Study to assess impact of COVID-19 on domiciliary care workforce

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Cardiff University will lead the first study into the impact of COVID-19 on domiciliary care workers in Wales.

Researchers will combine routine health data and interviews with domiciliary care staff to build an overall picture of how these workers have fared during the pandemic.

The study, to be conducted in partnership with Public Health Wales, and Swansea University and supported by Social Care Wales, is funded by UK Research and Innovation.

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It will assess the health of public and private care workers, including COVID-19 infection itself, mental health and other illnesses.

It is hoped the study will generate quick-fire results to inform public health initiatives for safer working practices and additional support for staff both in Wales and in other UK nations.

“While many people have worked from home during the pandemic, domiciliary care workers have continued working to help and support some of the most vulnerable people in our society right through this unprecedented time,” said Professor Mike Robling, Director of Population Health Trials at Cardiff University’s Centre for Trials Research and principal investigator on the study.

“We already know from early public health data that the risk of COVID-19 has been greater for these staff than for healthcare workers, in part because their work involves close contact with clients in their own homes.”

The 18-month study will quantify suspected and confirmed cases of COVID-19 infection and its impact on health, including on mortality. It will also compare trends in mental health and other respiratory illnesses pre- and post-pandemic.

Thirty care workers will also be interviewed about their experiences, including on personal protective equipment and any concerns over working practices or what they are being asked to do.

“This will help us to build a model of how some individuals might come to be at greater risk than others,” said Professor Robling.

“This risk may be related to age, ethnicity, underlying health factors or other socio-economic and demographic factors.”

He added: “Crucially, we will then examine whether our findings can apply to other parts of the UK.

“We are able to carry out this work here in Wales because of the way we record data for care workers – this study would not be possible in another UK country.

“We hope that as our findings emerge, we will be able to identify universal risk factors which have relevance right across the UK so this knowledge can be used to develop better public health policy and support for care workers with immediate effect.”

The study received £332,000 in funding from the Economic and Social Research Council, part of UK Research and Innovation, as part of its call for research to examine the impact of COVID-19.

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Sarah Clarke

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