HALTON BOROUGH COUNCIL STRATEGIC ROAD MAP - #STRONGKINDSAFE
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Section: 1 Strategic Phased Approach
PHASE 1: NOW - SPRING 2021 Better Case Scenario The focus is the safe reopening of the economy and Communication Education Care Sector Economy Health Elections Enforcement Public Services and Compliance • Safe reopening of • Testing and enable • Support • Support and • Ensure • Continuing effective • Workforce rebuilding confidence while maintaining momentum in • Convey idea of ‘safe schools visiting COVID-Secure promote vaccine COVID-Secure implementation of fatigue and vaccinations. Continue to be vigilant against new variants optimism’ • Teacher and pupil • Sustain staff levels / reopening roll out elections on ‘4Es’ with partners planning • Promote social testing recruitment • Accelerate • Secure localised 6th Maytesting across all scenarios, • Address and ensuring COVID-Secure environments. These aim to distancing (and opportunities for vaccination data ensuring capacity budget / • Helping kids catch • Support / promote and mutual aid be supported by balanced Communications Strategies masks) up vaccination young people • Better integrate funding issues • Counter over test / trace/ support • Lockdown • Mutual support with partners across all scenarios. • Assessment for • Help develop anniversary events confidence GCSE / A Level outdoor economy • Target hard to strategies reach groups • Managing • Vaccination roll-out on track and effective • Start school • Plan for visitor over-exuberance recovery programme boom • Use of community • Reducing infection and transmission with stubborn testing • Quarantine issues pockets • Youth engagement • Hospital capacity improving • Schools re-open and restrictions lifted by early May END.03 All over 50’s vaccinated 23.03 with first dose 03.03 03.05 First Lockdown 30.04 March Budget Anniversary Mayday End of bank furlough holiday FEBRUARY MARCH APRIL MAY END.04 06.05 1st four Local Mid Feb 03.03 31.03 01-04.04 cohorts elections Reopening of Schools Eviction ban Easter 1st four cohorts received vaccinated for all pupils ends weekend 2nd dose Communication Education Care Sector Economy Health Elections Enforcement Public Services Worse Case Scenario and Compliance • Support ongoing • Managing delayed school opening • Address vaccine hesitancy • Secure ongoing business support • Extra support for vaccination take-up • Deal with election • Continuing effective implementation of • Acute Workforce fatigue and restrictions • More blended • Sustain staff levels • Managing higher • Review outbreak postponement ‘4Es’ with partners planning • Resistant variants circulate across all • Manage learning • Support vaccination levels of closures management plans • Address budget • Vaccine take up falls expectations and and job losses scenarios, ensuring • Assessment for GCSE • What visiting • Better integrate test capacity and mutual / funding issues • Very stubborn resistance in some places, disappointment / A Level • Managing a / trace / support protocols? aid • Mutual support • Managing family possible return to • Additional testing, strategies with significant variations hardship local restrictions especially to help • Manage ongoing protests • Hospital capacity relatively static • Tackle mental health with variants • Rising number of • School and sector reopening delayed issues (kids and • Better target lockdown breaches parents) stubborn pockets of • Issues with compliance and civil unrest infection • Quarantine issues? • Getting more laptops • Youth engagement and connectivity #StrongKindSafe
Public Health Enduring transmission with frequent outbreaks. TESTING emails to local authority public health teams for the purpose of being able to input into CTAS and then the contacts could be followed up to ensure High levels of testing both LFDs and PCRs should be in place. isolating, welfare checks and support. Community LFD Testing Sites in place. Guidance for employers on their role in contact tracing and self-isolation Priority Testing Sites for key workers. should be strengthened to encourage employers to proactively identify Pop up Testing Sites for Hard to Reach, Travellers, Asylum Seekers, areas contacts of positive cases within the