Experiences during COVID-19 pandemic and the November lockdown

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Summary of report content

Healthwatch Norfolk report on research they have undertaken about experiences during the COVID-19 (coronavirus) outbreak during Autumn 2020: experiences during lockdown, feedback from professionals, experiences of care home residents, and experiences of mental health services. They heard from 218 people in total.

People who had not used any services or additional support during the first lockdown most commonly did not need additional support.  When asked what kind of additional support they think they might need during the second lockdown, the most common kind of support needed was mental health support.

Over two in five people weren’t confident accessing the support they needed. Concerns around accessing support included feeling like they were “just left to it” and wanting to see a health professional face to face, feeling that services were prioritising COVID patients and offering limited services.

Three main themes emerged from interviews with professionals:

  1. The impact of COVID on new ways of working including the opportunity for more creativity and that initiatives could be pushed through quicker.
  2. Discussions around digital services and remote consultations included positives, such as being able to see more people in a day. On the other hand, interviewees also acknowledged that a reliance on digital 4ervices had resulted in service users such as the elderly being excluded.
  3. Professionals acknowledged the impact of COVID on human connections and how they had found it difficult not seeing both service users and colleagues face-to-face.

 

Surveys about care homes recognised both positive and negative changes as a result of COVID-19. Positives included better infection control and greater bond among staff. Negatives included decline in resident mental health, reduced or removed visiting opportunities, and difficulty accessing healthcare or health visits.

Communicating with residents whilst wearing PPE was challenging for both staff and friends/relatives when they could visit. Sharing information about COVID-19 with residents in a user-friendly way was a difficulty. Friends/relatives’ experiences of being kept in the loop by their loved one’s care home varied hugely and was not consistent across all providers. Whilst the majority of residents said that care home staff helped them feel safe, friends/relatives’ opinions were mixed as to whether they would have confidence in their loved one’s care home during any future peaks in cases of the virus.

Feedback on mental health services found that changes to services included services ceasing to exist or moving online or via the phone. Those who had received face to face care felt the risks had been well managed.

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General details

Report title 
Experiences during COVID-19 pandemic and the November lockdown
Local Healthwatch 
Healthwatch Norfolk
Date of publication 
Friday, 30 April, 2021
Key themes 
Access
Communication between staff and patients
Digitalisation of services
Health protection
Holistic support
Information providing
Quality of care
Service closure
Service delivery organisation and staffing
Waiting times and lists for treatment

Methodology and approach

Was the work undertaken at the request of another organisation? 
Yes
What type of organisation requested the work 
Local Council
Primary research method used 
Observation
Structured interview
Survey
If an Enter and View methodology was applied, was the visit announced or unannounced? 
N/A

Details of health and care services included in the report

Primary care services 
GP practice
Secondary care services 
Inpatient care
Outpatients
Mental health services 
Community mental health team (CMHT)
Social care services 
Nursing care home
Residential care home
Community services 
Other
Urgent and emergency care services 
Accident & emergency

Details of people who shared their views

Number of people who shared their views 
218
Age group 
Not known
Gender 
Not known
Ethnicity 
Not known
Sexual orientation 
Not known
Does the information include public's views? 
Yes
Does the information include carer's, friend's or relative's views? 
Yes
Does the information include staff's views? 
Yes
Types of health and care professionals engaged 
All care professionals
What was the main sentiment of the people who shared their views? 
Mixed

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
No
Does the information contain a response from a provider? 
Not applicable
Is there evidence of impact in the report? 
No
Is there evidence of impact external to the report? 
Not known

Network Impact
Relationships that exist locally, regionally, nationally have benefited from the work undertaken in the report
 
Implied Impact
Where it is implied that change may occur in the future as a result of Healthwatch work. This can be implied in a provider  response, press release or other source. Implied impact can become tangible impact once change has occurred.
 
Tangible Impact
There is evidence of change that can be directly attributed to Healthwatch work undertaken in the report.