COVID-19: epidemiology, virology and clinical features [updated 12th August 2020] – Public Health England

Update in this version (published 12th August) – updated global case numbers.

COVID-19: epidemiology, virology and clinical features [updated 12th August 2020]
COVID-19: epidemiology, virology and clinical features [updated 12th August 2020]
COVID-19_-epidemiology-virology-and-clinical-features-GOV.UK__6.pdf
91 KiB
69 Downloads
Details

Airway guidance for the endemic phase of COVID-19 [11th August 2020] – Faculty of Intensive Care Medicine

Consensus airway guidelines from the Difficult Airway Society (DAS), Association of Anaesthetists, Intensive Care Society, Faculty of Intensive Care Medicine and Royal College of Anaesthetists (RCoA) were published on the Anaesthesia-Intensive Care Medicine hub website in April 2020 and subsequently in the journal Anaesthesia. These focus mainly on management of critically ill patients with confirmed or suspected COVID19.

It is now apparent that SARS-CoV-2 and COVID-19 will remain endemic for some time. Improved therapeutics and a vaccine may shorten this period, but both are far from certain. Plans must be put in place on the assumption that for the next few years the virus and its disease will impact us and our patients. Present knowledge would suggest this will lead to:

  • increased, and likely fluctuating demands for COVID-19 related healthcare as the prevalence of the disease rises and falls episodically;
  • increased risk to patients of poorer perioperative outcome if infected with SARS-CoV-2;
  • a risk to both patient and staff of cross infection, made more complex by the potential for disease transmission while asymptomatic and the difficulty in reliably identifying infected patients.
Airway guidance for the endemic phase of COVID-19 [11th August 2020]
0.4 MiB
61 Downloads
Details

COVID-19: guidance for managing a funeral during the coronavirus pandemic [updated 11th August 2020] – Public Health England

Changes include:

  • allowing both family and friends to attend a funeral
  • the number of people who can attend a funeral
  • allowing mourners to stay overnight outside their home
  • the safe management of the funeral venue
  • the change in requirement to self-isolate for 10 days (previously 7) for those with symptoms of COVID-19
  • the requirement to wear face coverings in indoor places of worship, crematoria and burial ground chapels

Recent updates:

11th August 2020 – guidance updated in line with the Health Protection Regulations 2020 and The Health Protection (Coronavirus, Wearing of Face Coverings in a Relevant Place) (England) (Amendment) Regulations 2020.

COVID-19  Guidance For Managing A Funeral During The Coronavirus Pandemic - GOV UK
COVID-19 Guidance For Managing A Funeral During The Coronavirus Pandemic - GOV UK
COVID-19_-guidance-for-managing-a-funeral-during-the-coronavirus-pandemic-GOV.UK_.pdf
0.1 MiB
56 Downloads
Details

Future-proof the roof: the case for sustainable investment to tackle homelessness and rough sleeping post-Covid-19 – Salvation Army


This report warns that the economic consequences of the pandemic will increase rough sleeping and force families into expensive and unsuitable temporary accommodation, like bed and breakfast, as local authorities struggle to manage rising homelessness levels. The government needs to properly fund homelessness support services in this Autumn’s Comprehensive Spending Review. This was true before COVID-19. It is now even more essential if the negative economic consequences arising from the pandemic are to be offset.

Without this investment, the risk is a return to the homelessness and rough sleeping trends that followed the 2008 financial crisis. The number of households that councils assessed as being in priority need of accommodation increased by 41% between 2009/10 and 2017/18. Snapshot rough sleeping figures increased from 1,768 people in 2010 to a peak of 4,751 people in 2017. There are many more examples besides.

Future-Proof the Roof: The case for sustainable investment to tackle homelessness and rough sleeping post-COVID-19
0.8 MiB
88 Downloads
Details

 

Understanding crisis-response measures: Collective Sense-making – RSA Lab

The grid helps us assess the things we stopped and started specific to the crisis response.

  • Identify measures taken. Review each measure or aspect listed in terms of: did it work? what was the impact? what were the unintended impacts? what did we learn?
  • Which quadrant might they fit in? For new measures we’ll need to evaluate whether something should be top left quadrant (end these things) or top right (amplify these)
  • The Challenge Lab approach – our ‘impact accelerator 2.0’ – for post-crisis communities will help people work through this process, identify those measures that fall in each quadrant, take those worth amplifying and find ways to do so
  • Don’t forget to review those things that we had to keep on doing (to a greater or lesser extent) during the crisis that existed before the crisis (eg refuse collections)? What else did the crisis teach us about these current systems and processes? Which are not fit for a post-crisis world in their pre-crisis form? Ie the context has changed but they haven’t.
Understanding crisis-response measures: Collective Sense-making
Understanding crisis-response measures: Collective Sense-making
understanding-crisis-response-measures.pdf
0.1 MiB
30 Downloads
Details

