News Page 2

  Temporary medical exemptions      For COVID-19 vaccination   Of people working / deployed in care homes
   Dear Colleague,    Regulations were approved by Parliament on 22 July 2021 to make vaccination a condition of deployment for staff working in CQC-regulated care homes in England, unless they have a medical exemption. A 16-week grace period was put in place to ensure staff who haven’t been vaccinated could take up the vaccine before the regulations come into force on 11 November 2021.   Thanks to the incredible efforts of people across the care sector to encourage and reassure colleagues about vaccination, as of 9 September, 90.4% of care home workers have now had a first dose of a COVID-19 vaccine, with 82.2% of care home staff now fully vaccinated.   The Department of Health and Social Care has been working as quickly as possible to ensure that people who are not able to get the vaccine for medical reasons are not disadvantaged.   On a temporary basis, from today, people working or volunteering in care homes who have a medical reason why they are unable to have a COVID-19 vaccine will be able to self-certify that they meet the medical exemption criteria, using the forms attached to this letter.     Care home workers who are exempt will need to sign the form attached to this letter and give this to their employer as proof of their temporary exemption status. This temporary self-certification process has been introduced for a short period prior to the launch of the new NHS COVID Pass system which will go live imminently.   Once the NHS COVID Pass system is launched, care home workers will need to apply for a formal medical exemption through that process. This temporary self-certification will expire 12 weeks after the NHS COVID Pass system is launched.     Who is exempt:   While this list is not exhaustive, examples of medical exemptions from COVID-19 vaccination could include individuals: Receiving end of life care where vaccination is not in the individual’s interests. With learning disabilities or autistic individuals, or with a combination of impairments which result in the same distress, who find vaccination and testing distressing because of their condition and cannot be achieved through reasonable adjustments such as provision of an accessible environment. With medical contraindications to the vaccines such as severe allergy to all COVID-19 vaccines or their constituents. Who have had adverse reactions to the first dose (e.g. myocarditis).   Time-limited exemptions will also be available for those with short-term medical conditions (e.g. people receiving hospital care or receiving medication which may interact with the vaccination).  A time-limited exemption is also available for pregnant women should they choose to take it.   Exemptions for conditions listed in section 4.4 (special warnings and precautions for use) in the Summary of Product Characteristics for each of the approved COVID-19 vaccines (Pfizer, AstraZeneca and Moderna) may also be considered.   Individuals that have received a COVID-19 vaccination abroad can also self-certify as medically exempt. This is because it is not clinically appropriate for them to be vaccinated in the UK if they have already received a partial or full course of vaccination overseas.   We will update the operational guidance we have already published in the coming days to reflect the temporary exemption system outlined in this letter.  

Exemption from vaccinations and vaccinations taken abroad

Below are the latest from the DHSC regarding medical exemption and for those who had their vaccinations abroad.

Please find attached a letter from the DHSC, on the exemptions process for the vaccination as a condition of deployment regulations. It outlines the non-exhaustive list of medical exemptions from the Covid-19 vaccine and the temporary self-certification system to declare them. This temporary system will expire 12 weeks after the NHS COVID Pass System is launched.

Also attached are the forms care workers can use to self-certify their exemption or self-certify that they have been vaccinated abroad. As I’m sure you are aware, Sept. 16th is the last day for an unvaccinated person to receive their first dose, to allow the appropriate time between their first and second dose.

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Booster Vaccines

The JCVI has recommended and DHSC has accepted that booster vaccines should be given to those that are in the original priority groups 1 to 9:

  • Those living in residential care homes for older adults
  • All adults aged 50 years or over
  • Frontline health and social care workers
  • All those aged 16 to 49 years with underlying health conditions that out them at higher risk of severe COVID-19, and adult carers
  • Adult household contacts of immunosuppressed individuals

The booster programme will start from Monday 20 September.

A booster vaccine dose will be offered no earlier than 6 months after the completion of the first 2 doses. The JCVI has a preference for the Pfizer vaccine for boosters but alternatively a half dose of Moderna can be offered. AstraZeneca is only to be offered where mRNA vaccines cannot be offered, for example, due to allergies. The flu vaccine can be administered at the same time.

This announcement is separate from the recent advice for those who are immunosuppressed to have a third dose.


Interested in Workforce Development Funding to support your staff development?

See this page on the Skills for Care website – this gives information about what qualification and learning programmes are covered by the funding, etc: www.skillsforcare.org.uk/wdf

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Presentations and recording of the RM V-Meeting September 8th 2021.

