14th January 2020 East of England Risk Assessment for COVID-19 vaccination in care homes with cases and outbreaks Purpose This proforma has been developed to facilitate ongoing COVID-19 vaccination in care homes with confirmed cases or outbreaks of COVID-19 in accordance with national guidance. 1 It is imperative that the majority of residents in care homes for older adults receive prompt COVD-19 vaccination which may be the single most effective intervention to reduce avoidable mortality in this group (number of vaccinations to prevent one death = 20).2 This document should be completed by the PCN/ Provider lead vaccinator with the care home manager with advice from the local Health Protection SPOC (Annex) or CCG Infection Control Team. Background The Joint Committee on Vaccination and Immunisation (JCVI) have advised that the first priority group for receipt of COVID vaccination are residents in care homes for older adults and their carers.3 General principles Whilst vaccination against COVID may be temporarily deferred in some individuals e.g. acutely unwell or within four weeks of onset of COVID symptoms, all other care home residents and staff should receive prompt COVID vaccination, whether or not they have had COVID-19. This proforma is designed to assure lead vaccinators and care home mangers that it is safe to proceed with vaccination, having confirmed the necessary safeguards, in affected care homes. Please complete the following risk assessment proforma Identifying Information Date Name of Care Home Care Home Manager PCN / Lead Provider Lead Vaccinator Number of care home residents Number of care home staff Information on confirmed or possible active cases of COVID-19 infection in the care home Total number confirmed active cases in residents (PCR test positive < 14 days) Total outstanding possible cases in residents (awaiting PCR test result) Date of last confirmed case in residents or staff Total number of residents who need subsequent vaccination 1. Guidance for COVID-19 vaccination in care homes that have cases and outbreaks. 31 Dec 2020 2. Priority groups for coronavirus (COVID-19) vaccination: advice from the JCVI, 30 December 2020 3. How logical is the UK’s vaccine priority ordering? Yifei Gong and Stuart McDonald. 5th Dec 2020 Assessment 1: Isolation of cases and outbreak control Please review the care home layout to ensure safe isolation of cases, in consultation with local Health Protection SPOC and/ or CCG Infection Control Team as required The layout of the care home is adequate to isolate confirmed/ suspected cases from other residents YES NO An IPC risk assessment for residents who are confirmed or suspected cases has been completed with IPC implemented YES NO The care home has applied the COVID-19 Infection Prevention and Control Guidance to ensure safe systems of working YES NO There are sufficient trained care home staff and PPE to provide care for confirmed/ suspected cases in isolation YES NO With consideration of the number of cases, the layout, staffing, equipment and procedures for outbreak control are YES NO satisfactory to proceed with vaccinating other residents Assessment 2: Facilities for safe vaccination Assessment of the care layout and facilities for vaccination in consultation with local Health Protection SPOC and/ or CCG Infection Control Team as required There is a defined area of the home suitable for use as a vaccination station, suitable for larger homes YES NO Either There is access to the vaccination station without transiting areas of the home affected with COVID cases YES NO OR The immunisation team can vaccinate residents without passing through affected areas, suitable for smaller care homes YES NO With consideration of the number of cases, the layout and facilities are satisfactory to consider proceeding with the YES NO vaccination of other residents during the COVID outbreak Other necessary pre-conditions The visiting professionals/ vaccinators have been tested and confirmed negative for SARS-CoV-2 within the last 7 days YES NO Assessment of the capacity of individual residents to provide informed consent for immunisation has been completed and YES NO alternative arrangements made for those who do not COVID-19 Care home vaccination risk assessment completion Having completed the COVID-19 care home vaccination risk assessment, in accordance with national guidance, there are YES NO satisfactory arrangements to proceed with vaccination Care Home Manager PCN/ Lead Provider Vaccine Lead 14th January 2020 Annex: Email addresses for informing Local Authority Cells Last updated 18-11-2020 v31 Care Home Cells SPOC for other situations Bedfordshire Central Bedfordshire (made up of Mid-Bedfordshire, South Bedfordshire or Central Bedfordshire): Bedfordshire single point of contact To check where the [email protected] for COVID-19: home is, look for the and [email protected] Local Authority designation in the [email protected] Administration pull-down Plus, for Central Bedfordshire: section on HPZone Bedford District: [email protected] [email protected] Automated reply provides the following phone number: Plus, for Bedford Borough: 01234 228745 (if you need to speak to the team). AND [email protected] [email protected] Cambridgeshire & Cambridgeshire & Peterborough: Cambridgeshire and Peterborough single point Peterborough [email protected] of contact for COVID-19: [email protected] Essex & Essex County & Southend Unitary: Essex County and Southend on Sea single point Southend [email protected] of contact for COVID-19: [email protected] Include in Subject: HPZone number and Care Home’s FULL ADDRESS including the Postcode (Include in Subject: HPZone number and FULL ADDRESS of setting & Postcode) This does NOT include Thurrock Council Tel: 0300 303 2698 Thurrock Thurrock Council Unitary (South West Essex): Thurrock Council (South West Essex) single point [email protected] of contact for COVID-19: [email protected] Hertfordshire Hertfordshire: Hertfordshire single point of contact [email protected] for COVID-19: [email protected] For urgent issues only contact: Anna Makepeace: 01992 556173 Luton Luton: Luton single point of contact for COVID-19: [email protected] [email protected] For urgent out of hours issues in Luton Borough Council: Contact Luton Council First Responder on: 01582 546072 (operates 24/7). The Senior Manager on call will contact Gerry or Lucy as required. 19-10-2020 v30 Milton Keynes Milton Keynes - Please only send emails Monday to Friday – do NOT send any emails at the Milton Keynes single point of contact for COVID- weekend set a follow up action for Monday: 19: [email protected] [email protected] AND And [email protected] [email protected] AND [email protected] Norfolk (including Great Norfolk CCG: Norfolk CCG single point of contact for COVID-19: Yarmouth) [email protected] [email protected] Care Provider Incident Room: 01603 257231 Norfolk Local Outbreak Management Centre: Operating: 08:00hrs to 20:00hrs x7 days a week 01603 223219 Above details to be shared with Care Homes via standard email we send after outbreak has been declared. Suffolk (including Suffolk: Suffolk single point of contact for COVID-19: Waveney) Send to both: [email protected] Suffolk County Council ACS Contracts Helpdesk: [email protected] and Suffolk COVID19 Coordination Centre: [email protected] Do not send notification regarding children’s care homes to ACS Helpdesk (Adult and Community Services) but send just to: [email protected] For urgent issues only contact: Clare Smith Senior Manager for Adult Community Services: 07793 658833 [email protected] .