Isle of Wight Council COVID-19 Local Outbreak Management Plan 2021 Version 1.0 Final IWC COVID-19 Local Outbreak Management Plan 2021 Page 1 of 35 Foreword In line with the next phase of the UK’s response to the COVID-19 pandemic, the Isle of Wight Council (IWC) is required to review and update the Local Outbreak Plan. This 2021 update plan details how the Council and its partners will respond to further outbreaks of infection and covers the key aspects. The full IWC Incident and Outbreak Control Plan can be found on the IWC Outbreak Management webpage. Our aim We want Isle of Wight residents to be able to live healthy and productive lives. But we need to achieve this in a way that is safe, protects our health and care services and enables the local economy to restart and thrive as we manage the response to the COVID-19 pandemic and learn to live with COVID-19. We aim to: • Reduce the transmission of COVID-19, protecting all, especially those who are most vulnerable, and preventing increased demand on our health and care services. • Provide consistent advice to places and communities to prevent the spread of COVID-19. • Oversee the NHS test and trace programme on the Isle of Wight and its working with the Isle of Wight Local Tracing Service, and coordinate testing across the Island. • Oversee the implementation of the local COVID vaccination programme across the Isle of Wight. • Work together with partners, in a coordinated way, to support communities across the Island to reduce the spread of infection and ensure that the most vulnerable have access to the support they need. This Local Outbreak Management Plan should be read in conjunction with the IWC COVID-19 Prevention, Incident and Outbreak Control Plan and settings based action plans available on the IWC website. IWC COVID-19 Local Outbreak Management Plan 2021 Page 2 of 35 Document Control This plan is authored and maintained by Isle of Wight Council Public Health. Version Date Remark(s) Author 0.1 11/03/2021 Initial draft SB (draft) 0.2 15/03/2021 Updated with additional information SB/ BH (draft) 0.3 25/03/2021 Updated with additional information SB/BH (draft) 1.0 30/03/2021 Updated with additional information SB FINAL Date Published: 31/03/2021 Document Review The IWC COVID-19 Outbreak Management Plan 2021 will be reviewed on a quarterly basis unless learning from an incident or outbreak requires it to be reviewed sooner. The original IWC COVID-19 Prevention, Incident and Outbreak Control Plan remains available on Council website for reference. Document Distribution • Isle of Wight Council GOLD • Members of the Isle of Wight Local Outbreak Engagement Board • Members of the Isle of Wight Health Protection Board • Hampshire and Isle of Wight Integrated Care System • Hampshire and Isle of Wight Local Resilience Forum • Isle of Wight Health and Wellbeing Board IWC COVID-19 Local Outbreak Management Plan 2021 Page 3 of 35 Contents Page Foreword .............................................................................................................................. 2 Document Control ................................................................................................................ 3 Contents Page ..................................................................................................................... 4 Section 1 – Background information .................................................................................... 6 1.1 Isle of Wight Context ...................................................................................................... 6 1.2 COVID-19 objectives ..................................................................................................... 6 1.3 Governance ................................................................................................................... 8 1.3.1 IWC COVID-19 Local Outbreak Engagement Board (LOEB)...................................... 9 1.3.2 IWC Health Protection Board .................................................................................... 10 1.3.3 Hampshire and Isle of Wight Local Resilience Forum ............................................... 10 1.5 Local authority and public health protection powers .................................................... 11 Section 2 – the COVID-19 Response ................................................................................ 12 2.1 Adult care settings including care homes ..................................................................... 12 2.2 Schools, education and childrens’ care settings .......................................................... 12 2.3 High risk places, locations, communities and healthcare settings ................................ 13 2.4 Local testing programmes ............................................................................................ 14 2.4.1 Asymptomatic testing at scale ................................................................................... 15 2.4.2 Optimising testing capacity ....................................................................................... 15 2.5 Contact tracing ............................................................................................................. 16 2.5.1 Enhanced contact tracing.......................................................................................... 16 2.5.2 Designated Venues ................................................................................................... 17 2.5.3 Local tracing partnerships ......................................................................................... 17 2.6 Self Isolation ................................................................................................................ 18 2.7 Vulnerable people ........................................................................................................ 19 2.8 Outbreak management and Variants of Concern ......................................................... 20 2.8.1 Surge capacity management locally to respond to outbreaks, including of a (VOC) . 21 2.9 Enduring transmission ................................................................................................. 22 2.10 COVID safe ................................................................................................................ 22 2.11 Vaccinations............................................................................................................... 23 2.11.1 Measures to improve vaccine uptake locally ........................................................... 23 2.11.2 Linkages between vaccine roll-out and testing ........................................................ 24 2.12 Compliance and enforcement .................................................................................... 24 IWC COVID-19 Local Outbreak Management Plan 2021 Page 4 of 35 2.13 Communications and engagement ............................................................................ 25 2.14 Surveillance ............................................................................................................... 26 2.15 Resourcing ................................................................................................................. 28 2.15.1 Capacity management ............................................................................................ 28 2.15.2 Management of impacts of the resumption of business as usual activities ............. 29 Section 3 Forward Planning ............................................................................................... 30 Appendix 1 – List of Acronyms........................................................................................... 32 Appendix 2 – Roles and Responsibilities ........................................................................... 33 IWC COVID-19 Local Outbreak Management Plan 2021 Page 5 of 35 Section 1 – Background information 1.1 Isle of Wight Context The Isle of Wight lies off the south coast of mainland England and covers an area of 380.16km2 (38,016 hectares, or 146.8 sq. miles). Newport, the second largest town by population, is the administrative centre, and is home to the Isle of Wight Council, St. Mary’s Hospital, courts and strategic command centres. The Isle of Wight has 39 Electoral Wards and 33 Town and Parish Councils. This plan, and the original IWC COVID-19 Prevention Incident and Outbreak Control Plan 2020 , identifies those at high risk of COVID-19 such as those over 70, from ethnic minorities or living with long term conditions. It also provides an understanding of high risk settings in the area (for example prisons and care homes) and identification of those populations who are least likely to access services, such as people from ethnic minority groups, people living in areas of deprivations or those not registered with a GP. IWC produce COVID-19 data packs which comprise of the latest information available from open sources related to COVID-19. The IWC, and its partner agencies, can use these packs to understand the potential population health needs, risks and vulnerabilities which exist within their own areas. The packs also includes information related to schools and care homes which are themes within the Local Outbreak Control Plan. In light of the 2nd wave of COVID-19 and the high transmissibility of the new variant, the data pack will be updated to include high risk settings such as HMP Isle of Wight. 1.2 COVID-19 objectives The main objective in managing an outbreak is to protect the public’s health.