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.

GPs and Nurses new to practice programme

Operational guidance 2020/2021

This guidance supports Integrated Care Systems and Sustainability and Transformation Partnerships, Primary Care Networks, training hubs and other local partners to understand and continue delivery of the General Practice Fellowship programme, supporting newly-qualified GPs and nurses working in primary care.

Reflecting on COVID

Alone, surrounded

Fever came
And with it a sledgehammer
To my life
My life that still had
Time to run
But now there is no time to run
Instead I lie here alone,
Surrounded by an army
Of hospital staff who see me
Only through glass windows
Or the shield of PPE
Three thousand people
They say work here
But they won’t see me
Until I run once more
In the news
No longer alone,
Surrounded by other
Elderly with underlying conditions

A poem written by Shane O’Hanlon, who is a geriatrician in Dublin, Ireland.
He has a strong interest in the humanities in healthcare, and previously taught humanities at the Graduate Entry Medical School, University of Limerick. He now lectures on art in medicine and curates a humanities library for students and staff at University College Dublin.

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.

Top tips for travelling safely in the UK

With ‘staycations’ becoming the new vacations, follow these top tips for your safety

UK Gov have highlighted 5 top tips for getting out and about in the UK:

  1. Know before you go – check whether the places you are visiting have any additional measure in place
  2. Follow advice on social distancing – keep your distance from people not in your household (2m if you can), avoid crowded places and try to avoid travelling on public transport at peak times
  3. Wash your hands regularly – take hand sanitiser with you in no washing facilities are available
  4. Check guidance on face coverings – ensure you travel with one and know where you will need to wear this
  5. Enjoy green spaces – remember to follow the Countryside Code

For more information click here.

Working from home

Balancing productivity and well being

With more people than ever working from home, it’s important we consider the benefits and challenges that come with this. Some may relish in their new way of working life, yet others may struggle to juggle family life around work or feel isolated. Communication is key – we need to cultivate a sense of belonging.

Mind tools offer some top tips to help us keep our minds healthy whilst staying productive:

  • Design your workspace – make it somewhere you will enjoy working, have all your equipment ready and inform the rest of your household that this is your ‘office’ space
  • Establish good routines – keep to regular start and finish times and eat at regular times. Remember to take short breaks (5 to 10 minutes) to keep energised and focused.
  • Work securely- use only secure networks, maintain strong password protocols, don’t save sensitive data and remember to lock your computer when unattended
  • Make a to-do list – this could help to manage your workload and build structure to your day
  • Avoid backache with frequent movements away from your office chair
  • Ask for help when you need it – your manager may not know if you are struggling
  • Continue to celebrate success – whether this is on a personal level or as a team. Small acts of kindness can go a long way.

To read the whole article click here.