Sussex - Martlets Hospice
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
Sussex
Clinical Commissioning Groups
Coronavirus (COVID-19)
Infection prevention and control guidance for
Primary Care Hot hubs
Date: 03.04.2020
Brighton and Hove CCG | Coastal West Sussex CCG | Crawley CCG | Eastbourne, Hailsham and Seaford CCG
Hastings and Rother CCG | High Weald Lewes Havens CCG | Horsham and Mid Sussex CCG
Sussex
Clinical Commissioning Groups
What is Coronavirus (COVID-19)
• Coronaviruses are a large family of viruses - they cause
infections ranging from the common cold to Severe
Acute Respiratory Syndrome (SARS)
• Coronaviruses circulate between animals and humans;
sometimes new variants of the coronavirus emerge -
such as COVID-19
• COVID-19 has the potential to spread widely as lack of
immunity means everyone in the population is
susceptible
Brighton and Hove CCG | Coastal West Sussex CCG | Crawley CCG | Eastbourne, Hailsham and Seaford CCG
Hastings and Rother CCG | High Weald Lewes Havens CCG | Horsham and Mid Sussex CCG
What are the symptoms of COVID-19
• Symptoms start 5-11 days after exposure
• Majority have fever and dry cough (rapid
onset) Symptom Proportion of
cases
• Symptoms last 5-6 days Fever ˃37.5˚c 88%
Dry cough 68%
• Severe illness starts day 7 Fatigue 38%
Sputum 33%
↑ Shortness of breath Shortness of 19%
breath
Lung inflammation Muscle/ joint 15%
pain
Pneumonia Sore throat 14%
Headache 14%
Brighton and Hove CCG | Coastal West Sussex CCG | Crawley CCG | Eastbourne, Hailsham and Seaford CCG
Hastings and Rother CCG | High Weald Lewes Havens CCG | Horsham and Mid Sussex CCGHow is COVID-19 transmitted?
Exposure to large respiratory droplets & vomit
Coughing/sneezing onto mucous membranes
(mouth/eyes)
Need close contact for this to occur (within 1 metre)
Contact with respiratory secretions
• Transferred by touching mucous membranes
• Tissues/surfaces contaminated with respiratory
secretions
*It is NOT transmitted in air except if patient undergoing a procedure that
generates aerosols e.g. airway suction
*Aerosol generating procedures increase risk of aerosol spread of infectious
agents irrespective of the mode of transmission
Brighton and Hove CCG | Coastal West Sussex CCG | Crawley CCG | Eastbourne, Hailsham and Seaford CCG
Hastings and Rother CCG | High Weald Lewes Havens CCG | Horsham and Mid Sussex CCGCough Etiquette
Brighton and Hove CCG | Coastal West Sussex CCG | Crawley CCG | Eastbourne, Hailsham and Seaford CCG
Hastings and Rother CCG | High Weald Lewes Havens CCG | Horsham and Mid Sussex CCGInfection prevention and Control ‘Hot
Hubs’
General guidance
• A suitable practice/location is required for Hot hubs for suspected
and confirmed Covid-19 patients.
• All patients are to be triaged to ensure they meet the case definition
• Patients will need at be able to access the sites by private car and
not via public transport.
• For patients that cannot attend by private car, a home visit will be
required.
Brighton and Hove CCG | Coastal West Sussex CCG | Crawley CCG | Eastbourne, Hailsham and Seaford CCG
Hastings and Rother CCG | High Weald Lewes Havens CCG | Horsham and Mid Sussex CCGHot Hubs
Hot hub Practices should have the following
General environment
• Car parking for patients
• Controlled entry system
• Disabled access
• Toilet facilities
• Natural Ventilation
• Adequate storage area for PPE
• Free of soft furnishings such as carpets, fabric chairs etc.
