Covid-19 Guidance and Webinar Resources
Changes to testing – updated 11.01.2022
The UK Heath Security Agency (UKHSA) have confirmed to Hertfordshire County Council that the recent change in national guidance relating to no longer needing a confirmatory PCR test following a positive LFT, will also apply to people working in social care. The guidance can be found here.
However, if any social care staff or care home residents have COVID symptoms it is important that they do undertake a PCR and where possible a LFT. The updated guidance on testing can be found here. If any of these tests come back positive then you must isolate immediately and undertake your usual IPC measures (including deep cleaning, contact tracing and if required cohorting of staff and residents).
- Residents who test positive need to isolate for 14 days. During this time, they can see their essential care giver and go outside as long as they can be done safely without contact with other residents.
- Staff who test positive need to isolate for 10 days, unless they are symptom free in which case they can undertake a LFT at day 6 and day 7 and as long as this is negative and they remain symptom free they can return to work based on a risk assessment. However, they should not work with clinically vulnerable people or
- If the member of staff is still testing positive on day 10 then they may not return to work.
- Between day 10 and 13 if the staff member is testing positive, then they should not return to work until they have received one negative test or they reach day 14.
- If the member of staff is still testing positive on day 14, as long as they are well and with no fever, then testing can stop and they may return to work on day 15. If the staff member works with people who are especially vulnerable to COVID-19 , a risk assessment should be undertaken, and consideration given to redeployment. The updated guidance can be found here.
Please remember day 1 is the day after the positive result, the day of the positive result is defined day 0 by UKHSA.
Staff Contacts of COVID 19 cases – Updated 15/12/2021
We just wanted to remind providers, that there continues to be additional requirements for health and social care staff, as outlined in the COVID-19: management of staff and exposed patients or residents in health and social care settings – GOV.UK (www.gov.uk).
Staff who are identified as a close contact of someone with COVID-19 and are not legally required to self-isolate are required to inform their line manager or employer immediately so a risk assessment can be undertaken to determine if they can return to work. This risk assessment should include the following;
- The staff member should be symptom free
- The staff member has not had contact with a person who has been identified to have the Omicron variant of COVID19
- The staff are fully vaccinated
- The Staff has had a negative PCR test since contact with the positive individual and prior to returning to work. Note: if a staff member has had a SARS-CoV-2 infection in the past 90 days, they should not have a PCR test and should only undertake daily LFD antigen tests.
- Following the negative PCR result, the staff member should undertake an LFD test every day for the 10 days following their last contact with the case (even on days they are not at work).
- On days the staff are working the LFD test should be taken BEFORE the start of the shift
- IPC practice should be followed at all times
ROUTINE Testing update
On routine asymptomatic testing, care home staff will continue to have one weekly PCR test. In addition, staff will be required to have three lateral flow tests a week, rather than the two tests previously required. Outbreak testing and testing after a single confirmed case remains unchanged.
Please note guidance is being updated regularly due to the new Omicron Variant and as our understanding of this new variant improves.
Staff Exemptions to self-isolating (updated 30.09.21)
From Thursday 30th September 2021, Hertfordshire County Council have agreed that all care homes will be able to undertake their own risk assessment for whether staff who are identified as close contacts can come out of isolation early to work in the setting, based on individual case circumstances. It will no longer need to come via the County Council for a decision first.
Hertfordshire County Council and the Public Health team will continue to be available to answer any queries you may have and to offer any assistance required. They can be contacted via the HCPA provider hub – email@example.com
It is important to remember these key points when applying the guidance:
- The process only applies to staff who have received both vaccinations at least 14 days before exposure
- If identified as a contact, they must arrange a PCR test straight away and it must be negative before they return to work
- They must complete lateral flow tests every day for the 10 days following their last contact with the case
- If tested positive for COVID, in the last 90 days, they should only undertake daily lateral flow tests
- Residents of care homes who have been identified as close contacts should still isolate for 14 days
Please find below Local and National COVID-19
Guidance for Hertfordshire Care Providers
|ACAS||Coronavirus: Advice for employers and employees inc SSP||Click here|
|Cleaning*||What 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 - |
|Clinical*||Named clinical lead for Care Homes and Weekly Check in's||NHS 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|
|Community Response Volunteer scheme*||Fact sheet - Community Response payment options||NHS 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/ Regulators*||Do 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/ Regulators*||Information on CQC resuming on-site inspections||As 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/ Regulators||Looking after people who lack mental capacity||Click here|
|CQC/ Regulators||The ethical framework for Adult Social Care||Click here|
|Direct Payments*||Do 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?||Click here|
|GOV.UK||Guidance for employees, employers and businesses||Click here|
|GOV.UK*||Guidance for providers ofservices for people who use drugs or alcohol||This guidance outlines COVID-19 advice for commissioners and service providers involved in assisting people who are dependent on drugs or alcohol or both.||Click here|
|GOV.UK*||Overview of adult social care guidance on coronavirus|
UK Government has compiled lots of overall info into one webpage. Please note that there may be some differences between overall UK Governemnt guidance and more local guidance: https://www.gov.uk/guidance/overview-of-adult-social-care-guidance-on-coronavirus-covid-19?wp-linkindex=9&utm_campaign=Coronavirus_social_care_update_28_August_2020&utm_content=dhsc-mail.co.uk&utm_medium=email&utm_source=Department_of_Health_and_Social_Care If you have any concerns or queries, please do not hesitate to call the Care Provider Hub: 01707 708108, or email: assistance@HCPA.info
Updated Gov.uk guidance 05/11/2020: https://www.gov.uk/government/publications/visiting-care-homes-during-coronavirus/update-on-policies-for-visiting-arrangements-in-care-homes
|GOV.UK||Supporting adults with learning disabilities and autistic adults||Click here|
|GOV.UK*||Admission and care of residents in a care home during COVID-19|
HCC have provided an updated document which details the checks, testing, self-isolation measures and other considerations needed to admit residents into residential care homes: https://www.hcpa.info/wp-content/uploads/Admissions-to-Care-Homes-Sept-2021-V4-Final.pdf
Before admission to the care home, the care home manager should reassure themselves that the individual is well enough to be admitted and potential risks associated with exposure to Covid 19 identified and managed.
