Category: Current Awareness

Digital Transformation and Covid 19 – Online Event

Implementing quality standards and solutions

The Kings Fund are hosting a free online event next week, Tuesday 15th September 10-11am and will discuss the changes in service and delivery of healthcare over the past few months.

The event will include:

  • what an inclusive, person-centred digital revolution would look like for the NHS and social care
  • the standards from before the pandemic and what the gains from this rapid transformation should consolidate
  • what this transformation will mean for people and staff on the ground

To register your place click here.

Local restrictions in the North of England

What you can and can’t do

The department of Health and Social Care have released new guidelines for areas under local restrictions. It outlines; affected areas, business and venue closures, travel restrictions and childcare and social limitations.

If you live in an infected area you must NOT

  • host people you do not live with in your home or garden, unless they’re in your support bubble
  • meet people you do not live with in their home or garden, whether inside or outside of the affected areas unless they’re in your support bubble
  • socialise with people you do not live with in other indoor public venues – such as pubs, restaurants, cafes, shops, places of worship, community centres, leisure and entertainment venues, or visitor attractions.
  • visit friends or family in care homes, other than in exceptional circumstances.

You CAN:

  • attend venues (pubs, restaurants, shops, places of worship, places of leisure and entertainment) with people you live with (or are in a support bubble with), but should avoid interaction with individuals or groups from other households.
  • socalise in outdoor public spaces in groups of up to 6 people
  • travel outside your area or go on holiday with people from your household
  • go to work
  • move house
  • arrange and use childcare provision

For more information and to read the whole guidance click here.

Evidence Updates

Keeping up to date with current awareness

Update on COVID-19 pandemic.
BMJ Best Practice; 2020.

Cycling to work lowers risk of illness and death compared to driving.
NIHR Evidence; 2020.
[People who cycle to work are at lower risk of cardiovascular disease, cancer and death than those who drive. This is seen across all occupational groups and suggests that cycling to work could benefit people from all economic backgrounds. If fewer people are able to travel by public transport due to social distancing, measures to make cycling easier and safer could improve the nation’s health.]

Rehabilitation for adults with complex psychosis.
National Institute for Health and Care Excellence (NICE); 2020.
[This guideline covers mental health rehabilitation for adults with complex psychosis. It aims to ensure people can have rehabilitation when they need it and promotes a positive approach to long-term recovery. It includes recommendations on organising rehabilitation services, assessment and care planning, delivering programmes and interventions, and meeting people’s physical healthcare needs.]

Face-to-face or remote consultations: supporting you to make safe decisions about patient contact.
Chartered Society of Physiotherapy; 2020.
[Guidance and advice on implementation from the Chartered Society of Physiotherapists.This framework provides you with a pathway to interpret national guidance and adhere to the legal, regulatory and professional requirements that govern safe physiotherapy practice.]

Daily Insight: Inspectors or superspreaders?
Health Services Journal (HSJ); 2020.
[Latest stories and debate in health policy and leadership. The decision not to include CQC inspectors in regular asymptomatic covid testing could turn them into “super-spreaders,” unions have warned. The Infection and Prevention Society, however, has said inspectors are not likely to be put at significant risk.]

Remember to sign up to KnowledgeShare for research personalised to your field of work. Complete the registration form and send it to Academic.Library@lancashirecare.nhs.uk

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Evidence updates

Recommendations for continued care and support of people who are clinically extremely vulnerable
Royal College of Physicians (RCP); 2020.
(Statement from the Royal College of Physicians, Royal College of Emergency Medicine, Royal College of General Practitioners, Royal College of Paediatrics and Child Health, National Voices and specialist societies highlighting the challenges faced by both doctors and patients in identifying and reducing the risks associated with COVID-19 for the most clinically vulnerable people.)

Expanding the primary care workforce in 2020/21 .
NHS England & NHS Improvement; 2020.
(Actions for CCGs, PCNs and STPs resulting from People Plan and Third phase of NHS response to covid-19.)

Reintroduction of NHS continuing healthcare.
Department of Health and Social Care (DHSC); 2020.
(Sets out how clinical commissioning groups (CCGs) will restart NHS continuing healthcare (CHC) assessment processes from 1 September 2020.Published 21 August 2020.)

Virtual training for midwives during a pandemic.
Abramson P. British Journal of Midwifery 2020;28(8):502–503.
(When a baby dies, it is a tragedy at any time but during the COVID-19 pandemic, bereaved families and the professionals supporting them have been faced with additional and often distressing challenges. Restrictions have made access to hospitals difficult for partners and other family members, while support services that would normally be provided for bereaved parents have been unavailable or severely limited.)

Ketamine as a mental health treatment: Are acute psychoactive effects associated with outcomes? A systematic review.
Grabski M. Behavioural Brain Research 2020;392:112629.
(The databases Medline, Embase and PsycInfo were searched. The studies reviewed displayed great variability in methodology and quality of reporting. The most commonly assessed effect was dissociation, measured by the CADSS. Our results suggest that the CADSS total is not consistently associated with antidepressant outcomes. Apart from this, the current literature is too limited to draw definite conclusions on an association between acute psychoactive effects and mental health outcomes.)


Face masks and dry eyes

The science and the solutions

With face masks becoming compulsory throughout the pandemic, most of us will be wearing face masks for extended periods of time. While they help to prevent the spread of Coronavirus, there has also been a rise of reports of dry, uncomfortable eyes, otherwise known as mask-associated dry eye (MADE).

MADE is caused by an ongoing imbalance in the tear film resulting in eyes feeling sore, dry and irritated, looking red, watering eyes or lead to dry eye disease. Face masks cause repeated evaporation, as the exhaled air will travel upwards to our eyes.

To prevent this from happening:

  • wear your mask appropriately
  • use lubricating drops
  • limit time in air conditioned rooms or windy conditions
  • take regular breaks from digital devices
  • DON’T rub your eyes if they become itchy

Masks will be here for the foreseeable future therefore we need to remain alert and promote good mask wear if we are to overcome this pandemic. To find out more or have your say click here.

Returning to school after lockdown

Top tips for parents

With many children going back to school, there may be mixed emotions and feelings from different family members. The Mental Health Foundation have some practical advice to make the transition from home to school as smooth as possible. Their top tips include:

  • Talking – talk about their worries/concerns about going back to school
  • Get your children into a good sleep routine
  • Talk about the daily routines of school life
  • Develop coping strategies including breathing exercises, seeing friends or exercise
  • Make yourself available as much as possible, even simple things like going for a walk or baking may allow your child opportunities to talk rather than asking them directly
  • Be positive and discuss all the good things that are happening

For more details or resources to use at home click here.

NHS Reset

A campaign to shape what the health and care system could look life post COVID

Mental health services have faced unprecedented challenges due to COVID-19. They quickly and effectively moved to different ways of working to protect service users and staff. As we move to the next phase of the pandemic, we expect demand for mental health support to increase and to remain high for some time. This will have serious implications on resourcing and staff wellbeing.

This report from the NHS Reset campaign considers what mental health services need to prepare for, for the expected surge in demand. It also highlights how the health and care system can ‘reset’ the way care and support are planned and delivered in aftermath of COVID-19.

To find out more about the campaign click here.