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Nottingham & Nottinghamshire Covid-19 Response Care Homes and Home Care Toolkit
The Toolkit provides an overview of key areas care home and homecare staff should be familiar with. It is intendedto be used as an electronic quick reference guide, though a PDF version can be downloaded.
Always make sure you have the latest guideance by visiting:https://www.gov.uk/coronavirushttps://www.scie.org.uk/care-providers/coronavirus-covid-19
Managing Admissions and Discharges1.
2. Correct use of Personal Protective Equipment
5. Recognising and Responding to Deterioration
4. COVID-19 Testing
3. Infection Prevention and Control
7. Emergency Care and Treatment includingpalliation and end of life plans
6. Medications and Symptom Managment
9. Communication Channels
8. Death Verification and Grief and BereavementSupport
10. Document Information & Acknowledgements
Admissions (including re-admissions) to social care settings should not put other individuals entering orliving at the address at risk All previously untested individuals will be tested prior to discharge and admission to social careprovision, if identified to be positive, they can continue their isolation period in the home if risks can bemanaged appropriately (if already tested positive isolation will be recommended to continue ondischarge).Discharge and admission should not be delayed – test results pendingAll individuals with possible or confirmed Covid-19 require a minimum of 14 days isolation either fromonset of symptoms or positive test result in the absence of symptoms. All new or returning admissions to all care settings where the individual has a negative test result and isasymptomatic should be isolated for a period of 14 days.Don't rely on a negative test result- these are only accurate on the day of the test! Some care providers will be able to accommodate admissions through excellent IPC and PPEmanagement, effective isolation strategies and cohorting policies. For some care providers effective isolation or cohorting may not be appropriate or available – in thesecases the individuals’ local authority will be asked to secure alternative appropriate accommodationand care for the remainder of the isolation period.
KEY INFORMATION REQUIRED FROM THE HOPSITAL:The date and result of any CV-19 testThe date of symptom onset
Some sites have segregated possible/positive & negative/asymptomatic areas of the home into‘zones’. Staff have then been assigned to a zone and do not move across zones. Some sites are ‘cohorting’ residents with dementia due to many of these individuals being unable toisolate in their own rooms. An area of the home is identified to include a living space and bathroom,staff are assigned to this area and do not move to work in other areas of the homeSome homes are creating dedicated ‘wards or wings’ of the home to manage those withsymptoms/positive. Designated staff remain within theses areas and do not work in other areas ofthe home.Staff must avoid working across other sites wherever possible to reduce the risk of spreading thevirus
Please notify PHE on 0344 225 4524 or email [email protected] You can contact your LA/CCG for practical support about what to do next/how to manage, support withrisk assessment etc. Email the IPC teams. Nottinghamshire County - [email protected] or Nottingham [email protected] and they will call you back in office hours.During evenings and weekends to report an outbreak or gain urgent advice contact PHE on 03442254524.If you have any other COVID-19 query, please contact the Incident Control Centre on 0115 8831111 oremail on [email protected]. Phone lines operate 8am to 8pm 7 days per week
Managing admissions and dischargesSafe admission/discharge principles from NHS to social care settings
Admissions from community settings to care homes/home care provision
A move is being made towards testing individuals from non NHS settingsprior to care home admission/home care provision. The majority of these individuals are likely to have been self Isolating orshielding at home which reduces some of the risk. A 14 day isolation period should still be considered for these individuals.
