Long COVID

MEDBOX issue brief on Long COVID

The MEDBOX team publishes issue briefs on different topics around COVID-19. They have prepared a new issue brief on the long-term effects of coronavirus infection, Long COVID (also known as long-haul COVID, post-acute COVID-19, long-term effects of COVID, or chronic COVID). The issue brief includes many links to relevant reports and guidance about long COVID.

Read the brief here

Public Health

Current awareness updates

Increasing COVID-19 vaccination rates amongst vulnerable groups: summary advice for GPs.
Royal College of General Practitioners (RCGP); 2021.
[GPs will be aware of the disparity in uptake of the COVID-19 vaccine between different population groups; often, the groups most at risk from infection and serious illness are those least represented at vaccination centres. We continue to collect examples, case studies or evidence on what works in addressing this issue.]

Vaccination of people working or deployed in care homes: operational guidance.
Department of Health and Social Care (DHSC); 2021.
[From 11 November 2021, anyone working or volunteering in a care home will need to be fully vaccinated against coronavirus (COVID-19), unless exempt.]

JCVI statement, August 2021: COVID-19 vaccination of children and young people aged 12 to 17 years.
Department of Health and Social Care (DHSC); 2021.
[This statement sets out JCVI’s latest considerations and advice regarding the potential extension of the COVID-19 vaccination programme to children and young people.]

JCVI issues updated advice on COVID-19 vaccination of young people aged 16 to 17.
Public Health England (PHE); 2021.
[The Joint Committee on Vaccination and Immunisation (JCVI) is today advising that all 16 and 17 year olds receive their first dose of the Pfizer-BioNTech vaccine.]

COVID-19 vaccination: resources for children and young people.
Public Health England (PHE); 2021.
[Information for eligible children and young people on COVID-19 vaccination.]

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. ‘Extending PHE’s contraception return on investment tool: maternity and primary care settings’ outlines a new return on investment (ROI) model for contraception in maternity and the provision of long-acting reversible contraceptives (LARC) in primary care, building on the existing contraception ROI tool published in 2018.]

BHIVA guidance for virtual consultations for people with HIV: May 2021.
British HIV Association (BHIVA); 2021.
[This guidance was released in May 2021 in response to the increased proportion of consultations carried out remotely due to COVID-19. The guidance highlights issues important for safe and effective consultation, including awareness of the limitations of remote consultation.]

Expanding access to naloxone.
Department of Health and Social Care (DHSC); 2021.
[Naloxone is a drug that reverses the effects of an opioid overdose and can help to prevent overdose deaths. We are seeking responses to this consultation to assess the viability of proposals to widen access to naloxone by expanding the list of services and individuals that can give it out without a prescription or other written instruction.]

Quality indicators in lung cancer: a review and analysis. [Abstract]
Chiew KL. BMJ Open Quality 2021;10(3):DOI: 10.1136/bmjoq-2020-001268.
[Conclusions: We found a large number of published QIs in lung cancer but they focused on relatively few areas not reflective of patterns of contemporary practice. We identified gaps in lung cancer QIs especially for systemic therapies, radiotherapy, palliative care and patient-reported outcomes. In order to comprehensively assess the care of patients with lung cancer, future efforts should focus on developing readily measurable QIs in these areas…]

Now or never: A systemic investment review of mental health care in England.
Centre for Mental Health; 2021.
[This report, commissioned by the NHS Confederation’s Mental Health Network, sets out ten key areas where strategic investment could solve systemic issues in the mental health system, with significant benefits to the lives of people with mental health difficulties and their experiences of support.]

The role of epigenetics in psychological resilience. [Abstract]
Smeeth D. The Lancet Psychiatry 2021;8(7):620-629.
[In this Review, we propose a new conceptual model for the different functions of epigenetic mechanisms in psychological resilience. After reviewing empirical evidence for the various components of the model, we identify research that should be prioritised and discuss practical implications of the proposed model for epigenetic research on resilience.]

Effect of telehealth interventions on quality of life in cancer survivors: A systematic review and meta-analysis of randomized controlled trials.
Li J. International Journal of Nursing Studies 2021;122:103970 .
[Telehealth interventions are effective and alternative methods for improving quality of life among cancer survivors. The most effective approach was application-based intervention, the most common approach was website-based intervention, and in terms of intervention durations, the short-term telehealth intervention was the most effective. Most telehealth interventions included breast cancer survivors.]

Covid 19

Current awareness updates

Daily Insight: Covid can’t peak too soon.
HSJ: Health Service Journal (Daily Insight) 2021;:7030598.
[Confirmed covid cases in the community fell again on Tuesday, offering further hope that the current wave could have peaked. Most experts are highly cautious about saying so – there is likely to be further growth following ‘freedom day’. Also: In the Cheshire and Merseyside ICS, the nine local authorities have issued a series of “red lines” and pre-conditions to health service leaders. 28 July.]

