Understanding the impacts of COVID-19 on the provision of NHS health care and patient outcomes

我们将详细描述非COVID-19 NHS活动受COVID-19影响的程度，受影响最大的人群以及患者结果的变化情况。COVID-19导致国民保健服务的提供发生了巨大变化。所有非紧急手术已被取消，三分之一的医院床位已转为供COVID-19患者使用。在过去的一个月里，急诊室的上座率下降了50%。这将对非covid -19患者获得的护理及其在疫情期间和之后的结果产生重大影响。然而，目前尚不清楚谁会受到影响，以及这可能如何影响未来的健康结果。我们将量化国民保健服务的减少，并按年龄、性别、种族、贫困和地理检查其分布。我们将分析来自《了解社会》和《英国老龄化纵向研究》的最新信息，以记录英格兰、苏格兰和威尔士对初级、医院和社区护理的干扰。这将补充来自伦敦一家大型医院信托的实时患者记录分析，该分析建立了医院护理中断和患者结果变化的丰富图景。这将提供详细、及时和重要的证据，证明大流行对向其他患者提供护理的影响。该研究小组已经与包括英国财政部和国土安全部在内的主要政策制定者进行了接触，提供了COVID-19和相关经济衰退对患者健康影响的证据。这项研究将提供新的经验证据，以帮助分配NHS资源，以尽量减少对患者健康的风险。

We will provide a detailed description of the extent to which non-COVID-19 NHS activity has been affected by COVID-19, who is most affected, and how patient outcomes have changed. COVID-19 has led to enormous changes in the provision of NHS care. All non-urgent operations have been cancelled and a third of hospital beds converted for use by COVID-19 patients. A&E attendances dropped by 50% in the past month. This will have major impacts on care received by non-COVID-19 patients and their outcomes during and after the outbreak. However, who is affected and how this is likely to impact future health outcomes is currently unknown.We will quantify the reduction in NHS care, and examine its distribution by age, sex, ethnicity, deprivation and geography. We will analyse the latest information from Understanding Society and the English Longitudinal Study of Ageing to document disruptions to primary, hospital and community care across England, Scotland and Wales. This will complement analysis of real-time patient records from a large London hospital trust that builds a rich picture of disruptions to hospital care and changes in patient outcomes. This will provide detailed, timely and important evidence of the impacts of the pandemic on care provided to other patients.The research team has already engaged with key policymakers - including HM Treasury and DHSC - providing evidence on the impacts of COVID-19, and the related economic downturn, on patient health. This research will provide new empirical evidence to help allocate NHS resources to minimise risks to patient health.