRECOVERY trial showed no significant clinical benefit of either oral or IV azithromycin in patients hospitalised with COVID-19. It is now <a href=\"https:\/\/www.cas.mhra.gov.uk\/ViewandAcknowledgment\/ViewAlert.aspx?AlertID=103125\">recommended azithromycin should NOT be used<\/a> in this population unless there are additional indications for which its use remains appropriate.<\/p>\n<hr \/>\n<p><strong>Heating,\u00a0ventilation and air-conditioning systems in the context of COVID-19: <a href=\"https:\/\/www.ecdc.europa.eu\/sites\/default\/files\/documents\/Heating-ventilation-air-conditioning-systems-in-the-context-of-COVID-19-first-update.pdf\">first update<\/a> &#8211; ECDC \u00a0<\/strong><br \/>\nKey messages:<\/p>\n<ul>\n<li>It is now well-established that COVID-19 transmission commonly occurs in closed spaces;<\/li>\n<li>If well-maintained and adapted for use in the COVID-19 pandemic, heating, ventilation and airconditioning (HVAC) systems may have a complementary role in decreasing potential airborne transmission of SARS-CoV-2;<\/li>\n<li>Four bundles of non-pharmaceutical interventions (NPIs) should be considered to reduce potential airborne transmission of SARS-CoV-2 in closed spaces: the control of COVID-19 sources in closed spaces; engineering controls in mechanically ventilated (by HVAC systems) and naturally ventilated closed spaces; administrative controls; and personal protective behaviour.<\/li>\n<\/ul>\n<hr \/>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"COVID-19\u00a0rapid guideline: managing the long-term effects of COVID-19 [NG188], NICE (published 18th December 2020) This guideline covers identifying, assessing and managing the long-term effects of COVID-19, often described as &#8216;long COVID&#8217;. It makes recommendations about care in all healthcare settings for adults, children and young people who have new or&hellip;\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[15],"tags":[],"class_list":["post-14313","post","type-post","status-publish","format-standard","hentry","category-daily-news"],"jetpack_featured_media_url":"","jetpack_shortlink":"https:\/\/wp.me\/p4kWbe-3IR","jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/posts\/14313","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/comments?post=14313"}],"version-history":[{"count":5,"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/posts\/14313\/revisions"}],"predecessor-version":[{"id":14322,"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/posts\/14313\/revisions\/14322"}],"wp:attachment":[{"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/media?parent=14313"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/categories?post=14313"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.lihnnhs.info\/Sando\/wp-json\/wp\/v2\/tags?post=14313"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}