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

我们将提供详细的描述，说明非新冠肺炎国家医疗服务活动受新冠肺炎影响的程度，受影响最大的人，以及患者预后如何改变。新冠肺炎使国民健康保险制度的提供方式发生了巨大变化。所有非紧急手术均已取消，三分之一的病床被改建为新冠肺炎患者使用。急症室求诊人次在过去一个月下降了50%。这将对非新冠肺炎患者接受的护理及其在疫情爆发期间和之后的结局产生重大影响。然而，谁受到影响以及这可能如何影响未来的健康结果目前尚不清楚。我们将量化NHS护理减少的情况，并检查其按年龄、性别、种族、贫困和地理位置的分布。我们将分析来自理解社会和英格兰老龄化纵向研究的最新信息，以记录英格兰、苏格兰和威尔士初级保健、医院和社区护理的中断情况。这将补充对伦敦一家大型医院信托基金的实时患者记录的分析，该信托基金构建了医院护理中断和患者结局变化的丰富图景。这将提供详细、及时和重要的证据，说明疫情对提供给其他患者的护理的影响。研究团队已经与包括英国财政部和英国卫生与公众服务部在内的主要政策制定者接触，就新冠肺炎以及相关的经济低迷对患者健康的影响提供证据。这项研究将提供新的经验证据，帮助分配NHS资源，将患者健康风险降至最低。

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.