workplace. Employers need to be with high prevalence. aware of the information they need to collect in the first instance. This helps to minimise follow up questions where information may have been lost in Workplace testing commences with pop up support for smaller the passage of a few days. Examples include, travel to work, car sharing, businesses. changes to shift pattern/overtime that might fall out of the usual staff rota Secondary Schools in-school testing. information that is available and so on. Primary schools at home self-testing. Information on the use of PCR and LFD tests needs to be strengthened so that any necessary self-isolation rules are applied. Early Years at home self-testing. Pop up support for those providers not eligible. CTAS should highlight that when people have a test they are consenting to providing details of any contacts and therefore must co-operate with both Care Homes LFT self-testing and PCR testing. national test and trace and local authority public health teams. Hospitals LFT self-testing and PCR testing, LAMP. Training and communications on symptoms and testing needs to include the household and not just the individual as some adverts just say “if you have symptoms” when they should say “if you or anyone in your household. Local outbreak teams tracking and tracing, particularly Lost To Follow Up TRACING and working on outbreaks. Ask of Government CM Hub for Contact Tracing and Outbreaks. National CTAS allocating defined tracers to work with CM Hub teams. CM Case Management System in place – Microsoft Dynamics. The CTAS system should be reviewed to ensure improved data capture and timely sharing with local and regional public health teams. Text messages sent to cases not responding to calls. Any national guidance to businesses should include the requirement of providing contact details including name, DOB, telephone numbers and
CONTAINING VACCINATIONS The Government should support self-isolation for people on low income Establish supply chain to ensure timely and efficient delivery of second who are obliged to work outside the home. dose vaccines from March Information on the use of PCR and LFD tests needs to be strengthened so Ensure Pull ordering rather than push ordering to maximize capacity that any necessary self-isolation rules are applied. planning for ensuring all cohort s 1-9 can be vaccinated by End of April 2021 Motivational text messages sent to people encouraging them to stay self isolated. Ensure hard goods stocks (syringes, needles etc) are distributed as needed with vaccine deliveries Consideration should be given to providing additional training and information to employers on what is a contact and how to trace them, this Maximize coordination between National Booking System invitations, needs to include how to promote honesty and when disciplinary action local delivery models, hospital hubs to ensure system approaches is advised. Support local areas with communications to ensure communities are Employers should ensure that their employees are not missing out aware of current invited cohorts / eligible population financially when asked to isolate due to being a contact through the Ensure all delivery sites are standardizing eligibility checks on workplace or household or community. presentation Businesses should be asked to check re vehicle sharing, any second jobs Provide support for the vaccination of ‘close contact’ groups of key and if employees are currently working from home or office based (and workers, e.g. Police, blue light services, teachers, nursery staff, essential if so site details). retail staff Piloting a One Team approach where Test, Trace and Self Isolation is run Maximize opportunity for pop up vaccination clinics for targeting uptake locally would offer a new approach with learning. The new national BEIS scheme for self-testing by businesses with over 250 staff should liaise more closely with local authorities so we have sight of which companies have been invited and can support them to set up a robust scheme. Employees should be enabled through enhanced communications to understand that they have a responsibility to know and follow the self-isolation rules and also to understand if their employer is asking them to do something that is wrong.
