MPs approve compulsory vaccinations in the care home sector

We recently commented on the government’s plans for vaccinations to become mandatory for all care home workers. Yesterday, MPs approved this initiative despite a small number of dissenting voices within the Conservative rank and file. Passing with a majority of 319 votes to 246, anyone working in a care home registered with the Care Quality Commission in England must have had two vaccine doses by October, unless they have a medical exemption.

The feuding within the Conservative party appears to focus on the lack of any published impact assessment of the policy before the vote (Health Minister, Helen Whately told MPs this was being worked on), something which many argue is imperative when balancing risks and imposing such measures on an entire (and already stretched) healthcare sector particularly in a group of workers which has a very low take up of the vaccine.

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Practical steps care homes ought to be taking in light of the Government’s mandatory vaccination announcement

According to reports in the media this week, Whitehall sources are saying it is shortly about to be announced that vaccination is to be made compulsory for care home staff caring for the elderly and vulnerable and looked at for NHS staff.

This move follows a consultation by the Department of Health and Social Care (DHSC) launched in April amidst concerns raised by figures showing there have been over 40,000 deaths in care homes due to COVID-19 and a low uptake of the vaccine amongst care home staff.

International Trade Secretary Liz Truss has told the BBC that the government’s announcement of its decision on mandatory vaccination for care home staff was “very imminent.”

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Time to prioritise the mental health of our care workers?

As the pandemic continues, more statistics are coming to light in respect of the wider impact COVID-19 has had, not least on the mental health of frontline care workers. A survey undertaken by the trade union GMB found that 75% of care workers said that their work during this pandemic has led to their mental health being negatively affected. The survey found that many felt their mental health had declined during the second wave of the pandemic, with whose who were only entitled to statutory sick pay reporting lower mental health scores. 

The Worldwide Health Organisation (WHO) Regional Office for Europe recently produced a short film with healthcare workers discussing the impact the pandemic has had on their mental health, as well as the challenges they have faced, whilst providing care throughout for their patients. The main mental health consequences raised were loneliness, elevated stress levels or anxiety, insomnia and depression. There is no doubt that those providing frontline care throughout, have borne the brunt of the pandemic. Care workers have continued to provide care and support to their patients and the wider public throughout the pandemic, bravely facing the challenges this has thrown at them. 

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Assistive technology in a reformed social care system

We wrote in 2019 about the role of assistive technology in how it could help social care users.  A new Commission by two care bodies has now been launched to explore the role of assistive technology in a reformed social care system.  The COVID-19 pandemic has shown the weaknesses and frailties of the UK social care system.  What role could assistive technology play in creating a more robust social care system for the future?

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Lack of PPE may have contributed towards COVID-19 death of a home care client

There has been significant focus in the media in the last few months on the effect of COVID-19 on the care sector and in particular the lack of PPE available, especially at the outset of the COVID-19 pandemic.   

A recent report by the Healthcare Safety Investigation Branch (HSIB) has highlighted confusing governmental guidance on whether home care carers should wear PPE or not.  The HSIB investigates patient safety in NHS funded care.  The HSIB report notes that the primary guidance produced by Public Health England on 6 April 2020 did not mention the need to wear PPE when caring for an “extremely clinically vulnerable” client.  Further guidance produced after the report did mention the need to wear PPE but the primary domiciliary care guidance was not updated until 13 May 2020 to confirm that PPE should be worn when visiting extremely clinically vulnerable clients.   

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How many deaths in care have there actually been?

It is no secret that the spread of COVID-19 within the care sector has been the subject of significant media attention and cause for concern amongst those involved with care. But how hard can it be to answer the question: ‘How many deaths on care has there actually been?’ The answer is: it’s all in the detail. Continue reading “How many deaths in care have there actually been?”

“We are facing a secondary pandemic of neurological disease.”

“We are facing a secondary pandemic of neurological disease.”
Robert Stevens Associate Professor of Anaesthesiology and Critical Care Medicine at Johns Hopkins Medicine, US.

With medical science struggling to keep up with coronavirus and its consequences, it will be several years at least before more conclusive studies as to the long term impacts of the pandemic can be produced. The law lags even further behind.

Whilst COVID-19 has largely been considered to be a respiratory disease, more than 300 studies from around the world report a significant number of COVID-19 patients are displaying neurological abnormalities ranging from mild symptoms, such as headaches and loss of smell, to more severe variants commonly associated with mild to moderate brain injury.

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Has COVID-19 resulted in the unauthorised Deprivation of Liberty in care settings?

The data obtained by the CQC and published in the third issue of their publication titled COVID-19 Insight reports a drop in the number of notifications received from providers in respect of Deprivation of Liberty (DoLS) applications from March – May 2020 suggesting on simple reading  of the data that the answer to this question is “yes”.

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How the care sector can take best advantage of business opportunities

There has been no shortage of commentary on the challenges facing care homes during the pandemic, from the number of infections and fatalities to the risk of further waves and lack of testing and PPE, along with the loss of income due to lower occupancy and reduced staff levels and reputational implications. There is speculation that some 25% of care homes may go out of business.

However, whilst these matters are real threats to businesses in the care sector, there are nevertheless some things that are well worth you considering as part of your plan for sustainable growth for a viable care business. The following are just some examples.

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Increase in deaths of people receiving care unrelated to COVID-19

In the last few weeks, the COVID-19 related issues concerning care homes have become increasingly more apparent and a light has been shone on the pressures homes have faced. There has been suggestion that care providers have somewhat been missed by the Government, in respect of PPE, testing of staff and residents, or those returning from hospital. Sadly, since the beginning of April, the number of COVID-19 related deaths which took place in homes among residents overtook the number of care home resident deaths within hospitals. Many have suggested the main factor in respect of this has been the lack of testing of those with COVID-19 symptoms, when they have been returning to their care homes, having been receiving treatment externally.

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