loader image

COVID-19: Personal Protective Equipment &
Infection Prevention and Control

Supply Routes

Type of Provider Step 1- Free PPE Step 2 Emergency Stock Supplier route for PPE for
normal stock PAID FOR BY THE PROVIDER (non-COVID-19 use)
CQC Registered, HCC-commissioned providers (Residential, Supported Living or Homecare) » National free PPE Portal
0800 876 6802
If PPE from Portal is not sufficient to manage COVID-related need, purchase from suppliers / wholesalers and claim back from HCC Original COVID Fund Provider may request urgent emergency PPE provision
Normal Suppliers / Wholesalers
CQC Registered, Non-commissioned providers (Residential, Supported Living or Homecare » National free PPE Portal
0800 876 6802
If PPE from portal is not sufficient to manage COVID-related need, purchase from suppliers at own expense – Not funded
Non-registered, HCC-commissioned providers (e.g. Day Opportunities, Lunch Clubs) Purchase from suppliers from funds provided through Day Opportunities Infection Control Funding Provider may request urgent emergency PPE provision
Non-Registered, non-commissioned providers (e.g. Day Opportunities, Lunch Clubs) Provider may request free PPE provision Purchase from suppliers at own expense – Not funded Provider may request urgent emergency PPE provision
Direct Payments Recipients and their PAs » Order PPE online
If you do not have access to the internet, Call 01462 439000
Purchase from suppliers at own expense – Not funded
Unpaid / Family Carers Please seek support from Carers In Herts

If any Care Providers are in critical need of PPE, they should contact the HCPA Care Provider Hub for an emergency supply: 01707 708108 / assistance@hcpa.co.uk
PPE guidance, training and a list of PPE suppliers can be found here
For more information contact the HCPA Care Provider Hub: 01707 708108 / assistance@hcpa.co.uk

Cleaning

Decontamination and cleaning processes for care services with possible or confirmed cases of COVID-19

This section aims to bring together information relating to decontamination and cleaning.

Residential Care Settings

Guidance for cleaning non-healthcare settings

See also FAQs page on HCPA website

Companies who can provide cleaning services

Mediclean Visit website 0800 228 9684 info@medicleanuk.com
Extra Care Home Cleaning 07713 990355 extracarehomecleaning@hotmail.com
Faz Man Chew Cleaning Services 07979 528066 elisafarrell@yahoo.co.uk
Mels Cleaning Visit website 03333 448384 info@mels-cleaning.co.uk

More will be added in the future…

Guidance/FAQsWebsite Response
testtest xxxxxxxxxx
ACASCoronavirus: Advice for employers and employees inc SSP
Antibody TestingAt-Home testing to see if you / your team have had Covid in the pastAntibody testing – at-home testing service
DHSC have launched an at-home antibody testing service, which is available to all paid staff in the adult social care sector in England.
- Click here to register for an at-home antibody test: https://hcpa.us3.list-manage.com/track/click?u=7275e7980a25c4f5e4939ee06&id=d077c9121e&e=9b7f8bd309
If your care home is participating in the Vivaldi research study, please do not use this service, but access antibody tests through Vivaldi.
Both Vivaldi and this at-home testing service will inform participants whether they have detectable antibodies or not.
Please note:
• Antibody tests are used to detect antibodies to the COVID-19 virus to see if you have previously had the virus. The test does not tell you if you currently have the virus, nor can it tell you definitively if you are immune

• This at-home antibody testing service is collecting important data to improve our understanding of COVID-19

• We believe that one day in the future, a national antibody testing programme may provide an important role in the next phase of this pandemic

• By participating and taking a test you will be contributing to this effort

• Our understanding of the body’s immune response to the virus is limited, and we do not currently know how long an antibody response lasts, whether you can be re-infected, nor whether having antibodies means you cannot transmit the virus to others

• Regardless of the result of an antibody test, you must continue to comply with government guidelines, including wearing PPE and social distancing
Care Home VisitorsCan we allow visitors to Residential Care Sites?Latest Government guidance: https://www.gov.uk/government/publications/visiting-care-homes-during-coronavirus/update-on-policies-for-visiting-arrangements-in-care-homes
Most recent HCC Visiting framework document: https://www.hcpa.info/wp-content/uploads/Framework-for-Residential-Care-Services-visiting-arrangements-V9.pdf
The care home visitor checklist based on government guidance must be completed by all homes and sent to assistance@hcpa.info: https://www.hcpa.info/wp-content/uploads/Covid-19-support-checklist-Care-Homes-Herts-Nov-2020-v7-002.docx The checklist outlines all the key elements that a Care Home must have completed before opening the home to visitors. You may be required by the County Council to close to non-essential visitors if you have not completed the risk assessment or your risk assessment is not satisfactory. All checklists must be signed by the home manager and dated

There is a poster you can display, which should be helpful for families and friends wishing to visit: https://www.hcpa.info/wp-content/uploads/Advice-for-visitors-to-our-Home_-Keeping-your-loved-ones-safe-200731.pdf We would advise this Visitor tracking form is used: https://www.hcpa.info/wp-content/uploads/Visitor-Tracking-Form-V6.docx (Note - It is unlikely visitors from CQC will fill these forms, as per their recent communications on CQC visits). If you do have an outbreak or suspected cases, you should follow isolation procedures and contact the Health Protection Team 0300 303 8537 / phe.eoehpt@nhs.net and order swabs from Herts Urgent Care HUC.admin@nhs.net . Our expectation is that essential health professionals should continue to be given access during outbreaks. If you have ANY concerns or questions about this, please call the Provider Hub 01707 708108

If you do have an outbreak or suspected cases, you should follow isolation procedures and contact the Health Protection Team 0300 303 8537 / phe.eoehpt@nhs.net and order swabs from Herts Urgent Care HUC.admin@nhs.net .
Our expectation is that essential health professionals should continue to be given access during outbreaks. If you have ANY concerns or questions about this, please call the Provider Hub 01707 708108
Care Home VisitorsWhen should my home close to visitors?HCC (09/10/20): "We understand that the restrictions that have been put in place have been challenging for many residents and their families. However as infection rates continue to rise within the community we need to do everything that we can to limit the spread of the virus, and where possible, we will seek to allow visits from family members and non-essential visitors." The Framework document can be found here: https://www.hcpa.info/wp-content/uploads/Framework-for-Residential-Care-Services-visiting-arrangements-V9-1.pdf Main changes to the Framework include: - Homes must now close to non-essential visitors immediately if there are 2 or more symptomatic residents or staff and a test must be completed - Homes must now close to non-essential visitors immediately if there are 2 or more COVID positive cases. The home or care setting can reopen once they have had no new cases for 28 days, or if the symptomatic staff or residents are negative.

Please https://www.hcpa.info/wp-content/uploads/Framework-for-Residential-Care-Services-visiting-arrangements-V9-1.pdf to read Framework for residential Care Services visiting arrangements for the situations where all homes in an area should close and where individual homes should close.
CleaningWhat changes to our cleaning regime do we need to consider at this point?You should consider frequent and thorough cleaning of well-used touchpoints such as door handles and lift buttons, with regular cleaning of surfaces in communal areas including phones etc. Also don't forget the pieces of equipment that are used by residents / clients such as hoists, weighing scales and thermometers. A combined detergent/disinfectant solution at a dilution of 1,000ppm available chlorine or a general-purpose neutral detergent in a solution of warm water followed by a disinfectant solution of 1,000ppm can be used (follow the manufacturers recommendations on dilution, making and storage). There is guidance on environmental decontamination within the national documents -
https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/880274/Admission_and_Care_of_Residents_during_COVID-19_Incident_in_a_Care_Home.pdf
CleaningWhat should we be doing with waste for suspected cases in care homes?Care homes have well-established processes for waste management.
If homes have Cat B (orange) infectious waste bin's then waste may be put directly into these streams and no need to double bag or wait for 72 hours
If a resident is suspected or confirmed to have Covid 19 all waste should be disposed of via cat B waste stream
CleaningWhen is a deep clean needed and what does this entail?
Frequent cleaning of well used touch points along with the communal areas of the home, resident’s bedrooms, staff rooms general surfaces and equipment must take place during the course of an outbreak. When an outbreak is declared to be over then a post outbreak deep clean can take place. This would usually commence 14 days post the last new case but here discussions must take place with HPT prior to any decisions being made.
Care homes should have access to cleaning manuals – these must include the specifications of how items and areas are routinely cleaned.
A combined detergent/disinfectant solution at a dilution of 1,000ppm available chlorine or a general-purpose neutral detergent in a solution of warm water followed by a disinfectant solution of 1,000ppm can be used (follow the manufacturers recommendations on dilution, making and storage).
https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/reducing-the-risk-of-transmission-of-covid-19-in-the-hospital-setting and
https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/880274/Admission_and_Care_of_Residents_during_COVID-19_Incident_in_a_Care_Home.pdf.
The post outbreak deep clean should start from the least affected area/unit of the home progressing to the most affected area/unit.
Once the post outbreak deep clean has been completed nominated staff members should spot check the cleaning standards prior to sign off.
https://www.gov.uk/government/publications/norovirus-managing-outbreaks-in-acute-and-community-health-and-social-care-settings and
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/214929/Care-home-resource-18-February-2013.pdf.
See attached document which could be used by care homes as a framework to build upon following an outbreak situation. Post Outbreak Deep Clean- Example Checklist- https://www.hcpa.info/wp-content/uploads/Post-Outbreak-Deep-clean-2020-v4-3.docx
CleaningWhy are you required to label and date laundry? Linen must be laundered in line with local policy for infectious linen. All linen bags must be stored in a designated safe lockable area whilst awaiting laundering. Attention must be given to placing the linen in a red soluble bag and then placing in an impermeable or nylon polyester bag, the outer bag must state “infectious linen”. If linen is sent to an off-site laundry, the laundry should be made aware of its nature, and written guidelines should be agreed and followed regarding its transportation and handling – This would include details of labelling the linen
https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/527545/Social_care.pdf
https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/880274/Admission_and_Care_of_Residents_during_COVID-19_Incident_in_a_Care_Home.pdf
ClinicalNamed clinical lead for Care Homes and Weekly Check in'sNHS and social care organisations have been asked by Simon Steven’s to ensure that all care homes have a clinical lead and that care homes are made aware of their named clinical lead. It will be the responsibility of the clinical lead to conduct weekly check in’s with their allocated care home. The CCG has been working in close collaboration with Central London Community Healthcare (CLCH) our community providers, GP primary care, mental health and social care to develop a multidisciplinary approach to support care homes and their residents. To read letter https://www.hcpa.info/?p=61761 .For the weekly check in pathway https://www.hcpa.info/?p=61763
Closure and appealWhat is the appeal process for home closure? In some circumstances care homes may feel that they have assessed the risk as to be manageable and therefore can safely open some or all of their home to non-essential visitors before the currently policy outlines. In these instances, the following process will be followed by the care home and the wider system partners in Hertfordshire in the form of the Covid19 care home outbreak cell. The care home must complete the non-essential visitors appeals template ( https://www.hcpa.info/wp-content/uploads/HCC-non-essential-visitor-guidance-appeal-template-091020.docx ) and email Hertfordshire County Council using the email assistance@hcpa.info, outlining the risk assessment they have undertaken to reach this conclusion. The county council will respond to the care home with a clear decision within a maximum of 3 working days although will aim to respond quicker.