Child Maintenance: Fees, enforcement and arrears: (Briefing Paper Number 7774) – House of Commons Library

This paper describes what steps the Child Maintenance Service (CMS) may take when a Non-Resident Parent (also known as a “Paying Parent”) fails to pay child maintenance on time or in full. It also provides information on the application, collection and enforcement fees charged by the CMS, and briefly summarises analysis on the effectiveness of the CMS’s enforcement and collection system. This paper relates primary to Great Britain: Section 6 describes Northern Ireland’s system.

Child Maintenance: Fees, enforcement and arrears: (Briefing Paper Number 7774)
2.0 MiB
23 Downloads
Details

Child maintenance: fees (UK excluding NI): (Briefing Paper Number 7777) – House of Commons Library

Fees are payable in respect of application, collection (if using “Collect and Pay”) and enforcement under the current statutory child maintenance scheme administered by the CMS.  This note sets out information on the fees and the policy background.

Since 2014, for child support cases dealt with by the Child Maintenance Service (CMS), fees have been charged for applications, collection services (where the “Collect and Pay” service is used) and enforcement.  For legacy cases that are dealt with by the Child Support Agency (CSA), there are no fees.

This note sets out the levels of fees, and also notes that any person aged 18 or under or a victim of domestic violence or abuse is exempt from the application fee.

Child maintenance: fees (UK excluding NI): (Briefing Paper Number 7777)
0.1 MiB
18 Downloads
Details

 

Child maintenance: New steps to improve compliance and to allow arrears to be written off (UK excluding NI): (Briefing Paper Number 7778) – House of Commons Library

This House of Commons Library briefing paper considers new measures confirmed in July 2018 to improve compliance and allow arrears to be written off for the statutory child maintenance scheme.

Shortly before the “Child Maintenance Arrears and Compliance Strategy 2012 to 2017” expired, the Department of Work and Pensions (DWP) launched a consultation on a new strategy. In July 2018, the Government published its response to the consultation which took forward the proposals it had set out, but with some modifications.

The key measures announced in the July 2018 Government response are:

  • new processes and messaging to ensure clients are requesting variations for unearned income as early as possible in the life of a case;
  • notional income to be calculated from non-income generating assets;
  • permit deductions for ongoing maintenance at the flat rate from those Universal Credit claimants who have earnings;
  • allow deductions from welfare benefits where arrears have accrued but ongoing child maintenance is no longer paid;
  • deductions from unlimited partnership bank accounts;
  • disqualify non-resident parents from holding or obtaining a passport where all other enforcement action is ineffective;
  • allow more legacy Child Support Agency (CSA) cases where debt is owed to the person with care to be written off, subject to certain safeguards;
  • write off all CSA debt owed to the Government by non-resident parents.

The Government has said that these changes, along with the power to write off sequestrated debt in Scotland and previously announced proposals to allow deductions from joint bank accounts, will be introduced during autumn 2018. Changes relating to welfare benefits which will be implemented at an (unspecified) later date.

These measures will complement the existing spectrum of collection and enforcement powers, more details of which can be found in a separate Library paper.

Child maintenance: New steps to improve compliance and to allow arrears to be written off (UK excluding NI): (Briefing Paper Number 7778)
0.2 MiB
16 Downloads
Details

 

General Practice Fellowships for GPs and Nurses New to Practice Programme: Operational Guidance 2020/21: Making primary care a great place to work – NHS England and NHS Improvement

This guidance supports Integrated Care Systems and Sustainability and Transformation Partnerships, Primary Care Networks, practices, training hubs and other local partners to upport the development of your local offer of a two-year fellowship to newly-qualified doctors and nurses entering general practice. This programme is a NHS Long Term Plan commitment, also suggested by the GP Partnership Review, and recently restated in the February
2020 update to the GP Contract.

The programme launched in December 2019, and is subsequently being implemented across England to support all newly-qualified GPs and nurses in their transition to established, sustainable practise in general practice, becoming an embedded part of the primary care team in the PCN.

