Operational Guidance A-Z

• ADHD: Management & Monitoring of ADULT & CAMHS service users with ADHD during the COVID-19 pandemic
• Admission to Hospital - Differences during the pandemic in the way we care for you
• Admitting Patients to Wards with Active Outbreak
• Cardiac Resuscitation: COVID-19 Cardio-resuscitation for Adults and Paediatrics (2.2) Updated 01.05.20
• Cardiac Resuscitation Guidance chart (Updated 22.04.20)
• Cleaning Cleaning Definitions and Outline of Covid Clean (Updated 18.12.20)
• Face Masks poster: The Impact of Facemasks on Communication Poster - July 2020 
• Face Masks Refusal by Service Users: What to do when a Service User Refuses to Wear a Mask - Nov 2020
• Memory Assessment: Restarting Face to Face Memory Assessment During the COVID Pandemic 
• COVID-19 Science Publication updates from JAMA network / LANCET / NEJM/ BMJ
• Mode of Patient Contact: Guidance on Choosing the Method of Contact for Mental Health Community Services during the COVID-19 Pandemic - October 2020
• Mental Health Act: Guidance on Compulsory Isolation_of MH Inpatients Suspected to be or are COVID-19 Positive revised 15.10.2020 and Decision-making Tool - template
• Mental Health Act: Interim Methodology for Mental Health Act Monitoring Visits
• Pandemic Flu Plan
• Physically Vulnerable Inpatients: Guidance Notes for Physically Vulnerable Patient on our Wards - COVID-19 - October 2020
• Press: Advice Concerning Media Engagement 
• Shielding Vulnerable In-patients From Covid 19
• Social Distancing on wards: Keeping Service Users Safe on Wards - Socially Distancing 
• Smoking and the Risk of COVID-19
• Staff COVID Testing: Staff Testing for Coronavirus (Email: elft.testing@nhs.net for advice)
• Temperature Taking: Staff and Visitors Temperature Taking Guidance

• Triage and Waiting List Management Principles (August 2021) 

  It is important that our service arrangements remain consistently safe even while people are on any waiting lists for our services. These principles are intended as a helpful framework to enable teams to effectively manage referrals and waiting lists. Triage & Waiting Lists

• Visiting Wards & Patient Leave Guidance: Updated December 2021
• Guidance on Leave from Acute Wards Updated December 2021
• Working Virtually: Trust Guidance on Undertaking Virtual Clinical Work - July 2020  

Medicines Guidance A-Z

• • Alcohol and Substances:Advice Related to Alcohol and Substance Misuse
  • Antipsychotic Medication uploaded November 2020: Policy for the use of high dose antipsychotic medication

• Clozapine Use in the Context of COVID-19
• (Updated 29.03.21)

• COVID 19 - Updated Medicines Processes&Procedures during Pandemic (Sept 2021)
• COVID Vaccines & The Mental Capacity Act  When should capacity be assessed?      (December 2021)
• Depot medication - guidelines for use during coronavirus pandemic - revised 22.06.20
• Epilepsy Management: MHRA Valproate Pregnancy Prevention Programme: temporary advice for management during COVID-19
• Immunosupressants: Medication Guidance Related to Immunosuppressants
• Lithium: COVID-19 and Lithium(Updated 19.05.20)
• Lithium: Protocol for the safe use of Lithium
• - Uploaded November 2020

• Oxygen Therapy During the Coronavirus PandemicFor community and mental health staff)
• Rapid Tranquilisation: Medication Use in Acute Disturbance for COVID-19 Infections
• Vitamin D: Staying Well During COVID
• Yellow Card System: Reporting Side Effects of COVID Vaccine FAQs

Flu Vaccine Guidance

• Guidance for Prescribing and Administering Influenza Vaccine to eligible inpatient Service Users across all East London NHS Foundation Trust (ELFT) Services during the 2020/21 Flu programme
• Greenbook Chapter 19 Influenza
• The National Flu Immunisation Programme 2020 to 2021- Update
• The Flu Vaccination: Who Should Have It and Why - Winter 2020 to 2021
• Template for Recording Flu for Inpatients

End of Life Care Guidance

COVID-19 and Palliative Care/Symptom Control in End of Life
End of Life Care policy
End of Life Pathway
Important considerations for care immediately before and after death - Flowchart
Nutrition, Hydration & Oral care - focusing upon End of Life Care & the terminal phase

LITERATURE REVIEW
During the COVID-19 pandemic, Professor Frank Röhricht conducted regular COVID-19 literature reviews to inform staff about new information and understanding about the virus. Please email elft.communications@nhs.net for further information.

Ethical Decision Making
The Trust has set up a clinical ethics group to provide advice and guidance for teams facing difficult ethical decisions in relation to Covid-19 and clinical care. The group comprises a range of expertise and will meet twice weekly to consider issues raised and to provide guidance to teams. The group has produced a framework to guide ethical decision making: 

Framework to Guide Ethical Decision Making

Providing Ethical Guidance Flowchart 

If as a clinical team, you wish to raise an issue for consideration please email: elft.trustethicsgroup@nhs.net