Any decision made as part of the appeal can be reviewed and amended based on new evidence and prevalence of Covid19 in the local system. The decision only applies for that outbreak and a home will need to close for non-essential visitors if there is a new outbreak or if there is a new positive case or symptomatic resident or staff member

For full details https://www.hcpa.info/wp-content/uploads/Framework-for-Residential-Care-Services-visiting-arrangements-V9.pdf for the visitor framework
Community Response Volunteer schemeFact sheet - Community Response payment optionsNHS Volunteer Responders / Royal Voluntray Service:
"We want you to remain safe and ensure both yourself and the individual you are supporting are protected. We recognise that people who are self-isolating may not have access to normal payment methods.
If you or the person you are supporting have any concerns over payments, please refer these concerns to the Support Team on 0808 196 3382." Please see full deails: https://nhsvolunteerresponders.org.uk/community-response-volunteer/fact-sheet-community-response-payment-options
CQC/ RegulatorsAre there any changes to the Care Act?The guidance sets out how local authorities can use the new Care Act provisions, created under the Coronavirus Act 2020, to prioritise care and support for those who need it most: https://www.gov.uk/government/publications/coronavirus-covid-19-changes-to-the-care-act-2014
CQC/ RegulatorsDo you have any particular advice on supporting individuals with Dementia during Covid-19?Support guidance from NHSE - https://hcpa.us3.list-manage.com/track/click?u=7275e7980a25c4f5e4939ee06&id=4d8e89de47&e=b9895c5f2e Tips on supporting Walking with Purpose - https://hcpa.us3.list-manage.com/track/click?u=7275e7980a25c4f5e4939ee06&id=fccb7769ed&e=b9895c5f2e
CQC/ RegulatorsDo you have any updates regarding safeguarding?The HSAB website now has a page related to Safeguarding during COVID-19. This includes updates on current services, resources for staff and a range of links to national guidance and support including a video aimed at volunteers on safeguarding, https://www.hertfordshire.gov.uk/services/adult-social-services/report-a-concern-about-an-adult/hertfordshire-safeguarding-adults-board/safeguarding-adults-during-covid-19.aspx?mc_cid=add61b66bd&mc_eid=3e0cd1f44a
CQC/ RegulatorsInformation on CQC resuming on-site inspectionsAs On-site Inspections are resumed, CQC have provided information on Testing for their Inspectors, PPE use during inspections, risk assessments ahead of inspections and disclaimers: https://www.hcpa.info/wp-content/uploads/CQC-updates-as-on-site-inspections-resume-Aug2020.docx
CQC/ RegulatorsLooking after people who lack mental capacity
CQC/ RegulatorsProvider Information Return requests pausedWe have paused the sending out of requests for the adult social care PIR until further notice to relieve the burden on providers.
If you have already received a PIR request, you do not have to return this to us. However, we are reviewing PIRs that we have already received and will continue to review any further PIRs that are submitted. Therefore, if you are in the process of completing a PIR and would like to continue with this and submit it, please do so.
If you have any queries regarding your PIR please contact ascinspections@cqc.org.uk , or for more info: https://www.cqc.org.uk/guidance-providers/adult-social-care/provider-information-return-pir-adult-social-care-services
________________________________________
CQC/ RegulatorsThe ethical framework for Adult Social Care
Direct PaymentsDo you have any updated information on direct payments?Coronavirus (COVID-19): guidance for people receiving direct payments. Advice for people who buy care and support through a direct payment, as well as local authorities, clinical commissioning groups and those who provide care and support - https://www.gov.uk/government/publications/coronavirus-covid-19-guidance-for-people-receiving-direct-payments?utm_source=3e008817-842e-47a9-a669-fc7361ab7316&utm_medium=email&utm_campaign=govuk-notifications&utm_content=immediate Coronavirus (COVID-19): Q&A for people receiving a personal budget or personal health budget- https://www.gov.uk/government/publications/coronavirus-covid-19-guidance-for-people-receiving-direct-payments/coronavirus-covid-19-qa-for-people-receiving-a-personal-budget-or-personal-health-budget
For PPE for the recipients of Direct Payments (or Personal Health Budgets) please visit https://www.hertfordshire.gov.uk/ppepa
Disclosure and Barring Service Are there any changes to the DBS process? DBS filtering rules have changed:
Care providers may need to update recruitment application processes
DBS filtering rules were first introduced on 29 May 2013 when amendments were made to legislation that affected both what an employer can ask an individual in relation to convictions and cautions (for example a self-declaration on an application form of ‘do you have any convictions’), and what is disclosed on a Standard or Enhanced DBS certificate.
These rules were updated on 28th November 2020 as follows:
• warnings, reprimands and youth cautions will no longer be automatically disclosed on a DBS certificate
• the multiple conviction rule has been removed, meaning that if an individual has more than one conviction, regardless of offence type or time passed, each conviction will be considered against the remaining rules individually, rather than all being automatically disclosed
The Disclosure and Barring Service have informed us that care providers may need to change their recruitment application process to be compliant to this new change.
Foreign TravelStaff isolation when returning from abroad (Updated 17/12/2020)Those returning from a foreign country where a travel corridor exists can go directly back to work, whereas those returning from a country without a travel corridor must SI for 10 days and should not use the 5-day private test route. Public Health England have informed us that Health and Social Care Workers returning from territories without a safe travel corridor must self-isolate for a period of 10 days and cannot use the private test 5-day self-isolation route stated here: https://www.gov.uk/government/news/test-to-release-england-introduces-testing-strategy-for-international-arrivals . Details on countries with travel corridors can be found here: https://www.gov.uk/guidance/coronavirus-covid-19-travel-corridors
FundingHerts CC Original Covid-19 Fund (for contracted providers only)
Herts Original Covid-19 Fund - Open to contracted providers only - Funding available to cover PPE (extra to that which the National free PPE portal supplies AND for covid-use only), Cleaning costs and Equipment that was previously reused but due to IPC is now single use (e.g. call bell mats)
If applicable, please fill this claim form and return to your usual HCC Contracts Officer / Monitoring Officer / Commissioner: https://hcpa.us3.list-manage.com/track/click?u=7275e7980a25c4f5e4939ee06&id=b7eb5479d2&e=9b7f8bd309
Information on proportionality of your claims may be requested from your HCC Commissioning or Monitoring Officer

If you have any questions about contacting your Commissioning or Monitoring Officer at HCC, or other questions about this fund, please contact the HCPA Care Provider Hub 01707 708 108
FundingInfection Control Fund (All providers eligible)
For the most up to date information of the second round of the Infection Control Fund, please visit www.hcpa.info/covid-19 and look in the big piink box marked "Latest Infection Control Funding letters here".
Further details, and a recording of the recent HCC HCPA webinar can be found here: https://www.youtube.com/watch?v=DxBxD75IJ3g&feature=youtu.be and more info can be found here: https://mailchi.mp/hcpa/covid-19-daily-update-1281588?e=9b7f8bd309 . PLEASE NOTE THIS FUNDING DOES NOT COVER PPE
FundingJanuary 2021 update - Letter to ADS about funding
GOV.UKCoronavirus (COVID-19) Adult Social Care Action Plan
GOV.UKVisiting care homes during COVID-19
Key message:
Each care home (the registered manager) is responsible for setting the visiting policy in that home. They should do so on the basis of a dynamic risk assessment taking into consideration the needs of individuals within their home and with regard to the advice of the local Director of Public Health (DPH).

