Covid 19

Current awareness updates

Characterisation of in-hospital complications associated with COVID-19 using the ISARIC WHO Clinical Characterisation Protocol UK: a prospective, multicentre cohort study.
Drake TM. The Lancet 2021;:https://doi.org/10.1016/S0140-6736(21)00799-6.
[Complications and worse functional outcomes in patients admitted to hospital with COVID-19 are high, even in young, previously healthy individuals. Acute complications are associated with reduced ability to self-care at discharge, with neurological complications being associated with the worst functional outcomes. COVID-19 complications are likely to cause a substantial strain on health and social care in the coming years.]

COVID-19 and the digital divide: Supporting digital inclusion and skills during the pandemic and beyond.
Centre for Ageing Better; 2021.
[This report offers examples of good practice and recommendations for organisations that deliver services to users and help digitally excluded people with skills training. The report finds that the key to building digital inclusion isn’t only about getting more people online, but also building skills and confidence.]

Alcohol consumption and harm during the COVID-19 pandemic.
Public Health England (PHE); 2021.
[A report collating data on alcohol consumption and alcohol-related harm in England during the COVID-19 pandemic and comparing it to data from previous years. The report improves our understanding of how alcohol consumption and harm changed in England while physical and social restrictions to prevent and control coronavirus were in place. The findings help to understand whether pandemic-related changes have affected rates of alcohol hospital admissions and deaths as well as health inequalities.]

COVID-19 vaccination of children and young people aged 12 to 17 years: JCVI statement.
Department of Health and Social Care (DHSC); 2021.
[Statement from the Joint Committee on Vaccination and Immunisation (JCVI) on COVID-19 vaccination of children and young people aged 12 to 17 years.]

NHS COVID Pass Verifier app.
NHS England; 2021.
[A fast, secure and easy way of allowing people to demonstrate their COVID pass is valid, giving staff confidence in the legitimacy of what is being presented to them. It is a fast, secure way to scan the 2D barcode on an individual’s NHS COVID Pass and verify whether or not they have been fully vaccinated against COVID-19, had a negative test, or have recovered from the virus – allowing staff to check the legitimacy of what is being presented to them.]

JCVI issues advice on COVID-19 vaccination of children and young people.
Public Health England (PHE); 2021.
[The Joint Committee on Vaccination and Immunisation (JCVI) is today advising that children at increased risk of serious coronavirus (COVID-19) disease are offered a vaccine.]

The impact of Brexit and COVID-19 on nursing in the UK. [Comment]
Carvalho F. British Journal of Nursing 2021;30(13):822-823.
[Over the years, many experts have stated that nursing in the UK is in crisis and nurses are struggling owing to the increasing number of older and sicker patients, staff shortages and budget cuts that have affected working conditions (Beech et al, 2019). With the rise of the COVID-19 pandemic, unprecedented levels of pressure were placed on an already strained nursing workforce.]

A healthy recovery – Acting on findings from the COVID-19 impact inquiry
The Health Foundation; 2021.
[Launched in October 2020, the COVID-19 impact inquiry has been carefully exploring the pandemic’s broad impact on health and what this means for improving health and reducing health inequalities in the UK – now and in the future. The inquiry launched its final report on 6 July 2021. This webinar, held on the same day, discussed key issues raised in the report – the impact of the pandemic and what needs to be done in recovery to create a healthier, fairer society.]

Unequal pandemic, fairer recovery: The COVID-19 impact inquiry report.
The Health Foundation; 2021.
[By mid-March 2021 the pandemic had led to 119,000 excess deaths in the UK and in 2020 caused a 9.9% drop in GDP. Behind these overall figures lie the unequal burdens carried by different population groups and regions. Although the pandemic is still ongoing, this report explores these impacts and the range of different, intersecting factors influencing them. It provides an initial assessment of the effects of the pandemic using evidence available up to May 2021.]


Public Health

Current awareness updates

Tick bite risks and prevention of Lyme disease: resources.
Public Health England (PHE); 2021.
[Toolkit and resources for local authorities and other stakeholders to raise awareness of the potential risks created by ticks and tick-borne disease in England. You can choose to co-brand leaflets and posters with PHE by adding your logo to the Word files or simply download the PDFs.]

Holiday activities and food programme 2021.
Department for Education (DfE); 2021.
[This document provides information for local authorities delivering the holiday activities and food programme in 2021. In 2020 the government announced that the holiday activities and food programme, that covers the Easter, summer and Christmas holidays, will be expanded across the whole of England in 2021. There will be up to £220 million available to local authorities to coordinate free holiday provision, including healthy food and enriching activities.]