Cohorting and zoning
Managing a Coronavirus (Covid-19) outbreak
Published guidancehttps://www.gov.uk/government/publications/coronavirus-covid-19-hospital-discharge-service-requirements https://www.gov.uk/government/publications/coronavirus-covid-19-adult-social-care-action-plan/covid-19-our-action-plan-for-adult-social-care https://www.gov.uk/government/publications/coronavirus-covid-19-admission-and-care-of-people-in-care-homes
Working within 2 metres of aperson
Personal or end of life care within 2metres of a person in receipt of care
Personal or end of life care within the roomwhere there are aerosol generating procedures(AGP) e.g. suction
Working in reception or communal areashaving no direct contact but potentialcontact within 2 metres
Correct use of Personal Protective Equipment [PPE]
Gloves [disposable**]Apron [disposable]Fluid resistant surgical mask [forsessional use]Eye protection [goggles or visor] if riskof splashing/coughing [sessional use]
Gloves [disposable]Gown [disposable]FFP3 filtering face mask [sessional use]**wearer must be FIT tested prior to use Eye protection [goggles or visor]
*Sessional use = face masks needs to be disposed of / changed if it needs to be removed (e.g. to drink or eat), take a break or if it is wet, damaged or soiled. A session isdescribed as the period of duty between breaks. **Disposable = wear once and dispose. ALWAYS change between individual care recipients
Putting PPE on & taking it off – Safe PracticeThe risk of infection transmission increases when used PPE is handled(especially face masks). There is a safe way of applying and removing PPE. Please see videos at;
https://youtu.be/-GncQ_ed-9w https://youtu.be/kKz_vNGsNhc
https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/wuhan-novel-coronavirus-wn-cov-infection-prevention-and-control-guidance#anchor www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control https://www.gov.uk/government/publications/Covid-19-how-to-work-safely-in-care-homes
Published guidance
Please note that this guidance is of a general nature and that an employer should consider thespecific conditions of each individual place of work and comply with all applicable legislation,including the Health and Safety at Work etc. Act 1974 and should ALWAYS check the latest guidanceat GOV.uk which is changing very frequently.
PPE is only effective when combined with good hand hygiene, goodrespiratory hygiene and effective infection control practice.Only approved PPE should be worn 'homemade' fabric masks arenot approved for use at work as they are not fluid repellent.
Fluid resistant surgical mask [forsessional use*]
Fluid resistant surgical mask [forsessional use]
Per guidance released 6.5.20
Avoid touching your faceAll waste should be disposed of into the waste bin in the residents room as all waste produced in theroom is classed as infectious. Orange infectious waste bags should be used ideally. If not available yellow clinical waste bags orblack household waste bags (in a home care setting) can be used but should be stored in the room for72 hours, alternatively full waste bags should be double bagged and put into an external bin that iskept locked at all times.Laundry – use usual detergents and where possible wash infected [suspected or confirmed] itemsseparately from others laundry using a soluble linen bag Increase general cleaning. It is estimated that viable virus could be present for up to 5 days but less soon soft furnishings. Ensuring that areas are kept as clutter free as possible will aid effective surfacecleansing. Items such as magazines should be single person use only.Clean and disinfect regularly touched objects and surfaces using your regular cleaning products toreduce the risk of passing the infection on to other people.*
*Method: 1. detergent and water followed by a bleach based product diluted to a strength of 1000ppm, ensuring the correct contact times areadhered to 2. a combined detergent and sodium hypochlorite product diluted to a strength of 1000ppm, ensuring the correct contact times areadhered to.
Infection Prevention and Control
Before you come to workDo not come into work if you have symptomsIf using a car to get to work – use antibacterial spray/wipes to clean high risk areas before and aftertravel Come to work in clean clothes with a clean uniform to change into and a separate outer coat/clothesand work shoes OR Come to work in a clean uniform and bring a clean change of clothes for the end ofshift in a clean disposable bag. Bring disposable bag to store uniform at the end of the shiftUse hand sanitiser 70% alcohol when you leave your vehicle
On arrival at your baseCheck your temperature, only commence work if your temperature is OK Wash your hands for at least 20 seconds using soap and water, use disposable towels to dry yourhands well.