PHASE 2: SPRING/SUMMER 2021 Better Case Scenario The focus shifts to rebuilding confidence while ensuring Communication Education Care Sector Economy Health Community Enforcement Public Services and Compliance • Managing COVID- • Managing • Domestic tourism • Continue to drive / • Drive for • Visitor hotspots • Workforce COVID-Secure environments for staff, customers, visitors, • Balanced Secure schools and COVID-Secure booms support vaccination vaccination • Large scale events fatigue and communications classes premises • Visitor peaks roll out take-up in planning passengers, etc. / festivals / large promoting caution • Maintaining testing • Managing • More localising of minority • Address and confidence • New visit regimes contact tracing communities gatherings • Vaccination roll-out on track regime COVID-Secure budget / • Individual • Workforce • Support surge • Emergency of • Travel restrictions / funding issues • Reducing transmission and stable in the authority • Catch-up programmes public transport quarantine responsibility and planning, responses to stored up • Rule of six and mask-wearing continue in to the compliance, e.g. • Planning holiday recruitment and • Clear driving test variants of concern debt, housing, • Rising risk of summer with social learning training backlog • Ongoing need for domestic anti-social distancing and • Creating better self-isolation abuse and behaviour • Economy opens fully and staycations boom masks • Delivering possible loneliness exams opportunities for support • Maintaining • Schools and universities open as usual young people • What shielding issues positive community support • Homelessness relations • Return of more and rough people to work • Backlog of mental sleeping premises • Courts backlog 21.06 All legal limits 06.05 on social contact Local elections can be removed LATE.07 School 27-29.08 holidays Creamfields MAY JUNE JULY AUGUST SEPTEMBER 30.08 01.09 MID.06 01-04.04 03.05 31.05 Summer Schools Bryan Adams Festival Season Bank reopen Mayday Bank Spring Bank starts at DCBL Stadium Holiday Holiday Holiday Communication Education Care Sector Economy Health Community Enforcement Public Services and Compliance • Managing • Managing • Support for • Continue to drive / • Run delayed • Continuing need for • Acute Workforce COVID-Secure business through support vaccination elections managing Worse Case Scenario • Balanced COVID-Secure fatigue and schools and classes premises more gradual roll out • Drive on restrictions and the planning communications reopening vaccination in ‘4Es’ • New visit regimes • Urgently respond to • Address budget promoting • Maintaining testing • Urgent need for variants of concern BAME • Travel restrictions / regime • Workforce / funding issues • Vaccination rollout and take up stalls prevention and planning, more outdoor • More localising of communities quarantine • New resistant variants compliance • Catch-up recruitment and economic activity contact tracing • Debt, housing, • Summer season programmes training • Steep rise in domestic forced into very short • Prevalence falls but remains above summer 2020, • Step up messaging • Ongoing need for abuse and • Possible early • Longer period of business failures better self-isolation period – very large on vaccination and and job losses loneliness visitor pressures with very stubborn hotspots breaking up for higher costs support issues testing summer and • Severe shortage of • Rising risk of • Pressure on NHS continues opportunities for • What shielding • Homelessness anti-social delayed return support • Region is largely stalled in Tier 2 or higher (or equivalent) young people • Continue food behaviour and • Plan safe return of • Backlog of mental support illegal events • Youth unemployment rises university students • Possible return of restrictions in health issues • Challenge in • Public compliance falls with increasing protest / disorder autumn maintaining positive community relations #StrongKindSafe
Phase: 2 Low case rates/ very occasional outbreaks TESTING TRACING Change of model to self- testing for the population before they go to big National CTAS allocating defined tracers to work with CM Hub teams. events, travelling etc. Smaller local Outbreak Teams required. Test Before You Go CM Hub picks up most of the cases and outbreaks for LAs. Self- testing for hospitality and Retail More of an emphasis on really tracking down small case numbers via variety of methods including door knocking. (Regulatory staff concerned about how enforceable this will be) Pop-up Testing remains for outbreaks. CONTAINING More of an emphasis on PCR self-testing. The Government should support self-isolation for people on low income Need support for people who can’t self-test at home who are obliged to work outside the home. • Digitally excluded Motivational text messages sent to people encouraging them to stay self • LD isolated. • People with LTCs Self -Testing within businesses, schools, Care Homes, Hospitals, Early Years, etc. VACCINATIONS On-going development of rapid testing methods. Provide plans for the expansion of vaccination to those age 49 and under Enable local areas to best define priority groups for vaccination in a needs Pop up testing as required. based approach for local populations
