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Table 11 Learning headlines for system, national policy and individuals

From: RETRACTED ARTICLE: A thematic analysis of system wide learning from first wave Covid-19 in the East of England

At systems level need:

• Consistent approaches across and within sectors.

• Consistent clear messages about what is expected from staff and the public.

• Good business relationships and continuity planning to ensure staffing, supply chains, continuing other health priorities is critical e.g. people with cancer; maintaining adequate stocks and supply of PPE.

• Embedded (systematic) support systems for staff.

• Integrated volunteer systems across boundaries, passport for volunteers inclusive of DBS and shielding arrangements.

• Continued learning and development support with safe working in the workplace, quality improvement, infection control.

• Enabling teams to be empowered to make a difference as interdependent partners across the system

T5-11, T14, T20, T22, T23, T25, T27,T28

Subthemes: 22.1-22.3.

For national policy, need:

• Consistent and clear messages in a timely manner.

• Whole system planning (business continuity, supply chains, relationships with suppliers specifically relevant to PPE).

• Consideration of and planning for impact on vulnerable people.

• Introduction of one national capacity tracker system for recording Covid tests

T12, T13, T22, T25, T27, T28

At individual level learning resonated with:

• Re-igniting individual strengths and recognising those they didn’t know they had.

• The importance of appreciating the ’little’, taken for granted things.

• Family and home, hobbies and interests.

• Having a job, they loved.

• Appreciating the support of the public and others.

• Humanitarian values - Valuing every person as a person and their contribution, be that colleague, patient, resident, relative, volunteer, friend, citizen.

T9, T10, T17, T18, T26