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25th March 2020

Free Coronavirus Policy and Procedure for GPs (version 2)

Our latest Coronavirus Policy and Procedure for GPs is now available for download here

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Last Reviewed
24 Mar '20
Last Amended
24 Mar '20
Next Planned Review in 12 months, or sooner
as required.
Business impact
Reason for this review
New Policy
Were changes made?
Yes
Summary:
This policy has been amended alongside latest guidance on 23 March 2020. This policy
includes links to the latest NHS England and Improvement updates and how to put on and
take off Personal Protective Equipment. This includes clarification that health and social care
workers are identified as key workers.
Relevant legislation:
±
The Health Protection (Coronavirus) Regulations 2020
±
Civil Contingencies Act 2004
±
Control of Substances Hazardous to Health Regulations 2002
±
Equality Act 2010
±
Health and Social Care Act 2008 (Registration and Regulated Activities) (Amendment)
Regulations 2015
±
Health and Safety at Work etc. Act 1974
Underpinning
knowledge - What have
we used to ensure that
the policy is current:
±
Author: UNICEF, WHO et al, (2020),
Social Stigma associated with COVID-19
. [Online]
Available from:
https://www.epi
-
win.com/sites/epiwin/files/content/attachments/2020
-
02
-
24/COVID19%20Stigma%20Guide%2024022020_1.pdf
[Accessed: 24/3/2020]
±
Author: Department of health and Social Care, (2020),
Number of coronavirus (COVID-
19) cases and risk in the UK
. [Online] Available from:
https://www.gov.uk/guidance/wuhan
-
novel
-
coronavirus
-
information
-
for
-
the
-
public
[Accessed: 24/3/2020]
±
Author: Public Health England, (2020),
COVID-19: infection prevention and control
.
[Online] Available from:
https://www.gov.uk/government/publications/wuhan
-
novel
-
coronavirus
-
infection
-
prevention
-
and
-
control
[Accessed: 24/3/2020]
±
Author: Public Health England, (2020),
COVID-19: guidance for households with
possible coronavirus infection
. [Online] Available from:
https://www.gov.uk/government/publications/covid
-
19
-
stay
-
at
-
home
-
guidance
[Accessed: 24/3/2020]
±
Author: Public Health England, (2020),
COVID-19: background information
. [Online]
Available from:
https://www.gov.uk/government/publications/wuhan
-
novel
-
coronavirus
-
background
-
information
[Accessed: 24/3/2020]
±
Author: World Health Organisation, (2020),
Coronavirus disease (COVID-19) advice for
the public
. [Online] Available from:
https://www.who.int/emergencies/diseases/novel
-
coronavirus
-
2019/advice
-
for
-
public
[Accessed: 24/3/2020]
±
Author: Pubic Health England, (2020),
COVID-19: guidance for primary care
. [Online]
Available from:
https://www.gov.uk/government/publications/wn
-
cov
-
guidance
-
for
-
primary
-
care
[Accessed: 20/3/2020]
±
Author: NHS England and NHS Improvement, (2020),
NHS England and NHS
Improvement coronavirus
. [Online] Available from:
https://www.england.nhs.uk/coronavirus/primary
-
care/general
-
practice/
[Accessed:
24/3/2020]
±
Encourage sharing the policy through the use of the QCS App
±
Establish process to check and confirm staff understanding of the policy
±
Include discussion in staff handovers
Review Sheet
CRITICAL IMPACT
Immediate action these changes are business critical and to be
delivered as a matter of urgency.
GHS15 - Coronavirus Policy and Procedure
COVID-19 Hub - Health and Safety COVID-19
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Suggested action:
±
Ensure policy is on the agenda for all supervisions
±
Hold specific meetings to discuss impact
±
Display changes and impact in relevant places e.g. office, staff room, reception areas,
kitchens etc.
±
Ensure relevant staff are empowered to develop specific and individualised processes to
share policy changes
±
Share information quickly and widely
±
Ensure all staff know about the policy changes
GHS15 - Coronavirus Policy and Procedure
COVID-19 Hub - Health and Safety COVID-19
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QCS 1
QCS 1
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QCS 1
Regus House, Highbridge Industrial Estate, Oxford Road, Uxbridge, Middlesex, UB8 1HR
This policy is Copyright © Quality Compliance Systems Ltd. 2020 (Last updated 2020) and is only licensed for use with a current
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1.1
To ensure that QCS Client Ltd remains up to date and is able to respond in the event of a member of
staff, Service User or contact, contracting the virus (SARS coronavirus-2 (SARS-CoV-2)) which results in
the disease COVID-19.
1.2
To meet the legal requirements of the regulated activities that QCS Client Ltd is registered to provide:
±
The Health Protection (Coronavirus) Regulations 2020
±
Civil Contingencies Act 2004
±
Control of Substances Hazardous to Health Regulations 2002
±
Equality Act 2010
±
Health and Social Care Act 2008 (Registration and Regulated Activities) (Amendment) Regulations
2015
±
Health and Safety at Work etc. Act 1974
2.1
The following roles may be affected by this policy:
±
All staff
±
Senior Management
2.2
The following Service Users may be affected by this policy:
±
Service Users
2.3
The following stakeholders may be affected by this policy:
±
Family
±
Commissioners
±
External health professionals
±
Local Authority
±
NHS
3.1
To ensure that safe, effective procedures are in place with staff and Service Users having information
in an accessible format.
3.2
As the spread of the virus is resulting in response requirements changing daily, QCS Client Ltd will
ensure that it stays up to date with reliable sources of information and has the flexibility to respond when
required.
1. Purpose
2. Scope
3. Objectives
GHS15 - Coronavirus Policy and Procedure
COVID-19 Hub - Health and Safety COVID-19
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QCS 1
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This policy is Copyright © Quality Compliance Systems Ltd. 2020 (Last updated 2020) and is only licensed for use with a current
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4.1
QCS Client Ltd recognises that the outbreak of a new strain of coronavirus SARS coronavirus-2
(SARS-CoV-2) which results in the disease COVID-19 is a fast-moving situation. With the World Health
Organisation (WHO) declaring this a pandemic on 11 March 2020 QCS Client Ltd understands that they
must be preparing themselves. As healthcare providers, ensuring robust infection control and business
continuity plans form part of preparing business at QCS Client Ltd for any events.
4.2
QCS Client Ltd will ensure that staff are aware and understand the importance of pandemic
preparedness and will carry out preparations by following the checklist in the Pandemic Policy and
Procedure at QCS Client Ltd. QCS Client Ltd understands that business continuity planning involves all
aspects of the business and to be effective QCS Client Ltd must work with their partners, suppliers and
commissioners to ensure that a safe and effective service can be maintained.
4.3
QCS Client Ltd understands that they have a responsibility for ensuring that staff follow good infection
control and prevention techniques. QCS Client Ltd will ensure that staff have access to reliable information
to reduce anxiety and dispel any myths and inaccurate information that may cause worry or distress to staff
or Service Users.
4.4
New guidance issued on 23 March is:
Stay at home
±
Only go outside for food, health reasons or essential work
±
Stay 2 metres (6ft) away from other people
±
Wash your hands as soon as you get home
4.5
Health and social care workers are recognised as key workers.
4. Policy
GHS15 - Coronavirus Policy and Procedure
COVID-19 Hub - Health and Safety COVID-19
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QCS 1
QCS 1
QCS 1
QCS 1
Regus House, Highbridge Industrial Estate, Oxford Road, Uxbridge, Middlesex, UB8 1HR
This policy is Copyright © Quality Compliance Systems Ltd. 2020 (Last updated 2020) and is only licensed for use with a current
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5.1
Pandemic Policy
QCS Client Ltd recognises that the WHO has declared COVID-19 as a public health emergency of
international concern, known as a PHEIC. On 11 March 2020 this has been declared a pandemic by the
Director General of the World Health Organisation (WHO). QCS Client Ltd however, will review the
Pandemic Policy and Procedure and complete the checklist to ensure that the business is prepared and
that robust business continuity plans are in place.
QCS Client Ltd will ensure that staff have access to the Coronavirus Fact Sheet within the Forms section of
this document.
5.2
Reducing the Risk of Contracting or Spreading the Virus
QCS Client Ltd will ensure that staff follow the WHO advice to reduce the risk of contracting the virus and
reducing the risk of spreading it. The following procedures must therefore be followed;
±
Wash your hands regularly and properly
by using alcohol-based hand rub or soap and water
±
Maintain at least 2 metres (6 feet) distance
between yourself and anyone who is coughing or
sneezing (social distancing). When someone coughs or sneezes they spray small liquid droplets from
their nose or mouth which may contain the virus. If you are too close, you can breathe in the droplets,
including the COVID-19 virus if the person coughing has the disease
±
Avoid touching eyes, nose and mouth
. Hands touch many surfaces and can pick up viruses. Once
contaminated, hands can transfer the virus to your eyes, nose or mouth. From there, the virus can
enter your body and can make you sick
±
Practice respiratory hygiene.
Make sure you, and the people around you, follow good respiratory
hygiene. This means covering your mouth and nose with your bent elbow or tissue when you cough or
sneeze. Then dispose of the used tissue immediately. Droplets spread virus. By following good
respiratory hygiene you protect the people around you from viruses such as cold, flu and COVID-19
±
If you have a fever (37.8 degrees, a new/persistent cough) you must self isolate for 7 days.
The NHS advice must be followed below
;
±
If you have symptoms of coronavirus infection (COVID-19), however mild, stay at home and do not
leave your house for 7 days from when your symptoms started
±
If you live with someone who has symptoms, you will need to stay at home for 14 days from the day
their symptoms started. This is because it can take 14 days for symptoms to appear
±
If more than 1 person at home has symptoms, stay at home for 14 days from the day the first
person started having symptoms
±
If you get symptoms, stay at home for 7 days from when your symptoms start, even if it means
you're at home for longer than 14 days
±
If you do not get symptoms, you can stop staying at home after 14 days
±
Stay informed and follow advice given by 111 or Public Health England.
National and local
authorities will have the most up-to-date information on whether COVID-19 is spreading in your area.
They are best placed to advise on what people in your area should be doing to protect themselves
5.3
Handwashing
Staff should wash their hands:
±
Before leaving home
±
On arrival at work
±
After using the toilet
±
After breaks and sporting activities
±
Before food preparation
±
Before eating any food, including snacks
±
Before leaving work
±
On arrival at home
5.4
Confidentiality
QCS Client Ltd will follow confidentiality and GDPR policies and procedures to ensure that the details of
5. Procedure
GHS15 - Coronavirus Policy and Procedure
COVID-19 Hub - Health and Safety COVID-19
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staff and Service Users with suspected or confirmed COVID-19 is kept confidential. Employees should also
respect each other
s confidentially and take care not to inadvertently share information when using social
media.
Where staff are suspected or confirmed to have contracted COVID-19, their personal details should be
treated as confidential, as they would be for any other QCS Client Ltd Service User.
5.5
Safe Staffing
In the event of an outbreak of COVID-19, where staff are moved from other areas to support work on
COVID
-19, assessments should be made on the ability to continue to deliver safe and effective care in the
services affected. Steps should be taken to mitigate any risks resulting from staff moving to other areas.
5.6
Reducing the Risk of Stigmatisation
Stigma occurs when people negatively associate an infectious disease, such as COVID-19, with a specific
population. In the case of COVID-19, there are an increasing number of reports of public stigmatisation
against people from areas affected by the epidemic, this means that people are being labelled,
stereotyped, separated, and/or experience loss of status and discrimination because of a potential
negative affiliation with the disease. QCS Client Ltd will ensure that staff understand the importance of
preventing and addressing
social stigma
by making sure facts are available to staff and Service Users.
5.7
Definition of Contact
Contact with a case is defined as any of the following:
±
Living in the same household
±
Direct contact with the case or their body fluids, or in the same room of a healthcare setting when an
aerosol generating procedure is undertaken on the case without appropriate PPE
±
Direct or face to face contact with a case, for any length of time
±
Being within 2 metres of the case for any other exposure not listed above, for longer than 15 minutes
±
Being otherwise advised by a public health agency that contact with a confirmed case has occurred
±
Contacts are not considered cases and if they are well they are very unlikely to spread the infection
to others
5.8
Actions if a Service User Meets the Criteria and Displays Symptoms
If a Service User arrives at QCS Client Ltd complaining of symptoms and meets the criteria above from
either travelling or contact with others, staff must make sure;
±
The Service User is isolated safely and staff should withdraw from the room
±
They immediately wash their hands and avoid touching the face, nose, mouth or eyes
±
They contact 999 if an emergency (if they are seriously ill or injured or their life is at risk) and explain
which country they have returned from in the last 14 days and outline their current symptoms
±
Whilst they wait for an ambulance to arrive, staff should remain at least 2 metres from other people.
They should avoid touching people, surfaces and objects and be advised to cover their mouth and
nose with a disposable tissue when they cough or sneeze and put the tissue in a bag then throw the
tissue in the bin. If they do not have any tissues available, they should cough and sneeze into the
crook of their elbow
±
If they need to go to the bathroom whilst waiting for medical assistance, they should use a separate
bathroom if available. This will apply only to the period of time while waiting for transport to hospital
5.9
Action if a Member of Staff Reports Symptoms
±
QCS Client Ltd will ensure that the member of staff self isolates for 7 days
±
Advice must be sought on what action will need to take place for any Service Users that they may have
had contact with
±
If a member of staff reports that there are concerns about their children, close family, friends who they
have had close contact with they must again self isolate based on current guidelines
±
QCS Client Ltd must ensure that confidentiality is maintained and that records are held in line with Data
Protection Act requirements
±
In the event of a confirmed case, closure of the office or workplace is not recommended. QCS Client
Ltd will be contacted by the Public Health England (PHE) local
Health Protection Team
to discuss the
case, identify people who have been in contact with them and advise on actions that should be taken
5.10
Cleaning the Office and Workplace Where There are Confirmed Cases of COVID-19
GHS15 - Coronavirus Policy and Procedure
COVID-19 Hub - Health and Safety COVID-19