Daily Insight: Covid puts one in 10 beds to sleep.
HSJ: Health Service Journal (Daily Insight) 2021;:7030631.
[A major hospital trust has made its highest number of bed closures “for many years” due to covid staffing pressures. Newcastle upon Tyne Hospitals Trust lost 933 bed days in the first week of June due to staff testing positive for covid or being required to isolate. Also: Latest figures show just 3 per cent of A&E attendances nationally are ‘booked’ through the 111 First service. And Healthwatch England says the NHS has not done enough to publicise this new service. 3 August.]

New study into COVID-19 vaccine dose interval for pregnant women.
Department of Health and Social Care (DHSC); 2021.
[The Preg-CoV clinical trial has been launched to help determine optimal gap between doses as well as explore potential side-effects in more detail. Research shows pregnant women more likely to become seriously ill from COVID-19 and 98% of those in hospital due to COVID-19 are unvaccinated.]

Coronavirus: the consequences for mental health.
Mind; 2021.
[This research with almost 12,000 people found that those with mental health problems report an increase in the severity of challenges they’re facing now and concerns about the future. The authors call for services to be ready for the increase in severity of people’s mental health problems, and to take into account the trauma that people have experienced over the past year and how this might affect the support they need.]

Coronavirus: Adult social care key issues and sources.
House of Commons Library; 2021.
[House of Commons Library research Briefing updated 23 July 2021. An overview of key issues facing the adult social care sector during the coronavirus (Covid-19) outbreak, with links to some of the key official guidance for the sector.]

Coronavirus and the social impacts of ‘long COVID’ on people’s lives in Great Britain: 7 April to 13 June 2021.
Office for National Statistics (ONS); 2021.
[Indicators from the Opinions and Lifestyle Survey covering the period 7 April to 13 June 2021 to understand the impact of the coronavirus (COVID-19) pandemic on people by their self-reported long COVID-19.]

Public Health

Current awareness updates

Low life expectancy in Glasgow, and what to do about it.
The Health Foundation; 2021.
[In this podcast Chief Executive Dr Jennifer Dixon, Dr David Walsh is Honorary Senior Lecturer at the University of Glasgow and Sir Harry Burns is the Professor of Global Public Health explore: What is fraying health to this degree in Glasgow? What is being done to help? And what can we all learn from Glasgow’s longstanding efforts to try to mend the health fabric, as we all attempt to build back better after the pandemic?]

Flu vaccination in schools.
Public Health England (PHE); 2021.
[This guidance has been produced to assist all school staff and headteachers with any questions about annual flu vaccination programme for 2021 to 2022. 28 July 2021: Updated the reason for extending the programme in secondary schools section.]

Associations between smoke-free vehicle legislation and childhood admissions to hospital for asthma in Scotland: an interrupted time-series analysis of whole-population data.
The Lancet Public Health; 2021.
[Although legislation banning smoking in vehicles did not affect hospital admissions for severe asthma among children overall or in the older age group, this legislation was associated with a reduction in severe asthma exacerbations requiring hospital admission among preschool children, over and above the underlying trend and previous interventions designed to reduce exposure to second-hand smoke.]

Developing place-based partnerships

The foundation of effective integrated care systems

Source: The King’s Fund Integrated Care Bulletin

The new report from King’s Fund considers the potential of place-based partnerships to improve population health and truly support integrated care, and highlights principles to guide their development and the support they might need from regional and national leaders.

For more information click here.

Toolkit

Remote working for general practices and primary care networks

Source: The King’s Fund

This toolkit is aimed at leaders in general practice. That doesn’t just mean GPs or partners, but all staff in the position of supporting others and making change. It provides insight, tips and guidance for getting the best out of the increasing options for teams to work separately from each other and at different locations, with colleagues simultaneously at home, in the practice, and elsewhere.

It provides support to answer the following questions:

Learning Disabilities and Autism

Framework for commissioner oversight visits to inpatients

Source: The King’s Fund – Health Management and Policy Alert

The NHS long-term plan made a commitment to making sure that people with a learning disability and/or people with autism are safe and are getting high-quality inpatient care. The guidance (accessible below) for commissioners and case managers aims to support the implementation of best practice in relation to commissioner oversight visits. This includes the minimum expectations for visits during the coronavirus pandemic.

For more information click here.

Toolkit

Deafness and Hearing Loss

Source: KnowledgeShare

Produced by the Royal College of General Practitioners (RCGP); 2021; the resources developed aim to educate GPs and GP trainees on deafness and hearing loss, help reduce variations in accessibility to GP practices and ensure deafness and hearing loss are considered across all aspects of primary care activity including consultations and continued care. The toolkit supports GPs and GP trainees to implement the latest NICE guidelines and NHS Accessibility Quality Standard and guidance across the UK.

To access the toolkit click here.

Good communication with patients

Third phase of the NHS response to COVID-19 letter

Source: The King’s Fund; Health Management and Policy Alert

The challenge Covid-19 poses means that clear, concise and timely communication with patients is more critical than ever. This guidance, and accompanying supporting documents, present providers with core principles that will help deliver personalised, patient-centred communications to patients who are waiting for care.

For more information and resources click here.