General Practice Fellowships for GPs and Nurses New to Practice Programme: Operational Guidance 2020/21: Making primary care a great place to work
0.2 MiB
29 Downloads
Details

 

COVID-19: guidance for supported living – Department of Health and Social Care and Public Health England

Guidance for providers of supported living settings, replaces withdrawn  13 May 2020 guidance. It sets out:

  • key messages to assist with planning and preparation in the context of the coronavirus (COVID-19) pandemic so that local procedures can be put in place to minimise risk and provide the best possible support to people in supported living settings. These local procedures may need to be updated to reflect changes in government guidance and advice as the pandemic response changes
  • safe systems of working, including social distancing, respiratory and hand hygiene and enhanced cleaning
  • how infection prevention and control (IPC) and personal protective equipment (PPE) applies to supported living settings
COVID-19: Guidance for supported living
COVID-19: Guidance for supported living
COVID-19_-guidance-for-supported-living-GOV.UK_.pdf
0.2 MiB
34 Downloads
Details

Our place: Local authorities and the public’s mental health – Centre for Mental Health and Local Government Association


Failure to urgently invest in mental health and other vital local services will undermine efforts to boost the country in the next phases of the pandemic, councils in England warn today. This report examines the initiatives of local councils that are rising to the challenge of promoting good mental health and preventing poor mental health in their communities. These councils seek to improve population mental health, reduce inequalities and prevent mental ill health in their communities through a combination of strategic and practical approaches. The report presents learning from these areas, prior to the pandemic and in the midst of the challenges brought by Covid-19, alongside an overview of the evidence for prevention and the national policy context.
Our place: Local authorities and the public’s mental health
7.3 MiB
32 Downloads
Details

REACT-1: real-time assessment of community transmission of coronavirus (COVID-19) in June 2020 – Department of Health and Social Care


Results of real-time assessment of community transmission of coronavirus (COVID-19) during June 2020.REACT-1 is the largest population surveillance study being undertaken in England that examines the prevalence of the virus causing COVID-19 in the general population. It uses test results and feedback from over 150,000 participants each month.

The study focuses on national, regional and local areas, as well as age, sex, ethnicity, socio-economic and other factors.

Found during the period 19 June to 8 July 2020, SARS-CoV-2 virus was circulating with relatively low prevalence and was declining. Subsequent rounds of REACT-1 will allow accurate assessment of trends in prevalence and transmission.

REACT-1  Real-time Assessment Of Community Transmission Of Coronavirus (COVID-19) In June 2020 - GOV UK
REACT-1 Real-time Assessment Of Community Transmission Of Coronavirus (COVID-19) In June 2020 - GOV UK
REACT-1_-real-time-assessment-of-community-transmission-of-coronavirus-COVID-19-in-June-2020-GOV.UK_.pdf
81 KiB
42 Downloads
Details

Guidance for parents and carers on supporting children and young people’s mental health and wellbeing during the coronavirus (COVID-19) pandemic [ Updated 16th June 2020] – Public Health England


Advice for parents and carers on looking after the mental health and wellbeing of children or young people during the coronavirus (COVID-19) outbreak.  Update in this version (published 16th June) – added guidance on support bubbles.
Guidance for parents and carers on supporting children and young people’s mental health and wellbeing during the coronavirus (COVID-19) pandemic [ Updated 16th June 2020]
Guidance for parents and carers on supporting children and young people’s mental health and wellbeing during the coronavirus (COVID-19) pandemic [ Updated 16th June 2020]
Guidance-for-parents-and-carers-on-supporting-children-and-young-people’s-mental-health-and-wellbeing-during-the-coronavirus-COVID-19-pandemic-GOV.UK_.pdf
0.1 MiB
40 Downloads
Details

Supporting Mentors Scheme Guidance for 2020/21: Making primary care a great place to work – NHS England and NHS Improvement

This guidance supports Integrated Care Systems and Sustainability and Transformation Partnerships, Primary Care Networks, practices, training hubs and other local partners to understand the operationalisation of this GP Contract commitment.

The Supporting Mentors Scheme is a commitment made in the ‘Update to the GP Contract Agreement 2020/21 – 2023/24’

  • It is a scheme supported by national funding, delivered by  ICSs/STPs, aimed at supporting GPs through creating an opportunity to develop mentoring skills, and to work in a different way
  • The overarching aim is to retain experienced GPs working in primary care through creating this portfolio working opportunity, while supporting less experienced GPs through high quality mentoring
  • The scheme should be delivered to link directly to the General Practice Fellowship programme, with mentors providing mentorship to fellows participating in the programme.

Supporting Mentors Scheme Guidance for 2020/21: Making primary care a great place to work
90 KiB
31 Downloads
Details

More accurate general practice appointment data: Joint commitment between NHS England and NHS Improvement and the British Medical Association- NHS England and NHS Improvement

This guidance introduces an agreed definition of an appointment, and asks general practice to start applying this now and systematically, as an important first step to improve data quality. During 2020-21, many improvements are planned to improve the quality of general practice appointment data (GPAD). To ensure all appointments are being recorded in general practice appointment books, and to fully capture the scale of work and workload in general practice, this document introduces an agreed definition of an appointment, and asks general practice to start applying this now and systematically, as an important first step to improve data quality.