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QCS 1
Regus House, Highbridge Industrial Estate, Oxford Road, Uxbridge, Middlesex, UB8 1HR
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Coronavirus symptoms are similar to a flu-like illness and include cough, fever, or shortness of breath.
Once symptomatic, all surfaces that the person has come into contact with must be cleaned including:
±
All surfaces and objects which are visibly contaminated with body fluids
±
All potentially contaminated high-contact areas such as toilets, door handles, telephones
±
Clothing and linen used by the person should be set aside pending assessment of the person by a
healthcare professional
Public areas where a symptomatic individual has passed through and spent minimal time in (such as
corridors) but which are not visibly contaminated with body fluids do not need to be specially cleaned and
disinfected.
5.11
Rubbish Disposal Including Tissues
All waste that has been in contact with the individual with symptoms, including used tissues must be put in a
plastic rubbish bag and tied. These bags should be placed into another bag, tied securely and kept
separate from other waste within the room. This must be put aside for at least 72 hours before being
disposed of as normal.
5.12
Raising Concerns
QCS Client Ltd has effective procedures in place to allow staff to raise any concerns in relation to
equipment, policies and processes for managing COVID-19 at the earliest opportunity. All staff must be
aware of the Whistleblowing Policy and Procedure at QCS Client Ltd and be able to raise concerns without
any fear and receive timely feedback on their concerns.
5.13
Working from Home
Where staff at QCS Client Ltd are able to work from home, and QCS Client Ltd has agreed to the
arrangement, QCS Client Ltd has the following expectations;
±
Staff can work independently and on their own initiative
±
Staff are able to motivate themselves
±
Complete agreed work within set deadlines
±
Staff can manage their workload effectively
±
Staff can cope well under any new pressure posed by working at home
±
Staff will adopt healthy work from home practices which includes compliance with Health and Safety
±
Staff will maintain contact with QCS Client Ltd and colleagues with whom they would usually interact
with
±
Confidentiality will be maintained in line with the Data Protection Act
±
Any concerns will be raised immediately with Prof Charlie Brown
±
Meeting with Service Users or external organisations will not take place with the employees at home
unless teleconferencing facilities are used
QCS Client Ltd understands during the coronavirus outbreak, that where the employee's role makes home
working feasible, it will consider this type of working on a case by case basis. QCS Client Ltd can reverse
the decision to allow home working if there are concerns about an individual or productivity and the smooth
running of the business is adversely affected. The decision to temporarily allow home working is not a
contractual change.
QCS Client Ltd will investigate mechanisms to communicate effectively with staff who work from home. The
free software made available by Microsoft,
Teams
, to support video conferencing and calls over wi-fi is an
option that can be considered.
5.14
For those who are at increased risk of severe illness from coronavirus (COVID-19) are
being instructed to stay at home.
This group includes those who are:
±
Aged 70 or older (regardless of medical conditions)
±
Under 70 with an underlying health condition listed below (i.e. anyone instructed to get a flu jab as an
adult each year on medical grounds):
±
Chronic (long-term) respiratory diseases, such as
asthma
,
chronic obstructive pulmonary disease
(COPD)
, emphysema or
bronchitis
±
Chronic heart disease, such as
heart failure
±
Chronic kidney disease
GHS15 - Coronavirus Policy and Procedure
COVID-19 Hub - Health and Safety COVID-19
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QCS 1
QCS 1
QCS 1
QCS 1
Regus House, Highbridge Industrial Estate, Oxford Road, Uxbridge, Middlesex, UB8 1HR
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±
Chronic liver disease, such as
hepatitis
±
Chronic neurological conditions, such as
Parkinson
s disease
,
motor neurone disease
,
multiple
sclerosis (MS)
, a learning disability or cerebral palsy
±
Diabetes
±
Problems with your spleen – for example,
sickle cell
disease or if you have had your spleen
removed
±
A weakened immune system as the result of conditions such as
HIV and AIDS
, or medicines such
as
steroid tablets
or
chemotherapy
±
Being seriously overweight (a BMI of 40 or above)
±
Those who are pregnant
Note: there are some clinical conditions which put people at even higher risk of severe illness from COVID-
19. If you are in this category, next week the NHS in England will directly contact you with advice on the
more stringent measures you should take in order to keep yourself and others safe. For now, you should
rigorously follow the social distancing advice in full, outlined below.
People falling into this group are those who may be at particular risk due to complex health problems such
as:
±
People who have received an organ transplant and remain on ongoing immunosuppression medication
±
People with cancer who are undergoing active chemotherapy or radiotherapy
±
People with cancers of the blood or bone marrow such as leukaemia who are at any stage of treatment
±
People with severe chest conditions such as cystic fibrosis or severe asthma (requiring hospital
admissions or courses of steroid tablets)
±
People with severe diseases of body systems, such as severe kidney disease (dialysis)
5.15
Guidance for Households with Possible COVID-19 Infection
New guidance to stay at home for 14 days if someone in your household has symptoms of COVID-19 is the
focus of the next stage of a public awareness campaign launched by Health and Social Care Secretary
Matt Hancock today.
The new guidance will set out that individuals will still be asked to self-isolate for 7 days from the onset of
COVID
-19 symptoms but any individuals in the household will now be asked to self-isolate for 14 days from
that moment as well.
If other members of your household develop symptoms, however mild, at any time during the 14 days, they
must not leave the home for 7 days from when symptoms started.
The new phase of the campaign will build on the existing TV, radio, online, digital and billboard adverts
currently visible all over the country. These reinforce the importance of washing your hands more often
and for 20 seconds, and ask people to self-isolate for 7 days if they develop a high temperature or a new
continuous cough, however mild.
Government has taken the further measure of asking whole households to isolate because it is likely that
people living with others will infect each other or be infected already. Staying at home for 14 days will
greatly reduce the overall amount of infection the household could pass on to others in the community.
The Prime Minister also today set out a number of social distancing measures to reduce the risk of
infection from the spread of coronavirus. For those who remain well, are under 70 or do not have an
underlying health condition, they are advised to limit their social contact where possible, including using
less public transport, working at home and considering not going to pubs, restaurants, theatres and bars.
For those who are over 70, have an underlying health condition or are pregnant, they are strongly advised
against these activities and to significantly limit face-to-face interaction with friends and family if possible.
The government
s public awareness campaign offers clear, practical advice so people can play their part in
preventing and slowing the spread of the virus.
5.16
QCS Client Ltd will update the practice website and direct Service Users to the most recent guidance.
5.17
COVID
-19 - GP guide personal protective equipment
Droplet and faecal spread seem to be the primary forms of transmission of Coronaviruses. Either direct
contact with droplets coughed at you or onto surfaces that are then transferred to you are the principle
concerns in General Practice.
Basic Protection:
±
Disposable aprons
±
Disposable gloves
GHS15 - Coronavirus Policy and Procedure
COVID-19 Hub - Health and Safety COVID-19
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QCS 1
QCS 1
QCS 1
QCS 1
Regus House, Highbridge Industrial Estate, Oxford Road, Uxbridge, Middlesex, UB8 1HR
This policy is Copyright © Quality Compliance Systems Ltd. 2020 (Last updated 2020) and is only licensed for use with a current
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±
Fluid resistant face mask
±
Eye protection should be worn when there is a risk of contamination to the eyes from splashing of
secretions (including respiratory secretions), blood body fluids or excretions. An individual risk
assessment should be carried out prior to/at the time of providing care
Eye/face protection can be achieved by the use of any one of the following:
±
Surgical mask with integrated visor
±
Full face shield/visor
±
Polycarbonate safety spectacles or equivalent
Face masks for general patient assessment only need to be fluid resistant surgical mask types. Higher
levels of protection FFP-3 masks are used for aerosol generating procedures and need to be fit tested
ideally. It is not anticipated that these will be needed in most General Practice situations.
Once worn, masks should not be touched and should be changed if they become damp or damaged.
See how to Don (put on) and (take off) Doff PPE in the Further Reading section.
6.1 Pandemic
±
A pandemic is the worldwide spread of a new disease
6.2 World Health Organisation
±
The World Health Organisation (WHO) is a specialised agency of the United Nations that is concerned
with world public health
6.3 COVID-19
±
Novel coronavirus is a new strain of coronavirus first identified in Wuhan City, China. The virus was
named severe acute respiratory coronavirus 2 (SARS-CoV-2). The disease it causes is called COVID-
19
6.4 Outbreak
±
A disease outbreak is the occurrence of disease cases in excess of normal expectancy. The number of
cases varies according to the disease-causing agent, and the size and type of previous and existing
exposure to the agent
6.5 Social Stigma
±
Social stigma in the context of health is the negative association between a person or group of people
who share certain characteristics and a specific disease. In an outbreak, this may mean people are
labelled, stereotyped, discriminated against, treated separately, and/or experience loss of status
because of a perceived link with a disease. Such treatment can negatively affect those with the
disease, as well as their caregivers, family, friends and communities. People who do not have the
disease but share other characteristics with this group may also suffer from stigma. The current
COVID
-19 outbreak has provoked social stigma and discriminatory behaviours against people of
certain ethnic backgrounds as well as anyone perceived to have been in contact with the virus
6.6 The Health Protection (Coronavirus) Regulations 2020
±
The Health Protection (Coronavirus) Regulations 2020 was put in place with immediate effect on 25th
February 2020 to impose restrictions on any individual considered by health professionals to be at risk
of spreading the virus
±
The regulations apply to any individuals seeking to leave supported isolation before the current
quarantine period of 7 days is complete. It will also apply to future cases during the current coronavirus
incident where an individual who may be infected or contaminated could present a risk to public health
6.7 Social Distancing
±
Social distancing measures are steps you can take to reduce the social interaction between people.
This will help reduce the transmission of coronavirus (COVID-19)
6. Definitions
GHS15 - Coronavirus Policy and Procedure
COVID-19 Hub - Health and Safety COVID-19
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QCS 1
QCS 1
QCS 1
QCS 1
Regus House, Highbridge Industrial Estate, Oxford Road, Uxbridge, Middlesex, UB8 1HR
This policy is Copyright © Quality Compliance Systems Ltd. 2020 (Last updated 2020) and is only licensed for use with a current
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As well as the information in the 'underpinning knowledge' section of the review sheet we recommend that
you add to your understanding in this policy area by considering the following materials:
Coding advice for all staff:
https://elearning.rcgp.org.uk/pluginfile.php/148957/mod_resource/content/1/Coding%20advice%20COVID
-
19%20
-
%
20Clinicians%20%281%29.pdf
NHSE
- NEXT STEPS ON GENERAL PRACTICE RESPONSE TO COVID 19, 19 March 2020:
https://www.england.nhs.uk/coronavirus/wp
-
content/uploads/sites/52/2020/03/preparedness
-
letter
-
primary
-
care
-
19
-
march
-
2020.pdf
Putting on (donning) PPE for suspected COVID-19 case:
https://www.rcgp.org.uk/
-
/
media/Files/Policy/A
-
Z
-
policy/2020/covid19/isolation%20room%
20templates/Donning
-
and
-
Doffing
-
Poster
Professionals providing this service should be aware of the following:
±
QCS Client Ltd must make sure they have the facts about the new coronavirus or the disease COVID-
19 from a reliable source. Public Health England and the Department of Health and Social Care are 2
examples. Staff should read the fact sheet in the Forms section for more information
±
QCS Client Ltd must have an up to date business continuity plan in place. The Pandemic Policy and
Procedure has a checklist to help plan for an outbreak of a disease like COVID-19
±
It is important that Service Users are made aware of how they can help limit the spread of COVID-19
and that they understand the signs and symptoms of the disease
±
QCS Client Ltd will need to work closely with the Clinical Commissioning Group (CCG), other health
providers, suppliers and other agencies to ensure that there is continuity and consistency of care
±
The current understanding is that the virus does not survive on surfaces for longer than 72 hours.
Regular cleaning of frequently touched hard surfaces and hands will therefore help to reduce the risk
of infection
±
Washing your hands often, with soap and water, or use alcohol sanitiser that contains at least 60%
alcohol if handwashing facilities are not available - this is particularly important after taking public
transport
People affected by this service should be aware of the following:
±
A coronavirus is a type of virus. Coronaviruses are common across the world. Typical symptoms of
coronavirus include fever and a cough that may progress to severe pneumonia causing shortness of
breath and breathing difficulties. This new virus is called SARS coronavirus-2. The disease it causes is
called COVID-19
±
There is no vaccine at the moment for this virus. Washing your hands regularly with soap and water will
help prevent the spread of the disease. Try not to touch your eyes, nose and mouth with unwashed
hands
±
Its ok to feel worried or anxious. QCS Client Ltd has plans in place to make sure you will get the care
that you need
±
Washing your hands often, with soap and water, or use alcohol sanitiser that contains at least 60%
alcohol if handwashing facilities are not available - this is particularly important after taking public
transport
Key Facts
-
Professionals
Key Facts
-
People affected by the service
Further Reading
GHS15 - Coronavirus Policy and Procedure
COVID-19 Hub - Health and Safety COVID-19
Page 10/11
QCS 1
QCS 1
QCS 1
QCS 1
Regus House, Highbridge Industrial Estate, Oxford Road, Uxbridge, Middlesex, UB8 1HR
This policy is Copyright © Quality Compliance Systems Ltd. 2020 (Last updated 2020) and is only licensed for use with a current
Licence Certificate. If you have a current Licence Certificate, it can be accessed in your online account.
Use without a current Licence Certificate is strictly prohibited.
Page 10/11
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Page 10/11