All care homes – regardless of Tier – and except in the event of an active outbreak – should seek to enable:

- indoor visits where the visitor has been tested and returned a negative result – (section 2.1 of guidance)
outdoor visiting and ‘screened’ visits – (section 2.3 of guidance)

- Visits in exceptional circumstances including end of life should always be enabled – (section 2.4 of guidance)

- In all cases it is essential that visiting happens within a wider care home environment of robust Infection Prevention and Control (IPC) measures, including ensuring that visitors follow (and are supported to follow) good practice with social distancing, hand hygiene and Personal Protective Equipment (PPE) use.

- In the event of an outbreak in a care home, the home should immediately stop visiting (except in exceptional circumstances such as end of life) to protect vulnerable residents, staff and visitors (section 1.4 of guidance)

Care Home visits guidance: https://www.gov.uk/government/publications/arrangements-for-visiting-out-of-the-care-home/visits-out-of-care-homes and Lateral Flow Testing and Visiting guidance here: https://www.hcpa.info/guideline/care-home-visitor-guidance/
GOV.UKGuidance for contacts of people with confirmed coronavirus (COVID-19) infection who do not live with the person
If you have been in close contact with, but do not live with, a person who has tested positive for coronavirus (COVID-19), follow this guidance. This may include people in your support bubble.
GOV.UKGuidance for employees, employers and businesses
GOV.UKGuidance for providers ofservices for people who use drugs or alcoholThis guidance outlines COVID-19 advice for commissioners and service providers involved in assisting people who are dependent on drugs or alcohol or both.
GOV.UKGuidance for providers of Supported Living services
GOV.UKTesting service for extra care and supported living settings
GOV.UKGuidance for Social or Community Care and Residential settings on COVID-19
GOV.UKGuidance on shielding and protecting people defined on medical grounds as extremely vulnerable
For advice on services provided to those shielding or considered Clinically Extremely Vulnerable (CEV): https://www.hcpa.info/guideline/shielding/ If you have further questions please contact the Care Provider Hub: 01707 708108 / assistance@hcpa.info
GOV.UKOverview of adult social care guidance on coronavirus
GOV.UKManagement of staff and exposed patients or residents in health and social care settings (Outbreaks)
This guidance provides advice on the management of staff and patients or residents in health and social care settings according to exposures, symptoms and test results: https://www.gov.uk/government/publications/covid-19-management-of-exposed-healthcare-workers-and-patients-in-hospital-settings/covid-19-management-of-exposed-healthcare-workers-and-patients-in-hospital-settings
How long do we wait before we can declare an outbreak is over?
The Covid-19 outbreak can be declared over firstly once no new cases (staff or residents) have occurred in the 28 days since the appearance of symptoms in the most recent case, or if case is asymptomatic then the date the swab was taken. All residents should have completed their 10 days isolation period.
And secondly to confirm the outbreak is concluded, please order swabs via the national portal and swab all residents and staff. If the results are negative, then the outbreak can be defined as having concluded.
When the outbreak has been declared concluded the home should complete a post outbreak deep clean of the Home.
Information on processes (National and local): https://www.hcpa.info/guideline/swabbing/
Note: Self Isolation period for residents in care settings remains at 14-days:
The national guidance has been revised and now recommends that health and social care professionals who are contacts of a case should self-isolate for 10 days. Please refer to Section 8. This is also applicable to in-patient contacts of a positive case (Section 10). Care Home residents who are contacts of a case will also need to isolate for 14 days. https://www.gov.uk/government/publications/covid-19-management-of-exposed-healthcare-workers-and-patients-in-hospital-settings/covid-19-management-of-exposed-healthcare-workers-and-patients-in-hospital-settings#patient-exposures-in-hospital
PHE East of England
Following on from the Government’s decision to reduce the isolation period down from 14 days to 10 days. The Government has made further changes to the guidance for health and social care professionals and Care Homes, the guidance can be found here: https://hcpa.us3.list-manage.com/track/click?u=7275e7980a25c4f5e4939ee06&id=85027ff6fa&e=9b7f8bd309
• Any health and social care professionals who is a contact of a case should self isolate for 10 days
• Care Home residents who are contacts of a case will also need to isolate for 14 days
• In-patients who are known to have been exposed to a confirmed COVID-19 patient while on the ward, should be isolated or cohorted with other similarly exposed patients who do not have COVID-19 symptoms, until their hospital admission ends or until 14 days after last exposure
GOV.UKSupporting adults with learning disabilities and autistic adults
GOV.UKAdmission and care of residents in a care home during COVID-19
GOV.UKPPE supply
The information for adult social care providers delivering services to Hertfordshire residents is set out below:

The Department of Health and Social Care (DHSC) has set up a PPE Portal which will supply PPE free of charge to care providers who are registered to use the portal. This is open until March 2021 and should be the first port of call for all COVID-19 PPE needs. Accessing government-funded PPE this way will help to reduce the council’s financial burden and will be a requirement before accessing council support.

The amount of PPE that can be requested from the PPE Portal varies by sector. Please refer to the government guidance. If you are experiencing problems with the PPE Portal, or the limits do not meet your needs please contact the PPE Portal Customer Service team on 0800 876 6802.

PPE available through the PPE Portal is for COVID-19 needs only. Your business-as-usual (pre-Covid) PPE requirements should continue to be sourced from your usual business supply channels.

If you have COVID-19 PPE requirements that cannot be met by the PPE Portal or require PPE in an emergency, please contact our Provider Hub (01707 708108 / assistance@hcpa.info).

A note about ordering from Govt PPE Portal (0800 876 6802)
Depending on the type and size of Care service, Providers have limited quotas for Fluid repellent surgical masks (IIR), aprons, gloves, hand gel and visors.
Ordering is best managed every 7 days, to meet your covid IPC needs.

As there has been some confusion about ordering and quotas, please note the following illustration:

• Care Provider (fewer than 10 beds) has a quota of 200 fluid repellent surgical masks (Type IIR).
• Care Provider orders 199 fluid repellent surgical masks on Monday.
• Care Provider then tries to order a further 199 fluid repellent surgical masks on Sunday, but can only order 1 fluid repellent surgical mask.
• Care Provider would have been able to order 200 fluid repellent surgical masks if they had waited for a full 7 days to elapse between orders (i.e. only order every 7 days)
• Quota limits will never be reduced, only ever increased. If you wish to speak about increasing your order, please call the Portal 0800 876 6802

An important note – Deliveries of PPE should NEVER arrived opened. If the boxes have been opened, the PPE items may no longer safe to use. Always call the PPE Portal if your deliveries arrive opened 0800 876 6802

Full details and quota limits can be found here: https://www.gov.uk/guidance/ppe-portal-how-to-order-emergency-personal-protective-equipment#orthodontists-order-limits
GOV.UKGovernment has approved the self isolation payments to help people self isolate in appropriate circumstances
GOV.UKRoutine Homecare staff testing
Flyer can be found: https://www.hcpa.info/wp-content/uploads/Homecare-worker-flyer.pdf
Full details and slides from DHSC webinar: https://www.hcpa.info/wp-content/uploads/Homecare_Worker_Webinar_Slides.pdf
NOTE: Testing is strongly encouraged (but is not mandatory) for those who provide care and any others within the organisation who they are in contact with
Regsiter for tests here: https://request-testing.test-for-coronavirus.service.gov.uk/ Instructional video for taking swabs: https://www.gov.uk/government/publications/covid-19-guidance-for-taking-swab-samples/how-to-use-the-self-swabbing-kit-for-a-combined-throat-and-nose-swab-video - Any problems with this service or with registering swabs, please call 119
GOV.UKSupport for Care Homes
GOV.UKWinter PlanHCPA's new Winter Plan Checklist for Care Providers can be found by clicking the big blue button on the right.

Key highlights for Social Care

The UK Government’s COVID-19 Winter Plan presents a programme for suppressing the virus, protecting the NHS and the vulnerable, keeping education and the economy going and providing a route back to normality.

• So, in the weeks to come we will be using these two scientific breakthroughs to fight the disease. We will be dispensing the vaccine as fast as we possibly can. But given that this will take time, we will simultaneously be using rapid testing to identify asymptomatic cases and to reduce transmission.

• The Government recognises the huge importance and health benefits of visits to people in care homes and their loved ones. The Government wants to bring an end to the pain of separation and help care homes bring families and loved ones together in a way that recognises the risks, but enables these to be managed in the best way possible. The launch of visitor testing is a crucial step to making that happen and this approach is currently being piloted in 20 care homes. The Government is committed, by Christmas, to providing twice-weekly testing to enable all care home residents to have regular visits from up to two visitors.

• In the first wave, the movement between care homes of staff who were unwitting carriers was one cause of the virus being introduced to these settings. The Government is therefore introducing legislation, by the end of the year, that requires care home providers to restrict all but the essential movement of staff between settings in order to reduce transmission. To further prevent the risk of infections entering care homes, the Government is working with the Care Quality Commission (CQC) and the NHS to ensure everyone discharged to a care home has an up-to-date COVID-19 test result, and anyone testing positive will be discharged to a setting that has been assured by the CQC specifically for the purposes of providing safe care for COVID-19 positive residents.