More accurate general practice appointment data: Joint commitment between NHS England and NHS  Improvement and the British Medical Association
0.3 MiB
34 Downloads
Details

Mrs J Achaski v East Lancashire Hospitals NHS Trust: 2406003/2019 – HM Courts & Tribunals Service


Employment Tribunal decision. It is the judgment of the Tribunal that:

The claimant was not constructively, and hence was not unfairly, dismissed, and her claim is dismissed.

Mrs J Achaski v East Lancashire Hospitals NHS Trust: 2406003/2019
Mrs J Achaski v East Lancashire Hospitals NHS Trust: 2406003/2019
Mrs_J_Achaski_v_East_Lancashire_Hospitals_NHS_Trust_-_2406003_2019.pdf
0.4 MiB
22 Downloads
Details

Coronavirus: Returning to work: (Briefing Paper Number CBP 8916) – House of Commons Library


This Commons Library Briefing Paper discusses issues relating to returning to work as the Government re-opens the economy. It provides an overview of relevant health and safety law and a discussion of Government guidance on working safely in the context of Covid-19.

This paper should be read as correct at the time of publication – 5th August 2020.

Coronavirus: Returning to work: (Briefing Paper Number CBP 8916)
1.0 MiB
40 Downloads
Details

The calm before the storm? How primary care networks and mental health providers can prepare for rising demand for mental health services – NHS Confederation


Joint briefing from the NHS Confederation’s Mental Health Network and PCN Network explores how PCNs and mental health service providers can work together to prepare for the expected surge in demand for mental health services.  Key findings:

  • The impact of the pandemic on the nation’s mental health has seen an increase in demand for both common mental disorders and more serious mental illnesses. Improving integration between primary and secondary mental health services at this time is vital.
  • PCN and mental health leaders share the view that the health and care system can best meet the demand by taking steps in four key areas: building up relationships at all levels between mental health providers and PCNs; making best use of existing and new PCN workforce; improving links between NHS and third sector organisations; and sharing the innovative and effective approaches that local areas are already implementing.
  • The new Community Mental Health Framework expects formal links to be made between PCNs and mental health providers. Where strong and trusting links have been formed, referral routes can be flexible, and step-down and preventative support are improved.
  • Local areas are using innovative approaches to overcoming workforce challenges, but there is more to do to spread good practice and embed dedicated mental health support throughout primary care.
  • Many areas have reported challenges in supporting the mental health of children and young people in primary care and we expect this group to be particularly affected by the impact COVID-19. A bespoke approach for children and young people will be needed.
The calm before the storm? How primary care networks and mental health providers can prepare for rising demand for mental health services
0.1 MiB
32 Downloads
Details

Mouth care for hospitalised patients with confirmed or suspected COVID-19 – Public Health England

This guidance outlines mouth care for hospitalised adults and children with confirmed or suspected coronavirus (COVID-19) who are:

  • non-ventilated
  • ventilated
  • those having step down or end-of-life care.

Supporting seriously ill patients’ mouth care is an important part of overall patient care. If oral hygiene is neglected, the mouth rapidly becomes dry and sore. The aim of good mouth care for patients in hospital is to maintain oral cleanliness, prevent additional infection and reduce the likelihood of developing bacterial pneumonia. 

Mouth Care For Hospitalised Patients With Confirmed Or Suspected COVID-19 - GOV UK
Mouth Care For Hospitalised Patients With Confirmed Or Suspected COVID-19 - GOV UK
Mouth-care-for-hospitalised-patients-with-confirmed-or-suspected-COVID-19-GOV.UK_.pdf
0.1 MiB
43 Downloads
Details

COVID-19 rapid guideline: dialysis service delivery: NICE guideline [NG160]: [Updated 07 August 2020] – NICE


The purpose of this guideline is to maximise the safety of patients on dialysis, while protecting staff from infection. It will also enable dialysis services to make the best use of NHS resources and match the capacity of dialysis services to patient needs if these become limited because of the COVID-19 pandemic. On 7 August 2020 we changed the recommendation on how long people need to stay in the cohort of patients known to have COVID-19.  This guideline was updated 07 August 2020.

COVID-19 rapid guideline: dialysis service delivery: NICE guideline [NG160]: [Updated 07 August 2020]
COVID-19 rapid guideline: dialysis service delivery: NICE guideline [NG160]: [Updated 07 August 2020]
covid19-rapid-guideline-dialysis-service-delivery-pdf-66141894031045_2.pdf
0.1 MiB
42 Downloads
Details