Thanks to our speakers from CQC & SfC and apologies to those who were not able to join due to a Zoom issue.

CQC – Emma MacFarlane –

SfC – Selena Docherty & Laura Anthony –

Event recording – https://youtu.be/Gb2i2l3dQfg

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DHSC – Open consultation

Making vaccination a condition of deployment in the health and wider social care sector

https://www.gov.uk/government/consultations/making-vaccination-a-condition-of-deployment-in-the-health-and-wider-social-care-sector

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Capacity Tracker Survey – Please Respond

NECS would like to help providers make the most of the Capacity Tracker, including finding information to support your organisation.   Please could you take a minute to complete this short 4 question survey so that they can better tailor their support and help you to complete the Capacity Tracker quickly and easily.  It is your chance to influence how you are supported to complete the tracker.  The closing date for the survey is Friday 17th September 2021.

To complete the survey, go to https://www.surveymonkey.co.uk/r/C5QLH82.

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Five top Health & Safety mistakes & how to prevent them

The Health & Safety Executive (HSE) has published that a total of 142 workers were fatally injured in the workplace in 2020/21 – an increase of 29% from the previous year.

The Health & Safety experts of LCAS partner, Citation, work with thousands of clients up and down the country, helping business owners get Health & Safety right in their business.

Whether you need a quick refresher, or your usual Health & Safety obligations have taken a backseat during COVID, they’ve put together this exclusive free guide to give you an insight into the most common Health & Safety mistakes they see, and their top tips on how to avoid them in your business.

DOWNLOAD

Your LCAS member benefit

If you’d like to chat about how Citation can help with the HR and Health & Safety side of your business, just give us a call on 0345 844 1111, or fill in our call-back form and they’ll get right back to you.

Quote ‘London Care & Support Forum’ when enquiring to access your member benefit.

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Driven by Health with Care e-magazine –

https://drivenbyhealth.us13.list-manage.com/track/click?u=198c3d83f001d590b7ffb2431&id=837088b728&e=6f87af3336

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JCVI advice on third dose vaccination for severely immunosuppressed

The JCVI is advising that people with severely weakened immune systems should have a third vaccine dose as part of their primary COVID-19 vaccination schedule. This is separate to any potential booster programme (see below).

The JCVI’s offer is to people over the age of 12 who were severely immunosuppressed at the time of their first or second dose, including those with leukaemia, advanced HIV and recent organ transplants. The idea is to provide an extra dose for those who may not have generated a full immune response to the first 2 doses. The third dose should usually be at least 8 weeks after the second dose but there is flexibility if this is not possible. mRNA (Moderna and Pfizer) vaccines will be used for the third doses. Those who receive a third dose should also receive a later booster vaccine.

You can find more detail, including full information about who this applies to, in the following links:

COVID-19 Booster Programme

We are still awaiting final information and approval from the JCVI before any COVID-19 booster programme can take place. In contrast to the above, a booster dose is designed to extend the duration of protection from the primary course of vaccines.

The NHS and DHSC are planning a booster programme on the assumption that the JCVI will imminently approve it, starting with the priority groups from the previous two doses. You may want to start gathering consent from residents in preparation. It is likely residential care homes for older adults, frontline health and social care workers, adults over the age of 70, adults over the age of 16 who are immunosuppressed, and adults over the age of 16 who are clinically extremely vulnerable will be prioritised. This should be followed by adults aged 50 or over, adults aged 16-49 in an at-risk group (including residents within non-older adult care homes) and adult household contacts of immunosuppressed individuals. The delivery model for care homes will take place via a roving model from PCN led sites – the same as the first two doses. The relevant SOPs are:

  • Local Vaccination Services SOP – this appears to have been removed from the NHS website to be updated
  • Roving Model SOP – likely to be updated

Social care staff should have access to vaccination via the National Booking Service, Roving PCN teams or potentially by a direct call from the NHS – this last one is subject to information governance approval. We will circulate updated information when we have it – hopefully with NHS draft operational slides.

Lastly, booster vaccines are not currently part of the regulations for vaccination as a condition of deployment in care homes.

