Coping with divergence: opening up, but not for all

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Part of Leading through Covid-19

It’s been four months since the start of lockdown in the UK. As the restrictions lift, we are starting to see pubs and shops reopen, people are starting to gather, some cautiously, some less so, and there’s a real drive to get the economy moving again. For those who’ve been furloughed or who’ve been able to work from home, this reopening may feel largely welcome – a chance to see loved ones, to start feeling a bit more normal – and there’s a sense that the threat of Covid-19 (coronavirus) may have passed.

But not everyone feels this way. People working in health and care are telling us that, for them, Covid-19 has far from gone away. The workers people applauded from their doorsteps are still seeing patients who have the virus (though perhaps in smaller numbers), are still taking all the precautions they have been for months, and are still fearful for their own safety and the safety of their loved ones.

For example, one nurse we spoke to described the contrast between the stories she heard in the media of a decline in prevalence of the virus and her own experience of working in intensive care, where the workload seemed unchanged and full personal protective equipment was still required. A doctor told us he barely went out except to work and felt uncomfortable going anywhere likely to have lots of people, as he didn’t trust them to keep to social distancing guidelines.

For others, while work may be returning somewhat to normal, the pandemic still looms large in their lives. A group of workforce leads we spoke to, who’d worked day and night through the peak of the pandemic to ensure that the trusts in their area could keep going through waves of emergency planning and demand for new capacity, told us of their horror at finding people acting as if Covid-19 was yesterday’s news, strolling through shopping malls, queueing for cut-price trainers, with scant regard for social distancing; this struck them as horribly frivolous and reckless as well as disrespectful to those still fighting the disease.

Perhaps this is a necessary divergence – we can’t stay locked down forever, and if we did there would be consequences for the health and wellbeing of the UK’s population from an even greater economic downturn. Indeed, we are already seeing local authorities having to reduce support services due to stretched budgets, and there will be further implications for public services unless people start spending again. And yet, for the people who continue to care for those affected by Covid-19 – who are very much still ‘in the middle’ and likely will be for some time – this divergence may be an additional source of pressure.

Experiences will of course vary from person to person – there will be health and care workers who are also glad to see lockdown rules being relaxed, and people who have had nothing to do with service delivery who may be reluctant to go out after lockdown. Others may feel ambivalent: both wanting to enjoy the summer and the freedoms being offered, and feeling wary about doing so.

For leaders, there is, therefore, a difficult balance to strike between creating a sense of optimism and hope, while at the same time acknowledging that staff and teams may be going through a wide range of responses, just as they have been since the start of the pandemic. The resources we have provided on our Leading through Covid-19 pages speak to some of these conflicts, and we’ve highlighted a few that may be useful to revisit during this liminal period.

Comments

Simone Arratoonian

Position
Advanced Health Improvement Practitioner,
Organisation
Kirklees Council
Comment date
27 July 2020

Regarding the feelings of those working on the frontline with COVID-19 - I don't think they are alone. I don't do frontline but I too feel exactly the same way and am still apprehensive about crowded places so avoid them, as does my husband and some of my family. For a lot of people it's not a return to normal yet, despite the blasé attitude of some - including in many cases, the media.
However we do still need to remind people that this hasn't gone away. I've had contact with nursing staff who have had varying attitudes - if they haven't heard of or seen cases, they think it's not a problem. One nurse removed her mask to talk to me whilst taking blood - this was several months ago...clearly unconcerned about the developments even then. We do all need to be consistent with our messaging, although the focus on the economy and getting people into pubs and shops is undermining this. Fingers crossed there are enough of us who do care and want to keep it at bay.

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