At the end of your shift
Appropriate use of PPE may protect clothes from contamination, but staff should change out of workclothes before travelling home. Work clothes should be washed separately, in accordance with themanufacturer’s instructions.Remove uniform and place in disposable bag to take home or use the care home laundry service Wash hands before leavingIf you are unable to change before leaving your place of work ensure your uniform is covered by anouter coat
On arrival home
If you used your own car before entering home disinfect the vehicle thoroughly e.g. seat belts and allfixtures inside and outside the car that have been touched Place all clothes or uniform straight into the washing machine and wash at the highest temperature forthe material Wash hands then shower/bath
Before leaving homeOn arrival at workWhen removing PPE in between caring for each residents When changing PPE for different personal care tasks withthe same residentAfter using the toiletAfter breaks and activitiesBefore food preparationBefore eating any food, including snacksBefore leaving workOn arrival at homeHand sanitiser is effective when it contains 70% alcohol orwhere it states virucidal effective
Wash your hands before, during and after allcontact with individuals for a minimum of 20seconds using soap and water. You must wash youhands:
Hand washing is key!
Hand washing techniquehttps://www.nhs.uk/live-well/healthy-body/best-way-to-wash-your-hands/ General infection prevention and control principles
Infection Prevention and Control advice is available 24 hours a day If you need urgent IPC advice at any time or to report an outbreak please contact Public Health Englandon 0344 2254524.You can contact your LA/CCG for practical support about what to do next/how to manage, support withrisk assessment etc. Email the IPC teams: Nottinghamshire County - [email protected] orNottingham City [email protected] and they will call you back in office hours.
Call 0300 300 3000 – Testing Coordination CentreConfirm your staff and resident numbersThe Testing Coordination Centre will access the digital portal and book swabs for your homeYou will be offered infection prevention and control support immediatelyYou will be offered support from the Care Home Swabbing team, who will/can attend your home andoffer assisted swabbing for residents, support staff swabbing & train staff in swabbing for future needsWhen your swabs are completed, your swabs will be picked up by the National Testing Programmecourier from your home, and will be transited to the Pathology labThe Care Home Manager will receive the test outcomes directly within 72 hours, and mustcommunicate these to the Testing Coordination Centre and Primary CareIf the test results include a positive, the Infection Prevention & Control teams, alongside the EnhancedCare Home Support teams, will mobilise immediately to provide you with an increased support offer
If you are a Care Home Manager and you have a symptomatic resident please follow the processbelow:
You will be contacted by the Testing Coordination CentreYou will be asked to confirm your staff and resident numbersYou will be able to agree your preferred date for testing with the Testing Coordination CentreThe Testing Coordination Centre will access the portal and book swabs for your homeYou will be offered support from the Care Home Swabbing team, who will/can attend your home andoffer assisted swabbing for residents, support staff swabbing & train staff in swabbing for future needsWhen your swabs are completed, your swabs will be picked up by the National Testing Programmecourier from your home, and will be transited to the Pathology labThe Care Home Manager will receive the test outcomes directly within 72 hours and mustcommunicate these to the Testing Coordination Centre and Primary CareIf your test results include one or more positive incidence of COVID-19 infection, the InfectionPrevention & Control Teams alongside the Enhanced Care Home Support Teams will mobiliseimmediately to provide you with an increased support offer. This will be arranged through the TestingCoordination Centre Testing Coordination Centre:
If you are a Care Home Manager and you have no symptomatic residents in your home you willstill be contacted and offered swabbing for residents and staff. This will be coordinated throughthe Testing Coordination Centre. The process will be as follows:
Coordination Centre open 08:00 to 18:00 on 0300 300 3000, 7 days per weekEmail alerts to [email protected] monitored 8am to 8pm, 7 days per week
Covid-19 Testing/swabbing Nottingham andNottinghamshire
What to do if you have a suspected positive COVID-19 resident
Care Homes who have no symptomatic residents - Planned Testing Surveillance
For all queries regarding Care Home Swabbing and for access to Care Homes supportedtesting please use the Single Point of Contact
Nottingham and Nottinghamshire Testing Coordination Centre: Coordination Centre open 8am to 6pm on 0300 300 3000, 7 days per weekEmail alerts to [email protected] monitored 8am to 8pm, 7 days per week
How will testing/swabbing work in Nottingham and Nottinghamshire?