• Single practices, not attached to other providers or services
Brighton and Hove CCG | Coastal West Sussex CCG | Crawley CCG | Eastbourne, Hailsham and Seaford CCG
Hastings and Rother CCG | High Weald Lewes Havens CCG | Horsham and Mid Sussex CCGHot Hubs
General environment
• Signage
• Dirty/clean areas of the practice must be separated by closed doors
and have signage displayed warning of the segregated area to
control entry.
• Non-Hot hub patients should not be able to access the practice, this
should be communicated clearly.
• To control entry, signage should be displayed warning of the
segregated area.
• Staff rest area/clean area
• Staff must have access to a rest area in a clean area of the practice
and access to staff toilet facilities.
• This area can be cleaned as routine practice cleaning.
Brighton and Hove CCG | Coastal West Sussex CCG | Crawley CCG | Eastbourne, Hailsham and Seaford CCG
Hastings and Rother CCG | High Weald Lewes Havens CCG | Horsham and Mid Sussex CCGHot Hubs
General environment
• Remove all non-essential items from reception and consulting
rooms such as toys, leaflets, magazines and all personal
belongings.
• Consider removing privacy curtains and window fittings that are not
vertical blinds and replacing with window frosting.
• Keep air condition units switched off and external windows open for
ventilation.
• Doors must be kept shut at all times
Brighton and Hove CCG | Coastal West Sussex CCG | Crawley CCG | Eastbourne, Hailsham and Seaford CCG
Hastings and Rother CCG | High Weald Lewes Havens CCG | Horsham and Mid Sussex CCGHot Hubs
Consultation rooms
• Multiple consulting rooms that would be suitable for frequent
cleaning (Free of soft furnishings .e carpets, fabric chairs etc.)
• Review what equipment is required in consulting rooms and
remove, store in cupboards or cover non-essential items
• Suitable hand wash facilities in each room.
• All equipment used should be disposable where possible
• If re-usable equipment is used, it should be decontaminated after
each use.
• Ensure adequate supplies of equipment are in stock and avoid
leaving the room to obtain equipment during a consultation.
• Computer keyboards should be able to withstand chlorine
decontamination or have a cover that allows this.
Brighton and Hove CCG | Coastal West Sussex CCG | Crawley CCG | Eastbourne, Hailsham and Seaford CCG
Hastings and Rother CCG | High Weald Lewes Havens CCG | Horsham and Mid Sussex CCGStaffing
Hot Hubs
• Staff should be risk assessed if it is safe for them to work at the hub
and excluded if they are classed as at risk such as
– immune-compromised,
– underlying health concerns,
– over 70 or
– Pregnant.
• Cohort staff working at this location where possible.
• Clinical staff should change in and out of all uniform on site.
Uniforms will be laundered by an external company.
• All staff to be familiar with good hand hygiene practice.
Brighton and Hove CCG | Coastal West Sussex CCG | Crawley CCG | Eastbourne, Hailsham and Seaford CCG
Hastings and Rother CCG | High Weald Lewes Havens CCG | Horsham and Mid Sussex CCGPatient attendance
‘Hot Hubs’
• Patients should be triaged and if symptomatic of Covid19 symptoms
and able to attend via private car, will be booked into the Covid19
hot hub.
• Appointments should be spread-out where possible to avoid
patients congregating within the practice.
• Clinicians, wearing full PPE, should ideally collect the patient upon
entry to the practice and escort them straight to the consultation
room.
• If patients are required to wait, they should be encouraged to sit
spaced from other patients or directed directly into the
waiting/consultation room allocated.
Brighton and Hove CCG | Coastal West Sussex CCG | Crawley CCG | Eastbourne, Hailsham and Seaford CCG
Hastings and Rother CCG | High Weald Lewes Havens CCG | Horsham and Mid Sussex CCGFlow diagram of patient pathway in Hot Hubs
1. Patient is triaged and allocated an appointment at the Hot Hub.
2. where there is car parking facility, the patient will park in the car park and phone the number
provided. When the clinician is ready for the patient, they will be contacted and provided with clear
instructions on where to go.