New cross-government unit to tackle drug misuse following major independent review.
Department of Health and Social Care (DHSC), Home Office, and Public Health England (PHE); 2021.
[The new unit aims to end illegal drug-related illness and deaths. The rise in drug misuse poisoning deaths has been driven by increases in heroin deaths which have doubled in this time and other substances such as cocaine have seen notable recent increases. The proportion of 11 to 15-year-olds who use drugs has increased in recent years with one in three 15-year-olds saying they took drugs in the last year.]

Tackling obesity: the role of the NHS in a whole-system approach.
The King’s Fund; 2021.
[Rates of obesity in England are high and rising, with a strong systemic relationship between obesity and deprivation. Rates are also higher in women than in men, and in some ethnic minority groups compared to the white British group. This briefing explores the role of the NHS in tackling obesity, focusing on how the NHS can work with local partners and engage with communities to deliver targeted interventions to treat and prevent obesity.]

Effectiveness of complementary therapies in cancer patients: a systematic review.
Guerra-Martin MD. International Journal of Environmental Research & Public Health 2021;18(3):1017.
[The findings reveal some effective complementary therapies: auriculotherapy and acupuncture, laser moxibustion, hypnosis, Ayurveda, electroacupuncture, progressive muscle relaxation and guided imagery, yoga, phytotherapy, music therapy and traditional Chinese medicine. On the other hand, electroacupuncture, laser moxibustion and traditional Chinese medicine presented adverse effects, and kinesiology did not show effectiveness.]

Wellbeing toolkit for Alcohol Related Brain Damage (ARBD).
Penumbra; 2021.
[As well as providing important medical information about ARBD and alcohol use, the toolkit covers key practical and holistic information on recovery – including information on reducing stress, improving memory, coping with challenging emotions without using alcohol, nutrition and exercise, connecting with others and the community, along with guidance on improving digital skills, budgeting and knowing your rights. It includes a podcast of relaxation exercises.]

What support do young people with sickle cell disease need when moving into adult services?.
NIHR Evidence; 2021.
[This research suggests that non-specialist healthcare services are failing young people with sickle cell disorder. This is a critical period in their development when they are learning to live as adults. It is difficult to manage conflicting demands, such as wanting to work hard at school but needing to rest to avoid pain. Researchers suggest healthcare professionals shouuld work with schools to create supportive services that can help young people to achieve their life goals.]

Loneliness is strongly linked to depression in older adults in a large, long-term study.
NIHR Evidence; 2021.
[Depression is a major public health problem that is growing worldwide. The causes are complex and vary from person to person. However, new research estimates that up to one in five cases of depression among older adults could be prevented by reducing loneliness. The study therefore has important public health implications, highlighting the need for comprehensive action across society to combat loneliness.]

HIV infection and AIDS.
Clinical Knowledge Summary (CKS); 2021.
[This CKS topic has been updated.]

Could a decision support tool help to guide mental health treatment in primary care?
The Mental Elf; 2021.
[Linda Gask reviews a recent randomised controlled trial on the clinical efficacy of a Decision Support Tool (Link-me) to “guide the intensity of mental health care in primary practice”.]

Improving the care of patients discharged following a pulmonary embolism, in line with NICE Guidelines (NG158).
[Shared learning from Nottingham Universities Hospitals Trust. Project started out as audit looking into how to improve discharge process for patients following a PE, however upon understanding limitations of care provided on discharge, practice was changed in line with NICE guidelines to ensure safest possible discharge for these patients.]

Risk factors for LGBTQ+ youth self-harm and suicide.
The Mental Elf; 2021.
[In her debut blog, Hazel Marzetti reviews a recent systematic review and meta-analysis on victimisation and mental illness prevalence among LGBTQ+ young people with experiences of self-harm and suicide.]

European Surveillance of Antimicrobial Consumption Network (ESAC-Net).
World Health Organization (WHO); 2021.
[The report found some differences in the use of antibiotics between two sets of countries, the ECDC’s European Surveillance of Antimicrobial Consumption Network (ESAC-Net) and WHO/Europe’s Antimicrobial Medicines Consumption (AMC) Network. Findings show a significant decrease in the consumption of antibacterials in eight ESAC-Net countries including the United Kingdom. However, figures for the AMC Network were less clear, reflecting the more complicated nature of data collection.]