The Local Resilience Forum (LRF) Testing Cell, in collaboration with the Care Home Cell, has developeda supportive approach for Care HomesThis ensures we can facilitate local co-ordination support throughout the whole testing process, whilstflexing to accommodate the national policy guidance when it is finally released.The national guidance is yet to be issued. However, the approach as described here will allowNottingham and Nottinghamshire to deliver an extended offer to our care homes.
routes to testing support for testing follow up support
The planned local approach to the coordination of care home testing is set out below;
The approach is underpinned by the need bring clarity for care homes on;
Voids/Rejected swabsIt is expected that all care homes will have additional swabs to their needs. This is because Care Homesare not expected to swab residents or staff who have had previous positive swabs.Surplus swabs can be used to re-swab residents where a void swab has been issued.It is essential that a courier is booked to collect the swabs prior to taking the swab.Courier details will be supplied to you on initial collection- please contac t the same courier to collectvoids.
Staffing support offer
It is possible that staffing difficulties may be caused by high numbers of staff swabs returning a COVID-19 positive result.If you are a care home manager and are unable to maintain safe staffing levels within your care homeplease contact the Covid Care Call Line 8am-8pm on 0300 300 3000Please ensure that you have exhausted all means of covering shifts through in house staff and usualagencies before requesting emergency staffing support.
Check all individual’s temperature (via ear) B/P, pulse, respirations and if available pulse oximetry twicedaily where possible If temperature is 37.8 or more with or without a continuous cough the individual should be cared for asif Covid-19 positive.If Oxygen saturation levels have reduced by >2% below their normal, the individual should be cared foras if Covid-19 positiveNote that symptoms can be vague, it could be a general deterioration, a fall, a headache. All should betreated as possible COVID infection, the resident isolated for 14 days and a request for swabbing made
For all individuals with possible Covid -19 symptoms seek medical care early. As symptoms can often present atypically or vague.If the individual is showing any other signs such of concern such as breathlessness, agitation, confusion,acute diarrhoea contact:Call for Care – 01623 681691 or Citycare for support/advice or NHS 111
Check all individual’s temperature twice daily (via ear). <2 visits per day planned – if available family/carer could be trained to undertake this (communitynurses should support education as required)If temperature is 37.8 or more with or without a continuous cough the individual should be cared for asif Covid-19 positive.If temperature is above 37.8 or more and the individual is becoming newly confused, poor colour,raised respiratory rate and/or they have developed a continuous cough they should be cared for as ifCovid-19 positive.
RESTORE 2 can help you to spotdeterioration from Covid-19 related illnessor recognise non-Covid-19 relateddeterioration and act to get your individualthe most appropriate care and support. RESTORE2 uses three tools (Soft Signs,NEWS2 and SBARD) which when usedtogether can help you to get the help andsupport you need more quickly. The CCG, Academic Health Science Networkand Notts Training Hub Alliance havejoined together to work with you and yourteams to help you to use this in youreveryday practice. If you would like to know more and accessthe fantastic resources, please [email protected]
Recognising and Responding to Deterioration
Home Care and Residential Homes
Nursing Care HomesNursing Care Homes
Emergency Community Assessment of the Deteriorating Patient Form
Assessment prior to deterioration – can be used now to support decision making when individualsbecome unwell. Can be completed by care home staff. Complements others forms such as ReSPECT and Advanced CarePlanning. To be kept in the care record with other ACP/DNAR/ReSPECT forms.
Always refer to the individuals’ advance care plan/Respect form to consider the right course ofaction in an emergency
Assessing Frailty Where possible, primary care clinicians should share information on the level offrailty of residents (mild, moderate, severe) in care homesUsing the Clinical Frailty Scale (CFS) will help to inform urgent triage decisions. Care home staff should be at least aware of the CFS (Rockwood)
Nottinghamshire Area Prescribing Committee (NAPC) host a collaborative strategy forensuring consistent high quality and cost effective use of medicines acrossNottinghamshire.The NAPC website is the ‘go to‘ place for medication guidance and supporthttps://www.nottsapc.nhs.uk/covid-19/ and is updated frequently with new and updatedguidance in a variety of settings including care homes. Please refer to our most recent prescribing guideline for End of Life care for Covidpatients. In addition a very useful document to support medication and symptom management isthe NICE Guideline - COVID-19 rapid guideline: managing symptoms (including at the endof life) in the community. https://www.nice.org.uk/guidance/ng163
Bi monthly newsletter is produced jointly with local authority colleagues and contains a range ofinformation for both care homes and home care providers. If you don’t currently receive this but wouldlike to be added to our mailing list please email [email protected]
The document “Guidance on medicines in social care establishments “ provides care homes with lotsof information on medicines management issues.All care home staff who manage medications should be familiar with this local document. The guidance is currently under review so that it will apply to care homes across both local authorities.Please contact [email protected] for a copy.