To be
outstanding
in this policy area you could provide evidence that:
±
The wide understanding of the policy is enabled by proactive use of the QCS App
±
QCS Client Ltd has robust infection control policies and procedures in place and staff understand the
importance of good hand hygiene, how to use personal protective equipment appropriately and they
share their knowledge with Service Users appropriately
±
Staff have accurate and up-to-date information and QCS Client Ltd is able to respond quickly and
safely to a fast-changing situation
±
QCS Client Ltd has shared its pandemic and business continuity plan and everyone knows what their
roles and responsibilities are
±
QCS Client Ltd has additional information on their text message confirmations directing Service Users
to check the latest situation before attending the practice
The following forms are included as part of this policy:
Title of form
When would the form be
used?
Created by
COVID
-19 FACT SHEET V1.0 -
Service Users and Staff - GHS15
To provide information for staff
and Service Users
QCS
FACT SHEET 4.0 - GHS15
To provide information to
managers during the pandemic
QCS
COVID
-19 Easy Read - GHS15
To provide information in an
accessible format
QCS
Stay at Home guidance - GSH15
To advise around isolation
QCS
RCGP Patient services
prioritisation - GHS15
To prioritise Service User
services during COVID-19
QCS
Key Worker Letter - GHS15
To ensure that Key Workers are
able to travel to work freely and
can access schooling if required
for their children
QCS
Outstanding Practice
Forms
GHS15 - Coronavirus Policy and Procedure
COVID-19 Hub - Health and Safety COVID-19
Page 11/11
QCS 1
QCS 1
QCS 1
QCS 1
Regus House, Highbridge Industrial Estate, Oxford Road, Uxbridge, Middlesex, UB8 1HR
This policy is Copyright © Quality Compliance Systems Ltd. 2020 (Last updated 2020) and is only licensed for use with a current
Licence Certificate. If you have a current Licence Certificate, it can be accessed in your online account.
Use without a current Licence Certificate is strictly prohibited.
Page 11/11
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Page 11/11
Page 11/11

