Impact of COVID-19. Due to the impact of COVID-19, we have had to deliver services in an unprecedented way. Throughout this time we have swiftly reconfigured our primary, secondary and community care services to support our population during the COVID-19 pandemic. These reconfigurations have allowed us to manage COVID-19 and non COVID-19 pathways of care but have also enabled service reform in line with the principles of our Caring for Ayrshire Strategic Vision. As we start to remobilise our services, in line with our vision, we are taking the opportunity to carry out reform to our services. The areas of service reform include:- • development of an urgent care pathway, this redesign will include consistent triage from NHS 24 allowing a seamless pathway to local hubs for further clinical consultation and consistent onward referral for self-management and to other community or acute settings as required; • Scheduling of ED, this will reduce the number of direct referrals to ED from NHS 24 that could be triaged as a different outcome; • increase the use of NHS Near Me in primary and secondary care services; • enhance our capacity within our Intermediate Care Teams and in particular the Care at Home service; and • continue to develop our Primary Care MDTs to enhance the joint opportunities, to form solutions and build upon the good working relationships developed during the pandemic. The COVID-19 remobilisation plans have been approached in a whole system basis with our IJB and Council colleagues, in collaboration with our staff side representatives. The plans have been developed through strong clinical and professional leadership, co- produced across community, primary and secondary health and care teams. Our established Emergency Management Team and Gold, Silver and Bronze structures bring together colleagues from across the Health and Care system, community, primary and secondary care services from clinical and professional leadership roles. Our service reforms align to our Caring for Ayrshire principles to care for people at home or in their communities, to build on the use of digital innovation, to provide alternatives to care in an acute hospital environment and to see acute environments as where we deliver specialist care.
Impact of COVID-19. The Parties acknowledge that the full impact of COVID-19 is not currently known or reasonably foreseeable. In the event that circumstances related to COVID-19, or to any reoccurrence of the COVID-19 outbreak, reasonably prevent a Party from performing its obligations hereunder, the Party whose performance is affected may invoke the Force Majeure clause of this Agreement and be excused from liability for its failure or delay in performing its obligations, even if the circumstances related to COVID-19 were foreseeable at the time of the Parties’ execution of this Agreement. In such event, the Parties, as required by Section 8 above, will jointly discuss and implement any mutually agreeable ways to minimize the consequences of such Force Majeure occurrence on each other and on Exchange Students then participating in the Exchange program. Such measures may include, to the extent deemed reasonable and feasible by the Parties under the then-existing circumstances, continuing instruction in alternative modalities during the pendency of the Force Majeure occurrence in order to minimize the loss of credits and time to degree for Exchange Students.
Impact of COVID-19. Covid-19 hit the UK after I had started engaging and negotiating with my Global Organisation. This created unprecedented impacts on my research particularly as I was wanting to undertake it using a face-to-face ethnographic approach. Because of Covid-19 there were decreased levels of engagement across all three organisations as well as needing to adapt my methodology as face-to- face contact and data collection was no longer viable. Firstly, during this period, I needed to update and adapt my research methods and ethics to reflect undertaking an ethnographic approach to data collection online. This included adapting my ethnographic approach, while still benefiting from the richness this approach offers qualitative research. As I will explain below, I was inevitably not my organisations’ top priority and as such I wanted to make it as easy as possible to engage with my research, particularly in allowing me to virtually sit in on meetings they were already having. As such I needed to use the same online platforms that they were using, which resulted in several technological challenges in gaining access to the organisations. Consequently, this took time, which can be seen in Figure 5. Consequently, building and maintaining a rapport with the organisation and participants was more challenging, which affected levels of engagement and placed a great reliance on my Organisational Gatekeeper. During data collection, I quickly established that just because the organisation had agreed to be a part of my research, does not mean that the employees will engage, without further incitement (Singh and Wassenaar, 2016). As such I adapted my participant consent forms into Google Forms, which I asked the participant to add their email address to, so that they could receive a copy. This then allowed me to contact them directly instead of relying on my Gatekeepers to distribute information. Moreover, after realising engagement was low, I undertook a presentation at each organisation at the beginning of the data collection to introduce myself and my research, and to manage the expectation of the individuals who would engage with my research. Whilst this all worked out, it significantly extended the time that I had planned to be collecting data within each organisation and as I will argue in my final chapter, possibly influenced the type of data that I collected from my participants. Overall, Covid-19 pandemic did have a big impact on my research, but I was persistent and contin...
Impact of COVID-19. The Parties shall make best efforts and coordinate with each other to follow all guidelines, policies, procedures, protocols or practices necessary to comply with applicable federal, state and/or local executive orders, laws, regulations, and/or ordinances relating to COVID-19.
