Covid 19

Current awareness updates

How many care home staff in England have received two Covid-19 vaccine doses? Nuffield Trust chart.
Nuffield Trust; 2021.
[After the deadline passed, care home staff in England now need to have received two Covid-19 jabs to carry on working. Nina Hemmings looks at how many had been vaccinated twice only a few weeks before the deadline.]

Effects of COVID-19 pandemic on mental health outcomes in a cohort of early psychosis patients.[Abstract]
Szmulewicz AG. Early Intervention in Psychiatry 2021;15(6):1799-1802.
[AIM: To evaluate the impact of the COVID-19 pandemic on clinical outcomes, we used data from Electronic Health Records from 128 patients receiving care at a First Episode Psychosis clinic. CONCLUSIONS: We report that patients have avoided accessing higher levels of care, except in extreme cases. We argue that this is not a sustainable trajectory and that public health actions are required.]

Provider collaboration review: Mental health care of children and young people during the COVID-19 pandemic.
Care Quality Commission (CQC); 2021.
[Review of care in 7 areas of England in June and July 2021 found COVID-19 pandemic has had an enormous impact on the mental health of children and young people, and has led to an increased demand on services, particularly eating disorder services.]

Effectiveness of public health measures in reducing the incidence of covid-19, SARS-CoV-2 transmission, and covid-19 mortality: systematic review and meta-analysis.
BMJ; 2021.
[This systematic review and meta-analysis suggests that several personal protective and social measures, including handwashing, mask wearing, and physical distancing are associated with reductions in the incidence covid-19. Public health efforts to implement public health measures should consider community health and sociocultural needs.]

COVID-19 Young people and vaccines Toolkit.
Cabinet Office; 2021.
[An updated vaccines toolkit for younger people has been launched by the Cabinet Office. The toolkit includes links to assets and videos designed to encourage vaccine uptake among young people aged 18 to 29.]

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.]


Health Information Week

Health Information Week is a national, multi-sector campaign promoting high-quality information for patients and the public

High quality health information can have a huge impact on people’s ability to stay healthy and manage illnesses effectively, giving them a better quality of life.

In response to these needs, Health Information Week 2021 runs from 5th to 11th July and focuses on the themes of:

  • Quality Marks
  • Health information for children and young people
  • Uplifting resources for the NHS from the NHS
  • Digital health
  • “Oh, I don’t know what to believe…”
  • Health information for everyone
  • Vaccines

Read more about today’s theme, Vaccines

Covid 19

Current awareness updates

Inequalities in healthcare disruptions during the Covid-19 pandemic: Evidence from 12 UK population-based longitudinal studies.
medRxiv; 2021.

[The research, led by UCL and the University of Glasgow, found further evidence that minority ethnic groups were more likely to have their healthcare affected by the Covid crisis than white people, with the combined results of the 12 studies suggesting minority ethnic groups reported 19% more problems during the epidemic. This article is a preprint and has not been certified by peer review.]

An obesity strategy to reduce COVID-19 morbidity and mortality.
Glasper A. British Journal of Nursing 2021;30(10):612-614.

[In 2020 Prime Minister Boris Johnson launched a series of policy initiatives as part of his government’s new obesity strategy. The prime minster himself was admitted to an intensive care unit after being infected with the SARS-CoV-2 coronavirus and succumbing to COVID-19. Following his successful treatment and discharge from hospital he acknowledged that his deterioration was probably linked to his own excess body weight.]

Importance of patient bed pathways and length of stay differences in predicting COVID-19 hospital bed occupancy in England.[Abstract]
Leclerc QJ. BMC Health Services Research 2021;21(1):566.

[We identified five bed pathways, with substantial variation in LoS by bed type, pathway, and geography. This might be caused by local differences in patient characteristics, clinical care strategies, or resource availability, and suggests that national LoS averages may not be appropriate for local forecasts of bed occupancy for COVID-19.]

Delivering routine immunisations in London during the Covid-19 pandemic: lessons for future vaccine delivery.
Skirrow H. British Journal of General Practice Open 2021;(18 May)

[Mixed-methods study of immunisation delivery in London including an online survey of GP practices and interviews were used to explore new immunisation delivery models which built on existing local knowledge, experiences and networks.]

Strategies and action points to ensure equitable uptake of COVID-19 vaccinations: A national qualitative interview study to explore the views of undocumented migrants, asylum seekers, and refugees.
Deal A. Journal of Migration and Health 2021;4(-):100050.

[Report of in-depth semi-structured qualitative interviews (n=32) of recently arrived migrants (foreign-born, >18 years old; <10 years in the UK) to the UK with precarious immigration status, seeking their input into strategies to strengthen COVID-19 vaccine delivery and uptake.]

