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The role of
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YOUNG
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TAKE PART IN A SURVEY

We are seeking senior care home staff to take part in a research study about visiting arrangements for older people during the Covid-19 pandemic.

The study is led by researchers at the London School of Economics and Political Science (LSE) and is funded by the National Institute of Health Research (NIHR).

You can read more about the study by clicking here

If you choose to take part you will be asked to complete a 20-30 minute online qualitative survey (where you write the answer in your own words) about developing and implementing your care home’s visiting policy. If you prefer, we will complete the survey with you in a telephone or Zoom call or we can send a paper copy.

To take part either click here to be taken directly to the survey, or email one of the research team, who will be happy to answer any questions you have:

Klara Lorenz-Dant (k.h.lorenz@lse.ac.uk)

Josie Dixon (j.e.dixon@lse.ac.uk or 07989 070777) or

Kellyn Lee (k.lee38@lse.ac.uk)

At the end of the survey, we will also ask if you are willing to take part in a follow-up qualitative interview. This is optional. Care homes selected for interview will receive £50 for their activity fund.

We really want to hear about your views and experiences and ensure they are communicated to Government and other stakeholders.

Your information will be entirely confidential; only the research team will see your answers. We will report findings thematically, and no-one taking part will be identified in any report.

We are hugely grateful to you for your participation. Thank you.

“Our small team (Dr Holly Blake, Dr Wendy Jones and myself) within the University of Nottingham’s School of Health Sciences along with an international peer review panel have developed and released the digital training package. 

This training package has been developed for health and care professionals, and healthcare students with the aim of increasing understanding of the COVID-19 vaccine and provide a resource that will help them to explain to patients and clients why COVID-19 vaccine uptake is important for individual and societal health.

 Here is a link to the CoVE Package: COVID-19 Vaccine Education training package hosted on HELM Open Repository:

https://www.nottingham.ac.uk/helmopen/rlos/practice-learning/public-health/CoVE/

Sample training package pages:

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The AFRI-c study is based at the University of Bristol and will be looking at air filters to reduce respiratory infections (including covid) in care homes around the UK.

The team would “like to invite Care Home managers to join a working group meeting for the AFRI-c study (air filters to reduce respiratory infections) which is taking place on Thursday 29th April. In particular, if there are any managers from Care Homes that specialise in Dementia Care we would like to hear from you.

If you are interested and would like to help support and shape the study further please contact the central email afric-study@bristol.ac.uk and Claire the Study Coordinator will get back to you.”

“New research by the Health Foundation shows that the amount of hospital care received by those living in care homes in England rapidly declined in the first three months of the pandemic in 2020 and was substantially lower than in the same period in 2019.

The research, which is due to be peer reviewed, provides the first comprehensive and national analysis of all hospital care provided to care home residents during the first wave of the pandemic.

It appears to substantiate concerns that care home residents (including those in nursing homes and residential care) may have faced barriers to accessing hospital treatment as the NHS rapidly reorganised to free up hospital capacity to care for critically ill COVID-19 patients.”

If you would like to read more click on this link

“International Public Policy Observatory (IPPO)  has been set up with support from the Economic and Social Research Council to provide key policymakers in government throughout the UK with access to the best available evidence and insights on the social impacts of the pandemic.

Stakeholder engagement is a core component of our work, including regular roundtable discussions with key decision-makers, frontline staff and academic experts. On March 23, we will host a roundtable to discuss the mental health and wellbeing impacts of COVID-19 on care home residents and staffAhead of this meeting, we’d like to hear first-hand from people such as yourself who are on the frontline of the pandemic response, working in key roles within the care sector.

Would you be willing to have a short (15-minute) call to talk through your thoughts with one of the IPPO team? 

Examples of the questions we’d like to ask you:

  • What are the key issues and concerns you are facing in your role at the moment
  • How has COVID-19 affected you personally, in and outside work?
  • Do you feel you are receiving enough support, and the right kind of support?
  • What other interventions or changes to your working life would make the most positive impact?
  • Do you feel your experiences are being accurately reflected in the media?
  • What extra information related to the pandemic would help you the most?
How the conversation will be used?
Firstly, we must stress that nothing you say will be used without your permission. We will always send the quotes we would like to use back to you first to check.

We will also never use your name or any details that could identify you. We may refer to your region and job role if it’s relevant to the points being made (for example, if referring to a policy area which is devolved, or unique to your particular area of work) – but only with your permission.

We plan to use some of your experiences within a blogpost on the IPPO website which will also include the anonymised experiences of other people working in your field from all over the UK, under a section called ‘frontline voices’The idea is to help policymakers understand the daily issues that you and your colleagues are facing, alongside the latest research which we are also providing to them.

The notes from our call will only be shared with a small number of colleagues within IPPO who are working on this project. 

Please don’t hesitate to contact me if you have any questions about this request – and thank you for your time mike.herd@theconversation.com

“The COVID-19 pandemic has had a devastating effect on care homes all over the UK. In the first of our investigations in this topic area, we plan to look at the lasting impacts on the mental health and wellbeing of people who have been living in care during COVID-19. For example, what robust evidence is there regarding patterns of worsening mental ill-health within care homes because of full lockdowns and other restrictions on social contact – whether in relation to anxiety, depression, loneliness or dementia? 