3. Clinician to greet patient in reception wearing full PPE (gloves, aprons and fluid repellent face
mask). Patient to gel their hands and avoid touching anything such as check-in systems, door
handles etc.
4. If clinician is not present, reception staff wearing full PPE to direct patient to sit in the waiting area
or direct them straight to the consultation room (avoiding touching surfaces/ handles where possible)
5. The consultation room door must remain closed, air conditioning turned off and external windows
open. All equipment used or exposed during the consultation must be disposed of or decontaminated.
6. The patient must be escorted out of the practice by clinician the same way they came in and asked
to gel their hands upon leaving.
7. Equipment must be cleaned by either a combined detergent/disinfectant or separate solutions and
must be effective against coronavirus (see advice). All surfaces to be cleaned including door handles,
cupboards, computer keyboards etc.
Brighton and Hove CCG | Coastal West Sussex CCG | Crawley CCG | Eastbourne, Hailsham and Seaford CCG
Hastings and Rother CCG | High Weald Lewes Havens CCG | Horsham and Mid Sussex CCGStandard infection control precautions (SICP)
SICP are essential to minimise risk of transmission
between staff and patients
Standards should be in place for:
Hand Hygiene
Personal Protective Equipment (PPE) to protect
wearer from exposure to body fluid
Safe disposal of waste and linen
Decontamination/ disinfection of environment
and equipment
Brighton and Hove CCG | Coastal West Sussex CCG | Crawley CCG | Eastbourne, Hailsham and Seaford CCG
Hastings and Rother CCG | High Weald Lewes Havens CCG | Horsham and Mid Sussex CCGHand Hygiene
Hand hygiene is essential to reduce transmission of infection in
health and care settings
Handwashing must be carried out thoroughly & time sufficient to
inactivate the virus i.e. 40-60 seconds
Follow the 5 key moments of hand hygiene
Alcohol gel ˃60% is effective against COVID-19
Soap and water should be used if hands are soiled
Brighton and Hove CCG | Coastal West Sussex CCG | Crawley CCG | Eastbourne, Hailsham and Seaford CCG
Hastings and Rother CCG | High Weald Lewes Havens CCG | Horsham and Mid Sussex CCGHand washing technique
Turn off tap using elbow or paper towel – Do NOT use your hands
Dispose of paper towel in pedal operated bin – Do NOT use your hands to open the bin
Effective Product, Effective Technique at the Appropriate Time
Brighton and Hove CCG | Coastal West Sussex CCG | Crawley CCG | Eastbourne, Hailsham and Seaford CCG
Hastings and Rother CCG | High Weald Lewes Havens CCG | Horsham and Mid Sussex CCGPPE – Personal Protection Equipment
The PPE guidance follows the PHE recommendations which are the same for both
primary care and acute hospital clinicians for the same type of consultations. PPE
must be compliant with the relevant BS/EN standards (European technical
standards as adopted in the UK)
Masks and goggles/ full face visor (if using) can be worn while writing up notes in
the ‘clean’ room of the Hot hub unit
Examination gloves, fluid repellent aprons and fluid resistant surgical masks
must be used for each patient and then removed following the donning and doffing
procedure
The order to put on (don) the PPE is hand hygiene, apron, mask, (goggles/ full face
visor), gloves.