The British Geriatric Society published best practice guidance for managing the Covid-19 pandemic incare homes The guidance makes 15 key recommendations including palliative and supportive considerationsIt can be accessed at https://www.bgs.org.uk/resources/covid-19-managing-the-covid-19-pandemic-in-care-homes
In response to Covid-19 the government has recently launched a medicines re-use scheme.Some types of medication can be re-used for others with the same prescription even though it was notoriginally dispensed for that individual. The CCG will shortly be issuing documentation that homes maywish to use to implement this scheme. In the meantime please refer to:
Care about Medicines newsletter
Guidance on Medicines in Social Care Settings
British Geriatric Society, Best practice Guidance – Care Homes and Covid-19
Medication re-use scheme
https://www.gov.uk/government/publications/coronavirus-covid-19-reuse-of-medicines-in-a-care-home-or-hospice
The CCG have a number of pharmacists and technicians who canl support both care home and homecare providers with a range of areas including medication reviews and ordering processes.Please email [email protected] or [email protected]
Questions/Queries? If you have ANY Medication Management queries, please contact our Nottingham and NottinghamshireMedication Management teams via email at [email protected] (office hours only).
An excellent free resource has been bought from PrescQIPP, a NICE and skills for care accreditedprovider of medicines management training.The link below explains how to access the training:
https://www.prescqipp.info/media/4743/prescqipp_managing_medicines_for_adults_receiving_social_care_in_the_community_e_learning_course_overview.pdf
Controlling symptoms of Covid-19 in CommunitySettings & NICE Clinical Guidance NG163 offer guidanceabout how to mange Covid-19 treatments and careplanning. https://www.nice.org.uk/guidance/ng163https://www.nottsapc.nhs.uk/covid-19/
Access to free medicines management training for home careproviders
Medications and Symptom Management
Symptom Management
Nottinghamshire Area Prescribing Committee
Medications management resources
Medicines Optimisation Support
It is one of the ways they or their loved onescan be in control at the end.ALL individuals should be offered an advancecare conversation with relatives if necessaryor desired leading to the creation of aReSPECT Form to record their priorities andescalation plans. Please ensure, where appropriate, allindividuals are offered the opportunity tohave an advanced care plan in place. If the individual does not have an advancedcare plan you can discuss this with yournurses or GP.ANYONE [qualified and unqualified staff] canstart a ReSPECT form but it will need to besigned by a GP or Senior Nurse.ReSPECT forms can be signed at weekly MDTmeetings.
The ReSPECT document supports people to getthe right level of care and support at the end oftheir lives.
https://www.resus.org.uk/respect/learning/ https://learning.respectprocess.org.uk/#landing
Persistent CoughBreathlessness / ‘air hunger’ DistressDelirium / agitation(hyperactive or hypoactive) FeverRapid deterioration over a short number of hours.
