HALTON BOROUGH COUNCIL STRATEGIC ROAD MAP - #STRONGKINDSAFE

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HALTON BOROUGH COUNCIL STRATEGIC ROAD MAP - #STRONGKINDSAFE
Halton Borough Council
                   Strategic Road Map

#StrongKindSafe
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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