The order to take off (doff) the PPE is gloves, apron, (goggles/ full face visor ),
mask, hand hygiene
Brighton and Hove CCG | Coastal West Sussex CCG | Crawley CCG | Eastbourne, Hailsham and Seaford CCG
Hastings and Rother CCG | High Weald Lewes Havens CCG | Horsham and Mid Sussex CCGPPE – Personal Protection Equipment
Goggles/ full face visor
A risk assessment is required for the need for full face visor or goggles. If there is a
chance of splash/contamination to the face a full face visor is recommended
If goggles are used these should be removed at the end of each consultation and
cleaned with the rest of the contaminated equipment
Gloves and aprons
Gloves and aprons are single-use, single-patient use only
To be changed immediately after each patient and/or following of a procedure or
task
Fluid repellant surgical masks and goggles/full face visor can be worn for seeing
multiple patients i.e. for sessional use
NB A single session refers to a period of time where a healthcare worker is
undertaking duties in the hot hub. A session ends when the healthcare worker
leaves the care setting/exposure environment
Brighton and Hove CCG | Coastal West Sussex CCG | Crawley CCG | Eastbourne, Hailsham and Seaford CCG
Hastings and Rother CCG | High Weald Lewes Havens CCG | Horsham and Mid Sussex CCGPPE – Personal Protective Equipment
• All PPE must be:
– located close to the point of use;
– Stored to prevent contamination in a clean/dry area until required for
use
– Disposed of after use into the correct waste stream i.e.
healthcare/clinical waste, which is orange waste bags.
– Worn before the patient presents and removed afterwards including
hand hygiene. Masks should be removed outside of consulting rooms
and disposed of in clinical waste, unless being worn as part of cleaning
PPE, in which case it can be removed at the end of the cleaning
procedure, inside the room.
Brighton and Hove CCG | Coastal West Sussex CCG | Crawley CCG | Eastbourne, Hailsham and Seaford CCG
Hastings and Rother CCG | High Weald Lewes Havens CCG | Horsham and Mid Sussex CCGCOVID-19 PPE Requirements (1)
https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/877599/T2_Recommended_PPE_for_pri
mary_outpatient_and_community_care_by_setting_poster.pdf (accessed 03.04.2020)
Setting Context Disposable Disposable Disposable Surgical Fluid resistant Filtering face Eye/face
gloves plastic fluid-repellent mask surgical mask place protection
apron coverall/apron respirator
(FFP3)
Any setting Performing an single use 4 X single use 4 X X single use 4 single use 4
aerosol generating
procedure on a
possible confirmed
case
Primary care, Direct patient care – single use 4 single use X X single or X single or
ambulatory possible or 4
sessional use sessional use 4,5
care, and confirmed case(s)3 4,5
other non (within 2 metres)
emergency
outpatient and
other clinical Working in
settings e.g. reception/communal
optometry, area with possible or
dental, confirmed case(s)3 X X X X Sessional use 5 X X
maternity, and unable to
mental health maintain 2 metres
social distance6
Brighton and Hove CCG | Coastal West Sussex CCG | Crawley CCG | Eastbourne, Hailsham and Seaford CCG
Hastings and Rother CCG | High Weald Lewes Havens CCG | Horsham and Mid Sussex CCGCOVID-19 PPE Requirements (2)
Setting Context Disposable Disposable Disposable Surgical Fluid resistant Filtering face Eye/face
gloves plastic fluid-repellent mask surgical mask place protection
apron coverall/apron respirator
(FFP3)
Individuals Direct care to any X X
own home member of the
(current place household where
single or X risk assess single
of residence) any member of the single use 4 single use
sessional use or sessional use
household is a 4
4,5 4,5,8
possible or
confirmed case 3,7
Direct care or visit single use 4 single use X single X X X
to any individuals in 4
use 4
the extremely
vulnerable group or
where a member of
the household is
within the extremely
vulnerable group
undergoing shielding
Home birth where single use 4 single use single use 4 X sessional use 5 X risk assess
any member of the 4
sessional use 5,8
household is a
possible or
confirmed case 3,7
Brighton and Hove CCG | Coastal West Sussex CCG | Crawley CCG | Eastbourne, Hailsham and Seaford CCG
Hastings and Rother CCG | High Weald Lewes Havens CCG | Horsham and Mid Sussex CCGCOVID-19 PPE Requirements (3)
Setting Context Disposable Disposable Disposable Surgical Fluid resistant Filtering face Eye/face
gloves plastic fluid-repellent mask surgical mask place protection
apron coverall/apron respirator
(FFP3)
Community- Facility with possible single use 4 single use 4 X X sessional use 5 X risk assess
care home, or confirmed sessional use 5,8
mental health case(s)3 – and direct
inpatients and resident care (within
other 2 metres)
overnight care
facilities e.g.