PHASE 3 : AUTUMN / WINTER 2021 Better Case Scenario Focus now firmly on living with COVID as part of the Communication Education Care Sector Economy Health Community Enforcement Public Services and Compliance • Safe management of • Working out and • Develop / • New Winter Plan •Address • Policing larger • Embedding overall health scene / winter pressures, recovery and • Embedded schools and colleges embedding a new implement longer • Managing local widening events new ways of messages to normal term recovery inequalities working longer term thinking regarding changes in service support some • Catch up plans surges and • Contingency programmes • Funding pressures outbreaks • Increase in planning for new • Reprioritising delivery, which deals with inequalities. Managing in a measures (hands / • Pressure for more • Safe return of • Recruitment and • Maintaining testing homelessness restrictions services face / space / levelling up new paradigm. students training issues infrastructure for • Demand for • Addressing masks) –where best to • Ensuring high target support new variants greater and medium-term • To promote ongoing • Vaccination roll-out complete and effective vaccine take-up • Promote highest more funding vaccination with flu • Great demand for possible vaccine sustainable shortfalls • Vaccine booster for old / vulnerable • Individual apprenticeships welfare and and training take up • Stores up leave responsibility community • Prevalence reduced • Catch up / and absence • High street / town support surge risk rebalancing of • NHS functional, albeit with backlogs centre recovery services measures • Beginnings of real recovery LATE.10 MID.09 LATE.09 Half Term Start of football Return of LATE.DEC 31.12 season university students Schools close New Years 05.11 Bonfire Night for Christmas Eve SEPTEMBER OCTOBER NOVEMBER DECEMBER 04.11 07.11 25.12 26.12 Diwali Remembrance Christmas Boxing 01.09 25-26.09 31.10 Sunday Day Day Halloween Schools Vintage Rally reopen at Victoria Park Communication Education Care Sector Economy Health Community Enforcement Public Services and Compliance • Manage delay in • Support to manage • Develop / • New Winter Plan • Even greater • Compliance fatigue • Embedding new Worse Case Scenario • Embed basic messages (hands / opening schools and colleges ongoing stop/start • Acute funding implement longer term recovery • Managing local surges and inequalities • Increase in • Protest movement against masks / ways of working • Reprioritising face / space / • Catch up pressures plans outbreaks debt levels, • Coming out of lockdown too soon and a succession masks) and programmes • New rash of food and poverty restrictions services • Growing home • Extra support for of new variants maintained transmission individual business failures • Rising • Continuing • Addressing • Delay return of closure risks self-isolation responsibility homelessness quarantine medium-term • Prevalence increasing again students • Workforce • Prepare for • Maintaining testing • Compliance with prolonged high • Long term • New travel funding • Rethink education resilience infrastructure for • Fears about resistant variants prevailing delivery in light of unemployment new variants demand for restrictions • Ensuring high restrictions shortfalls • Falling vaccine take-up with wide spread boosters needed • Severe lack of welfare and continuing disruption vaccine take-up • Promote highest community • Mutual aid needs • Serious • Promote ongoing opportunities for • Pressure to delay opening of schools / universities possible vaccine support workforce vaccination with flu young people take up • New restrictions inevitable • Prolonged working • Interaction fatigue and • NHS unable to with weather from home resume ‘normal’ resilience issues • High business attrition with unemployment rising steeply events • Rethinking high service • Support at 20/21 levels not affordable street/town • Prepare for long centres term shielding #StrongKindSafe
Phase: 3 Escalating case rates in some communities / winter planning / new variants TESTING CONTAINING High levels of testing both LFDs and PCRs. Ensuring MTUs The Government should support self-isolation for people in areas with high incidence. on low income who are obliged to work outside the home. Intensive Pop up Testing Sites for geographically identified Motivational text messages sent to people encouraging areas with high prevalence and the Hard to Reach, them to stay self isolated. Travellers, Asylum Seekers, etc. More of an emphasis on PCR self-testing. Pop-up Testing remains for outbreaks. VACCINATIONS Define plans for ongoing vaccination of vulnerable cohorts, TRACING need for booster dosing etc Ask of Government Maximise seasonal flu vaccination messaging alongside Covid vaccination approaches for winter 2021-22 National CTAS allocating defined tracers to work with CM Hub teams. Maximize opportunity for pop up vaccination clinics for Intensive tracing by local outbreak teams. targeting uptake CM Hub for Contact Tracing and Outbreaks. Support local areas with communications to ensure Door knocking where infected cases are not responding to communities are aware of current invited cohorts / eligible phone calls. population
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