Coronavirus Fact Sheet
COVID
-
19 Key Facts
Coronavirus ~ COVID
-
19
What is it?
Coronaviruses can make humans and animals sick. Some coro-
naviruses can cause illness like the common cold and others
can cause more serious diseases, including Severe Acute Res-
piratory Syndrome (SARS) and Middle East Respiratory Syn-
drome (MERS). This new coronavirus started in Hubei Prov-
ince,
China.
The
virus
was
renamed
(11th
Feb
2020)
SARS
-
CoV
-
2 and the disease the virus causes is now called
COVID
-
19.
While coronavirus is of concern, it is important to remember
that most people displaying symptoms such as fever, cough,
sore throat or
tiredness are likely suffering with a cold or other
respiratory illness, not coronavirus .
How is it spread?
The coronavirus is most likely to spread from person
-
to
-
person
through:
Direct close contact with a person while they are infectious;
Close contact with a person with a confirmed infection who
coughs or sneezes, or;
Touching objects or surfaces (such as door handles or tables)
contaminated from a cough or sneeze from a person with a
confirmed infection, and then touching your mouth or face
.
March
2020 v2.0
Staff and Service Users
The disease can spread from person to
person through small droplets from
the nose or mouth which are spread
when a person with COVID
-
19 coughs
or exhales. These droplets land on
objects and surfaces around the per-
son
You must not go to A& E if you are
unwell and think you may have COVID
-
19
Good hand hygiene is one of the best
ways of preventing the spread of the
virus
Cough etiquette helps too
It is not certain how long the virus that
causes COVID
-
19 survives on surfaces,
but it seems to behave like other coro-
naviruses. But it
may last on some
surfaces for a few hours or up to sev-
eral days