Transition to adulthood and transfer to adult care of adolescents with congenital heart disease: a global consensus statement.
Moons P. European Heart Journal 2021;:ehab388.
[This consensus document describes issues and practices of transition and transfer of adolescents with CHD. Transitional care ought to be provided to all adolescents with CHD, taking into consideration the available resources. When reaching adulthood, patients ought to be transferred to adult care facilities capable of managing their needs, and systems have to be in place to ensure continuity of high-quality care.]

Children and young people’s mental health – policy, CAMHS services, funding and education.
House of Commons Library; 2021.
[Research briefing on children and young people’s mental health policy, June 2021.]

Community mental health and wellbeing : what does gold standard look like?
Digital Health & Care Innovation Centre, Scotland; 2021.
[Following interviews and meetings with key stakeholders a range of tools were developed to support collaborative discussion around gold standard community mental health and wellbeing, key relationships and challenges to implementation. This report presents findings of the resulting workshop.]

Emerging lessons from the commissioning and delivery of a gambling treatment service.
Woodall J. Public Health 2021;196:69-73.
[This article offers a unique contribution to understanding more about the provision of gambling treatment services. This is crucial, given that a greater number of people face challenges as a consequence of gambling harms, and such services should be seen part of forming a coherent public health response.]

PHE women’s reproductive health programme 2020 to 2021.
Public Health England (PHE); 2021.
[Progress update on the PHE reproductive health programme, including a new return on investment tool and the next steps for 2021 to 2022. Use these documents and tools to understand how this programme integrates with the upcoming women’s and sexual and reproductive health strategies. Links to new tools, publications and examples of best practice can also be used as a reference point for colleagues across the healthcare system, to inform prioritisation and planning.]

National flu immunisation programme plan.
Department of Health and Social Care (DHSC); 2021.
[The annual flu letter for 2021 to 2022 describes the national flu immunisation programme and outlines which groups are eligible for flu vaccination.]

Life Sciences Vision.
Department for Business, Energy & Industrial Strategy; 2021.
[This document outlines the government’s and the life science sector’s ambitions for the sector over the next decade. It sets out the government’s plans to stimulate a thriving UK life sciences sector. It also focuses on how the sector can address some of the UK’s most significant health care challenges, including cancer, dementia and obesity.]

Alcohol consumption and harm during the COVID-19 pandemic.
Public Health England (PHE); 2021.
[A report collating data on alcohol consumption and alcohol-related harm in England during the COVID-19 pandemic and comparing it to data from previous years. The report improves our understanding of how alcohol consumption and harm changed in England while physical and social restrictions to prevent and control coronavirus were in place. The findings help to understand whether pandemic-related changes have affected rates of alcohol hospital admissions and deaths as well as health inequalities.]

Early evaluation of the Children and Young People’s Mental Health Trailblazer programme.
University of Birmingham; 2021.
[The programme was launched in December 2018 to improve the prevention of mental health problems and early intervention for children and young people with mild to moderate mental health problems. The early evaluation is following the experiences of the initial group of mental health support teams, which are based in 25 areas across England (called Trailblazers) and work with more than 1,000 schools and colleges.]

Covid 19


Current awareness updates

The impact of COVID-19 restrictions in the United Kingdom on the positive behavioural support of people with an intellectual disability
Murray G. British Journal of Learning Disabilities 2021;49(2):138-144.
[It has been suggested that COVID-19 and the associated restrictions are likely to have a negative impact on the provision of positive behavioural support (PBS) to people with an intellectual disability. Participants reported a neutral or somewhat positive impact on all the areas measured and the learning from their PBS programme as helping them cope with COVID-19. Many staff developed creative solutions that allowed them to provide PBS despite COVID-19 restrictions.]

VacciNation: Exploring vaccine confidence.
Healthwatch England; 2021.
[Our new research explores vaccine confidence amongst people from African, Bangladeshi, Caribbean, and Pakistani backgrounds. We want to understand these barriers to ensure key lessons are taken forward for future public health campaigns.]

Lateral flow device performance data.
Department of Health and Social Care (DHSC); 2021.
[Analysis confirms lateral flow devices (LFDs) are successful at identifying infectious cases of coronavirus (COVID-19) and real-world data shows Innova LFDs are capable of detecting the Delta variant.]

COVID-19 surveillance and immunity studies.
Department of Health and Social Care (DHSC); 2021.
[Updated 01 July 21: Added link to Schools Infection Survey research findings – round 5.]

JCVI issues interim advice on COVID-19 booster vaccination.
Public Health England (PHE); 2021.
[The Joint Committee on Vaccination and Immunisation (JCVI) has been asked to consider the options for a potential coronavirus (COVID-19) booster programme.]