Community-based volunteering in response to COVID-19: the COV-VOL project.
NIHR Applied Research Collaboration, Kent, Surrey and Sussex; 2021.

[A study by a team from the University of Kent, Brighton and Sussex Medical School and Sussex University shows how voluntary community and social enterprise (VCSE) organisations have made a significant, positive impact on the well-being of older people self-isolating at home during the first COVID-19 lockdown. The pandemic has highlighted the importance of volunteers and community and the role VCSE organisations can play as key and essential partners in our health and social care systems.]

The 3 R’s of Social Care Reform: How constructive risk taking, respectful relationships and a sense of reciprocity characterised a positive response to the Covid-19 pandemic.
Think Local Act Personal; 2021.

[TLAP has been talking to people across social care, and including those who draw on care and support, about their experiences during the pandemic. This paper reflects on these conversations and identifies drivers of the promising examples of practice, marked by changes in behaviour and increased levels of trust. It suggests that positive risk-taking, respectful relationships and a sense of reciprocity are key ingredients in characterising a positive response to the pandemic.]

Unlocking the digital front door – keys to inclusive healthcare.
National Voices; 2021.

[This report explores how the move to remote service models impacted people and how the Voluntary, Community and Social Enterprise sector (VCSE) has led innovative ways to deliver healthcare and support to people during the COVID 19 pandemic. Also available is a literature review and insight data, personal narratives and recommendations for better practice, better policy, and better innovations.]

School closures and parents’ mental health.
Institute for Social and Economic Research (ISER); 2021.

[In this study, researchers from the universities of Essex, Surrey and Birmingham, funded by the Nuffield Foundation, consider the dynamics of parents’ mental health during the pandemic. The study is the first of its kind to look specifically at the impact of having children at home as a result of school closures, separating it from other factors affecting parents’ mental health during the pandemic.]

Outsourcing as a threat to public health: the case for insourcing public sector cleaners and facilities management.
New Economics Foundation; 2021.

[The evidence cited in this report suggests that outsourced health facilities management services pose a threat to public health. This represents a major weakness in the UK’s ability to cope with subsequent waves of Covid-19. As a matter of public health, this paper recommends that the government should launch an urgent and independent inquiry into the outsourcing of key workers.]

Targeted AF detection in COVID-19 vaccination clinics.
Getting It Right First Time (GIRFT), Oxford AHSN; 2021.

[This document brings together learning from several pilot sites which have been carrying out targeted detection of atrial fibrillation (AF) in COVID-19 vaccination clinics. The aim is to provide guidance for systems wishing to develop a standard operating procedure for offering targeted rhythm checks for AF detection in mass vaccination clinics.]

Coronavirus and vaccination rates in people aged 70 years and over by socio-demographic characteristic, England : 8 December 2020 to 9 May 202.
Office for National Statistics (ONS); 2021.

[Difference in vaccination rates by sociodemographic group, sex, ethnicity, religion, main language, living in areas of deprivation, and disability.]


Realising the value of vaccines in the UK

Consulting Report

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

Health technology assessment approaches in the UK (as well as some other countries) limit themselves to evaluating health benefits that accrue to treated individuals and resource use within the health care system. As a result, vaccines and other technologies that generate broader benefits – such as maintaining health care capacity or labour productivity – may be undervalued and underused. This  report on the broader value of vaccines (commissioned by the ABPI Vaccines Group) sets out actionable short- and long-term recommendations on how to drive change towards recognising and rewarding the broader value of vaccines in the UK.

For more information click here.

The future of vaccination

Driving the UK’s leadership in vaccine research & innovation

This series of articles brings together experts from the government, the scientific research community, and the life sciences sector to discuss the future of vaccination and how the UK can retain its leading position in vaccine research.

To read the report click here. Or to find out more information click here.

Public Health

Keeping up to date with current awareness

PHE launches the Stoptober campaign for 2020. Gov.uk – September 2020

This year has seen an increase in both the number of smokers attempting to quit and an increase in the success rate of quit attempts. Stoptober is offering a range of support tools including the Stoptober app, Facebook messenger bot and online communities, SMS and daily emails.

COVID 19 – Vaccination Nuffield Foundation- September 2020

Survey finds 1 in 5 people are unlikely to get vaccinated against COVID-19. The COVID-19 Social Study by UCL researchers showed substantial levels of misinformation about vaccines. 22% of people surveyed said they were unlikely to get a COVID-19 vaccine when approved, with 10% being ‘very unlikely’ and only 49% being ‘very likely’ to get vaccinated.

Healthwatch Report – Covid 19

Shares the experiences the public faced because of the pandemic and how this has affected their experiences using health and social care.