The advice for anyone in any setting is to follow these main guidelines.
The most common symptoms of coronavirus (COVID
-
19) are recent onset of a new contin-
uous cough and/or high temperature.
If you have these symptoms, however mild, stay at home and
do not leave your house for 7 days from when your symp-
toms started. If someone in your house has symptoms you
must follow the NHS advice called
Stay at Home advice
You do not need to call NHS 111 to go into self
-
isolation. If
your symptoms worsen during home isolation or are no bet-
ter after 7 days, contact
NHS 111 online.
If you have no internet access, you should call NHS 111. For a medical emergency dial 999.
Wash your hands more often than usual, for 20 seconds using soap and hot water, particu-
larly after coughing, sneezing and blowing your nose, or after being in public areas where
other people are doing so.
Use hand sanitiser if that
s all you have access to.
How can we help stop it spreading?
What do I need to do if I have symptoms?
Practising good hand and
sneeze/cough hygiene is the
best defence against most
viruses. You must:
Wash your hands frequently
with soap and water, before
and after eating and after
going to the toilet
Cover your cough and
sneeze,
dispose of tissues
and use
alcohol
-
based hand
-
sanitiser
If unwell, avoid contact with
others (touching, kissing,
hugging etc)
2

3
Make a plan for your
family
The best thing you can do
now is plan for how you can
adapt your daily routine, and
that of others in your house-
hold, so that you can stay at
home Some of the ways in
which you could prepare
include:
talk to your
neighbours
and family and
ex-
change phone numbers
of
household contacts
consider and plan for
those in your home who
are
considered
vul-
nerable
create a contact list with
phone
numbers of
neighbours, schools, em-
ployer, chemist, NHS 111
set up online
shopping
accounts if
possible
When can you leave your house?
You should only leave the house for one of four reasons.
Shopping for basic necessities, for example food and medicine, which
must be as infrequent as possible.
One form of exercise a day, for example a run, walk, or cycle
-
alone or
with members of your household.
Any medical need, or to provide care or to help a vulnerable person.
Travelling to and from work, but only where this absolutely cannot be
done from home
If you do have to go out , you should there should be no more than 2 of
you unless they are your family living in your house
You need to stand 2 metres (6 ft ) away from people outside
When we reduce our day
-
to
-
day contact with other people, we will reduce
the spread of the infection. That is why the government
has introduced
three new measures.
People to stay at home, except for very limited purposes
Closing non
-
essential shops and playgrounds. Food shops will be open
Stopping all gatherings of more than two people in public
This will last for 3 weeks . The Government will tell us if we all need to stay ta
home for longer.
If you don
t follow these rules , the Police can fine you
Some people can go to work like nurses, doctors , care workers .
Following the Stay at Home Rules

