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(SOP) High Risk Places, Locations and Communities

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(SOP) High Risk Places, Locations and Communities Staffordshire COVID-19 Local Outbreak Control Standard Operating Procedure (SOP) High Risk Places, Locations and Communities - Staffordshire Owner Gareth Harvey [email protected] Version 1.2 7/7/2020 Summary of changes Version 1.2 - Draft for consultation Contents Contents ..................................................................................................................... 1 Review ....................................................................................................................... 1 Purpose: ..................................................................................................................... 2 Definitions .................................................................................................................. 2 Scope ......................................................................................................................... 2 Risk Assessment ........................................................................................................ 6 Appendix 1: Process Chart ....................................................................................... 20 Appendix 2 Outbreak Risk Matrix ............................................................................. 26 Review This Standard Operating Procedure will be reviewed monthly or more frequently if required 1 Purpose: 1. The purpose of this SOP is to set out the local process required to ensure an effective response to Incidents and Outbreaks of Covid-19 in high risk places, locations and communities. 2. The SOP should be read in conjunction with the Staffordshire Covid-19 Local Outbreak Control Plan and the Staffordshire County Council (SCC) Public Health England West Midlands Health Protection Team (PHE) Covid-19 Joint Standard Operating Procedure. 3. This SOP has been agreed by Public Health England (PHE), and local partners: Staffordshire County Council (the Council), NHSE, Prison healthcare providers and health and justice commissioners. 4. Where urgent action is required to protect life then that must take precedence over following the SOP. Definitions 5. Definitions of cases and contacts are included in the Staffordshire County Council (SCC) Public Health England West Midlands Health Protection Team (PHE) Covid-19 Joint Standard Operating Procedure Scope Settings District/Borough Council (DBC) Environmental Health Response Teams subject to this SOP • Cannock Chase District Council • East Staffordshire Borough Council • Lichfield District Council • Newcastle-under-Lyme Borough Council • South Staffordshire District Council • Stafford Borough Council • Staffordshire Moorlands District Council • Stoke-on-Trent City Council (SOTCC) 2 • Tamworth Borough Council The local outbreak Central Co-ordinating Function is managed by: • Staffordshire County Council; & Stoke City Council/ The following workplaces/settings could be considered at a high-risk of Covid-19 transmission due to the type of setting and proximity of persons working or living together. • Homeless shelters / hostels • Fruit pickers • Hand car washes • Warehouse with transient / temporary workforce • Domestic violence refuges • Abattoirs • Migrant workers – employment or residential setting • Any other setting with temporary or low skilled labour • B&B Accommodation for vulnerable persons • Housing of Multiple Occupancy (HMO’s) - Licensed & Unlicensed • Certain Take Away’s assessed as being high risk e.g. history of groups of workers living together on/off-site or travelling together to and from work. • Traveller communities • Religious settings – where there is risk of groups congregating in one area and/or an older demographic • Food processing/manufacturing • Taxi drivers and operators • Any other case/location identified at the Risk Assessment stage by PHE/the ‘Local Authority Response Team’/Environmental Health Response teams. This list is not exhaustive and will flex in response to the outbreak being dealt with. If an ‘outbreak’ or ‘trigger’ is identified in one of these settings the response will be led by the local EH Response Team at the local District/Borough Council (DBC) within Staffordshire or SOTCC. There will be close liaison with colleagues in SOTCC to ensure that the SOP is aligned and consistently applied across each EH Response Team. Incidents The scope of this SOP is: 3 a) Settings with a suspected or confirmed ‘Case’ of Covid-19 among users and/or staff. b) Settings with a ‘Cluster’, defined as two or more suspected and/or confirmed cases among users and/or staff in the same setting with onset during a 14-day period - or an increase in the background rate of absence due to suspected or confirmed cases of Covid-19. c) Settings with an ‘Outbreak’, defined as two or more epidemiologically linked suspected and/or confirmed cases among users and/or staff in the same setting with onset during a 14-day period - i.e. the cases have had contact. 