Flu Vaccination Programme

We are still awaiting updated guidance for how social care workers can receive their flu vaccination. The National Flu Immunisation letter sets out an expectation that all social care workers are offered a free flu vaccine from their GP or local pharmacy as early as possible. The letter from DHSC (attached) encourages staff to get the flu vaccine as soon as possible. Co-administration of both flu and COVID-19 booster vaccinations will be available in some cases but not all due to logistical challenges. It is therefore important that social care workers are encouraged to get a flu vaccine as soon as possible via the normal route and not to wait for the availability of co-administration.

CPA Webinars on making vaccination a condition of deployment & visiting

The presentations and Q&A from the webinar on 23 August have now been published here.

There will be a further two webinars, one on workforce and HR issues as a result of the new vaccine policy and the other looking at how to overcome barriers to rolling out the Essential Care Giver role and wider visiting arrangements in care homes. Sign up using the links below:

DHSC Webinar on making vaccination a condition of deployment

DHSC have now published the recording of their webinar session from last month.

CQC Webinar: Monitoring and prioritising inspections

CQC is holding a webinar on 20 September, 3-4pm to discuss their monitoring approach. You can register for the event here.

CQC Strategy Surveys

CQC is looking for feedback on a number of different surveys:

DHSC survey on temporary DBS checks

DHSC is running a survey on the temporary DBS checks put in place during the pandemic. They are inviting adult social care employers to complete an online survey to share their experiences implementing them.

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a press release from Public Health England announcing that the Joint Committee on Vaccination and Immunisation

is advising that people with severely weakened immune systems should have a third vaccine dose as part of their primary COVID-19 Vaccination schedule.

We have posted a graphic on DHSC social media channels which links to the Public Health England press release. It would be greatly appreciated if you could share this post with your audiences.

Twitter: https://twitter.com/DHSCgovuk/status/1433113954780340228

Facebook: https://www.facebook.com/DHSCgovuk/posts/1039637596785063

LinkedIn: https://www.linkedin.com/feed/update/urn:li:activity:6838881341170298880

Also below are statements from the Health and Social Care Secretary and Deputy Chief Medical Officer following the advice.

Statements from the Health and Social Care Secretary and Deputy Chief Medical Officer following the advice from the Joint Committee on Vaccination and Immunisation (JCVI) to offer people with severely weakened immune systems a third dose of a COVID-19 vaccine.

Health and Social Care Secretary Sajid Javid said:

“Today I have accepted the expert recommendations from the independent Joint Committee on Vaccination and Immunisation to offer a third vaccine dose to people aged 12 and over with severely weakened immune systems as part of their primary schedule following data from trials of those who are immunosuppressed.

“We know people with specific conditions that make them particularly vulnerable to COVID-19 may have received less protection against the virus from two vaccine doses. I am determined to ensure we are doing all we can to protect people in this group and a third dose will help deliver that.

“The NHS will contact people as soon as possible to discuss their needs and arrange an appointment for a third dose where clinically appropriate.

“This is not the start of the booster programme – we are continuing to plan for this to begin in September to ensure the protection people have built from vaccines is maintained over time and ahead of the winter. We will prioritise those most at risk to COVID-19, including those who are eligible for a third primary vaccine, for boosters based on the final advice of the JCVI.

“COVID-19 vaccines have saved more than 105,000 lives and prevented 24 million infections in England alone. They are building a wall of defence and are the best way to protect people from serious illness. I encourage everybody who is eligible to get their jabs as soon as they can.”

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Professor Jonathan Van Tam, Deputy Chief Medical Officer, said:

“We know there are people with severe immunosuppression for whom the first two doses of vaccine have not provided the same level protection as for the general population. The degree of protection will vary by individual, according to degree of immunosuppression and the underlying reasons for that.

“So I welcome the advice from JCVI to offer a third primary dose to those with severe immunosuppression, at a bespoke interval, advised by their specialist clinician, and guided by the UK’s immunisation handbook, the Green Book.

“We should be doing all we reasonably can to ensure that this group is not disadvantaged and a third primary dose is one step in this direction. We are also working hard to ensure there are other medical interventions that can be used in these groups, including specific treatments like antivirals and monoclonal antibodies.”

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Please find attached details of the plans for vaccination Phase 3.

The process for vaccinating care home staff and the schematic slide, is dependent on some tech and data solutions.

All plans are subject to confirmation by JCVI.

DHSC External Affairs Weekly newsletter

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Agency Staff Costs… Are You Paying Too Much VAT?

