A testing service for personal assistants in England - Guidance document February 2021
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Contents Summary: Testing for personal assistants 2 How am I involved? 5 How does the service work? 6 End to end process: personal assistants 9 • Ordering test kits • Delivery and Preparation • Using the test kits • Registering test kits • Returning test kits • Results • Weekly retesting Where to go for help 38 Appendix 40 1
Summary: Testing for personal assistants What is the service? Why is testing important? • Weekly PCR testing for personal assistants working in Adult Social Care. • Identifies personal assistants who currently have Covid-19 so they are able to self-isolate if • Personal assistants should order 4 PCR tests every 28 days their result is positive for themselves or an employer can order them for their • Protects those receiving care from infection personal assistant. passed to them by personal assistants who are confirmed positive • 4 tests are delivered for each personal assistant to their selected delivery address for a 28 day testing cycle. • Prevents and controls the spread of the virus by identifying asymptomatic cases • Every 7 days a personal assistant should take a test, register it online, and return it by post. • Personal assistants will receive their results in 48 hours by email and text message (SMS). 2
How am I involved? A “Personal assistant” For testing purposes, a ‘Personal Assistant’ is someone who is directly employed by an individual (or self-employed) to provide care and support to enable them to live as independently as possible. This care could include support in the home, or to go out into the community. All personal assistants who provide care that requires them to come within 2 metres of the person they support and who support adults over the age of 18 are eligible for testing. Your key responsibilities are to: 1. Attend a webinar to understand the process 2. Order PCR test kits every 28 days 3. Conduct one PCR test weekly on the same day each week 4. Register your tests as soon as you have completed them each week 5. Return your test kits at a Royal Mail priority post box on the same day that you take the test one hour before the collection time 6. If you test positive: isolate, notify your employer and provide contacts to NHS Track and Trace. After testing positive, you do not need to test again for 90 days unless you become symptomatic 7. Regardless of your result, continue following all IPC measures such as wearing PPE, washing your hands and socially distancing where possible, even if you or the people you care for have had the vaccine 3
Summary: Testing for personal assistants Personal assistant Personal assistant or Personal assistant or undertakes their own Employer orders four PCR Employer takes delivery swabs using test kit on test kits every 28 days of test kits the same day each week Personal assistant Personal assistant Personal assistant registers test kit online returns the test kit on the receives results via email same day of testing via and text message (SMS) their nearest priority post Repeats testing every box one hour before week and ordering tests collection time every 28 days If you have any queries with any of the steps please call the national coronavirus contact centre on 119 6
Ordering test kits • Personal assistants or the individual employer are responsible for ordering test kits using the link https://www.gov.uk/get-coronavirus-test • Personal assistants or the individual employer must decide the address their test kits are delivered to. You may want to use a different address if you’re unlikely to be home when the delivery arrives (within 48 hours) • Personal assistants must complete the process 4 times to get 4 PCR test kits. This is vital as you cannot place another order of test kits for 14 days following an order • Once you have placed and order, you will receive 4 confirmatory emails from the following address: organisation.coronavirus.testing@notifications.service.gov.uk • If you have any queries with any of the steps please call the national coronavirus contact centre on 119 9
Personal assistant test kit ordering – process walkthrough Please refer to slide 24 for initial registration instructions / links STEP 1: Go to https://www.gov.uk/get- STEP 2: Select ‘Yes’ STEP 3: Select ‘No, none of these symptoms’ if coronavirus-test and select start now asymptomatic 10
Personal assistant test kit ordering – process walkthrough Please refer to slide 24 for initial registration instructions / links STEP 4: Select ‘No’ STEP 5: Select ‘No’ STEP 6: Select ‘I’m a personal assistant in England employed by an individual to provide home based adult care and support’ 11
Personal assistant test kit ordering – process walkthrough STEP 7: Enter the PA’s name STEP 8: Enter the PA’s mobile STEP 9: Enter the PA’s email address number 12
Personal assistant test kit ordering – process walkthrough STEP 10: Enter the PA’s postcode STEP 11: Select ‘No’ STEP 12: Select ‘Home testing’ 13
Personal assistant test kit ordering – process walkthrough STEP 13: Enter the PA’s personal details STEP 14: Select ‘Yes – they travel to STEP 15: Select ‘Social care’ including your date of birth and gender a workplace’ 14
Personal assistant test kit ordering – process walkthrough STEP 16: Enter the occupation as ‘Care STEP 17: Enter the name as ‘PA’ STEP 18: Select ‘Yes’ or ‘No’ depending if the PA worker or home carer’. You must select an travelled outside of the UK and Ireland within the option from the drop down menu last 14 days Entering personal assistant will also come up with ‘Care worker or home carer’ as an option PA 15
Personal assistant test kit ordering – process walkthrough STEP 19: Select either ‘No’, ‘Yes, they’ve STEP 20: Enter the PA’s address and STEP 21: Enter the PA’s NHS number if known had 1 dose’ or ‘Yes, they’ve had 2 dose’. postcode This is only for statistical purposes and not to restrict who tests are given to. 16
Personal assistant test kit ordering – process walkthrough STEP 22: Click ‘Add person you live with’ STEP 23: Enter the PA’s own name STEP 24: Repeat step 16 and step 17 until you again. Do not enter the name of have entered the PA’s details 4 times for your 4 someone you live with. test kits 17
