NCL social care providers

This webpage contains the latest information for staff working in social care settings in NCL. It is also relevant for health and care professionals who provide support to the sector such as GPs.

Latest updates for NCL care providers

COVID-19: how to work safely in care homes

Guidance for those working in care homes providing information on how to work safely during this period of sustained transmission of COVID-19.

Adult social care: coronavirus (COVID-19) winter plan 2020 to 2021

The government’s ambitions for the sector and the challenges facing adult social care this winter.

Social Care Sector COVID-19 Support Taskforce: report on first phase of COVID-19 pandemic

This report sets out the progress and learning from the first phase of the COVID-19 pandemic in informing advice and recommendations to government and the social care sector.

Webpage feedback

Please email kieran.mchugh3@nhs.net if you have any comments or suggestions for the care homes webpage.

Useful links and information

COVID-19 testing is now available for all adult care homes in North Central London, in line with the latest government announcement. This includes care homes for the over-65s and those caring for people with dementia, and care homes for under-65s, including those with learning disabilities or mental health problems.

All symptomatic and asymptomatic care home staff and residents are eligible.

Visit our testing for care home staff and resident testing webpage to find out:

  • how to order a test kit for your care home staff and/or residents
  • what to do if your care home has a new COVID-19 outbreak (two or more suspected cases)
  • how symptomatic staff can obtain testing via the key worker testing scheme
  • what to do when you receive a test kit
  • what to do after you receive test results.

Testing guidance

Guidance on the different types of tests and testing kits for Covid-19, and how the different types of tests work, and who can use them. 

Outbreak management and rapid testing for care homes with outbreaks

A new COVID-19 outbreak management protocol involving rapid testing is starting in care homes.

The new protocol involves care homes with suspected outbreaks being provided with rapid testing and results of the whole care home (residents and staff) by their local Health Protection Team (HPT). Testing is then repeated on day 4-7 for all staff and residents who initially tested negative to reduce the false negative risk. Re-testing after 28 days from the last suspected case will be provided to confirm the outbreak has ended. Further details are provided in a letter from the Department of Health and Social Care (3 July 2020).

Government launches NHS Test and Trace service

From 28 May 2020 anyone who tests positive for coronavirus will be contacted by NHS Test and Trace and asked to share information about their recent interactions. This could include household members, people with whom they have been in direct contact, or within 2 metres for more than 15 minutes. People identified as having been in close contact with someone who has a positive test must stay at home for 14 days, even if they do not have symptoms, to stop unknowingly spreading the virus. You can read about how the NHS Test and Trace service works. The Government has also released workplace guidance on the NHS test and trace service and guidance on what to do if you have been notified by NHS Test and Trace that you have been in contact of a person who has had a positive test result for coronavirus.

COVID-19 testing available for all NCL care home staff and residents

Mass COVID-19 testing is now available to all adult care homes for under-65s, including learning disability and mental health, in North Central London for symptomatic and asymptotic care home staff and residents. It is no longer prioritised for specific groups. 

Antibody testing update  

The government has issued further information about the national antibody testing programme. Testing will be sequenced in NCL to take into account laboratory and phlebotomy capacity. Antibody tests check whether a person has had the COVID-19 virus. It does not confirm immunity so does not change workplace practice, PPE requirements or infection control requirements. The current PCR (antigen) test remains critically important in the management of COVID and is not replaced by antibody testing.

Retesting in care homes without outbreaks

Care home staff will be given coronavirus tests every week and residents every month from 6 July 2020 to identify anyone with the virus and reduce transmission.

Repeat testing will be initially prioritised for care homes primarily looking after over 65s or those with dementia before being rolled out to all adult care homes.

Bank, agency and visiting staff such a social workers and allied health professionals working in care homes should be included in the weekly staff tests in care homes.

Retesting will be offered to other adult care homes from early August. Further details are provided in a letter from the Department of Health and Social Care (3 July 2020).

Personal Protective Equipment (PPE) illustrated guide for community and social care settings

This resource outlines personal protective equipment (PPE) advice for health and social care workers working in the community.

Statement from the UK Chief Medical Officers on extension of self-isolation period

The self-isolation period has been extended to 10 days for those in the community who have coronavirus (COVID-19) symptoms or a positive test result.

PPE portal: how to order emergency personal protective equipment

The PPE portal can be used by social care and primary care providers to order and receive critical coronavirus (COVID-19) personal protective equipment (PPE).

Providers who can use the service will receive an email invitation to register.

The Department of Health and Social Care (DHSC) has partnered with eBay, Clipper Logistics and Royal Mail to develop this service.

Orders will be managed in line with Public Health England (PHE) guidance and wider availability from the NHS Supply Chain’s central PPE logistic operations.