learning
disability,
hospices,
prison
healthcare
Any setting Collection of single use 4 single or X X single or X single or
nasopharyngeal sessional sessional use sessional use 4,5
swab(s) use 4,5 4,5
Brighton and Hove CCG | Coastal West Sussex CCG | Crawley CCG | Eastbourne, Hailsham and Seaford CCG
Hastings and Rother CCG | High Weald Lewes Havens CCG | Horsham and Mid Sussex CCGCOVID-19 PPE guidance references
• 1. This may be single or reusable face/eye protection/full face visor or goggles.
• 2. The full list of aerosol generating procedures (AGPs) is within the IPC guidance [note APGs are undergoing a further
review at present].
• 3. A case is any individual meeting case definition for a possible or confirmed case:
https://www.gov.uk/government/publications/wuhan-novel-coronavirus-initial-investigation-of-possible-cases/investigation-
and-initial-clinical-management-of-possible-cases-of-wuhan-novel-coronavirus-wn-cov-infection
• 4. Single use refers to disposal of PPE or decontamination of reusable items e.g. eye protection or respirator, after each
patient and/or following completion of a procedure, task, or session; dispose or decontaminate reusable items after each
patient contact as per Standard Infection Control Precautions (SICPs).
• 5. A single session refers to a period of time where a health care worker is undertaking duties in a specific care
setting/exposure environment e.g. on a ward round; providing ongoing care for inpatients. A session ends when the health
care worker leaves the care setting/exposure environment. Sessional use should always be risk assessed and considered
where there are high rates of hospital cases. PPE should be disposed of after each session or earlier if damaged, soiled, or
uncomfortable.
• 6. Non clinical staff should maintain 2m social distancing, through marking out a controlled distance; sessional use should
always be risk assessed and considered where there are high rates of community cases.
• 7. Initial risk assessment should take place by phone prior to entering the premises or at 2 metres social distance on
entering; where the health or social care worker assesses that an individual is symptomatic with suspected/confirmed cases
appropriate PPE should be put on prior to providing care.
• 8. Risk assessed use refers to utilising PPE when there is an anticipated/likely risk of contamination with splashes, droplets
or blood or body fluids.
• 9. For explanation of shielding and definition of extremely vulnerable groups see guidance:
https://www.gov.uk/government/publications/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-
covid-19/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19
•
Brighton and Hove CCG | Coastal West Sussex CCG | Crawley CCG | Eastbourne, Hailsham and Seaford CCG
Hastings and Rother CCG | High Weald Lewes Havens CCG | Horsham and Mid Sussex CCGAerosol Generating Procedures
• It is not anticipated, that clinicians will be carrying out infectious
aerosol-generating procedures in a Hot hub (AGP).
• Chest compressions and defibrillation (as part of resuscitation) are
not considered AGPs;
first responders can commence chest compressions and defibrillation
without the need for AGP PPE while awaiting the arrival of other personnel
who will undertake airway manoeuvres.
On arrival of the team, the first responders should leave the scene before
any airway procedures are carried out and only return if needed and if
wearing AGP PPE.