• In addition, the influenza vaccine is being made available, free of charge, to all care staff, personal assistants and unpaid carers to further protect staff over the winter period.

• Care homes registered with the PPE Portal are able to access all of their COVID-19 PPE requirements this way and 83% of eligible care homes are now registered, with registrations still increasing weekly. Over 41,000 providers have registered for this portal across primary and social care. Personal assistants supported living, shared lives and daycare services can obtain free PPE from their Local Authority or Local Resilience Forum for COVID-19 needs. The Government continues to review PPE usage in order to match supply to demand.

• Repeat testing was introduced across care homes in July which helps care homes to identify and contain outbreaks. All care home staff are now offered weekly testing and this will be increased to twice weekly by the end of December. Resident testing started in April and all care home residents have been offered monthly testing since July. This will be increased to weekly testing in December.

• The Government recognises it is important to protect those receiving care in their own home, and while the risks are lower than for those in communal residences, many of those receiving care at home are vulnerable to COVID-19. The Government is therefore providing weekly testing to domiciliary carers working for CQC registered domiciliary care providers across England.

• The Government has also launched the Adult Social Care COVID-19 Dashboard to help Local Authorities monitor outbreaks and infection prevention measures.
Details: https://hcpa.us3.list-manage.com/track/click?u=7275e7980a25c4f5e4939ee06&id=3ec5da8828&e=9b7f8bd309
GOV.UKPPE for Home Care Services
PPE Portal - Homecare - Updated 4th December 2020 - Change made: Updated order limits for domiciliary care providers.

Domiciliary care providers with between 100 and 149 clients can order up to (per week):
• 2,000 IIR masks
• 3,000 aprons
• 6,000 gloves (3,000 pairs)
• 8 bottles of hand hygiene (usually 500ml)
• 200 visors
Domiciliary care providers with between 150 and 500 clients can order up to (per week):
• 8,000 IIR masks
• 6,000 aprons
• 12,000 gloves (6,000 pairs)
• 24 bottles of hand hygiene (usually 500ml)
• 1,000 visors
Domiciliary care providers with between 500 and 999 clients can order up to (per week):
• 12,000 IIR masks
• 14,000 aprons
• 24,000 gloves (12,000 pairs)
• 24 bottles of hand hygiene (usually 500ml)
• 1,000 visors
Domiciliary care providers with more than 1,000 clients can order up to (per week):
• 16,000 IIR masks
• 20,000 aprons
• 28,000 gloves (14,000 pairs)
• 48 bottles of hand hygiene (usually 500ml)
• 1,000 visors
Hospital Discharge to Home CareHospital discharges to Home Care Provision.
Please note: Clients returning home from hospital to an existing package of care will be swab tested and the folloiwng options apply:
If Positive results are returned, they will be discharged to full barrier Service for a 14 day isolation period, so long as the ward can confirm they are Medically Optimised and the Home Care Provider has sufficient PPE and the ability to meet the discharge care needs.
If Negative results are returned, the ward must ensure the patient is Medically Optimised, and the Home Care Provider has sufficient PPE and the ability to meet the discharge care needs.
If Inconclusive results are returned, they will be discharged to full barrier Service for a 14 day isolation period (as if positive results has been received) until further testing and results are available, while ensuring patient is Medically Optimised, and the Home Care Provider has sufficient PPE and the ability to meet discharge care needs.
For further information https://www.hcpa.info/wp-content/uploads/Covid-19-testing-for-service-users-discharged-or-transferred-home-with-home-care-services-clarification-16-07-2020-TP-JM-alterations-1.pdf
HPFTList of online resources
HPFTHPFT COVID-19 Support Letter
HPFTManaging risks from wandering or walking with purpose during COVID- 19
HPFT Contracted ServicesHertfordshire Care Provider Claim Form
Infection ControlInfection Control Checklist
Infection prevention and controlUpdates on preventing and controlling infections, including staff PPE use
Local Authority UpdatesAdvice for PAs and those receiving Direct PaymentsHertfordshire County Council has created a helpful documennt speaking into the most frequently asked questions surrounding Direct Payment users and Personal Assistants, including Testing, Payments, Buying PPE and where to ask for more information: https://www.hcpa.info/wp-content/uploads/DP-FAQ-REVISED-14-December-black-and-white.docx Please also note PPE provision as per this table: https://www.hcpa.info/wp-content/uploads/PPE-supply-routes-table-update-261120.docx
Local Authority UpdatesLetter and factsheet for those with care or support needsLetter for people with care and support needs: https://www.hcpa.info/wp-content/uploads/Letter-for-people-with-care-and-support-needs-04.11.20.pdf
Factsheet: https://www.hcpa.info/wp-content/uploads/Standard-factsheet.pdf
Local Authority UpdatesFree iPad offer for Residential Care ProvidersPlease fill the referral form found here: https://www.hcpa.info/wp-content/uploads/iPad-Handover-Agreement-Master-2.docx and send to Amy.morris@hertfordshire.gov.uk (Herts Valley Care Homes) and
Lesley.watson@hertfordshire.gov.uk (ENH Care Homes)
Local Authority UpdatesLetter to Community Care / HomeCare Providers (updated 04/11/2020)
Local Authority UpdatesLetter to Older Persons Residential Care Providers (updated 04/11/2020)
Local Authority UpdatesLetter to all Commissioned Voluntary & Community Sector Providers (Updated 04/11/2020)
Local Authority UpdatesLetter to all Family Carers and FAQs (updated 04/11/2020)
Local Authority UpdatesMedication Errors Guidance
Local Authority UpdatesPayment Guidance to Care ProvidersInformation on standard and additional payments to providers
Local Authority UpdatesWe are pleased to offer our latest Covid-19 social distancing videos in these community languages: Bengali, Sylheti and Urdu
Local Authority UpdatesLetter to care homes re non essential visitor guidance
Local Authority UpdatesLetter to family members and carers around residents visiting the family home
Local Authority UpdatesLetter to vistors around the local visitor policy
Local Authority UpdatesGuidance for Day Opportunity Providers (OP and ADS)
MedicationControlled Drug Stock Checks/ CD Cabinet Key security Please ensure your organisation has appropriate security and governance processes in place for Controlled Drugs

CD cupboards should only be used for the storage of CDs and no other medication or valuables should be stored in the cupboard. If medication is provided in a monitored dosage system (MDS), the MDS should be stored in the CD cabinet.

Access to the CD cupboard should be controlled. The CD cupboard keys should be kept under the control of an authorised, designated person and there should be a clear audit trail of the holders of the key.

An audit of the CD register and drugs cupboard should be carried out routinely. This should be done weekly, fortnightly or monthly at the discretion of the care home manager. Audits should be carried out by two authorised members of staff and recorded in RED pen. Any discrepancies must be reported to the manager immediately. It is good practice to carry out a balance check at the end of each shift.

Incidents involving CDs must be reported to the Care Quality Commission (CQC) and the local NHS England Accountable Officer for Controlled Drugs
(email: england.ea-cdao@nhs.net)
Supporting Information:
1) CQC - Storing controlled drugs in care homes: https://www.cqc.org.uk/guidance-providers/adult-social-care/storing-controlled-drugs-care-homes#:~:text=You%20can%20store%20them%20in,controlled%20drugs%20within%20your%20home.

2) HVCCG Care Homes Newsletter, Controlled Drugs, Issue 7 (December 2019): https://hertsvalleysccg.nhs.uk/clinicians/care-homes/topic/102/Newsletter/539
MedicationDo you have any guidance on administering from original packaging?As you are aware, the escalation of cases in the UK has meant increased pressure on all primary care services, including community pharmacy. Community pharmacies core responsibilities are to ensure that all patients receive their medication in a safe and effective way. Pharmacies have been asked to assess their ability to offer services to care homes if they have a reduced workforce, due to staff absences.

To support this recommendation, some pharmacies are proposing that until such time as COVID-19 is no longer a significant threat, care homes will receive medication in manufacturers’ original packs with pre-printed Medication Administration Record charts.

Please check in "medications" section of the following webpage - https://www.hcpa.info/guideline/covid-19-available-training-education/#eol
MedicationIf I collect medication from a pharmacy within a supermarket will I have to stand in the normal supermarket queue ? No , Pharmacy managers have been contacted and asked and make arrangements for staff or patients requiring immediate pharmacy access to be given preference in queuing systems. To verify their need, patients/staff will be able to show one of the following

• A paper prescription
• An email from the issuing prescriber stating they have an urgent prescription.
• An NHS or care home staff ID badge - (volunteers can get ID badges here https://www.hcpa.info/guideline/covid-19-id-cards-for-key-workers/
MedicationShould we be stockpiling medication? CCG’s have been writing to GP practices to reiterate national command and control direction: NO STOCKPILING and Prescription lengths should NOT be extended as this will cause destabilisation of the already fragile medicines supply chain. CCG’s are seeking patient information to provide clear comms to patients about stockpiling/over ordering.
MedicationShould we be carrying forward PRN Medication? Due to the existing national situation regarding Covid-19 and demands on health care provisions, Herts Valleys & East and North Hertfordshire CCG care home team would like to remind care home staff it is essential to carrying forward PRN / ‘when required’ medication such as Paracetamol to safeguard stocks and enable care home providers to continue to provide effective care. Guidance- https://hertsvalleysccg.nhs.uk/application/files/5615/8212/0501/When_Required_Medication_PRN_Guidance_For_Care_Homes_V1.0.pdf . Top Tips - https://hertsvalleysccg.nhs.uk/application/files/2415/5928/7578/Reducing_Medicines_Waste_in_Care_Homes_v1.1_February_2019.pdf
Reminder on Medicines Reconciliation and reviews- https://www.cqc.org.uk/guidance-providers/adult-social-care/medicines-reconciliation-medication-review
MedicationShould we be raising Safeguarding for Medication errors?With immediate effect, Hertfordshire County Council’s Adult Safeguarding teams will no longer progress safeguarding concerns for individual medication errors where there are no other safeguarding issues.
This decision has been made given the significant pressure on our staff availability that we are currently experiencing due to COVID-19, which we anticipate will grow over the coming weeks.