Covid-19 PPE guidance

London is currently in sustained transmission of Covid-19 due to the large number of cases. To reduce the spread, personal protective equipment (PPE) should be worn by care home staff when delivering close care (within 2m) to any resident.

Visit the NCL CCG Infection Prevention and Control (IPC) web page forsupport and advice on IPC, including information on Personal Protective Equipment (PPE).

On this page you will find:

  • contact details for the NCL Infection Prevention and Control (IPC) advice and support line
  • contact details for PPE procurement
  • useful resources and guidance on hand hygiene, IPC, how to work safely in care home settings and PPE
  • links to online training, support and webinars.

Infection prevention and control guidance

The NEL Infection Prevention and Control team has produced a summary of recently published guidance. This briefing summary note published on 22 June 2020 is correct at the time of publication. For further information contact: nelcsu.ipcteam@nhs.net

Guidance change for health and social care staff on need to self-isolate following contact with a person with confirmed or suspected COVID-19

All NHS and social care staff must now self-isolate for 14 days if they have come into close contact with a person outside of work who has either recently tested positive to COVID-19 or has a suspected case of COVID-19, following updated government guidance released on 31 May.

If the contact with a person who has either recently tested positive to COVID-19 or has a suspected case of COVID-19 occurred at work, for example due to a PPE breach, then the staff member must report the PPE breach and close contact to their manager. The manager will conduct a mini risk assessment of the exposure and decide if it warrants self-isolation (i.e. if it was just a torn apron or the staff member’s mask actually fell off)

See the full guidance on COVID-19 management of staff and exposed patients or residents in health and social care settings.

COVID-19 infection rises: letter to care providers from Director of Adult Social Care Delivery

Stuart Miller has written to care providers to highlight rising infection rates and request action on testing and PPE in all care settings.

Overview of adult social care guidance on coronavirus (COVID-19)

Information for adult social care providers on COVID-19 guidance and support.

CQC publish COVID-19 FAQs for care providers

The CQC is publishing answers to questions asked by adult social care providers on a rolling basis. Topics covered include equipment and food, regulation, data collection, staff testing, hospital discharge, new admissions, death certificates, GP visits, and visitors.

Second stage of NHS response to Covid-19: Letter from NHS Chief Executive

This letter, sent on 29 April 2020 from the NHS Chief Executive and Chief Nurse, outlines the second stage of the NHS response to Covid-19. It contains specific references to support for care homes.

North Central London COVID-19 Information Pack for care providers – July 2020

This locally developed pack complements the NHSE/I London Care Home Resource Pack and provides local North Central London (NCL) information, guidance and access to support to enable care providers to respond to COVID-19. This local resource pack will be updated approximately every two weeks. Topics covered in the pack include:

  • Local and national available wellbeing offers for care provider staff
  • Understanding your service and workforce capacity
  • Infection prevention and control (IPC)
  • Personal Protective Equipment (PPE)
  • Urgent clinical advice for Rapid Response, community and domiciliary care teams concerned about a patient displaying COVID-19 symptoms
  • Monitoring and managing suspected and confirmed COVID-19 in care homes
  • Facebook portals
  • Taking vital signs
  • Staff and resident testing for COVID-19 in NCL
  • Test and trace
  • NHSmail: How to sign up
  • Changes to discharge /brokerage
  • The National Capacity/Tracker
  • Information on local plans to support providers financially.

SCIE Covid-19 Social Care Hub

On this hub, you will find a range of advice for care providers to support over COVID-19 including residential care, supported living and home care guidance.

Supported living services during coronavirus (COVID-19)

Guidance for providers of supported living settings.

Care Homes Guidance

Update on visiting arrangements to care homes

As outlined by government guidelines, Directors of Public Health are to provide a local view on visiting policies in care homes based on a dynamic risk assessment. Read the latest visiting guidance for Islington.

This guidance (initially published on 2 April) has been recently updated throughout in line with the Admission and care of people in care homes announced on 15 May and the latest advice on testing, and infection prevention and control.

The guidance is for care homes, local health protection teams, local authorities, clinical commissioning groups (CCGs) and registered providers of accommodation for people who need personal or nursing care. It sets out how to: admit and care for residents safely, and protect care home staff.

FAQs for families, friends and carers: How is my relative being cared for during the COVID-19 pandemic?

This leaflet aims to answer some of the common questions relatives have about family members in a care home during the COVID-19 pandemic. There is both an online version of the guide (suitable for desktops and mobiles), which can be emailed out to relatives and put on your websites, and a print version of the guide which can be sent to relatives. If you would like a print hard copy sent to you please email shani.gray@nhs.net. To help us improve the leaflet and our communication efforts to relatives please complete this short two minute survey.