Staying safe at home
If you are classed as
extremely
vulnerable. you are strongly
advised to stay at home at all
times and avoid any face
-
to
-
face
contact for a period of at least
12 weeks from the day you re-
ceive your letter. Please note
that this period of time could
change.
Its ok for your care worker to
visit. If they are unwell or have
symptoms of COVID
-
19 ( High
temperature and continuous/
new cough) they must stay
away.
All people coming to your home
should wash their hands with
soap and water for at least 20
seconds on arrival to your house
and often while they are there.
If you think you have developed
symptoms of COVID
-
19 such as a
new, continuous cough or fever,
seek clinical advice using
the
NHS 111 online
coronavirus
service or call NHS 111. Do this
as soon as you get symptoms.
4
Shielding is a measure to protect people who are clinically extremely vulnerable by
minimising all interaction between those who are extremely vulnerable and others.
We are strongly advising people with serious underlying health conditions (listed
below), which put them at very high risk of severe illness from coronavirus (COVID
-
19), to rigorously follow shielding measures in order to keep themselves safe.
People falling into this extremely vulnerable group include:
Solid organ transplant recipients.
People with specific cancers:
people with cancer who are undergoing active chemotherapy or radical
radiotherapy for lung cancer
people with cancers of the blood or bone marrow such as leukaemia,
lymphoma or myeloma who are at any stage of treatment
people having immunotherapy or other continuing antibody treatments
for cancer
people having other targeted cancer treatments which can affect the im-
mune system, such as protein kinase inhibitors or PARP inhibitors
people who have had bone marrow or stem cell transplants in the last 6
months, or who are still taking immunosuppression drugs
People with severe respiratory conditions including all cystic fibrosis, severe
asthma and severe COPD.
People with rare diseases and inborn errors of metabolism that significantly in-
crease the risk of infections (such as SCID, homozygous sickle cell).
People on immunosuppression therapies sufficient to significantly increase risk
of infection.
Women who are pregnant with significant heart disease, congenital or acquired.
What is Shielding?

There is currently no vaccine to prevent Novel Coronavirus. The best way to
prevent
infection is to avoid being
exposed to the virus.
Follow these five steps every time.
1.
Wet
your hands with clean, running water
(warm or cold), turn off the tap, and apply soap.
2.
Lather
your hands by rubbing them together with the
soap. Lather the backs of your hands, between your fin-
gers, and under your nails.
3.
Scrub
your hands for at least 20 seconds. How long? Hum
the
Happy Birthday
song from beginning to end twice.
4.
Rinse
your hands well under clean, running water.
5.
Dry
your hands using a clean towel or air dry them.
5
Handwashing Techniques to Stay Healthy
Looking after your health and Wellbeing
It
s important to look after your mental health and wellbeing.
Its is ok to feel worried
and anxious as
we haven
t experienced anything like this before and things are
changing so quickly. Self
-
isolating and Social Distancing may make you feel lonely and
more anxious.
Here are some tips to help you self care
Keep in touch with friends and family by using phones, video conversations (Microsoft
have made their video software free to use) .
Make sure you eat healthily, if you think you are going to need food or medicines , speak
to friends , neighbours etc
Make sure you sleep and rest . Sleeping helps support your body's ability to fight off
infection
Limit the amount of news
you watch, read or listen to. It can feel overwhelming . If it
worries you, switch it off and only check once or twice a day

Mind infoline on
0300 123 3393
Call Rethink on
0300 5000 927
For support in a crisis, Text
Shout
to
85258.
The Samaritans
-
Call
116 123
-
it's FREE
NHS 111
Useful Contacts
Quality Compliance Systems
Have a question?
0333 405 33 33
INFO@QCS.CO.UK
WWW.QCS.CO.UK
Quality Compliance Systems
Quality Compliance Systems (QCS) is
the leading compliance management
system for the Care sector. Our
service provides over 70,000 Care,
Dental and Medical professionals
with access to the most
comprehensive set of customised
policies, procedures and compliance
toolkits, enabling our users to stay
compliant with current CQC policies.
Over 2,700 dedicated pages are
reviewed and updated regularly in
line with legislative and regulatory
requirements, and Best Practice
guidelines, by our team of experts.
This document
is Copyright © Quality Compliance Systems Ltd. 2020 (Last updated 2020)
Staying Connected with Family and Friends
Microsoft Teams:
https:// ww.microsoft.com/en
-
gb
Whatsapp
Facetime
Skype

FACT SHEET DATE : 24 03.2020
Issue 4.0
Coronavirus Fact Sheet
What is it and why is it a problem?
COVID
-
19 is a new illness that can affect your lungs and airways. It is caused by a
virus called coronavirus. This new coronavirus started in Hubei Province, Chi-
na in December 2019.The coronavirus causes a
disease which is called COVID
-
19.
Although most people will only have mild symptoms, for some it will cause
serious problems that will require treatment in hospital for
people and may
result in death.
This is a fast changing situation with lots of different guidance being pub-
lished and updated. The Government instructed everyone
to stay at home to
stop coronavirus spreading
This includes people of all ages –
even if you do not have any symptoms or
other health conditions. You can only leave your home:
to shop for basic essentials
only when you really need to
to do one form of exercise a day
such as a run, walk or cycle, alone or
with other people you live with
for any medical need
for example, to visit a pharmacy or deliver essential
supplies to a vulnerable person
to travel to and from work
–but only where this is absolutely necessary
What is Flattening the Curve?
Flattening the curve refers to the use of protective
practices to slow the rate of COVID
-
19 infection so
hospitals have room, supplies including ventila-
tors ,doctors and nurses for all of the patients
who need care.
Social distancing will help with flattening the
curve. It will space out the number of people get-
ting very ill who require hospital treatment.
COVID
-
19

FACT SHEET DATE : 24 03.2020
Issue 4.0
Coronavirus Fact Sheet
What is it and why is it a problem?
COVID
-
19 is a new illness that can affect your lungs and airways. It is caused by a
virus called coronavirus. This new coronavirus started in Hubei Province, Chi-
na in December 2019.The coronavirus causes a
disease which is called COVID
-
19.
Although most people will only have mild symptoms, for some it will cause
serious problems that will require treatment in hospital for
people and may
result in death.
This is a fast changing situation with lots of different guidance being pub-
lished and updated. The Government instructed everyone
to stay at home to
stop coronavirus spreading
This includes people of all ages –
even if you do not have any symptoms or
other health conditions. You can only leave your home:
to shop for basic essentials
only when you really need to
to do one form of exercise a day
such as a run, walk or cycle, alone or
with other people you live with
for any medical need
for example, to visit a pharmacy or deliver essential
supplies to a vulnerable person
to travel to and from work
–but only where this is absolutely necessary
What is Flattening the Curve?
Flattening the curve refers to the use of protective
practices to slow the rate of COVID
-
19 infection so
hospitals have room, supplies including ventila-
tors ,doctors and nurses for all of the patients
who need care.
Social distancing will help with flattening the
curve. It will space out the number of people get-
ting very ill who require hospital treatment.
COVID
-
19

