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Coronavirus

New ways to support people with long COVID to be evaluated by Swansea experts

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Personalised rehabilitation programmes for patients with long Covid are to be developed as part of a new research project involving Swansea University health economists, which has just been awarded £1.1 million of UK government funding.

The project, known as LISTEN, will involve designing and evaluating a self-management intervention for people suffering with long Covid. This is likely to include a book, digital resources and a new training package for health professionals.

Project researchers will be analysing how clinically effective the intervention is, and how much it helps people cope and recover from long Covid. 

The role of the team from the Swansea Centre for Health Economics at the College of Human and Health Sciences, is to analyse its cost-effectiveness, to assess whether it provides good value for public money. 

Long Covid has been estimated to affect at least 10% of people who test positive for Covid-19. The latest estimates suggest nearly a million people are living with the condition in the UK.

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People with long Covid experience a wide variety of ongoing problems such as tiredness and difficulty with everyday tasks, meaning they can struggle to return to their former lives. This can then be made worse by uncertainty and a lack of understanding around the diagnosis.

There are currently no real treatment options, so developing effective interventions to help people cope and overcome their condition is crucial for this growing, yet under-served, patient group.

The LISTEN project is led by a team from St George’s, University of London and Kingston University and also involves Cardiff University. The UK government funding was provided through the National Institute for Health Research (NIHR).

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Dr Berni Sewell, Senior Lecturer at the Swansea Centre for Health Economics, said: “The COVID-19 pandemic has put into sharp focus how limited our health and care resources are. It is our responsibility to ensure every new intervention is not only effective but also cost-effective.

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Being involved as health economists in the LISTEN study is an amazing opportunity to support the development of an intervention that improves outcomes and experiences for this fast-growing patient group, whilst also ensuring we sustain our health service and quality of care for the future.”

Professor Fiona Jones from St George’s, University of London and Kingston University, said: “Thousands of people in this country are currently suffering from the effects of long Covid, with many people infected in the first wave still experiencing a significant impact on their daily lives. We need people to have access to skilled practitioners that are local to them – which our project intends to deliver.

Our hope is that wherever you live, if you experience long Covid, you can get access to personalised self-management support, connecting you with a rehabilitation practitioner with deep understanding of the condition.”

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Carmarthen

Health board lifts visiting restrictions at Glangwili and Withybush hospitals

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Hywel Dda University Health Board has confirmed that restrictions for people visiting patients will be lifted in Glangwili and Withybush hospitals from Wednesday 20 July 2022.

Visiting to Bronglais Hospital, Prince Philip Hospital and community hospitals remain open, by appointment only.

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The health board are advised that it will still be a requirement to wear masks in Glangwili, Prince Philip and Withybush hospitals.

Mandy Rayani, Director of Nursing, Quality and Patient Experience, said: “Last week we had to make the decision to extend measures at Glangwili Hospital in addition to Withybush Hospital to reduce the risk to our patients and staff and we thank people for their support and co-operation.

“We can all continue to take protective measures to reduce the risk of transmission of COVID-19 to protect vulnerable people and the NHS.

“We strongly advise anyone in our locality who has the classic symptoms, or who suspects they may have COVID-19 to isolate and take an LFD test. If positive, we urge people to isolate – this will help you to rest and recover while protecting others from risk of transmission.”

(Lead image: Google Maps)

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Coronavirus

Mask wearing reinstated at Llanelli’s Prince Philip Hospital

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Hywel Dda University Health Board have said that all staff and visitors to Prince Philip Hospital must wear face masks (unless exempt) with immediate effect following the latest review of prevalence of COVID-19 in the community.

This follows the decisions made last week to reinstate mask wearing at Glangwili Hospital and both mask wearing and visiting restrictions at Withybush Hospital.

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The health board have said that visiting will continue in general at Glangwili and Prince Philip hospitals following the latest review of case numbers but local ward restrictions are in place so please contact the ward to arrange your visit in advance

Mandy Rayani, Director of Nursing, Quality and Patient Experience for Hywel Dda UHB, said: “Wearing a surgical mask or face covering and keeping a physical distance when attending a hospital or medical facility will help protect our most vulnerable patients and service users.

“We are grateful for the ongoing support and efforts of our communities to stop the spread, particularly around more vulnerable people.