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 / firstname.lastname@example.org).
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.UK*||Government has approved the self isolation payments to help people self isolate in appropriate circumstances||For websites and contact numbers: https://www.hcpa.info/wp-content/uploads/Local-Authority-websites-and-Contact-phone-numbers-for-self.docx |
Details from National website: https://bit.ly/36Sfu1v
|GOV.UK*||Routine 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.UK||Support for Care Homes||Click here|
|Health and Safety Executive*||Fogging: Disinfecting premises using fog, mist, vapour or ultraviolet (UV) systems during the coronavirus pandemic||Do 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 Executive||Cleaning and disinfectants: Hand sanitiser products and surface disinfectants during the coronavirus pandemic – use, manufacture and supply||Click here|
|Hospital Discharge to Home Care*||Hospital 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
|HPFT||List of online resources||Click here|
|HPFT||HPFT COVID-19 Support Letter||Click here|
|HPFT||Managing risks from wandering or walking with purpose during COVID- 19||Click here|
|HPFT Contracted Services||Hertfordshire Care Provider Claim Form||Click here|
|Local Authority Updates||Medication Errors Guidance||Click here|
|Local Authority Updates*||We are pleased to offer our latest Covid-19 social distancing videos in these community languages: Bengali, Sylheti and Urdu||Bengali - https://www.youtube.com/watch?v=PSUdVSuNXiU&feature=youtu.be |
Sylheti – https://www.youtube.com/watch?v=OBXP3xhlI9k
Urdu - https://www.youtube.com/watch?v=CXDC6ozl8Hk
|Medication*||Controlled 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
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
|Medication*||Do 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
|Medication*||Should 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
|Medication*||Out 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/
|Medication*||Urgent 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
|Medication*||What 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|
|Medication*||Where 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|
|NHS||Public facing COVID-19 NHS information||Click here|
|NHS||Updates from Skills for Care newsletter||Click here|
|NICE||Community-based care of patients with chronic obstructive pulmonary disease (COPD)||Click here|
|NICE||COVID-19 rapid guideline: managing suspected or confirmed pneumonia in adults in the community||Click here|
|NICE||COVID-19 rapid guideline: managing symptoms (including at the end of life) in the community||Click here|
|NICE||NICE publishes first rapid COVID-19 guidelines||Click here|
|NICE||SCIE/NICE quick guide: Helping to prevent infection in Care Homes||Click here|
|Nutrition*||How 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.
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
|Nutrition*||Nutrition Covid-19- Taste Changes, Feeling Breathless and Weight Loss||A 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 and AGPs*||Are 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 / email@example.com
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
•tracheotomy or tracheostomy procedures (insertion or removal)
•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 RESOURCES*||Business Continuity Plans – Your provider checklist||If you have any concerns or wish to ask quetions about Business Continuity Planning, please email firstname.lastname@example.org||Click here|
|SCIE (Social Care Institute for Excellence)*||Delivering safe, face-to-face adult day care(Updated May 2021)||Updated information including guidance on re-opening services and risk assessments||Click here|
|Sick Pay (SSP)||Sick pay from day one for those affected by Coronavirus / returning from abroad||Click here|
|Staff Capacity*||Can 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 Capacity*||What do I do if I am concerned about management of staffing during the this period?||If you have staffing issues, and require support over recruitment, or want access to temporary staff agencies, please contact the Care Provider Hub 01707 708 108 / email@example.com|
|Staffing||Pregnant staff||Click here|
|Swabbing/ Testing||Care Home Resident testing referral form||Click here|
|Swabbing/ Testing*||Do 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/ Testing||Testing for COVID-19 before a hospital procedure||Click here|
|Swabbing/ Testing*||I 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 firstname.lastname@example.org
|Swabbing/ Testing*||How to test care home residents and workers|
Videos and instructions for how to take swab samples for COVID-19 testing are available - https://www.gov.uk/government/publications/covid-19-guidance-for-taking-swab-samples?utm_source=e9cb5b34-6dcf-45be-8aae-fd698deb2e0e&utm_medium=email&utm_campaign=govuk-notifications&utm_content=immediate
|Swabbing/ Testing*||Care Home Testing: Useful links and emergency help|
For any care home testing queries, please refer to testing guidance which can be found at:
To find your Unique Organisation Number (UON) by searching your CQC location ID:
To order coronavirus test kits:
To book a courier collection:
To register completed test kits:
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.
|Translation services*||Information 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
see our upcoming webinars for you and your staff to book on to.
The Government’s new plan for Health and Social Care
This paper sets out the government’s new plan for health and social care. It includes details of the plan for adult social care in England, including a cap on social care costs and how financial assistance will work for those without substantial assets.
It covers wider support for the social care system, and how the integration of health and social care will be improved. It also explains the government’s plan to introduce a new Health and Social Care Levy.
A dedicated Google drive of resources to help you share the central messages of the recent reform announcement with care colleagues and sector partners is now live. Featuring explainers, fact cards, an extensive Q&A and a suite of social media assets to share online, this toolkit provides the essential details the care sector needs to know.