North Central London COVID-19 Information Pack for care providers – July 2020

This resource pack combines local NCL information with London regional NHSE/I information that is relevant to social care providers. Topics covered in the pack include:

  • Health and wellbeing
  • Infection, prevention and control
  • Caring for residents during COVID-19
  • Care home admissions
  • Care home, extra care and supported housing visits
  • Vital signs equipment
  • Primary Care and Community Services
  • Pharmacy and medicines
  • Testing
  • End of life care
  • Digital and support
  • Workforce and capacity
  • Financial support

British Geriatrics Society: Managing the COVID-19 pandemic in care homes for older people

This guidance aims to help care home staff – and NHS staff who work with care staff – to support residents through the pandemic.

SCIE: Dementia in care homes and COVID-19

This is a quick guide for carers in care homes supporting residents living with dementia during the coronavirus (COVID-19) pandemic. It will discuss four clinical situations that may help to illustrate some challenges. These include:

  • Understanding signs of COVID-19
  • Helping residents with confusion
  • Managing behavioural challenges
  • Supporting residents with end-of-life care
  • You can find more information and guidance on supporting residents with dementia during COVID-19 in the London care home resource pack

Home Care & Domiciliary Care Guidance

Coronavirus (COVID-19): providing home care

This guidance is for those providing personal care to people living in their own home during the coronavirus outbreak. The guidance covers topics such as personal protective equipment, shielding and care groups, hospital discharge and testing, government support for social care, and information collection and governance.

COVID-19: how to work safely in domiciliary care in England

A resource for those working in domiciliary care providing information on the use of personal protective equipment (PPE).

Shielding Information

General Information

The latest information for shielding and protecting people defined on medical grounds as extremely vulnerable from COVID-19 is available on the GOV.UK website.

Patient letter 22 June 2020

In June, the government announced changes for the millions of people shielding from COVID-19. This letter tells patients about the planned changes for 6 July and 1 August 2020. The government’s shielding support package will remain in place until the end of July 2020.

Identifying and supporting Covid-19 vulnerable (shielding)

This NCL pack for professionals has been updated to cover the latest shielding guidance for general practice based on the 7th June NHS England letter.

This pack provides information on how to access free local and national resources and support to help the wellbeing of staff working in the NCL care sector during the COVID-19 pandemic. This includes several local peer support groups which staff can sign up to.

There are a number of resources available to support care home staff with their mental health and wellbeing during this difficult time.  

This resource pack contains information on supporting residents’ health and wellbeing and staff members’ mental health and emotional wellbeing.

  • Confidential staff support line

The NHS has introduced a confidential staff support line: 0300 131 7000. Operated by the Samaritans, it is free to access from 7am to 11pm, seven days a week. Alternatively, you can text FRONTLINE to 85258 for support 24/7 via text. Find out more.

Coping well during Covid webinars

NHS-led Coping Well During Covid webinars take place throughout August for anyone feeling anxious about coronavirus and how it is impacting you, your loved ones or your work. All webinars are delivered by Cognitive Behavioural Therapist, Emily Gardner. Topics include managing wellbeing, anxiety, low mood and sleeping difficulties. Find out more in the Webinars section on this webpage.

COVID-19: guidance for care of the deceased

Government advice to assist people required to manage bodies of deceased persons infected with coronavirus (COVID-19).

The following information aims to support care homes with the provision of End of Life Care during the COVID-19 outbreak.

Please see sections on advanced care planning, coordinate my care (CMC), supporting care in the last days of life, verification of death and care after death.

This End of Life Care (EoLC) resource pack contains information on:

  • Communication on EoLC
  • Identification of people near the EoL
  • CMC
  • Information on how to reach decisions on whether someone should be hospitalised
  • Community palliative care
  • Care homes and primary care working together
  • Care after death
  • Staff self-care.

This guidance is for all cases outside hospital when verification of death may be completed by people who have been trained to do so in line with their employer’s policies, including:

  • medical practitioners
  • registered nurses
  • paramedics.

The guidance clarifies existing practice for verifying deaths outside of hospitals and provides a framework for safe verification of death during the coronavirus emergency.

This resource is for families. It contains information designed to explain the next steps, answer questions and signpost families to extra help and support that is available in the event of a death of a loved one.

This is a clinical guide for supporting compassionate visiting arrangements for those receiving care at the end of life. It provides advice on how visiting at the end of life can be facilitated across a range of settings including healthcare inpatient settings (including mental health and learning disability), care homes, hospices and homes.

Coronavirus (COVID-19): informing DHSC of the death of a worker in social care

The Department of Health and Social Care is asking employers to notify them if an employee or volunteer in the adult social care sector has died. This guidance sets out a process to follow for deaths that have already occurred and any further deaths.

