Health E-News is a weekly update on policy and guidelines from organisations including NICE and individual Royal Medical Colleges, and news and views on health related subjects and research from trusted sources such as The King’s Fund, Cochrane, The Health Foundation, the NHS and the Department of Health and Social Care.
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COVID-19 guidance and policy
The most recent COVID-19 updates from NHS Employers include guidance on infection control and RIDDOR reporting, the addition of a staff risk assessment proforma tool, updates on shielding, and a guide to overtime interpretation.
Guidance on surgical prioritisation during the COVID-19 pandemic has been updated to include material on spinal surgery and paediatric cardiac surgery. The guidance outlines levels of surgical priority for patients, covering the majority of specialties. The categorisation is intended to help plan the allocation of resources, and to facilitate the development regional networks for the delivery of surgery.
The Royal College of Paediatrics and Child Health (RCPCH) updates its guidance for clinicians on the shielding of clinically vulnerable children and young people. The new guidance identifies two groups of vulnerable individuals and categorises these groups according to a recommendation for continued shielding, or consideration on a case by case basis.
The Faculty of Sexual and Reproductive Health (FSRH) have published guidance and a policy position providing recommendations on prioritisation as services are restored. The guidance includes general principles for the restoration of services, offers suggestions for essential services and recovery phases, and identifies priority and vulnerable groups. Also included in the guidance is an outline of positive changes that have been made to accommodate the lockdown, and which should remain in place. The guidance can be read here, and the policy position is available here.
COVID-19 related news
Preliminary results from the RECOVERY trial, a large randomised controlled trial of possible treatments for COVID-19, show no effect on mortality from the use of hydroxychloroquine in patients admitted to hospital with the virus. The trial, which has enrolled over 11,000 patients from 175 NHS hospitals, is testing treatments including Lopinavir-Ritonavir, Tocilizumab, convalescent plasma, and Hydroxychloroquine. Preliminary results from the arm of the trial testing Hydroxychloroquine have revealed no beneficial effect of treatment with the drug, and enrolment has been stopped.
A report from the NHS Confederation, ‘Getting the NHS back on track; planning for the next phase of COVID-19’, outlines some of the key challenges that organisations are likely to face over the coming months, and offers some practical solutions for phase three guidance and beyond. The recommendations include extending emergency funding across all NHS sectors, implementing ongoing arrangements with private sector providers, delaying CQC inspections, and a review of the impact of COVID-19 on the NHS and social care workforce. The report also make a clear call for appropriate supplies of PPE as services resume, and seeks assurances that the planned test, track and trace system will be both fully operational and robust.
The results from the latest in a series of BMA surveys suggest that shortages of personal protective equipment (PPE) remains an issue in hospitals and GP surgeries. Around one in five of the respondents report either shortages, or no supply at all of FFP3 masks when working in areas where aerosol-generating procedures (AGP) are carried out, while shortages of gowns and aprons have worsened in non-AGP areas. Issues around female doctors finding masks that fit appropriately have been drawn to the attention of the DHSC.
NICE and NIHR have collaborated to produce advice for those developing medicinal products aimed at preventing or treating COVID-19. The guide offers support and recommendations on numerous aspects of proposed trials, including trial design, intended study population, duration, and the reporting of results.
NHS Employers have highlighted some resources on supporting staff with disabilities working within the NHS, in order to help managers and senior leaders address some of the challenges faced. The resources have been made available to help with the preparation and submission of Workforce Disability Equality Standard (WDES) reports, which organisations will be required to submit between 6 July and 31 August.
The HSJ has announced its sponsorship of a new workplace race equality award, in an effort to recognise initiatives promoting race equality and inclusion within HNS workplaces. The announcement notes that the Workforce Race Equality Standard (WRES) has helped to bring about some positive changes, and its data has helped evidence the positive outcomes of embracing workforce diversity. Nevertheless, the award entry page acknowledges the continued discrimination and disparity of experience that BME staff can face, and along with inviting submissions of initiatives that have improved workplace equality, offers suggestions to support these necessary changes.
The Academy of Medical Royal Colleges (AOMRC) have published a series of guides offering support for flexibility in postgraduate training, and for doctors in training who wish to change specialties. The guides are accompanied by a set of FAQs which offer answers for doctors in training, as well as for Local Education and Training Boards and medical Royal Colleges.
The Kings Fund offer some thoughts on the learning that might come from staff experiences during the COVID-19 pandemic, and the potential gains that can be made. The piece argues that, “…staff must have autonomy and control, feel a greater sense of belonging and be supported in order to have a sense of competence, rather than simply being overwhelmed by excessive workload.” It also highlights the importance of reflection, reviews and learning, and calls for compassionate and collective leadership.
Medtech innovation briefing
- Psychological Therapies: reports on the use of IAPT services, England March 2020 Final including reports on the IAPT pilots and Quarter 4 2019-20 data
- Mental Health Services Monthly Statistics Final March 2020
- Out of Area Placements in Mental Health Services March 2020
- Recorded Dementia Diagnoses May 2020
- [MI] NHS e-Referral Service Open Data Oct 2019 to May 2020
- Waiting times for suspected and diagnosed cancer patients for April 2020
- Diagnostic waiting times and activity for April 2020
- Referral to treatment waiting times statistics for consultant-led elective care for April 2020
- Referral to treatment waiting times statistics for consultant-led elective care – 2019/20 Annual Statistical Report
- Diabetes Prevention Programme, Quarterly Report, 1 January – 31 December 2019
- Care Processes and Treatment Targets, January to December 2019
- Abortion statistics for England and Wales: 2019
- MRSA, MSSA, Gram-negative bacteraemia and CDI: quarterly report
- A&E attendances and emergency admissions for May 2020
- Ambulance Quality Indicators Systems Indicators for May 2020
- Monthly hospital activity data for April 2020
- Weekly national flu reports: 2019 to 2020 season
- Summary Hospital-level Mortality Indicator (SHMI) – Deaths associated with hospitalisation, England, February 2019 – January 2020
- Weekly all-cause mortality surveillance: 2019 to 2020
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