Care providers employing agency staff may be paying unnecessary VAT charges

VAT Solutions have been able to reduce such agency costs for some of our clients, as we have found that many care operators are not aware that through an HMRC extra-statutory concession, supplies of nurses, nursing auxiliaries and care assistants by state-regulated agencies (the nursing agencies’ concession) to a third party could be treated as VAT exempt. Nursing agencies (or employment businesses that provide nurses and midwives, as well as other health professionals) may exempt the supply of nursing staff and nursing auxiliaries supplied to a third party, if the supply is of:

  • A registered qualified nurse or midwife (under article 5 of the Nursing and Midwifery Order 2001) providing medical care to a final patient.
  • An unregistered nursing auxiliary who is ‘directly supervised’ by one of the above.

Is your care provision employing agency staff in either of the above capacities? If you are being charged VAT on such supplies and think that the HMRC concession could be applicable, we would be happy to talk you through in more detail…. Read the full article here.

To speak to a care sector VAT specialist regarding the above, please contact Emma Harrison at VAT Solutions emma@vatsol.com Tel: 0114 280 363

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RM Partnership Meeting with CQC & SfC

September 8th 10.00 – 11.30

Invitation & Agenda

Emma MacFarlane CQC Inspection Manager will be joining for an open discussion on CQC and how upcoming changes to inspection may affect you and your organisation

Laura Anthony SfC Locality Manager. SfC have made many current and very useful additions to their website, Laura will present an overview of these and how to apply them to key topics across your organisation.

There will also be time for discussion to cover issues that you’d like to discuss, or gain further information on. Do check the LCAS News page for updates – https://lcasforumorg.wordpress.com/news-page-2-2/

We look forward to seeing you and hearing from you

To Join this, Zoom Virtual Meeting – 08/09/21 – 10.00-11.30

https://us06web.zoom.us/j/89813770576?pwd=eWlmdXAwWlAySk8zRGxKS1VHZUtPdz09

Meeting ID: 898 1377 0576

Passcode: 680727

One tap mobile

+442034815240,,89813770576#,,,,*680727# The United Kingdom

+442039017895,,89813770576#,,,,*680727# The United Kingdom

Dial by your location

        +44 203 481 5240 The United Kingdom

Any queries, please contact Peter Webb peter@lcasforum.org 07956878901 Or Dudley Sawyerr dudley@lcasforum.org 07984466130

E&OE

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Changes to self-isolation guidance for care settings

Following the 16-August changes to self-isolation guidance, the guidance for social care settings has been updated.

Due to the success of the vaccination programme, we are now able to remove the self-isolation requirement for fully vaccinated people who are:

  1. A contact of someone who has tested positive for COVID-19;
  2. Returning to their care home following a planned hospital stay; or,
  3. Transferring from another care facility.

In adult social care settings, the self-isolation exemption for fully vaccinated contacts means:

  • Staff who are a contact can continue working if they have no symptoms and have a negative PCR test, followed by daily LFD tests for 10 days (from the point of contact). If the staff member works with patients or residents who are clinically extremely vulnerable to COVID-19 (as determined by the organisation), a risk assessment should be undertaken, and consideration given to redeployment during the 10-day period;
  • Residents in care homes who are a contact should not be required to self-isolate if they have no symptoms and have a negative PCR test. This should be followed by daily LFDs for 10 days (from the point of contact). Residents can continue to receive visitors unless there is an outbreak in the care home; and,
  • Visitors to care homes who have been identified as a contact are advised against visiting for 10 days after contact unless absolutely necessary. Where visits do occur, visitors should have received a negative PCR result, and a negative LFD result on the day of their visit.

The below pieces of guidance have been updated:

Admission and care of residents in a care home during COVID-19 – GOV.UK (www.gov.uk)

Guidance on care home visiting – GOV.UK (www.gov.uk)

Visits out of care homes – GOV.UK (www.gov.uk)

COVID-19: guidance for supported living – GOV.UK (www.gov.uk) Please find attached a letter from our Director, Claire Armstrong, detailing the changes and guidance, as well as a Q&A.

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Risk Assessments

The registered manager is responsible for conducting risk assessments ‘in line with existing infectious diseases risk assessments and give consideration to the need to maintain safe staffing levels.’ The assessments themselves should give consideration to ensuring staff can deliver safe care during the period they would otherwise be required to isolate. This includes PPE, cohorting and enhanced testing of COVID-contacts. It also suggests that contacts of positive cases should be redeployed for 10 days to avoid contact with anyone who is clinically extremely vulnerable – the Q&A recognises that this ‘may be challenging in adult social care setting’ – perhaps a little bit of an understatement!