Read full details- https://mcusercontent.com/7275e7980a25c4f5e4939ee06/files/685a22af-1af9-4278-accf-9119f4c8ac11/Herts_Medication_Errors_guidance.pdf?mc_cid=a4030261fd&mc_eid=3e0cd1f44ac
MedicationOut of hours and EOL Pharmacists East and North Herts: https://www.enhertsccg.nhs.uk/pharmacies and https://www.enhertsccg.nhs.uk/sites/default/files/Participating%20Pharmacies%20Details%20updated%20August%202020.pdf
Herts Valley (and East of England): https://hertsvalleysccg.nhs.uk/application/files/2215/9782/6797/Interactive_Map_of_Palliative_Care_Pharmacies_in_East_of_England.pdf and https://pcm.prescqipp.info/
MedicationUrgent Medication- When you need to inform pharmacists?Most prescriptions are sent directly from the GP to the pharmacy electronically using EPS. During the covid- 19 pandemic it is likely that there will be more remote consultations and more urgent medicines prescribed.
Please remember to contact your usual pharmacy to advise them that an urgent prescription has been sent by the GP as these are not highlighted to the pharmacist in any other way. Pharmacies are extremely busy at the moment and anything you can do to support them will be much appreciated and prevent delays in residents accessing the urgent medication that they need. Please see link for more detail
https://www.enhertsccg.nhs.uk/sites/default/files/content_files/Prescribing/Primary_Care_Resources/Care_Home/Managing%20acute%20and%20urgent%20prescriptions%20in%20care%20homes.pdf
MedicationWhat is the CQC guidance on Medication?All information from CQC on Medication- https://www.cqc.org.uk/guidance-providers/adult-social-care/medicines-information-adult-social-care-services
MedicationWhere do we obtain Just in case Medication?Pharmacies currently participating in the Immediate Access to Emergency Medicines Scheme. EN Herts Medication list- https://mcusercontent.com/7275e7980a25c4f5e4939ee06/files/3cec9a0b-54b2-491a-a8d7-efc5ac79bd72/Immediate_access_to_emergency_medicines_pharmacy_stock_list_updated_on_9.4.20.pdf?mc_cid=add61b66bd&mc_eid=3e0cd1f44a. EN Herts Pharmacies- https://mcusercontent.com/7275e7980a25c4f5e4939ee06/files/69b096e7-c774-4387-94a7-176812fcc376/Immediate_access_to_emergency_medicines_pharmacies_updated_on_9.4.20.pdf?mc_cid=add61b66bd&mc_eid=3e0cd1f44a. Herts Valley Pharmacies- https://hertsvalleysccg.nhs.uk/application/files/8015/8625/6724/Immediate_Access_to_Emergency_Medicines_Summary_v3.0_COVID19_Edition_April_2020.pdf?mc_cid=add61b66bd&mc_eid=3e0cd1f44a
NCVOYour organisation and managing the Coronavirus
NHSPublic facing COVID-19 NHS information
NHSUpdates from Skills for Care newsletter
NICECommunity-based care of patients with chronic obstructive pulmonary disease (COPD)
NICECOVID-19 rapid guideline: managing suspected or confirmed pneumonia in adults in the community
NICECOVID-19 rapid guideline: managing symptoms (including at the end of life) in the community
NICENICE publishes first rapid COVID-19 guidelines
NICESCIE/NICE quick guide: Helping to prevent infection in Care Homes
NutritionHow should we manage concerns with weight loss, poor appetite or lack of interest in eating? Nutrition support resources
Undernutrition remains a concern for the older population in Hertfordshire, and isolation as a result of the current Covid 19 crisis is likely to increase this issue.

https://hertsvalleysccg.nhs.uk/application/files/3615/3847/2735/Food_first_-_Quick_guide_HMMC_062018.pdf and
https://www.enhertsccg.nhs.uk/sites/default/files/content_files/Prescribing/Local_Decisions/Nutrition_and_blood/Food%20First-%20Fortifying%20food%20for%20care%20homes.pdf.

Local guidance which may be useful, both to help prevent undernutrition at this time and to support older adults recovering from Covid 19, includes:
• Food First – Eating well for small appetites focuses on enabling patients to increase their nutritional intake by at least 500 calories per day (in addition to other essential nutrients) and can be given out by any healthcare professional without additional explanation
• Food First – Quick guide is a short version of the above leaflet and shows how an additional 500 calories (in addition to other essential nutrients) can be consumed simply by making 3 or 4 small dietary changes each day
• Food First - Homemade supplements can be provided together with either of the above resources and is equally suitable for patients living in their own homes or in care homes. The homemade milkshake recipe is nutritionally almost identical to prescribed ONS
• Eating and drinking at end of life is designed for relatives and carers of people who are reaching the end of their lives. It has been written to help reassure carers that loss of appetite and reduction in food intake is a normal and expected part of the dying process, and that prescribed ONS are unlikely to be helpful at this stage

British Dietetic Association (BDA) resources on nutrition, older people and self isolation during Covid: https://www.bda.uk.com/food-health/food-facts/older-adult-food-facts.html
• Helping Older Adults Keep Well is a brief guide about maintaining nutrition during self-isolation
• Basic Store Cupboard Ideas gives a range of ideas about how to maintain a varied and balanced diet using long life products
NutritionNutrition Covid-19- Taste Changes, Feeling Breathless and Weight LossA team of nutrition experts across Hertfordshire have created a series of posters to support you and your clients with some of the nutrition concerns that have been identified during Covid-19. They are created to give you some hints and tips to support your own service users and provide a range of ideas. You can print them and display them, share them with your teams and even next of kin who might be supporting older people. https://hcpa.us3.list-manage.com/track/click?u=7275e7980a25c4f5e4939ee06&id=646ebf1b42&e=3e0cd1f44a
PPE - Gowns and CoverallsDonning and Doffing Gown and Coveralls guidanceHere is a guide on gown donning and doffing- https://www.gov.uk/government/publications/covid-19-personal-protective-equipment-use-for-aerosol-generating-procedures
Here is a guide for removing coveralls: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/911307/PHE_Removal_or_doffing_coveralls_guidance_instruction_sheet_airbourne_precautions.pdf
Here is a guide for Donning coveralls: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/911303/PHE_Putting_on_or_donning_coveralls_guidance_instruction_sheet_airbourne_precautions.pdf
Please note gowns and coveralls are not included within the standard PPE Items, and are only for use in certain specific instances. For more information, please contact the HCPA Care Provider Hub: 01707 708108 / assistance@hcpa.info
PPE and AGPsAre you carrying out Aerosol Generating Procedure and need FFP3 masks?If you are carrying out any of the AGPs in the list found below, you might need to wear extra PPE, such as an FFP3 mask.
UIn order to wear an FFP3 mask safely, you must first be fit-tested to ensure it works.
If you need FFP3s masks, or need to be fit-tested to use these, please contact the HCPA Care Provider Hub 01707 708108 / assistance@hcpa.info

Aerosol Generating Procedures - This is the list of medical procedures for COVID-19 that have been reported to be aerosol generating and are associated with an increased risk of respiratory transmission:
•tracheal intubation and extubation
•manual ventilation
•tracheotomy or tracheostomy procedures (insertion or removal)
•bronchoscopy
•dental procedures (using high speed devices, for example ultrasonic scalers/high speed drills
•non-invasive ventilation (NIV); Bi-level Positive Airway Pressure Ventilation (BiPAP) and Continuous Positive Airway Pressure Ventilation (CPAP)
•high flow nasal oxygen (HFNO)
•high frequency oscillatory ventilation (HFOV)
•induction of sputum using nebulised saline
•respiratory tract suctioning
•upper ENT airway procedures that involve respiratory suctioning
•upper gastro-intestinal endoscopy where open suction of the upper respiratory tract occurs
•high speed cutting in surgery/post-mortem procedures if respiratory tract/paranasal sinuses involved
PROVIDER RESOURCESBusiness Continuity Plans – Your provider checklist
PROVIDER RESOURCESGuidance on Care Home provisionhttps://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/878099/Admission_and_Care_of_Residents_during_COVID-19_Incident_in_a_Care_Home.pdf
PROVIDER RESOURCESPersonal protective equipment (PPE)Govt Guidance on PPE: Care Homes: https://www.gov.uk/government/publications/covid-19-how-to-work-safely-in-care-homes
Domicilary Care Organisations: https://www.gov.uk/government/publications/covid-19-how-to-work-safely-in-domiciliary-care
If you are concerned about your stock and need urgent support, or want advice about suppliers, please don’t hesitate to email assistance@hcpa.info or call 01707 708108
Guidance for using PPE (inc Donning and Doffing): https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/911188/PHE_PPE_guide_for_community_and_social_care_settings_AUG_2020.pdf
SCIE (Social Care Institute for Excellence)Delivering safe, face-to-face adult day care (Updated 2 December 2020)Updated information including guidance on re-opening services and risk assessments
Self-Isolation guidance in care settingsDoes the new guidance on reduced isolation periods cover staff and residents in Care?