Page 3
Issue 4.0
GDPR!
Information about employees
health will constitute
'sensitive personal data' and
therefore such information
will have to be processed in
accordance with GDPR.
However employers can
process medical data relating
to a data subject where it is
necessary for the employer to
comply with its legal
obligations in relation to
health and safety.
To be eligible for sick pay an em-
ployee must be
incapable to work
”.
From 13th
March 2020, legislation
has been amended to include self
-
isolation within the definition of
incapable to work
”.
Those who follow advice to stay at home and who cannot work
as a result will be eligible for statutory sick pay (SSP), even if
they are not themselves sick.
Employers should use their discretion and respect the medical
need to self
-
isolate in making decisions about sick pay.
Anyone not eligible to receive sick pay, including those earning
less than an average of £118 per week and some of those self
-
employed people, are
able to claim
Universal Credit
and or con-
tributory Employment and Support Allowance.
For those on a low income and already claiming Universal Credit,
it is designed to automatically adjust depending on people
s
earnings or other income. However, if someone needs money
urgently they can apply for an advance.
The Government
is passing a law
so that
SSP
can be paid from
day 1, rather than day 4, of absence from work if someone
is
absent from work due to sickness or need to stay at home due
to
COVID
-
19. Once the legislation has been passed, this will ap-
ply retrospectively from 13 March. You should talk to your em-
ployer if you are eligible for
SSP
and need to claim. .
Update on Statutory Sick Pay
Certifying absence from work
By law, medical evidence is not required for the first 7 days of sickness.
After 7 days, employers may use their discretion around the need for
medical evidence if an employee is staying at home.
The Government
strongly suggest that employers use their discretion
around the need for medical evidence for a period of absence where an
employee is advised to stay at home either as they are unwell them-
selves, or live with someone who is, in accordance with the public
health advice issued by the government.
If evidence is required to cover
self
-
isolation or household isola-
tion
beyond the first 7 days of absence then employees can get an iso-
lation note from
NHS 111 online
or from the
NHS website
.

Who are We?
Contact Us
Follow us on Social
Media
The Government has postponed the controversial reforms to
the IR35 tax rules until
April 2021
as it
attempts to alleviate
pressure on businesses and
individuals amid the COVID
-
19
fallout.
Data Security and Protection Toolkit submission date has
been suspended until 30 September 2020
CQC has written to all registered providers to say they are;
stopping routine inspections from today
shifting towards other, remote methods to give assur-
ance of safety and quality of care
Making some inspection activity in a small number of
cases, for example where there are allegations of
abuse
giving extra support to registered managers in adult
social care
Microsoft have made their video conferencing platform,
Teams, free in response to the COVID
-
19 emergency.
Did You Know ?
Quality Compliance Systems
(QCS) is
the leading compliance management
system for the Care sector. Our service
provides over 79,000 Care, Dental and
Medical professionals with access to the
most comprehensive set of customised
policies, procedures and compliance
toolkits, enabling our users to stay com-
pliant with current CQC policies. Over
2,700 dedicated pages are reviewed and
updated regularly in line with legislative
and regulatory requirements, as well as
Best Practice guidelines, by our team of
experts. Instant updates are delivered
digitally, 24/7, directly to our customers
via the online management system and
QCS App.
Have a question?
0333 405 33 33
INFO@QCS.CO.UK
WWW.QCS.CO.UK

Coronavirus Fact Sheet
This factsheet will tell you about
Coronavirus.

There is a new virus spreading. Its
name is Coronavirus. It causes an
illness called COVID-19. It started in
China and is spreading across the
world.
The illness makes people cough and
have problems breathing. Some people
have died but most people recover ok.
You can help to stop the virus
spreading and do things that will keep
you well.
Cover your mouth and nose with a
tissue or your sleeve (not your hands)
when you cough or sneeze.
What is Coronavirus?

Put used tissues in the bin. Do not use
your hands to close the bin lid.
Wash your hands with soap and water
often
use hand sanitiser gel if soap
and water are not available.
Do not touch your eyes, nose or mouth
if your hands are not clean.
How to keep well
The Government has said we must
all stay at home.
We must only go out to get food.
We can exercise outside but only once
per day.
When you go out, you need to
stand more than 3 large steps away
from people.

If you have a new cough and a
temperature, these are called
symptoms.
You can check your symptoms on the
NHS111 website
https://111.nhs.uk/covid-19
If you are already sick with heart or
breathing problems, or you have diabetes
or over 70 years old, Coronavirus can
make you very ill.
If you have symptoms you must
Stay at Home
Avoid People
Plan for 3 weeks
Feeling unwell

Its ok to be worried or scared.
Talking to people you trust can help.
Contact your friends and family.
There are lots of people talking about
Coronavirus. Sometimes it is hard to
know what information is true. You can
read correct information on the NHS
website WWW.NHS.CO.UK
The most important thing to remember
is to wash your hands lots of times in
the day, even if they do not look dirty.
Feeling worried

Useful Information
Make sure you keep healthy by eating
lots of fruit and vegetables.
Call NHS 111 if you are unwell
.
Stay away from crowds of people.
This document
is Copyright © Quality Compliance Systems Ltd. 2020 (Last updated 2020)

Stay at Home guidance for households: current guidelines illustrated
Criteria and guidance applied as of 17/03/2020:
Incubation period = maximum 14 days
Day 1 is the first day of symptoms
The 14-day period starts from the day when the first person in the house became ill
If you live with others and you are the first in the household to have symptoms of coronavirus, then you must stay at home for 7 days
If anyone else in the household starts displaying symptoms, they stay at home for 7 days from when their symptoms appeared, regardless of what day they are on in the original 14-day isolation period.
Household members who remain well stay in self isolation for 14 days due to maximum incubation period, calculated from day 1 of first symptomatic person
Household members do not
need to restart the clock if other members become symptomatic during the 14 days self-isolation
DAY
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
Person in
household
A
X
P
B
X
P
C
P
D
P
A
X
P
B
X
P
C
X
P
D
P
Key:
x
= when illness started - first day of symptoms
P
=allowed to go out again
+14 days from person A becoming ill
+14 days from person A becoming ill
+7 days from when they became ill
+14 days from person A becoming ill
Example
household 2
+7 days from becoming ill
+7 days from becoming ill
Example
household 1
+7 days from when they became ill
+7 days from becoming ill
Version 1.1, 19/03/2020