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Agency Staff Costs… Are You Paying Too Much VAT?

Care providers employing agency staff may be paying unnecessary VAT charges

VAT Solutions have been able to reduce such agency costs for some of our clients, as we have found that many care operators are not aware that through an HMRC extra-statutory concession, supplies of nurses, nursing auxiliaries and care assistants by state-regulated agencies (the nursing agencies’ concession) to a third party could be treated as VAT exempt. Nursing agencies (or employment businesses that provide nurses and midwives, as well as other health professionals) may exempt the supply of nursing staff and nursing auxiliaries supplied to a third party, if the supply is of:

  • A registered qualified nurse or midwife (under article 5 of the Nursing and Midwifery Order 2001) providing medical care to a final patient.
  • An unregistered nursing auxiliary who is ‘directly supervised’ by one of the above.

Is your care provision employing agency staff in either of the above capacities? If you are being charged VAT on such supplies and think that the HMRC concession could be applicable, we would be happy to talk you through in more detail…. Read the full article here.

To speak to a care sector VAT specialist regarding the above, please contact Emma Harrison at VAT Solutions emma@vatsol.com Tel: 0114 280 363

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Guidance for Domiciliary Care

The ‘How to Work Safely in Domiciliary Care’ guidance has been updated and now includes a paragraph on what PPE to use when supporting an individual or client on visits out. Some key things to note:

  • The risk assessment section has been updated to include what to do in a situation where a client is displaying early symptoms of COVID-19
  • If an outing with a client will include direct personal care, the correct PPE should be used as outlined in the section within 2 metres and carrying out direct personal care or domestic duties
  • Occasional physical support or assistance with everyday tasks does not require gloves or aprons
  • Face coverings should be worn on public transport and in crowded enclosed spaces where clients will be in contact with people they do not normally meet
  • Type I or II surgical masks are sufficient unless the employer has a good supply of Type IIR masks

The guidance has also been updated to include contact details for the Health and Safety Executive if staff have concerns about their safety.

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Free Citation employment law guide on compulsory vaccination in care home settings

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The latest edition of Driven by Health with Care magazine is here for you to download. Lots of features –

How do we build an outstanding social care workforce post-pandemic?

The Use of A I

& much more

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Guidance on exemptions from self-isolation policy!!!!

Earlier this week, the management of staff and exposed patients and residents in health and social care settings guidance was updated to bring it into line with the FAQ and Letter we circulated last week. See section 2.5.

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Acas

Both Skills for Care and the operational guidance for vaccination as a condition of deployment cite Acas as the organisation to provide impartial advice to employers, employees, and their representatives on:

  • employment righs
  • best practice ad policies
  • resolving workplace conflict

We have been told that the helpline service has been fully briefed to respond to calls and inquiries in relation to vaccination as a condition of deployment. If you have used this helpline for this purpose, NCF would be very interested in hearing your experiences. There are a number of unknowns about how useful this service will be in the limited time to implement the policy.

Acas also has a series of advice pages dedicated to the new policy or issues related to it – see page 41 of the operational guidance for a list of page links.

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Strategic framework call for evidence 2021 

Health Education England (HEE) has been commissioned to work with partners to review long term strategic trends for the health and social care workforce.

This will review, renew and update the existing 15-year strategic framework for workforce planning, Framework 15. While Framework 15 focused on health only, this update will extend into social care, encompassing regulated professionals in social care for the first time.

For full information and details of events –

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Compulsory Vaccination Update – Aug. 4th

The vaccination as a condition of deployment operational guidance has been published – LINK

Please find attached a letter to local authority chief executives, directors of adult social services, care home providers and care home managers from our Director, Claire Armstrong, to accompany the guidance. If you are able to cascade this letter through your channels, that would be hugely appreciated.

DHSC are also hosting a webinar on Tuesday 17 August, 12:30 – 13:30, for care home managers and providers: DHSC webinar – Eventbrite. The purpose of the event is to outline key points of the guidance and the details of implementation, and to give care home managers and providers the opportunity to have their questions answered.