The national guidance has been revised and now recommends that health and social care professionals who are contacts of a case should self-isolate for 10 days. Please refer to Section 8. This is also applicable to in-patient contacts of a positive case (Section 10). Care Home residents who are contacts of a case will also need to isolate for 14 days. https://www.gov.uk/government/publications/covid-19-management-of-exposed-healthcare-workers-and-patients-in-hospital-settings/covid-19-management-of-exposed-healthcare-workers-and-patients-in-hospital-settings#patient-exposures-in-hospital
PHE East of England
. The Government has made further changes to the guidance for health and social care professionals and Care Homes, the guidance can be found here: https://hcpa.us3.list-manage.com/track/click?u=7275e7980a25c4f5e4939ee06&id=85027ff6fa&e=9b7f8bd309
• Any health and social care professionals who is a contact of a case should self isolate for 10 days
• Care Home residents who are contacts of a case will also need to isolate for 14 days
• In-patients who are known to have been exposed to a confirmed COVID-19 patient while on the ward, should be isolated or cohorted with other similarly exposed patients who do not have COVID-19 symptoms, until their hospital admission ends or until 14 days after last exposure
Sick Pay (SSP)Sick pay from day one for those affected by Coronavirus / returning from abroad
Staff CapacityCan overseas students work more hours during Covid-19 as they are not studying? Students must adhere to the rules as part of their clearance to study in the UK, which is as per government guidance- https://www.ukcisa.org.uk/Information--Advice/Working/Tier-4-work
Staff CapacityWhat do I do if I am concerned about management of staffing during the this period? If you have low staffing levels where delivering care is unsafe you need to contact CQC and your HCC/NHS contact manager. For CQC contact your inspector, if you do not have their number please then they call through to the Enquiries number 03000 616161. That way they can be transferred directly and a log [Enquiry number] will be created. Please email jobs@hcpa.info to ask for support with finding staff or volunteers
For residential care providers, to help you control any staffing risks from insufficient staffing,please review the Care Home workforce mitigation document found here: https://www.hcpa.info/wp-content/uploads/Care-Home-Workforce-Mitigations-Covid-19-v5.docx
StaffingQuestions about management, duties and wages for pregnant staff
Are you aware of the current HR requirements for Pregnant Care Staff and how employers can use the IPC funding to support?

Employers who do not undertake risk assessments or organise suitable alternatives for pregnant staff may be breaching the Management of Health and Safety at Work Regulations 1999 (MHSW).

Current Advice Applicable to pregnant care staff (Royal College of Nursing)
(Public Health have conformed this advice is the same for pregnant care staff)

Please find below the steps you need to follow as an employer:
1. Employers are expected to carry out (or review) pregnancy risk assessments for all pregnant workers.
2. The assessment will look at the role, the work environment and the context of the pregnant person’s health (including any underlying conditions). It must highlight any potential risks and steps to be taken to remove the risk of harm to the member of staff or their unborn child.
3. The clinical advice from the RCOG’s joint statement on Occupational health advice for employers and pregnant women states that ‘social distancing is particularly important for all pregnant women who are 28 weeks and beyond, in order to lessen their risk of contracting the virus’. Employers should take this into account when carrying out the risk assessment.

Royal College of Obstetricians & Gynaecologists advice:
• Updated guidance emphasises that pregnant women of any gestation should be offered the choice of whether to work in direct patient-facing roles during the coronavirus pandemic
• Women who are less than 28 weeks pregnant should practise social distancing but can choose to continue working in a patient-facing role, provided the necessary precautions are taken
• Women who are more than 28 weeks pregnant, or have underlying health conditions, should avoid direct patient contact and it is recommended that they stay at home

Please Note: Pregnant women’s choices on whether they work in direct patient-facing roles during the coronavirus pandemic should be respected and supported by their employers, according to updated national guidance from the Royal College of Obstetricians and Gynaecologists and the Royal College of Midwives.

4. Where the risk can't be removed, your employer should look at suitable alternative work, including home working, the use of a single office or redeployment in line with health and safety standards.
5. If suitable alternative work is not available then that staff member should be suspended on full paid leave* for as long as necessary to protect their health and safety, or that of their unborn child.
6. Access Support funding:
Wages for staff suspended on full pay at 28 Weeks of pregnancy is a justified re-claimable expenditure under the Infection Control Fund, Round 2 (Oct-Mar) under the heading of "Ensuring staff who are isolating in line with government guidance receive their normal wages while doing so".
Further details on this fund can be found here: www.hcpa.info/covid-19 and https://www.hcpa.info/guideline/covid-19-12-faqs/

References:
https://www.rcn.org.uk/get-help/rcn-advice/covid-19
https://www.rcog.org.uk/en/news/updated-advice-for-pregnant-women-who-are-working-in-the-nhs-and-other-work-settings-during-the-coronavirus-outbreak/
https://www.rcog.org.uk/en/guidelines-research-services/guidelines/coronavirus-pregnancy/

If you wish to discuss this, please call the HCPA Care Provider Hub 01707 708108 or email assistance@hcpa.info

StaffingWhat happens if a staff member is exposed to a confirmed case outside of work or contacted by NHS Test and Trace?
The staff member should self-isolate for 10 days straight away. If the staff member gets symptoms, then they should be tested by booking in at one of the local test sites via the gov.uk testing portal or requesting a home test kit.
If the staff member remains asymptomatic then they should self-isolate for 10 days from the date of exposure.
The home will need to risk assess for any other staff they have been in contact without PPE.
Guidance from Department of Health and Social Care have outlined 3 potential scenarios where ‘close contact’ occurs:
• a staff member who has been caring for a person who has tested positive for COVID19 or who has symptoms of COVID-19 while the staff member was wearing appropriate PPE. Staff will not need to isolate in these cases, but these contacts will be escalated to the local public health team for further advice if needed • a staff member who has been caring for a person who has tested positive for COVID19 or who has symptoms of COVID-19 while the staff member was wearing appropriate PPE but the PPE has been breached. The member of staff will need to isolate for 14 days in line with the advice to the general population (see advice above for examples of PPE breaches) • a staff member who has been in contact with anyone else who has tested positive for COVID-19 whether at work (most likely a colleague in communal areas) or in the community. The member of staff will need to isolate for 10 days in line with the advice to the general population.

NHS T&T Info: https://www.nhs.uk/conditions/coronavirus-covid-19/testing-and-tracing/?gclid=Cj0KCQiAhs79BRD0ARIsAC6XpaVhrQhL7NeWtaYAJOWvj3GiREYOTC36-2DFfOZf_MImh_NTBumod6UaAgVJEALw_wcB
Gov
.uk T&T info: https://www.gov.uk/guidance/nhs-test-and-trace-how-it-works
*IMPORTANT: IF YOU ARE IN ANY DOUBT ABOUT SELF ISOLATION REQUIREMENTS WHEN YOU / CARE STAFF / HOUSEHOLD MEMBERS ARE TOLD TO SELF ISOLATE, OR ARE SYMPTOMATIC, OR HAVE A POSITIVE TEST RESULT, OR HAVE BEEN ALERTED BY TEST AND TRACE, PLEASE CALL THE PROVIDER HUB: 01707 708108 OR EMAIL: ASSISTANCE@HCPA.INFO *