 

What are the challenges of coping with often greatly-reduced group activities, and what do we know of interventions being taken to address these challenges? Which initiatives are proving most effective in maintaining wellbeing and mental health? And given that most care home residents will soon have been vaccinated, what can be done to address the deteriorations in mental health that have been observed? 

 

We hope this discussion will help participants to better understand the current policy responses, and the state of evidence.  We’ll also use it to clarify more detailed questions which we can follow up on.”

 

The event will take place on Tuesday 23rd March, 16:00 – 17:00, to be held on Zoom

If you would like to attend,  please email us at ippo@ucl.ac.uk  by Wednesday 10th March.

“Most countries have restricted visits to care homes to prevent COVID-19 infections, however, concern is increasing about the negative impact of these restrictions on the health and wellbeing of care home residents and their families.

We carried out a rapid review of evidence to address three questions:

  1. What is the evidence on the impact of visitors in terms of infections in care homes?
    • We found no scientific evidence that visitors to care homes introduced COVID-19 infections, however during the peak of the pandemic most countries did not allow visiting and there are some anecdotal reports attributing infections to visitors before restrictions.
  2. What is the evidence on the impact of closing care homes to visitors on the wellbeing of residents?
    • There is increasing evidence that care home residents experienced greater depression and loneliness and demonstrated more behavioural disturbance during the period that included visitor bans.
  3. What has been the impact of restricting visits on quality of care?
    • There is evidence of substantial care provision by unpaid carers and volunteers in care homes prior to the pandemic, hence visiting restrictions may have resulted in reductions in quality of care or additional tasks for care home staff.

Conclusions:

Given that there were already low rates of social interactions among residents and loneliness before the COVID-19 pandemic, the evidence reviewed suggests that visiting restrictions are likely to have exacerbated this further. While there is no scientific evidence identifying visitors as the source of infections this is likely to reflect that most care homes did not allow visitors during the initial peaks of the pandemic. A pilot re-opening homes to visits under strict guidelines did not result in any infections.

Allowing visitors in facilities where there are no COVID-19 cases is important to support resident wellbeing. Safeguards to reduce risk of COVID-19 infection have been described, including visits through windows/glass, outdoor visits, and well-ventilated indoor spaces, screening of visitors, use of masks and other PPE and hand hygiene and cleaning.

In addition, it is important to recognize and support the provision of unpaid care, particularly for people who pre-COVID had a history of regular visiting to provide care (e.g. feeding, grooming, emotional support). They should be classified as essential workers, provided training and PPE, and be allowed to visit regularly and provide care, interacting as closely with residents as staff.”

 

More more information click here for the LTC Covid website

This webinar produced by LTC Covid explores the experiences on safe visiting in care homes during COVID-19 in Australia, the Netherlands, Canada, the UK and USA, and presents evidence-base recommendations to inform care homes and government policies on visiting in care homes during this and future pandemics, building on a recent international report.

For access to the webinar click here

Do you work in a care home?

Researcher at Glasgow Caledonian University are researching the impact of COVID 19 on staff working in nursing and residential care homes across the UK and Ireland. We know the pandemic continues to present many difficulties for people who live and work in the care home sector and we believe it is important to hear the voices of the people at the frontline.

We are inviting you to tell us about your experiences by completing an anonymous online questionnaire.

If you work in any role, in one or more care homes, please help us to learn more about your experiences with COVID 19. 

If you would like more information about this study Information about the research please click here

If you would like to complete the survey it can be found here

“This report aims to provide an overview of data and policies in relation to COVID-19 vaccinations for people who use and provide long-term care. It is a “living report” that will be updated regularly, please email s.e.lauter@lse.ac.uk if you would like to contribute or aware of relevant sources of information.

  • The report shows data for populations that either use and provide long-term care or are likely to do so. So far very few countries routinely share data on the characteristics of people who are receiving vaccinations. In all other countries the data has been announced by official sources to the media.
  • On the 11th January we have found data on COVID-19 vaccinations in care homes for 8 countries, and for some regions/nations in Spain and the United Kingdom.
  • 2 countries (Denmark and Israel) and a region in Spain (Asturias) report having completed first doses of vaccination for all care home residents and staff. Over half of all care home residents are reported to have been given a first dose of vaccine in Catalonia (Spain), Northern Ireland and Scotland, and over a quarter in Croatia, Cyprus and Germany, and close to 15% in Italy and the United States.
  • The share of doses of vaccines given to people living in care homes ranges from 6% in Italy to 73% in Croatia.
  • We have not found official data, so far, on the share of care home residents who either refuse the vaccination, cannot consent or are excluded from vaccination due to other reasons.
  • Initial review of prioritization documents shows that all countries prioritise vaccinations for healthcare staff, and, with slight variations in order, care home residents and staff, older people and, less frequently, people who rely on care in the community and unpaid carers.
  • Indonesia is an exception in that the working age population is currently prioritised and not older people.
  • There are few mentions of people living with dementia or people with learning disabilities.”

The full report is available here

Authors: Shoshana Lauter, Klara Lorenz-Dant, Adelina Comas-Herrera (Care Policy and Evaluation Centre, Department of Health Policy, London School of Economics and Political Science) and Eleonora Perobelli (Observatory on Long-Term Care, CERGAS SDA Bocconi)