You can find additional resources, including social media assets and a Q&A, in our stakeholder google drive, as well as on the Skills for Care vaccination as a condition of deployment resource centre once it has been updated. We would also like to draw your attention to a blog written by Dr Pete Calveley, CEO of Barchester, on their experiences of implementing a similar policy this year. We are very grateful for Barchester for sharing their experiences with the sector – if you would like to share your experiences of driving vaccine uptake amongst staff, or know of any other providers who would, please get in touch. We are keen to share as many examples of best practice as possible.

CQC statement on how they will monitor vaccination regulations

Ongoing monitoring and inspection

  • Monitoring that providers comply with the Regulations is CQC’s responsibility.
  • We propose to add the following question to the Provider Information Return (PIR) once this duty is in place: ‘How are you assured that those you employ and deploy within your service have had their mandatory vaccinations?’
  • We will also build a similar question into our monitoring approach once this duty is in place. Further information will be provided in due course.
  • Where we have information of concern, through any route, we will follow this up. This may include seeking assurance from the provider or carrying out an on-site inspection.
  • On inspection, where the information we hold identifies concerns, we will look for evidence to confirm systems and processes are in place to comply with the requirement.
  • Registered persons will not be required to show a record of the evidence itself to inspectors but will need to be able to provide reassurance that systems and processes are in place to ensure individuals who enter the premises are fully vaccinated. Registered persons may choose to make a record of the evidence they have seen for their own internal staff employment record keeping. If the evidence is collected and recorded, all personal data must be handled in accordance with UK GDPR. This includes providing individuals with privacy information at the stage their data is being collected. Please refer to the guidance from the Information Commissioner’s Office to ensure you have the appropriate lawful basis, technical and security measures in place to protect personal data.
  • Registered persons (or those acting on behalf of the registered person) must check that anyone wishing to enter the premises has received a full course of vaccination, unless they are exempt. CQC inspectors are included within the scope of visiting professionals for the purpose of this Regulation and we are considering the practical implications of this for our staff in exercising their regulatory activity. Compliance with the Regulations would be an appropriate reason for not granting access to a CQC inspector, or another individual, unless they are exempt.

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COVID-19: management of staff and exposed patients or residents in health and social care settings – 2nd August update

https://www.gov.uk/government/publications/covid-19-management-of-exposed-healthcare-workers-and-patients-in-hospital-settings/covid-19-management-of-exposed-healthcare-workers-and-patients-in-hospital-settings

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Free Neil Eastwood Recruitment Masterclasses – Are you finding it harder and harder to recruit care staff?

Take my online Masterclass to protect your care organisation from the worsening recruitment catastrophe… it is now FREE to access!

You can see it at www.findandkeepthebest.com

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We’ve just published guidance on the 2-hour crisis response standard

to ensure that that everyone over the age of 18 will have access to crisis response care in their homes or usual place of residence within two hours by April next year. This programme has been accelerated to help the Covid recovery.

Attached is a briefing for your information. Please could we also ask if you could share the news and our key messages with your communities.  Some text is provided could be used on your websites or newsletters. Please amend and tailor this text at your discretion so that it speaks to your particular audiences.

Finally, would it be possible for you to promote the guidance on your social media accounts, particularly Twitter. If so, please could use the hashtag #2hrcrisisresponse.

Thank you for your support.

Regards,

Kristian Pelosi

Business Coordinator

Discharge and Community Cell

Community Services & Ageing Well Programme

NHS England and NHS Improvement

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How councils are failing to amend social care charging systems deemed unlawful by High Court

Despite the High Court finding Norfolk council was applying a discriminatory charging policy, charity CASCAIDr has found others are continuing to do similarly, highlighting the need for affordable legal help

Read more – https://www.communitycare.co.uk/2021/07/02/councils-failing-amend-social-care-charging-systems-deemed-unlawful-high-court/?utm_content=How%20councils%20are%20failing%20to%20amend%20social%20care%20charging%20systems%20deemed%20unlawful%20by%20High%20Court&utm_campaign=CC%20daily%2027%2F07%2F2021&utm_source=Community%20Care&utm_medium=adestra_email&utm_term=https%3A%2F%2Fwww.communitycare.co.uk%2F2021%2F07%2F02%2Fcouncils-failing-amend-social-care-charging-systems-deemed-unlawful-high-court%2F

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New Autism Strategy

The government has launched a new strategy to help autistic people live more independent and fulfilled lives. You can access the strategy here.

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Resources to support visiting

In case you missed it, DHSC has published a few resources on the Skills for Care website to help with care home visiting. These include:

  • Q&A
  • Letter from the Minister for Care
  • Template letter for care home managers to share with visitors
  • Care home face covering poster

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Managing COVID-testing in your business

It’s predicted the UK could face 2 million* cases of COVID-19 during the summer months?