Swabbing/ TestingCare Home Resident testing referral form
Swabbing/ TestingDo we have to swab all residents even if they are distressed?
If a resident does not have relevant mental capacity, for example, to make necessary decisions (including care, treatment and residence decisions), staff will need to consider the legal, decision-making framework offered by the MCA. The Department of Health and Social Care has issued guidance on the use of the MCA and Deprivation of Liberty Safeguards during this period. It can be found here: https://www.gov.uk/government/publications/coronavirus-covid-19-looking-after-people-wholack-mental-capacity Care home staff will need to consider the MCA and this guidance, when making decisions for people who lack the relevant mental capacity to make them. This includes residents who cannot make their own decision about testing.
If a person lacks capacity to provide consent to be tested for COVID-19, the decision maker should where necessary make a ‘best interests decision’ under the MCA. When doing so, they must consider all the relevant circumstances and should make a record of their decision. This must be undertaken in relation to the individual and should never be determined in relation to groups of people. Additional time may be required to make the best interests decision in these situations.
If the resident is symptomatic you should isolate them for 14 days
Swabbing/ TestingTesting for COVID-19 before a hospital procedure
Swabbing/ TestingI have questions about swabbing / testing pathways and don't know where to go for help
Please visit our new Swabbing webpage https://www.hcpa.info/guideline/swabbing/ and in particular check out the FAQs on this webpage. If any doubts, call the Provider Hub 01707 708108 or email assistance@hcpa.info
Swabbing/ TestingHow to test care home residents and workers
Swabbing/ TestingInformation on whole Home testing
The Government has announced regular testing process for all residential care homes.
Care Home staff are to be given COVID-19 tests every week and residents monthly, to identify anyone with the virus and to reduce transmission. Register for Whole Home Testing here: https://www.gov.uk/apply-coronavirus-test-care-home
Please click the large blue button on the right of this text to see the most up to date info on all UK swab testing, including Whole Home Testing for Care Homes. - If you cannot access resources online, please call 119
Full details of swab testing can be found here: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/906089/Routes_for_Coronavirus_testing_in_adult_social_care_in_England_accessible.pdf
Swabbing/ TestingIs there any training available on how to swab?
A youtube video has been produced which shows how to carry out nasal and throat swabs for residents: https://www.youtube.com/watch?v=1l0jcv37WzI&feature=youtu.be
Care practitioners and nurses who will be swabbing residents in care homes should complete the online care home swabbing competency assessment before carrying out swabbing.
Individuals can register at www.genqa.org/carehomes or care home managers can create an organisational account by contacting info@genqa.org
Swabbing/ TestingIssues with Whole Home Testing service or courier
If you need any support over accessing the Govt testing portal, please contact the Coronavirus Testing Call Centre on 0300 303 2713 (07:00 to 23:00 every day). If you have any issues with accessing swabs or booking your courier please escalate it through: scas.Covid19TestingComplaints@nhs.net copying in acs.covid@hertfordshire.gov.uk
Swabbing/ TestingCare Home Testing: Useful links and emergency help
For any care home testing queries, please refer to testing guidance which can be found at:
https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/912950/Care_home_testing_guidance_-_non-Randox__England__v24-08.pdf
and
https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/933134/Routes_for_Coronavirus_testing_in_adult_social_care_in_England_accessible1.pdf
To find your Unique Organisation Number (UON) by searching your CQC location ID:

https://organisation-number-lookup.test-for-coronavirus.service.gov.uk
To order coronavirus test kits:

https://request-testing.test-for-coronavirus.service.gov.uk
To book a courier collection:
https://test-kit-collection.test-for-coronavirus.service.gov.uk/
To register completed test kits:
https://gov.uk/register-organisation-tests
Sign up to NHS T&T webinar series
"We would like to invite you to our regular care home testing webinars. The weekly webinars last 90 minutes and give detailed information about all aspects of care home testing, including: ordering tests, preparing for testing, test kit delivery, a test kit demonstration, testing certain care groups, registering test kits, booking your collection and results and what they mean for your home.
The session will include a live Q&A with representatives from the national care home testing team, who will be able to answer your questions and address any concerns in the session.
To sign up to attend our new care home testing webinars click here: https://event.webcasts.com/starthere.jsp?ei=1369434&tp_key=296e54cdc9
If you are not able to attend the webinars please sign up and a recording of the session will be made available to you after the session."

Who should you contact in an emergency?
If at any stage someone at your organisation cannot cope with the symptoms, or their condition gets worse, or their symptoms do not get better after 7 days, use the https://111.nhs.uk/COVID-19 service. If you do not have internet access, call NHS 111. In a medical emergency, dial 999.
Swabbing/ TestingCare home Lateral Flow Device (LFD) test kits

Message from DHSC
We will be sending Lateral Flow Device (LFD) test kits to all care homes by 18 December. These are sometimes called rapid tests as they produce results very quickly, within 30 minutes. You will receive these tests in addition to the regular PCR tests that we already send you for weekly staff and monthly resident testing.
The LFD test kits will be used for scheduled visitor testing. You will not need to order your first round of LFD test kits. We will send further information as soon as we can with exact details of when your LFD test kits will arrive, and guidance on how many you will get, how to use them, how you can order more, and what support available. https://hcpa.us3.list-manage.com/track/click?u=7275e7980a25c4f5e4939ee06&id=e62edf07de&e=9b7f8bd309
Gov.uk update 08/12/2020 Sets out how care homes and visitors can prepare for visitor testing with lateral flow devices (LFDs).: https://www.gov.uk/government/publications/coronavirus-covid-19-lateral-flow-testing-of-visitors-in-care-homes?utm_source=534a7f78-bc2f-47e1-9360-5e01e81b0e6b&utm_medium=email&utm_campaign=govuk-notifications&utm_content=immediate
Webinar bokings here: https://event.webcasts.com/viewer/portal.jsp?ei=1408929&tp_key=d2a77c17e3
Recent webinar slides: https://www.hcpa.info/wp-content/uploads/Lateral_Flow_Device_Webinar_09122020.pdf and some questions asked and answered at the webinar: https://www.hcpa.info/wp-content/uploads/LFD-webinar-qs.docx and some useful links: https://www.hcpa.info/wp-content/uploads/Care-Home-Lateral-Flow-testing-useful-links-08122020.docx
Swabbing/ TestingHome Care routine testing for staff
Translation servicesInformation on translation services for Testing
Please see the following helpful documents concerning translation services for Covid Testing: https://www.hcpa.info/wp-content/uploads/2007009_Translation-Services_User-Guide_V1.pptx and here: https://www.hcpa.info/wp-content/uploads/200709_Translation-Service_Other-Country-Codes.pdf
Travelling togetherAdvice on car sharing / travelling together in vehiclesPlease see detailed guidance on vehicle sharing here: https://www.hcpa.info/wp-content/uploads/Care-Provider-Transport-Guidance-for-FAQs.pdf and please note that ANYONE travelling in ANY VEHICLE (inc Car, Minibus or Aeroplane) wil be considered a close contact if another passenger receives a positive test result, even if wearing full PPE https://www.gov.uk/government/publications/guidance-for-contacts-of-people-with-possible-or-confirmed-coronavirus-covid-19-infection-who-do-not-live-with-the-person/guidance-for-contacts-of-people-with-possible-or-confirmed-coronavirus-covid-19-infection-who-do-not-live-with-the-person
Health and Safety ExecutiveFogging: Disinfecting premises using fog, mist, vapour or ultraviolet (UV) systems during the coronavirus pandemicDo not spray people with disinfectants, Only use products authorised in the UK, Choose the correct treatment, Avoid harm, Do not disinfect large outdoor spaces, Supply and manufacture of disinfectants, The law on chemicals, Sealing off rooms - Full guidance: https://www.hse.gov.uk/coronavirus/disinfecting-premises-during-coronavirus-outbreak.htm
Health and Safety ExecutiveCleaning and disinfectants: Hand sanitiser products and surface disinfectants during the coronavirus pandemic – use, manufacture and supply

Local and National Supplies

We have compiled a list of equipment suppliers across Hertfordshire that you can contact during this difficult time to try and assist you with finding general equipment and Personal Protective Equipment (PPE).

The listed companies have been recommended by other members, but we do not guarantee that there will be stock, or what you need, but some providers have been successful with them. At the time of publishing, there are particularly low stocks of PPE and hand gels but some of these companies do have ad-hoc deliveries.

The list of suppliers below includes care equipment, PPE and other supplies. We also have a separate webpage to help you with food supplies.

If you have a company that you would like to recommend to other members, please email services@hcpa.info so that we can look into these.

These are offers from companies have not been approved nor endorsed by the PPE cell, Provider hub or HCPA, and all care providers are completely responsible for carrying out their own authenticity checks prior to deciding to purchase.  

National PPE Portal

The PPE portal can be used by social care and primary care providers to order and receive critical
coronavirus (COVID-19) personal protective equipment (PPE).

Providers who can use the service will receive an email invitation to register.

The Department of Health and Social Care (DHSC) has partnered with eBay, Clipper Logistics and
Royal Mail to develop this service.

Orders will be managed in line with Public Health England (PHE) guidance and wider availability from
the NHS Supply Chain’s central PPE logistic operations.

The Local Resilience Forum (LRF) has some supplies
which are available to providers in need

If you are concerned about your stock and need it urgently, or want advice about suppliers, please don’t hesitate to email assistance@hcpa.info or call 01707 708108

If you are in an urgent need for PPE and you have been unable to secure this through your business as usual channels and LRF (via Provider Hub) cannot deliver, then contact the National Supply Disruption Response (NSDR) as a final option. Contact the NSDR via the 24/7 helpline: 0800 915 9964 (Freephone number in the UK), or contact supplydisruptionservice@nhsbsa.nhs.uk

