25 September 2020 Oxfordshire health and local authority partners are working together to help the county restart, recover and renew after COVID-19. Table of contents Introduction ....................................................................................................... 2 Outbreak Management ....................................................................................... 2 Health, Wellbeing and Social Care ....................................................................... 4 Economy ........................................................................................................... 7 Place, Transport, Infrastructure ........................................................................... 8 Children, Education, Families .............................................................................. 8 Community Resilience ......................................................................................... 9 Organisational Recovery ....................................................................................10 Other news .......................................................................................................10 And finally… ......................................................................................................10 September 2020 4 Introduction socio-economic factors, health outcomes, the economy, environmental matters and communities, and seeks to identify innovative joint solutions to shared challenges. The devastating impact of COVID-19 has presented a challenge to our communities and across our services which we have never seen in our lifetime. This Stakeholder Briefing provides a regular update on each of the six themes identified in Restart, Recover, Renew is an ambitious our approach to recovery: i) Economy; ii) Place, Oxfordshire system-wide approach to recovery, Transport, Infrastructure; iii) Health, Wellbeing and Social Care; iv) Children, Education and which places the health, social and economic wellbeing of Oxfordshire residents at its heart. It Families; v) Community Resilience; vi) considers the interdependencies between Organisational Recovery. Outbreak Management Oxfordshire system partners have been working together on a communications campaign – #stopthespread – to encourage Oxfordshire residents to take protective measures to stop the spread of the virus and protect themselves and others. The campaign comprises digital, social media and outdoor advertising, leaflets distributed to households, posters distributed across pubs, messages sent by GP practices to local residents, and media interviews with Oxfordshire’s Director of Public Health Ansaf Azhar. In the 7 days up to 18 September, there has been a total of 91 confirmed COVID-19 cases System partners are also working closely with in Oxfordshire, a decrease from 107 new cases Oxford University and Oxford Brookes in the previous week. This is equivalent to a University on a range of measures to keep weekly rate of 13.2 new cases per 100,000 students, staff and residents safe as teaching residents. and studying resumes this month. Additional local contact tracing systems have been Oxford currently stands at 21.6 cases per established to track attendance in key areas 100,000 population, which means the city’s across campuses; local outbreak control plans alert status is currently yellow. Cherwell is also are in place, which have been tested through at yellow status, with 15.3 cases per 100,000 joint exercises; and all students are being population. September 2020 provided with advice and guidance about how to protect themselves and others. The app allows people to check into venues by Update on testing scanning a QR code. It also provides them with an alert if they have been in close contact with Across Oxfordshire we are currently carrying someone who has tested positive, and helps out approximately 10,000 tests per week and have some of the highest testing rates in the them check if they have symptoms and book a south-east region. But as elsewhere in the test. You can find out more about the app here. country, demand is outstripping capacity, and You will start to see posters with QR codes so we are asking people to only book a test if being put up in public-facing businesses and they have COVID-19 symptoms. venues across the county. From 24 September To supplement regional resources, we have it will become a legal requirement for all recently established a Local Testing Site in designated venues to display an official NHS Oxford. Located at Oxford Brookes campus in QR poster. Designated venues include: Headington, it is open to the local community . Hospitality services, including pubs, bars, as well as to Brookes’ students and staff. restaurants and cafés Advance booking is required – people showing . Tourism and leisure services, including coronavirus symptoms should call 119 or gyms, swimming pools, hotels, museums, register online. We are actively looking to cinemas and theme parks secure an additional testing facility in Oxford as . Close contact services, including well as further sites across the county. hairdressers and barbers A recent survey at testing sites found a quarter . Facilities provided by Local Authorities for of people turning up did not have symptoms, the public, including town halls and civic and this is putting a huge strain on the system. centres for events, community centres, We are therefore actively urging people not to libraries and children’s centres order or book tests if they are not symptomatic. Resources for venues and businesses are Booking slots are made available the evening available here. before for morning appointments, and on the morning for afternoon appointments. There are Test and Trace Support Payment times during the day where booking slots may From 28 September people will be required by not be available. However, slots are released law to self-isolate. New fines for those continuously and so anyone who has not been breaching self-isolation rules will start at able to make a booking should call back or visit £1,000, while those on lower incomes who the website later. cannot work from home and have lost income Further information about coronavirus cases in as a result will be supported by a Test and Oxfordshire and the measures being put in Trace Support payment of £500. place to control the virus can be found at These payments will be administered by district www.oxfordshire.gov.uk/stopthespread. councils, who are working at pace in Oxfordshire to put in place this new service line Launch of the NHS COVID-19 app by the deadline of 12 October (with back The new NHS COVID-19 app will launch in payments to 28 September). England and Wales on 24 September. This is In addition to this new grant, there are many part of the NHS Test and Trace service, which ways in which Oxfordshire residents who need will be used alongside traditional contact tracing to stay at home are being supported. This to help trace individuals who may have come includes support from our local community into contact with a confirmed case of hubs, town and parish councils, community coronavirus. support groups and the voluntary and community sector. 3 4 Health, Wellbeing and Social Care 450000 400000 350000 300000 Face-to-Face 250000 Home Visit Telephone 200000 Unknown 150000 Video/Online 100000 Grand Total 50000 0 In primary care, GP practices have been This approach is also a feature across working differently to offer appointments to healthcare in Oxfordshire. The use of patients using telephone and online to reduce technology to continue to provide care without the number of people attending the practice in seeing patients face-to-face has helped keep person. people safe. During the height of the pandemic, the number For example, Oxford Health NHS Foundation of face-to-face appointments was significantly Trust (OHFT) – a Global Digital Exemplar trust reduced. Support was provided to enable GPs – has now surpassed 60,000 online to deliver more telephone appointments and to consultations; a milestone that is believed to safely restore face-to-face services where put the Trust as the top performer for digital telephone and online services cannot be used. consultations in the country. In January, OHFT provided 86 per cent of patient contacts face-to- Since May, the number of appointments has face. This has reduced to 47 per cent, meaning steadily increased each month. The graph OHFT’s clinicians and therapists can still have above shows the different types of appointment one-to-one contact with patients and service with the total number of appointments (Grand users, providing help, reassurance and Total) for March being almost 310,000 and the treatment. number for July 2020 being almost 300,000. In OHFT, more than 500 digital consultations take place each weekday, accounting for 13 per September 2020 cent of contacts, with a further 39 per cent of with children and teenagers. Using video is contacts by phone and the rest via email. immediate, easier and more productive than Services which have embraced digital engaging with them over the phone. consultations include Children and Adolescent mental Health Services and IAPT (talking As part of its review into digital development therapies) and dentistry, together with eating OUH commissioned the TheHill, Oxfordshire's disorders, adult mental health, perinatal, early health and care digital transformation catalyst, intervention in psychosis, and health visiting. to explore what, how and why innovation and new technological