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Inside Health

Covid-19 and moral injury; Asthma; Southampton update; Mental health services

Inside Health

BBC

Health & Fitness, Science

4.4575 Ratings

🗓️ 7 April 2020

⏱️ 28 minutes

🧾️ Download transcript

Summary

Claudia Hammond reports on Covid-19 and "moral injury" - when the virus peaks, some healthcare staff will find themselves in a situation never faced before, forced to make decisions they would never normally have to make. This puts them at risk of a so-called “moral injury” which might harm their mental health. It’s more often associated with life in the armed services and Neil Greenberg, Professor of Defence Mental Health at Kings College London, explains how he's applying lessons from research in the military to support staff starting work at the new Nightingale Hospital in London. And some of the million recipients of letters saying they should shield themselves by not going out at all for 12 weeks are people who have asthma. Margaret McCartney examines the evidence for how those with asthma receiving letters were selected. Plus the latest dispatch from University Hospital Southampton: consultant Chris Hill explains that the emergency department has been split into Red and Blue areas based on the probability of arrivals having Covid-19. And what’s happening to mental health services during this time of crisis when seeing someone face-to-face needs to be avoided as much as possible? Claudia finds out from psychiatrist Dr Sri Kalidindi.

Producer: Erika Wright

Transcript

Click on a timestamp to play from that location

0:00.0

Hello, you're about to listen to a BBC podcast, and I'm Ed Gamble, host of another BBC podcast,

0:05.4

The Traitors Uncloaked. But my show is available only on BBC Sounds, just like Ellis and John's

0:10.6

Saturday bonus episodes, the Pop Top Ten podcast with Scott Mills and Ryland, and comedy specials

0:16.2

from the likes of Harriet Kemsley, Susie Ruffel and Rommas Shranger Nathan. However, and maybe I'm biased, it's really all about the traitors uncloked.

0:24.3

So for a whole bunch of exclusive scoops and podcasts, listen only on BBC Sounds.

0:30.5

BBC Sounds, music, radio podcasts.

0:34.2

Hi there, I'm Claudia Hammond and this is Inside Health, the virus on Tuesday,

0:38.6

the 7th of April 2020. Hello, we all have to stay at home most of the time these days,

0:44.6

but almost a million people with health conditions have had letters advising them to shield

0:49.4

themselves at home all the time. We'll be looking into asthma and how it was decided who should receive

0:55.6

the letters and who shouldn't. We'll be catching up with the latest on how staff at Southampton

1:00.3

General Hospital are coping as they see more cases of COVID-19. So we have effectively split the

1:05.9

entire emergency department into two. So we now have a blue emergency department for patients who have a low

1:11.9

probability of having COVID. And then we have a red emergency department for patients who we think

1:17.1

on arrival has a high probability of having COVID. And something we've heard very little about.

1:21.7

What's happening to mental health services during this time of crisis when seeing someone

1:26.5

face to face needs to be avoided as much

1:28.8

as possible. Now, on Thursday evenings, many of us stand outside our homes clapping and banging

1:34.2

saucepans in support of the NHS, or we certainly do in my street. Now, we all know that staff

1:39.6

on the front line treating patients with COVID-19 are doing a very difficult and risky job. And if hospitals

1:45.9

do become overwhelmed when the virus peaks, some staff will find themselves in a situation

1:51.3

they have never faced before, forced to make decisions they would never normally have to make.

...

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