COVID-19 and adult congenital heart disease services: impact on support and advice from nurse specialists.
Anthony J. British Journal of Nursing 2021;30(12):730-732.
[Although the focus on service provision in response to the COVID-19 pandemic has mainly been on acute and particularly intensive care, it is important to consider other services that are still needed. This is especially the case for vulnerable patients with long-term conditions, such as those under the care of an adult congenital heart disease (ACHD) service.]

Use of Telehealth in Mental Health (MH) Services During and After COVID-19.
Molfenter T. Community Mental Health Journal 2021;:Online ahead of print.
[COVID-19 social distancing guidelines caused a rapid transition to telephone and video technologies for the delivery of mental health (MH) services. The study examined: (a) adoption of these technologies across the MH service continuum; (b) acceptance of these technologies; and (c) intention of providers to use these technologies following the pandemic based on a sample of 327 MH organizations from 22 states during May-August 2020.]

Persistent symptoms following SARS-CoV-2 infection in a random community sample of 508,707 people.
Imperial College London; 2021.
[Random samples of the population between September 2020 and February 2021 found that nearly 27,000 (around 6%) reported experiencing at least one of 29 symptoms linked with COVID-19 for 12 weeks or more.]

Potential Coronavirus (COVID-19) symptoms reported through NHS Pathways and 111 online (18 Mar 2020-30 Jun 2021).
NHS Digital; 2021.
[Data published on potential COVID-19 symptoms reported through NHS Pathways and 111 online Dashboard shows the total number of NHS Pathways triages through 111 and 999, and online assessments in 111 online which have received a potential COVID-19 final disposition. This data is based on potential COVID-19 symptoms reported by members of the public to NHS Pathways through NHS 111 or 999 and 111 online, and is not based on the outcomes of tests for coronavirus. This is not a count of people.]


Coronavirus Shielded Patient List Summary Totals, England – as at 01 July 2021.
NHS Digital; 2021.
[Snapshot on 22 Jun 2021 – England only.]

Primary Care Workforce in Alternative Settings – General Practitioners in the Covid Clinical Assessment Service.
NHS Digital; 2021.
[28 Mar 2020 to 31 Mar 2021.The COVID-19 Clinical Assessment Service was operative from 28 March 2020 to May 2021 and there were fluctuations in the demand for patient appointments during this period according to the COVID-19 infection rates. Recruitment to the service ceased in January 2021 and all GPs were onboarded by March this year.]

Remote home monitoring (virtual wards) for confirmed or suspected COVID-19 patients: a rapid systematic review.
Vindrola-Padros C. EClinicalMedicine 2021;37:Vindrola-Padros.
[A rapid systematic review on models led by primary and secondary care across seven countries (US, Australia, Canada, The Netherlands, Ireland, China, UK) identified 27 articles. Monitoring was carried out via online platforms, paper-based systems with telephone calls or (less frequently) through wearable sensors. No substantive conclusions regarding patient safety and the identification of early deterioration due to lack of standardized reporting and missing data.]

Bridging the uptake gap – COVID-19 vaccination toolkit for Black African and Black African Caribbean communities.
NHS England; 2021.
[Evidence-based good practice for increasing vaccination confidence and uptake among Black African and Black African Caribbean populations.]


Coronavirus and the common cold

New research suggests that infection from a common cold could generate an immune response to COVID -19

The article focuses on one arm of the immune response – the B and T cells which produce antibodies. It shows that people keep T cells from the mild coronaviruses long enough to interact with a new challenge by SARS-CoV-2, meaning that those T cells might recognise SARS-CoV-2 and help to clear the infection. Could this possibly provide an answer as to why some people have less severe effects compared to others? Click here to read more.

To read the whole research, conducted by La Jolla Institute for Immunology click here.

Antibodies latching onto a coronavirus to neutralise it.
https://www.shutterstock.com/image-illustration/antibodies-attacking-sarscov2-virus-conceptual-3d-1700617951

5 Act Now guides

NHS England, November 2018
These are a series of guides produced by NHS England aimed to help health and social care colleagues to take prompt practical actions and use every opportunity to prevent delayed transfers of care. It aims to assist health and social care staff to address the evidence that staying in hospital for longer than required drives adverse outcomes for patients.  Click on the links below to access the guides:
1 Act Now : maximise your leadership this winter
2 Act Now : plan for discharge early
3 Act Now : maximise your leadership this winter
4 Act Now : new technology to find Care Home availability
5 Act Now : Look after yourself, look after others: flu immunisation