“These measures will be continually reviewed, and as soon as it is safe to do so, we will ease these restrictions.”

The health board is stressing the continued importance of the behaviours known to reduce transmission of COVID-19 and other infectious diseases, and the different requirements in place in health and social care settings.

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Mandy, added: “Isolating if we have symptoms of COVID-19, or other infectious diseases, is one of the most important things we can do to prevent the onward spread and break the chain of transmission.

“We strongly encourage anyone in our locality who has the classic symptoms, or who suspects they may have COVID-19 to isolate and take an LFD test. If positive, we urge people to continue with the same isolation guidance that has been in place – this will help you to rest and recover and protect others from risk of transmission.”

Later this week, the Welsh Government will update its vaccine strategy with details of the next booster dose in the autumn.

The Chief Medical Officer for Wales, Sir Frank Atherton said:

“The vaccine is the best way to protect yourself and others from coronavirus. While the vaccine does not completely stop transmission it offers protection against serious illness and reduces the risk of hospitalisation.

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“You can still get the vaccine if you haven’t had your full course, or you were too ill to get your spring booster and I would encourage parents to think about getting the vaccine for their children over the summer months to help minimise any disruption to their education during the autumn and winter terms.”

(Lead image: Hywel Dda NHS)

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Study reveals factors affecting public attitude towards Covid and the new normal

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female freelancer in face mask working on laptop at home

Partygate, a lack of media coverage and the perception that the virus is now milder could all affect future compliance with Covid guidance.

New Swansea University research has revealed that though many people feel life is now back to normal, a minority are still socially distancing and feel like they have been reconditioned to be more cautious. 

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The study, by Dr Simon Williams and Dr Kimberly Dienes of the School of Psychology, explored people’s current behaviours around Covid-19, including mask wearing, social distancing, testing and isolation. 

It also looked at people’s views on future booster jabs, including whether they felt they would want one.  The study went on to ask if they were likely to follow rules or guidance if another variant emerged this autumn.

It found most people were willing to take steps in future to reduce passing on Covid or other viruses, however a number felt they would only distance or wear masks if the situation was “serious” and “people started dying again”.  Many felt that the Partygate and other controversies over political figures breaking Covid rules would affect compliance with future rules.

The study has been published by PsyArXiv , a site used by researchers to share new findings on timely issues before they have been peer-reviewed for publication in a journal.

It found a lack of media coverage of the pandemic, the war in Ukraine and the cost-of-living crisis were big factors in why people felt they weren’t thinking about Covid as much.

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There was a common perception that new Omicron variants are milder than previous variants, which has reduced concern, with the use of face masks having been de-normalised.

The study found that people’s willingness to test is high.  However, knowing when to test, and willingness to buy tests was variable.

The desire to protect the NHS did not feature at all as a motivation to take actions to reduce transmission; and,

There was a modest appetite for future booster jabs among those who had been triple-jabbed.  However, a number suggested they would only be likely have a further booster if officially recommended or invited.

The research involved online focus groups with 28 participants between 15th and 30th June 2022.

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Dr Williams said: “Our study shows that many people feel as though things have returned to normal, and they haven’t been thinking about Covid much, if at all, recently.  This is understandable – it’s been a hard two years and people are entitled to enjoy the relative freedoms, compared to earlier in the pandemic. 

“However, it is also concerning, as we are currently in the middle of one wave, with new variants and new waves likely to emerge in autumn and winter.  The challenge is to find a more balanced, sustainable way forward, where we can keep some protective behaviours, while looking to governments and organisations to provide broader supports – like good ventilation, hybrid working, free testing, and better sick pay.

“Our study has a number of implications.  It’s important to provide adequate risk communication.  It’s important not to unduly worry people about the pandemic, but similarly it’s important that people are aware of the ongoing impacts.  The lack of recent media coverage, and the way some in Government have been taking about ‘living with the virus’ in ‘post-pandemic’ UK, may have provided too much of a false sense of security.

“Finally, trust has been shown to play a big role in how motivated people are to follow guidance and rules.  Partygate has severely dented many people’s confidence in Government’s handling of the pandemic, as well, potentially their willingness to do things like wear masks or socially distance in the future, if required. 

“There are some worrying signs that in the future, if further guidance or even rules come back into play, people may not be as willing to comply, which of course will have impacts on transmissions, hospitalisations and ultimately NHS capacity.”

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