A proportion of individuals dying of Covid-19 could have severe symptoms with rapid decline. In thissituation it is important to deliver effective medications, at effective doses, from the outset. Earlymanagement of symptoms will be the most effective way to reduce suffering. The clinical profile of Covid-19 related dying is likely to include:
Please sign up for NHS Mail this will enable Microsoft teams which can be used for videoconsultations. You will need to complete a pre-set word template available from your LA/CCG andsend it to [email protected]
Video assessments and multidisciplinary meetings can be used to support end of life care andmanagement. Personal devices can be used to enable this if your service does not have access to ashared video enabled device. The consultation should take place wherever possible in the individuals’room. Video consultations can help after death as it equates to a face to face consultation in newlegislation and means that GPs may not be required to see the person again after death.https://www.nhsx.nhs.uk/key-information-and-tools/information-governance-guidance
Emergency Care and Treatment including palliationand end of life plans
Gold Standards Framework
It is good practice to ensure all residents are proactively assigned an accurate RAG status. In the context of Covid-19 transition from amber to red and death may be a few days -hours only.ALL amber & red should be known to a health care professional for registration on EPaCCS - ElectronicPalliative Care Coordination Systems to enable coordinated care and support.
https://www.goldstandardsframework.org.uk/gsf-signposting-and-guidance-on-the-coronavirus-epidemic
ReSPECT
Assessment of the Dying person
Using Technology - Virtual Assessments
Confirmation or verification of death is defined as deciding whether a person is actually deceased.Verification of death can be undertaken by staff who are competent and confident to carry out thistask. Your organisation/service should have a policy/procedure which will support you to undertake thispractice. You should be familiar with this.
Call for care – 01623 681691 or Nottingham Citycare OOH – NHS 111 9*6 /NEMS
In Nottingham and Nottinghamshire local guidance – ‘Death administration in the community’ is available,staff should be familiar with this as it supports Verification of expected death practice. It also includes apre authorisation template which will support staff and partners in decision making when verification ofdeath is needed If you do not have a competent/trained person available to verify death contact:
The person registering a death (known as the informant) can be: •a close relative of the deceased, named the executor of the Will. If a close relative is not available to doso, it’s also possible that the •a relative who witnessed the loved one’s death, last illness or who lives near their residence•the owner of the premises where the death occurred•the relative arranging the funeral with the funeral director or someone else who was present at thedeathDuring the Covid-19 pandemic doctors are emailing death certificates directly to the Registrars (so noneed for relatives to pick up from surgery)
When a person dies of suspected coronavirus (Covid-19) in a residential care setting be aware that thereis likely to be continuing risk of infection from body fluids. Whilst undertaking last offices, it isrecommended that the usual PPE and standards of Infection prevention control precautions aremaintained. You should follow the usual processes for dealing with a death in your setting.Since there is a small but real risk of transmission from the body of the deceased, mourners should beadvised not take part in any rituals or practices that bring them into close contact with the body of anindividual who has died from, or with symptoms of Covid-19. Given the very significant risk for vulnerableand extremely vulnerable people who come into contact with the virus, it is strongly advised that theyhave no contact with the body. Cremation is permitted where the deceased does not have a medicaldevice that requires removal e.g. pacemaker/ICD.Informing the CQCThe CQC are now recording all deaths where Covid-19 was possible or confirmed Please inform the CQCusing your usual notification form even if the person dies in hospitalPublished Guidancehttps://www.gov.uk/government/publications/Covid-19-guidance-for-care-of-the-deceased/guidance-for-care-of-the-deceased-with-suspected-or-confirmed-coronavirus-Covid-19 https://www.gov.uk/government/publications/Covid-19-guidance-for-care-of-the-deceased https://www.hse.gov.uk/pubns/books/hsg283.htm
A grief line has been set up to support staff andfamilies in dealing with emotional distress related toloss of loved ones. The grief line will listen and offer practical supportwhere needed as well as signposting to existing griefsupport.
You can call 0800 111 445 24 hours per day/7 days per week.
Death VerificationConfirmation or Verification of Death
Death certification
All doctors in primary care AND hospitals NUH, NHCT, SFHFT can carry out death certification. Where anindividual has been discharged from hospital and dies quickly before any contact with GP, the hospitaldischarging doctor should be asked to complete the death certificate. Doctors can do the deathcertification if they have seen the Individual within 28 days (this can be by video which you are asked tohelp facilitate) or after death.