Brighton and Hove CCG | Coastal West Sussex CCG | Crawley CCG | Eastbourne, Hailsham and Seaford CCG
Hastings and Rother CCG | High Weald Lewes Havens CCG | Horsham and Mid Sussex CCGAerosol Generating Procedures
• Intubation, extubation and related procedures
• Tracheostomy / tracheostomy procedures
• Manual ventilation
• Open suctioning
• Bronchoscopy
• Non-invasive ventilation (NIV) e.g. Bi-level Positive Airway
Pressure (BiPAP and Continuous Positive Airway Pressure
ventilation (CPAP)
• Surgery and post-mortem procedures in which high-speed
devices are used
• High-frequency oscillating ventilation (HFOV)
• High-flow Nasal Oxygen (HFNO)
• Some dental procedures (e.g. high speed drilling)
Brighton and Hove CCG | Coastal West Sussex CCG | Crawley CCG | Eastbourne, Hailsham and Seaford CCG
Hastings and Rother CCG | High Weald Lewes Havens CCG | Horsham and Mid Sussex CCGDecontamination and cleaning
Housekeeping provision at Hot hubs will need to cover a regular clean at least
daily, 7 days a week. Staff undertaking this role must be competent and trained in
the use of PPE and practices must have the relevant COSHH risk assessments in
place for all products used.
Between patient consultations
Staff must wear PPE consisting of gloves, apron and fluid repellent facemask and
goggles/full face visors. This can be the same set of PPE on from seeing the
patient. decontaminate horizontal surfaces, chairs, the sink, high-touch surfaces
such as door handles and light switches, and any equipment used, including
goggles.
Environment
The ideal is to use a combined detergent/chlorine releasing solution with a
concentration of 1,000-ppm av cl*. Solutions include Chlor-Clean, and Actichlor
Plus
Brighton and Hove CCG | Coastal West Sussex CCG | Crawley CCG | Eastbourne, Hailsham and Seaford CCG
Hastings and Rother CCG | High Weald Lewes Havens CCG | Horsham and Mid Sussex CCGDecontamination and cleaning
Equipment
Decontaminate equipment including goggles or full face visors with disposable
cloths/paper roll and a fresh solution of combined detergent/chlorine releasing
solution of 1,000 parts per million available chlorine (ppm av cl) *, prepared and
used as above
If you do not have a combined product, you must use a detergent solution, rinse
and dry followed by a chlorine-containing disinfectant solution, making sure you
follow the manufacturer’s instructions for dilution, application, contact time and
instructions for rinsing or leaving to dry naturally.
If the item cannot withstand chlorine releasing agents consult the manufacturer’s
instructions for a suitable alternative to use following or combined with detergent
solution.
Keyboards should be able to be cleaned or have a cover that allows this. If
possible, site computers in a different, ‘clean’ room to the consultation room.
Brighton and Hove CCG | Coastal West Sussex CCG | Crawley CCG | Eastbourne, Hailsham and Seaford CCG
Hastings and Rother CCG | High Weald Lewes Havens CCG | Horsham and Mid Sussex CCGDaily cleaning of the Environment
During the day
Frequently touched surfaces throughout the Hub should be cleaned regularly
to limit environmental contamination
o These can be decontaminated with the combined solution as
described above
o Alternatively, using combined detergent/disinfectant wipes such as
Clinell Universal Wipes. If using Clinell Universal Wipes, the surface
should be rubbed clean, and then left wet for 60 seconds for the
disinfectant part to be effective.
o If no Clinell Universal Wipes are available, detergent wipes, dried,
followed by alcohol wipes with a content of 70% alcohol or higher (and
allowed to dry naturally), can be used.
Brighton and Hove CCG | Coastal West Sussex CCG | Crawley CCG | Eastbourne, Hailsham and Seaford CCG
Hastings and Rother CCG | High Weald Lewes Havens CCG | Horsham and Mid Sussex CCGDeep Cleaning
• Cleaning equipment should be single use where possible
• At a minimum daily, a full deep clean should be completed to include a
chlorine disinfection
• If chlorine disinfection product is unavailable, a detergent should be used
combined with a chlorine disinfectant or separately.
• Ensure all surfaces are cleaned following the high to low, clean to dirty
process.