NameWebsitePhone NumberDelivery OptionsApplicable DiscountsFor more informationEmail
2 Metre Marketing» Click here to visit their website02035591112paul.symonds@2metre.marketing
Acopia - Has gloves as per updated guidance» Click here to visit their websiteEmma.Hazell@acopia.co.uk
Amargard» Click here to visit their website0121 608 7210mark.neal@galleonmail.com
APH medical Systems» Click here to visit their websiteEdel@aphmedical.uk
Arco» Click here to visit their website0300 390 2051Available upon creating an account and signing in | Click and Collect options are availablecustomer.services@support.arco.co.uk
Arrow County - Has gloves as per updated guidance» Click here to visit their website01743 283 600» Click here for the full cataloguelouise.pierce@arrowcounty.com
Barco Ltd. - Has gloves as per updated guidance07457 2377166ahewlett@barco.net
Beau Vallon07500 821812george.orris.bvl@gmail.com
BES Healthcare» Click here to visit their website01179 666761barend@beshealthcare.net
Better Bulk» Click here to visit their websitecontact@betterbulk.co.uk
Blueleaf - Has gloves as per updated guidance» Click here to visit their website03300 55 22 88All orders under £75 will incur a £7.50 delivery charge
(Delivery dependant on item stock)
emergencystock@blueleafcare.com or info@blueleafcare.com
Champion System UK» Click here to visit their website07710 707132eallen@champ-sys.com
Charities Buying Group - Has gloves as per updated guidance» Click here to visit their website08001953010admin@charitiesbuyinggroup.com
CMT Group - Has gloves as per updated guidance» Click here to visit their website02083 111144sales@cmt.co.uk
Consortium Care - Has gloves as per updated guidance» Click here to visit their website0800 298 6239 (8am to 6pm | Monday to Friday)Free delivery available
(Delivery dependent on item stock)
hello@consortiumeducation.com
Cosmos Supplies - Has gloves as per updated guidance» Click here to visit their website07854 435086aaron.barber@cosmossupplies.com
Countrywide Healthcare» Click here to visit their website01226 719090(Delivery dependant on item stock)sales@countrywidehealthcare.co.uk
DE Digital Exchange - Has gloves as per updated guidance» Click here to visit their website0114 349 7782aaron.woodfine@thedigitalgroup.co.uk
DeliverNet» Click here to visit their website01756 706050(Delivery dependent on item stock)customer.service@delivernet.co.uk
The Delta Group» Click here to visit their website07702300888steve.parkhouse@thedeltagroup.co.uk
Dynasty UK0208 736 0202sales@dynastyuk.co.uk
EasyBreathing» Click here to visit their website01242 907 840Delivered to your preferred warehouse, home address or office address
(Delivery cost included in the price of items purchased)
oliver.bruce@easybreathing.uk | hello@easybreathing.uk
Ellcod Ltd. - Has gloves as per updated guidance» Click here to visit their website01923 609 797david@ellcod.com
EMT Ltd.07884 436 668mark.chan@nhs.net
Espere - Has gloves as per updated guidance» Click here to visit their website01462 346 100jo@esperehealth.co.uk
Evergen Systems0203 946 8704Delivered within 7 days of order being placed form within the UK | Minimum order is £8,000 for PPE and £2,000 for hand sanitiser» Click here for the latest updatesurgent.orders@evergensystems.com
Fairfields Care - Has gloves as per updated guidance» Click here to visit their website01234 324 530(8am to 4:30pm | Monday to Friday)Orders must be made over the phone or via email.Free delivery available on orders over £100 or £10 for orders under £100
(Delivery dependant on item stock/restrictions)
sales@fairfieldcare.co.uk
Filtration Control - Has gloves as per updated guidance» Click here to visit their websitePhone: 01604 7077 762 Mobile: 07885996324mike@filtrationcontrol.com
First Aid Warehouse - Has gloves as per updated guidance» Click here to visit their website0845 230 2090Delivery charge: £6.95 exc. VAT
(Delivery dependant on item stock)
Available on their websitesales@firstaidwarehouse.co.uk
Fluid Branding» Click here to visit their website0345 634 2935ben.trim@fluidbranding.com
Full Support Group» Click here to visit their website01933 672 180Lcrossman@fullsupportgroup.com
GFF Canada» Click here to visit their websiteZoor.Rehman@gffcanada.com
Global Health Care» Click here to visit their website01215 558446Paul@globalhealthcareuk.com
Gompels» Click here to visit their website0345 450 2420Free delivery on spends over £50 | An account must be created to access delivery optionsAn account must be created in order to access product discountsContact directly via their website
Health Innovation Healthcare» Click here to visit their website07788 355 799(Delivery dependant on item stock & quantity)rxie@ukhealthii.com
Herts Full Stop» Click here to visit their website01707 292 375Care providers should highlight that they are care providers when placing an order for PPEinfo@hertsfullstop.co.uk
Hyproc International» Click here to visit their website07556 063417sales@hyproc-intl.com
I-Tel Group» Click here to visit their website029 2049 2111paul.keenan@itelgroup.co.uk
IdeasByNet» Click here to visit their websiteMobile: 07718126001 Landline: 0114 262 2075racheladams@ideasbynet.com
Industrial Plasters07848 453 855sales@industrialplasters.com
Infinity and Beyond Travel07903 644 494rupesh@labtravel.com
Kernow Fixing» Click here to visit their website01726624600sales@kernow-how.com
Light in the Box» Click here to visit their website(+86) 010 8464 5454You need to create an account to access delivery options and delivery time frames depend on items ordered | Free shipping on orders over £110support@lightinthebox.com
Linear Building Innovations» Click here to visit their website020 3880 0339nathan@selo-uk.com
Litex UK Ltd.0779 944 8061charlie@sportex-global.com
Manik Medical» Click here to visit their websiteBrendan@manikmedical.net
Medclear TTA Solutions» Click here to visit their website07725 752984tradetoaidsca@gmail.com
Medicine Direct» Click here to visit their website07500 821 812tom.skerrit@medicinedirect.co.uk
Mobile Stationary & Printing Centre (MSPC Ltd.)» Click here to visit their website01992 504 463Free UK delivery on orders over £30
(T&C’s apply)
sales@mspclimited.co.uk
Nexon Group» Click here to visit their website0800 999 5006Free delivery on spends over £250 | An account must be created to access delivery options
(Extended delivery times are in place due to a surge in demand)
covid-19@nexongroup.co.uk | info@nexongroup.co.uk
Oracleeringoracleering@gmail.com
Otterdene» Click here to visit their website01884 38775lorita@otterdene.com
Pest Fix» Click here to visit their website01903 538 488eddie@pestfix.co.uk
Pharma» Click here to visit their website01992 236 355Di.Frost@pharmamodus.com
PPE Exchange» Click here to visit their website
PPE Health Solutionsbenyoung@PPEhealthsolutions.co.uk
PPE Help» Click here to visit their website0750 801 4648jay@ppehelp1.com
PPE International» Click here to visit their websitetim.bond@ppe-int.com
Prism Care Supplies» Click here to visit their website0330 133 2230orders@prism-care-supplies.co.uk
Prominate» Click here to visit their website0771 362 7931Mike.oxley@prominate.com
Quest Hardware» Click here to visit their website01280 822 062tosin@qs-sales.com
Red Zulu» Click here to visit their website01588 673 107sales@redzulu.com
Refine Clinical Wholesale» Click here to visit their websitebradley@refineclinicalwholesale.co.uk
Scandia» Click here to visit their website01255 433 595alex@scandia.co.uk
Selket (medical division)» Click here to visit their website07848 455 886lp@selkentmedical.com
Sera Technologies Ltd» Click here to visit their website07841385743sbignell@seratechnologies.com
Simon Safety - Stocks re-usable face visor» Click here to visit their website01646 600 750
SOS Supplies» Click here to visit their websiteamy@sos-suppliers.com
Stax Trade Centers» Click here to visit their website0161 728 8008matthew.ball@stax.uk.com
Supply Distribution Service» Click here to visit their website0800 915 9964 | 0191 283 6543You have to be an existing NHS Supply Chain customer to access delivery optionssupplydisruptionservice@nhsbsa.nhs.uk
Swift 360» Click here to visit their website01420 592 540sales@swift360.co.uk
Tach Pro» Click here to visit their website01142212000gary.wilson@digital2000.co.uk
UK Metal Refining01283 599 211thomas@ukmetalrefining.co.uk
Ultimate Branding» Click here to visit their website020 7989 0091neale@ultimatebranding.co.uk
Uniquip» Click here to visit their websiteinfo@uniquipgroup.com
Untye Waste» Click here to visit their website0161 826 9075jamie@untye.co.uk
Veenak Pharmaceuticals» Click here to visit their website0121 765 0214Akanani@flintlow.com
We Got You Campaign» Click here to visit their website07999 614 619Available through websitemail@wegotyou.uk | khalid@arming.co.uk
Wightman and Parrish » Click here to visit their website01323 445 001An account must be created to access delivery options
(Delivery dependent on item stock)
sales@w-p.co.uk
Work and Wear Direct» Click here to visit their website01702 553698
Workwear Direct» Click here to visit their websitemark@workwear-direct.com
Wurth Industry» Click here to visit their website01443 846 082daniel.evans@wurthindustry.uk

Warnings

Alert: Type IIR masks – Cardinal Health

Product Notice – All lots

We sent an email recently informing you that NHS Supply Chain had received some complaints about Cardinal Type IIR face masks from Health and Care staff. At that time, the request was to check the affected lots prior to use, given a limited number of lots affected.

Glove Guidance

It has come to our attention that many gloves sold by online retailers/sellers may be of extremely low quality, which results in the gloves ripping/falling apart as soon as they are used.

Given the national shortage of Personal Protective Equipment (PPE), we are signposting providers to the Health and Safety Executive’s (HSE) guidance around the purchase and use of quality latex gloves.

Please note that there are several other glove materials available including latex, nitrile, and vinyl, which all offer differing thickness and dexterity.

» Click here for HSE’s guidance on latex gloves

Herts Full Stop » Click here to visit their website
Phone number 01707 292 375
Email info@hertsfullstop.co.uk
Delivery options Care providers should highlight that they are care providers when placing an order for PPE