6. The remainder of this SOP will refer to ‘Incidents’ and this includes single cases, clusters and outbreaks where intervention is required to prevent and control an outbreak. Where there are other reports and enquiries that do not fit the definition of an Incident then these will be recorded separately as ‘Advisory’ in case information becomes relevant later. These will not be logged in the Covid-19 Local Outbreak Control database. Identification of incidents This SOP does not replace the need for the workplace or setting at the centre of the outbreak to submit a RIDDOR report to the Health and Safety Executive where this is required e.g. a Covid-19 infection confirmed as being contracted in the workplace. Further guidance on this can be found at: https://www.hse.gov.uk/news/riddor- reporting-coronavirus.htm Please note there is no legal requirement for a Workplace or ‘High Risk Place, Locations or Community’ to report a Covid-19 Outbreak or Incident to PHE so if an outbreak is identified in the community outside of the Master Tracker database, EH Response Team colleagues will need to report this directly to PHE and the Public Health LA Response Team. This will ensure they are recorded, and risk assessed in line with this SOP. A COVID-19 (coronavirus) case/outbreak/trigger should be reported to the Health Protection Team in Public Health England using the online reporting system available here: https://surveys.phe.org.uk/TakeSurvey.aspx?SurveyID=n4KL97m2I 4 Or by telephone to 0344 225 3560 (opt 0 opt 2) Email: [email protected] On receipt of this report, PHE will carry out an initial risk assessment and decision on whether there needs to be an escalation to the Public Health ‘Local Authority Response Team’. Where PHE refers an ‘Outbreak’ to the Public Health ‘Local Authority Response Team’ this will then be risk assessed and a decision made on whether an ‘Incident Management Team’ is called. NB When dealing with a surge in cases PHE may forward details of outbreaks to the Public Health LA Response Team and/or the EH Response Team and other individual Cell leads ‘For Information’ as an early heads up that can be risk assessed locally. Where the EH Response team or ‘Duty Holder’ report an outbreak to PHE they must also copy in the Co-ordinating function at the Public Health LA Response team: [email protected] or Use the web form: www.staffordshire.gov.uk/Coronavirus/Professional- Referral/Professional-referral-form.aspx Staffordshire County Council - Central Report Line [email protected] The Public Health LA Response Team is available Monday – Friday 0800 – 2000 hrs and Saturday-Sunday from 1000 – 1600 hrs. Reduced capacity is available out of hours and will concentrate on any emergency needs and actions. Stoke-on-Trent City Council - Central report Line For incidents/outbreaks within the City of Stoke-on-Trent, these should be referred to colleagues using the following contact details: Stoke on Trent Report Line Tracecovid19@stoke,gov.uk Telephone number 01782 231222 Tracecovid19 cell available in hours 9:00 am 5 pm Mon- Friday Saturday & Sunday 10:00am - 4pm 5 The EH Response Team at the DBC/SOTCC where the Outbreak/Cluster or Incident occurs will lead the investigation and will be responsible for the initial actions agreed at the IMT. If any visits are required, this should be arranged with colleagues in the relevant EH Response Team for that area. The DBC’s and Stoke City Council EH Response Teams also have the option of requesting ‘mutual aid’ to obtain assistance from other DBC’s as and when necessary. Any new local outbreaks/incidents not received from national alert or PHE will be reported through to PHE and the Public Health Local Authority Response Team/Trace Covid-19 Cell l so that both agencies have overall Master Tracker lists of all local outbreaks. PHE Contact Information to be used West Midlands 2019 nCoV Cell Tel: 0344 225 3560 option 2 Email: [email protected] Out of Hours Arrangements/Rota for Environmental Health Response Teams All DBCs/SOTCC have in place a rota to provide Out of Hours cover as follows: Monday to Friday: 08:00 to 20:00 hours Weekends and Bank Holidays: 10:00 to 16:00 Low and medium risk incidents will be reported to the relevant Council through the Outbreak@ mailbox and does not require a response until the next working day. High risk incidents will be reported by telephone by the PHLRT to the relevant Council through the on-call arrangements established by the Council and contained within the shared SCC Teams site. The relevant Council will provide a member of
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