Death Registration
Care of the deceased - after care
Grief & Bereavement Support
Nottingham and Nottinghamshire system partners will be hosting a series of weekly webinars whichwill provide care homes and home care services with opportunities to discuss ‘hot topics’ and askquestions. The webinars will be held on ZOOM every Thursday at 2pm.The previously successful joint CCG/LA face to face care homes forums will be placed on hold untilfurther notice. We will recommence these virtually as soon as possible A Nationwide WhatsApp group has been created to support care home/home care managers. Thegroup share information and raise queries for clarification. Themes/trends and key messages will beshared at a weekly webinar so that a wider reach can be achieved. Currently the group is full (256participants) but if you would like to be added to a waiting list to be added to the group when a spacebecomes available please email your name and mobile number to: [email protected] To contact your local authority or CCG quality teams please email; [email protected] (Nottinghamshire County Council) [email protected] Notts/NottinghamshireCCG Ask Lion is a dedicated website for local information covering Nottingham City.
Notts Help Yourself - Nottinghamshire County local information https://www.nottshelpyourself.org.uk/kb5/nottinghamshire/directory/home.page Covid 19 group – Online forum for care home managers/staff Newsletters – Watch out for frequently posted CCG/LA/IPC/Meds Management newsletters
Updates for care home staff are posted frequently on the Ask Lion portal https://www.asklion.co.uk/kb5/nottingham/directory/home.page
NHS 111 offers care home and home care staff a direct line to a clinician who will be able to discussany concerns you have for an individual in your care. The 9 *6 option bypasses the call handleralgorithm to enable a less formal conversation. It is very helpful to NHS 111 9* 6 clinicians if you useSBARD to communicate the concern and have all basic information to hand such as the persons date ofbirth, address, postcode, medications etc. If you are concerned about an individual you can contactNHS111 9 *6.
Call for Care Tel: 01623 781899 (Mid Notts)
Call for Care Tel: 0300 0830 100 (South Notts)
City care (city care homes only) can be contacted;
Option 1 - Admission avoidance (2 hour response) Option 2 - End of Life and Palliative Care Option 3 - Planned Care (non-urgent referrals for all general health services)
Option 1
Monday – Friday 8am-6pm - 0115 8834863 Weekend and Bank Holidays - 8am-6pm – 07827823465 Between 6pm and 8am everyday – Evening and night service 0115 8838151 or 0115 8838152
Communications
Communication Channels
Alternative System Support pathways
This toolkit has been created to be used as an aide memoire/quick reference guide forcare home and home care staff managing Covid-19. This guidance is not mandatory – its purpose is to support staff to deliver high qualitycare for individuals by bringing together best practice guidance and references to keydocuments to support practice all in one place. This guide has been co-developed by Nottingham and Nottinghamshire Integrated CareSystem with contributions from;Nottingham and Nottinghamshire CCGsNottinghamshire HealthCare Trust Nottingham City Care Nottinghamshire EOL Stakeholder Board Nottinghamshire GPs Nottingham University HospitalsNottingham City CouncilNottingham County CouncilSherwood Forest Hospitals This guidance was produced in response to the Covid-19 Pandemic. In this fast paced,continuously developing and changing situation, it is expected that best practiceguidance will be updated frequently. A good practice tip would be to keep an electronic file with this guidance and all thelatest attachments for each of the focus areas available to staff to use as a referenceguide to support Covid-19 EOL care and management. This is a working document and further updates and co-design with sector experts willbe made as required.
Quality ControlThe information provided within the toolkit will be reviewed and updated daily duringthe Covid-19 pandemic. Information from reputable sources will include (but not limited to); Gov.uk. PatientSafety Collaborative/Academic Health Science networks. UK Resuscitation Council.Nottinghamshire Area Prescribing Committee. Public Health England and Local IPCteams. NHSE/I. ADASS. CQC. Local Authorities and TeamNet The latest version will be shared as a minimum, weekly and will be version controlledwith the latest date e.g V.280420. The content may change to reflect the fluid position of today and the future. Points of clarification/additional information queries should be directed to Nottingham& Nottinghamshire CCG - [email protected]