With the end of COVID restrictions and work from home guidance, there’s huge challenges for employers to keep their workplaces and people safe as cases continue to rise.

With testing previously described as the potential difference between a business having to close because of an outbreak and remaining open, you might be considering implementing a testing policy in your business. But how confident are you when it comes to consulting on, creating and communicating a testing policy? Do you know your legal obligations?

To make sure you have everything covered and you’re on the right side of the law, the HR & Employment Law experts of Citation, have created this exclusive new guide, covering the essential considerations employers must make before implementing any testing policy in their business.

DOWNLOAD

Some of the key questions the guide explores, include:

  • Can you make testing mandatory?
  • What’s the best way to communicate your stance on testing to your employees?
  • Can you ask your employees to disclose their test results?
  • What are the data protection implications of workplace testing?

Your member benefit

If you’d like to discuss how Citation can help with the HR and Health & Safety sides of your business, just give them a call on 0345 844 1111, or fill in their call-back form and they’ll get back to you.

Quote LCAS when enquiring to access your member benefit.

*Source: The Guardian

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PPE Guidance

The PPE guidance for care homes and domiciliary care has been updated . The change mostly relate to wording and legal changes. The guidance as a result remains the same. The domiciliary care guidance has also been updated to state that of masks Type I, II or IIR masks can be used for domestic duties.

Admissions to Care Home Guidance

The admissions to care home guidance has been updated to clarify that where a resident is being admitted from another care home or care facility, care home managers should undertake a risk assessment to determine whether self-isolation is required.

Please be wary of the ‘summary of changes in this version’ section as it is misleading. It lists all the changes made to guidance not just those made over the weekend.


Supported Living Visiting

The guidance for supported living visiting has been updated to clarify the policy on limiting close contact and visiting in and out of supported living settings. From today, there are no restrictions on the number of people individuals can meet. Nevertheless, it asks for dynamic risk assessment for the overall setting and individualised risk assessments to continue to be created for individuals. It continues to suggest a number of measures to mitigate risk – including testing although this isn’t a requirement for visitors or those supported by care.



Vaccination Programme

Over the weekend DHSC announced this year’s flu programme. They have confirmed that frontline health and adult social care staff will be eligible for a free jab as part of this programme. The jabs will begin to be offered from September 2021.

Frontline health and social care staff can avoid self-isolation in certain circumstances

This morning DHSC released a press release stating that double vaccinated NHS and social care staff in England who have been told to self-isolate will be permitted to attend work in exceptional circumstances by using testing mitigations. This includes those who have been contacted directly by NHS Test and Trace and those ‘pinged’ by the app.

Those that are told to self-isolate must take a PCR test and then daily negative lateral flow tests for a minimum of seven days, and up to ten days or completion of what would have been the self-isolation period. These changes only apply to frontline staff where their absence may lead to a significant risk of harm. Do note that this “decision is subject to a risk assessment by an individual(s) nominated by the organisation’s management, and authorisation by the organisation’s local Director of Infection Prevention and Control and/or the lead professional for health protection and/or Director of Public Health relevant to the organisation.”

The guidance has also been updated to reflect this – see the grey box at the top. Do note that the rest of the guidance hasn’t been updated and section  9.1 as a result may clash with the update.


PPE Guidance

The PPE guidance for care homes and domiciliary care has been updated . The change mostly relate to wording and legal changes. The guidance as a result remains the same. The domiciliary care guidance has also been updated to state that of masks Type I, II or IIR masks can be used for domestic duties.

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Admissions to Care Home Guidance

The admissions to care home guidance has been updated to clarify that where a resident is being admitted from another care home or care facility, care home managers should undertake a risk assessment to determine whether self-isolation is required.

Please be wary of the ‘summary of changes in this version’ section as it is misleading. It lists all the changes made to guidance not just those made over the weekend.


Supported Living Visiting

The guidance for supported living visiting has been updated to clarify the policy on limiting close contact and visiting in and out of supported living settings. From today, there are no restrictions on the number of people individuals can meet. Nevertheless, it asks for dynamic risk assessment for the overall setting and individualised risk assessments to continue to be created for individuals. It continues to suggest a number of measures to mitigate risk – including testing although this isn’t a requirement for visitors or those supported by care.