Personal assistant test kit ordering – process walkthrough STEP 25: You may want to use a different STEP 26: You’ll see this when you address if you’re unlikely to be home when finish the order process. You’ll receive the delivery arrives (within 48 hours) an email to confirm each test you order. 18
Delivery and Preparation 19
Delivery and Preparation Delivery of tests kits Please ensure someone is available to accept the delivery of test kits at your chosen delivery address. Test kits are typically delivered within 48 hours Prepare for testing by looking at guidance Before testing be sure to: • Read guidance for personal assistants • Read guidance included with your test kit • Watch the instructional video for self swabbing 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 Instructional video for self swabbing If a personal assistant becomes symptomatic and has a kit available at home, they should test themselves in addition to the normal weekly cycle 20
Using the test kits 21
Taking the test The test kits personal assistants will receive will be standard home PCR test kits; they will contain: 1 2 3 6 7 1 3 4 5 6 5 4 7 8 9 8 2 Royal Mail return label An example test kit 22
Taking the test Personal assistants will conduct a combined throat and nose self-swab for the test Follow the instructional video on how to do a throat and nasal swab https://www.gov.uk/government/publications/co vid-19-guidance-for-taking-swab-samples/how- Instructional video for self swabbing to-use-the-self-swabbing-kit-for-a-combined- throat-and-nose-swab-video Always leave 7 days between tests where possible If possible please continue testing whilst on holiday (in the UK) or off work due to illness which is not related to Coronavirus After testing positive, you do not need to test again for 90 days unless you become symptomatic 23
Registering test kits 24
Registering test kits Steps to register a test kit: These are the key steps, for full step-by-step instructions please see the appendix Each week you should register your test after you have completed your test 1. Please go to https://gov.uk/register-home-test 2. Enter your order ID number – you will find this 10-digit order ID at the top of the confirmation email you received when your test kid was ordered 3. Enter personal details • Name • Date of birth 4. Enter or scan your royal mail barcode. You will find the barcode on the right hand side of the label. Do not scan the QR code that appears on the left. 5. Enter or scan test kit barcode, please enter carefully and do not copy and paste. You will find the barcodes inside the home test kit, either attached to the plastic vial, biohazard bag and return box, Please note these are different from your pre-paid Royal Mail return package barcode on your box. 6. Select the date and time you’ll take your coronavirus test. If you’ve already taken the coronavirus test, tell us the date and time you took it. 7. Check your answers 8. You will receive confirmation of registration via email If there are any problems with registering a test kit, please call 119. Correct registration of test kits is VITAL If you do not register your test kit correctly, you may not receive your result. Screenshot of the registration portal 25
Individual registration upload – Process Walkthrough Please refer to slide 24 for initial registration instructions / links STEP 1: Go to https://gov.uk/register- STEP 2: Enter your order ID found at STEP 3: Enter the PA’s name home-test the top of your confirmation email 26
Individual registration upload – Process Walkthrough STEP 4: Enter the PA’s date of birth STEP 5: Enter the Royal Mail barcode STEP 6: Scan or enter one of your unique test kit found within your test kit barcodes found on either the plastic tube, plastic bag or return box 27
Individual registration upload – Process Walkthrough STEP 7: Select the date and time the PA STEP 8: Check your answers STEP 9: Complete the security check and look has taken or plans to take the test out for a confirmatory email confirming registration 28
Returning test kits 29
Returning test kits Each test kit contains a pink pre-paid return label. Please attach this to the outside of the delivery packaging next to the security seal. If there is no label in the kit please check in the box that the kits were delivered in. If additional support is needed please call 119 The test kit should be returned via a Royal Mail priority box on the day you do your test and one hour before the collection time. You will find your nearest priority post box and its collection times at www.royalmail.com/services-near-you Only use a Royal Mail priority post box. It will be labelled with the below Priority Box sign Example of Royal Mail priority post box and one of the regional NHS logos. Please do not enter any Post Office with the kit 30
Returning test kits Please be aware of the following key points to ensure samples reach the laboratories in time: 1. Please post the kits in the priority mail box at least one hour before the last collection time to ensure that it is not missed 2. Locate your nearest priority post box and collection times in before taking the test. Tests should be posted on the same day as they are taken 3. Some post boxes do not collect post on Sundays, and so please check if there is a collection available before testing on Sunday 31
Receiving results 32
Receiving results The personal assistant tested will receive: 1. An email 2. A text message (if a mobile phone number was provided at registration) The results will also include guidance on next steps for the person tested. We have included example guidance in the next few slides for your information. If employers are receiving personal assistants test kit results they will need written consent. Personal assistants should inform their individual employer of a positive result immediately so that they can protect themselves and others that they may have come into contact with at work. Find out more about what to do when you get your results https://www.nhs.uk/conditions/coronavirus-covid- 19/testing-and-tracing/what-your-test-result-means/ Statutory Sick Pay may be available for personal assistants who have to self-isolate. Further details are on the website noted below: 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#ssp 33
