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  11. Long Term Care Facilities In England During The Covid-19 Pandemic-a Scoping Review Of Guidelines, Policy And Recommendations.
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  3. Research Domains
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  7. Health Services And Systems
  9. Family Care
  11. Long Term Care Facilities In England During The Covid-19 Pandemic-a Scoping Review Of Guidelines, Policy And Recommendations.

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Long term care facilities in England during the COVID-19 pandemic-a scoping review of guidelines, policy and recommendations.

Danni Collingridge Moore1, Alex Garner2, Natalie Cotterell3

  • 1Division of Health Research, Lancaster University, Lancaster, UK. d.collingridgemoore@lancaster.ac.uk.

BMC Geriatrics
|May 3, 2024

View abstract on PubMed

Summary
This summary is machine-generated.

COVID-19 policies for long-term care facilities (LTCFs) in England were reviewed. Key recommendations covered infection control, staffing, and visitation, with implementation challenges noted.

Area of Science:

  • Public Health
  • Health Policy
  • Gerontology

Background:

  • COVID-19 disproportionately affected long-term care facility (LTCF) residents, necessitating clear pandemic management guidance.
  • Emerging research highlights the impact of mass hospital discharges, staff movement restrictions, and limited visitation on LTCFs during the pandemic.
  • An in-depth review of policies and guidance is crucial for understanding pandemic management in these settings.

Purpose of the Study:

  • To identify and synthesize government policies, guidance, and recommendations for LTCF staff and residents in England during the COVID-19 pandemic.
  • To establish a timeline of key events and analyze policy aims, recommendations, implementation strategies, and intended outcomes.
  • To provide a comprehensive overview of the policy landscape impacting LTCFs during the COVID-19 crisis.

Main Methods:

  • A scoping review of publicly available policy documents and guidance related to COVID-19 in English LTCFs was conducted.
  • Systematic searches of UK government websites identified relevant documents.
  • Thematic synthesis was employed to analyze policy aims, recommendations, implementation, and intended outcomes, involving coding, theme grouping, and analytical theme development.

Main Results:

  • Thirty-three key policy documents were included in the review.
  • Six core areas of recommendations emerged: infection prevention and control, hospital discharge, testing and vaccination, staffing, visitation, and continuing routine care.
  • Seven implementation areas were identified: funding, collaboration, monitoring, workload reduction, leadership, training, and communication.

Conclusions:

  • Long-term care facilities are complex environments requiring lessons learned from COVID-19 for future pandemic preparedness.
  • Further research is needed to assess the communication, implementation, and effectiveness of COVID-19 guidance in LTCFs.
  • Understanding the secondary effects of policies and their integration into existing adult social care challenges is essential.
Keywords:
COVID-19Care homesCoronavirusHealth policyNursing homesPublic healthlong-term care facilities

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