RCGP Guidance on
workload prioritisation
during
COVID-19
This guidance has been developed for clinicians working in general practice in the
UK. During the development of this guidance consideration was given to work that is
essential to maintain public health and that which is unlikely to cause harm if delayed for
approximately two months. It is not an exhaustive list of GP workload and is not intended
to replace clinical judgement for individual patient cases.
Past experience has shown that patients will die from non-COVID-19 related illnesses
in addition to COVID-19 itself as we divert all of our health care resources towards it
(1). General Practice has a huge role to play in maintaining the underlying health of our
population in an attempt to prevent this.
It is vital that we continue to provide care to all
patients if we have the capacity, with workloads stratified to ensure that those at greatest
need are prioritised.
Practices should also be aware and follow the guidance and standard operating
procedures outlined by NHSE&I (https://www.england.nhs.uk/coronavirus/wp-content/
uploads/sites/52/2020/03/Managing-coronavirus-COVID-19-in-general-practice-SOP_19-
March.pdf).
Note: The situation with COVID-19 is rapidly changing and it is recommended that
clinicians should also refer to local guidance. This guidance is correct at the time of
publishing.
Last update 22.03.20 (version 4)
Green category: Aim to continue
regardless of the scale of the virus
outbreak
Amber category: Continue if capacity
allows and if appropriate for your
patient population
Red category: Postpone, aiming
to revisit once the outbreak ends,
ensuring recall dates are updated
where possible.

Last update 22.03.20 (version 4)
Green - Continue
Amber- If possible
Red - Stop
Patients believing themselves to be
unwell if requiring medical attention
following initial remote consultation,
including immediately necessary
patients.
Patients with possible COVID-19 should
be separated from patients who do not
fit case criteria.
Med3
Med3 for first 7 days not required. No
Med3 should be provided by General
Practice for self-isolation past 7 days.
Advise patients that a self-isolation note
is available here: https://111.nhs.uk/iso-
lation-note
Mild self-limiting illness and worried
well
(advise to use NHS choices or seek
local pharmacy advice first)
Medication/problems that cannot be
dealt by community pharmacy.
Remote review should be the norm
unless there are overriding reasons
that a face to face assessment is
necessary.
Consider 6-12 months batch
prescribing of 28 day supplies
to prevent supply issues. Avoid
lengthening supplies of repeat
medication unless clinically indicated.
New patient registration
, particularly
those in vulnerable groups such as
asylum seekers
Coil checks/change
(consider starting
POP as an interim measure (also for
those with contraceptive implant chang-
es or needing depo injections))
Investigations for immediately nec-
essary conditions such as UTI, urgent
blood tests
Contraceptive services
Be aware of the possible risk of
increased pregnancies following
isolation periods. Consider extending
pill prescriptions for low risk patients
without review.
Ring pessaries
Symptoms consistent with cancer that
may require referral.
Can this be performed remotely e.g.
skin lesions by photo and postmeno-
pausal bleeding for immediate referral
Complaints
Consider a standard response to delay
formal response during COVID-19 out-
break
Minor surgery
Palliative care including anticipatory
care and EoL conversations
Proactively complete Respect/ DNAR
forms and prescribe anticipatory med-
ications in advance of a worsening
spread of disease
F2F reviews for most at risk groups and
those LTCs who do not meet the green
criteria.
Any particular concerns to be
reviewed remotely.
Advice re self-isolation or information
for employers and schools etc. Guide
patients to national websites.

Last update 22.03.20 (version 4)
Green - Continue
Amber- If possible
Red - Stop
Childhood immunisations.
The aim
is to avoid an increase in preventable
diseases
Blood monitoring for lower risk
medications and conditions eg ACEi,
antipsychotics, thyroid disease
.
Consider increasing the interval of
testing if clinically safe to do so
Spirometry and routine annual ECGs
unless clinically indicated
LTC reviews for those at higher risk.
Review remotely where possible.
T2DM with HbA1c>75, recent DKA,
disengaged*
• COPD with a hospitalisation in
last 12 months and/or 2 or more
exacerbations in last 12/12 requiring
oral steroids/oral antibiotics, patients
on LTOT
• Asthma with a hospitalisation in last
12 months, ever been admitted to ICU,
2 or more severe exacerbations in last
12months (needing oral steroids), on
biologics/maintenance oral steroids
Significant mental health with
concerns regarding suicide or
deliberate self-harm risk or currently
unstable mental health (Consider
using social prescribing teams for
help)
Vitamin B12 injections
– consider
teaching appropriate patients to self-
administer and ensure frequency is not
more than 12 weekly
Pill and HRT checks
unless clinically
indicated***
Blood monitoring for high risk
medications eg INR, DMARDS,
immunosupressants etc
Routine smears that are considered to
be low risk
Stop smoking clinics
Dispensing , if a dispensing practice.
Home delivery is likely to be expected.
New patient checks, NHS health checks,
medication reviews, frailty and over 75’s
annual reviews
Essential injections – e.g. Prostap,
aranesp, clopixol, testosterone**
Consider teaching patients to self-
administer if appropriate
For those socially isolated or more vul-
nerable, e.g. elderly, carers, learning
disabilities, refer to social prescribing
teams for help

Last update 22.03.20 (version 4)
Green - Continue
Amber- If possible
Red - Stop
Smears with previous high risk
changes/treatment to cervix or on
more frequent recalls
Friends and family test and engagement
with PPGs
Postnatal checks – where
possible combine with childhood
immunisations,
may need designated
clinics
Data collection requests unless related
to COVID-19, DESs/LISs/LESs, audit
and assurance activities, routine CQC
inspections and reviews, appraisal and
revalidation work
• Routine vaccinations, pneumococcal,
shingles etc for all patients where
they are recommended. Prioritise
vulnerable patients in high risk
groups, such as,
• patients with a solid organ transplant
• undergoing active chemotherapy or
radical radiotherapy for lung cancer
• with leukaemia, lymphoma or
myeloma at any stage of treatment
• having immunotherapy or other
antibody treatments for cancer
• having other targeted cancer
treatments which can affect the
immune system
• had bone marrow or stem
cell transplants in the last 6
months, or who are still taking
immunosuppression drugs
• severe respiratory conditions
• with rare diseases and inborn errors
of metabolism that significantly
increase the risk of infections
• on immunosuppression therapies
sufficient to significantly increase risk
of infection
pregnant with significant congenital
heart disease
*usual sick day rules advice should be given **may need designated clinics for those at risk of immunosuppression***additional information on contraception is
available at https://pcwhf.co.uk/resources/how-to-manage-contraceptive-provision-without-face-to-face-consultat
References
(1)
Elston JW, Cartwright C, Ndumbi P, Wright J. The health impact of the 2014-15 Ebola outbreak. Public Health 2017;143:60-70.
doi: 10.1016/j.puhe.2016.10.020.

*All information is correct at the time of publishing

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