Examples of email containing results There are 3 possible results – Negative, Positive and Unclear Negative Positive Unclear Email template for negative result Email template for positive result Email template for unclear result 34
Examples of text message containing results There are 3 possible results – Negative, Positive and Unclear Negative Positive Unclear Your coronavirus test result is negative. You Your coronavirus test result is positive. It We could not read your coronavirus test did not have the virus when the test was done. means you had the virus when the test was sample. This means its not possible to say if done. you had the virus when the test was done. You only need to self isolate if: We’re sorry, but you’ll need to get another test - You get symptoms of coronavirus (you’ll Try not to worry. You can often ease as soon as possible. need a new test) symptoms at home until you recover. - You’re going into hospital (self-isolating You may be contacted for contact tracing. Keep self-isolating (and off work if relevant) if: until the date you go in) - Someone you live with tests positive You must, by law, self-isolate for 10 days from - You have or develop symptoms of - You’ve been traced as a contact of your symptoms starting. If you’ve not had coronavirus. someone who tested positive symptoms, self-isolate for 10 days from your - Someone you live with has symptoms or test. tests positive. For advice on how long to self isolate, go to - You’ve been traced as a contact of www.nhs.uk/coronavirus and read ‘Self- You may return to work on day 11 if you’ve not someone who tested positive. isolation and treating symptoms’ had a high temperature for 48 hours and are well. Talk to your employer first. People you For advice on how long to self-isolate in these Otherwise, you may return to work if you’ve not live with should self-isolate for 14 days from situations go to www.nhs.uk/coronavirus and had a high temperature for 48 hours and feel your symptoms stating or 10 days from their read ‘Self-isolation and treating symptoms’. well. Talk to your employer first. symptoms starting. You can end your self-isolation period early if your new test results says to stop self-isolating. Contact 111 if you need medical help. For medical help, Contact 111. Contact 111 if you need medical help. In an emergency, dial 999. In an emergency, dial 999. In an emergency, dial 999. Text template for negative result Text template for positive result Text template for unclear result 35
Weekly retesting 36
Weekly retesting After you have completed your first round of testing, personal assistants should continue to test on the same day each week. If you have tested positive, you do need to retest for 90 days unless you become symptomatic. Repeat testing process every 7 days Day one Day one Day one Day two to three Conduct test on day of Register test online Post completed test kit in planned testing priority post box Receive result If you receive a positive test result please stay/ return home and inform your individual employer 37
Support available for personal assistants 38
Operational support available for personal assistants If a personal assistant tests positive or is instructed to isolate, their individual employer or somebody on their behalf should try to organise different arrangements. This is why contingency plans for the individual employers are so important (see the developing a contingency plan section for further details). For example, it may be that another personal assistant is willing and able to take on further work to provide the individual with the care and support they need. In cases where arrangements cannot be put in place to provide the individual employers with the care and support they need, the personal assistant or somebody on their behalf should contact the local authority or CCG immediately. They will support the individual employer in developing a temporary plan to ensure individuals’ needs are met, while you are self-isolating. PAs are entitled to claim free PPE from their local authority or local resilience forum. Guidance is available here: https://www.gov.uk/guidance/personal-protective-equipment-ppe-local-contacts- for-care-providers 39
Financial support available for personal assistants If a personal assistant needs to self-isolate, they may be entitled to a £500 payment via their local authority whether they are employed or self-employed. The eligibility criteria and guidance is available here: https://www.gov.uk/government/publications/test-and-trace-support-payment- scheme-claiming-financial-support/claiming-financial-support-under-the-test-and-trace-support- payment-scheme Directly employed personal assistants may also be entitled to SSP if they are self-isolating or are unwell. SSP is paid from the date they sell-isolate. You will need to speak to your individual employer. Guidance is available here: https://www.gov.uk/statutory-sick-pay The ICF is also available to meet the costs of self-isolation. The ICF is not systematically paid to personal assistants and funding provided to personal assistants by local authorities from the ICF is at local authority discretion and must be used according to the terms under which local authorities provide it to personal assistants. However, from a Departmental perspective this would be an acceptable use of the funding. It should be noted that if an individual is receiving their full wage from their employer through the Infection Control Fund though, they will not be eligible for the Test and Trace Support Payment scheme. 40
Where to go for help 41
Where to go for more support? Online: Visiting the personal assistant testing gov.uk guidance at: once uploaded planned for 16/02/21 Instructional videos: Watch instructional videos for how to conduct a test at: https://www.youtube.com/watch?v=1l0jcv37WzI 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 Coronavirus Testing Contact Centre: please call 119 Lines are open from 7am –11pm daily 42
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