• All surfaces and all equipment in and out of the consultation rooms should
be included in the clean. This will include blood pressure cuffs and
sphygmomanometer and the non-disposable parts of otoscopes etc., even
if not used in the previous consultation.
• Computer keyboards should be wipe able or have a wipe able cover, or
able to withstand bleach
• Follow decontamination guidance for primary care
Brighton and Hove CCG | Coastal West Sussex CCG | Crawley CCG | Eastbourne, Hailsham and Seaford CCG
Hastings and Rother CCG | High Weald Lewes Havens CCG | Horsham and Mid Sussex CCGManagement of waste
• Dispose of all waste as clinical waste
• Waste should be classified at infectious (Orange bag) and stored securely
• Ensure adequate storage for waste is available due to increase from PPE.
Brighton and Hove CCG | Coastal West Sussex CCG | Crawley CCG | Eastbourne, Hailsham and Seaford CCG
Hastings and Rother CCG | High Weald Lewes Havens CCG | Horsham and Mid Sussex CCGManagement of linen
The appropriate use of personal protective equipment (PPE) will protect staff
uniform from contamination in most circumstances.
Areas of clothing left exposed by PPE are generally lower touch areas and
therefore are lower risk to clinicians, who should be maintaining social
distancing.
Uniforms should be:
Changed into within the Hot hub and before staff leave the building
Enable staff to be bare below the elbows (short sleeved or sleeves able to be
rolled up for duration of shift).
External laundry company will undertake appropriate decontamination of all
uniforms
Practices should provide changing rooms/areas where staff can change into
uniforms on arrival at work via a clean entry point.
Brighton and Hove CCG | Coastal West Sussex CCG | Crawley CCG | Eastbourne, Hailsham and Seaford CCG
Hastings and Rother CCG | High Weald Lewes Havens CCG | Horsham and Mid Sussex CCGUseful Resources
Infection Prevention Society COVID-19 Advice and Guidance
https://www.ips.uk.net/professional-practice/resources1/covid-19-advice-and-
guidance/#.XnTcu3d2vIW
Coronavirus (COVID-19): residential care, supported living and homecare
guidance
https://www.gov.uk/government/publications/covid-19-residential-care-supported-
living-and-home-care-guidance
COVID-19 Department of Health and Social Care (DHSC), Public Health Wales
(PHW), Public Health Agency (PHA) Northern Ireland, Health Protection
Scotland (HPS) and Public Health England as official guidance.
https://assets.publishing.service.gov.uk/government/uploads/system/uploads/atta
chment_data/file/872745/Infehttps://www.england.nhs.uk/coronavirus/ction_prev
ention_and_control_guidance_for_pandemic_coronavirus.pdf
NHSE and NHSI Coronavirus guidance for clinicians
https://www.england.nhs.uk/coronavirus/
Brighton and Hove CCG | Coastal West Sussex CCG | Crawley CCG | Eastbourne, Hailsham and Seaford CCG
Hastings and Rother CCG | High Weald Lewes Havens CCG | Horsham and Mid Sussex CCGPresentation resources
Infection Prevention Training Package
https://www.ips.uk.net/professional-practice/resources1/covid-19-advice-and-
guidance/#.XnTcu3d2vIW
COVID-19; Guidance for infection prevention and control in healthcare settings, Adapted from
Pandemic Influenza: Guidance for Infection prevention and control in healthcare settings 2020
Issued jointly by the Department of Health and Social Care (DHSC), Public Health Wales
(PHW), Public Health Agency (PHA) Northern Ireland, Health Protection Scotland (HPS) and
Public Health England as official guidance
https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/fil
e/872745/Infection_prevention_and_control_guidance_for_pandemic_coronavirus.pdf
Brighton and Hove CCG | Coastal West Sussex CCG | Crawley CCG | Eastbourne, Hailsham and Seaford CCG
Hastings and Rother CCG | High Weald Lewes Havens CCG | Horsham and Mid Sussex CCGYou can also read