Employers are encouraged to tell the family, friends or colleagues of the care worker who has died that they are submitting this information.

There is no legal duty on employers to submit this information to DHSC but submitting this information will help ensure appropriate steps can be taken following the death of a care worker, including support for employers.

The Health Innovation Network has compiled a guide to resources and activities that older adults could take part in care homes during the national response to Covid-19.

Many of the activities are dementia friendly and have been compiled to feature mostly online, low/zero cost resources for staff to use for activities in their setting. It is hoped that these resources might support providers through the challenges of having reduced staff and residents who are unable to receive visitors.

Most of you are already registered to provide information on your vacancies using the Bed Capacity Tracker. During the Covid-19 outbreak, the tracker will be used to help to identify vacancies for people needing short and long-term care, and for national capacity planning. 

Please register on the tracker if you have not already done so to help support colleagues in the wider system by keeping your vacancies information up to date.

MS Teams Support

Any care provider with access to NHSmail can currently access Microsoft Teams. A support page for MS Teams on Digital Social Care is available. View a training guide on the set up and use of MS Teams.

Join the NCL WhatsApp group for registered care managers

Registered care home, nursing home and home care managers are invited to join a WhatsApp group set up by Capital Nurse, My Home Life, North Central London CCG, North London Councils and Skills for Care.

Through the group, care managers can join peers across NCL in discussing topics such as staffing, PPE and infection control and ask for advice from workforce and infection prevention and control advisors, a hospital consultant and pharmacists. To join, email Voyta Camek from Skills for Care. 

Facebook portal video calls

Three hundred Facebook Portals are being distributed to health and care providers in NCL to help friends and families stay in touch via video calling during the Covid-19 pandemic. This is part of an NHSX and Facebook pilot.

The Facebook Portal Quick Guide explains how to set up and use the device. 

The Facebook Portal Pilot communications and user guide provides further details including:

  • background about the pilot: slides 3–7
  • information on how portals are currently used in care settings: slide 8
  • user set-up information: slides 9–15
  • additional portal functions: slides 22–24.

Dedicated app for social care workers

The Care Workforce app is available to support social care staff on-the-go throughout the COVID-19 pandemic.

The app provides access to:

  • the latest guidance support and advice to support your safety and wellbeing
  • learning resources on infection prevention and control
  • offers for NHS and social care staff, including free car parking and discounts
  • information on free apps like Silvercloud, Daylight and Sleepio which help support good sleep, stress-reduction and resilience.

You can download the Care Workforce app on Apple and Android supported smartphones or access it via internet browsers on any device.

NCL WhatsApp Group: hosted and run by residential home managers (RHMs) for RHMs

This ‘chat room’ aims to provide peer support for managers during the COVID-19 pandemic. It started in late March and has 80 plus members. 

Discussions have focused on staffing, PPE, infection control, handling challenging situations.

The group now has input from a doctor, advisor in infection prevention and control, clinical pharmacists, a PPE broker, and Skills for Care who are able to answer any health, infection control, PPE and workforce related questions.

Additionally, through the network, you can find out about other support opportunities including virtual group and 1-1 psychological support.

To join, contact Voyta Camek at Skills for Care.  

Internet connection offers for care sector

NHSX and NHS Digital have negotiated a range of internet connection offers for care providers with telecom companies, to make it easier for you to utilise digital technology in protecting the health and wellbeing of your residents. This is complemented by two new pieces of guidance: Choosing an internet connection for your care home and How to use digital services in your care home.

  • Better communication through NHSmail

NHSmail accounts are available to all care home staff in NCL. An account will enable you to securely communicate with GPs and other NHS clinicians, participate in virtual ward rounds and receive appropriate information such as test results and discharge summaries. Slide 75 in the North Central London COVID-19 information pack for care providers explains how to sign up.

Government outlines care homes support package

On 1 May, the government set out further support that must be provided to care homes from primary care and community health services. The letter specifies a clinical service model and changes to service enablers for enhanced care home support during COVID-19 and beyond.

The government also published a care home support package (last updated 9 July) which sets out various steps that will be taken to keep people in care homes safe. Issues covered include infection prevention and control, NHS clinical support, testing, oversight and compliance, workforce, and funding.

Top tips for GPs caring for care homes

This resource contains practical tips developed from feedback from RCGP clinical advisors on the interventions they have been using in their primary care practices to support care homes during the COVID-19 pandemic.

PCN lead nurse discusses innovative ways Microsoft Teams is being used

In this video Julia Mullaney (PCN lead nurse for Darwen locality) discusses some of the different ways in which Microsoft Teams is being used to conduct meetings for coordination of services, action planning, practice teams, nursing teams and virtual wards in care homes.

National guidance: Coronavirus (COVID-19): looking after people who lack mental capacity

This emergency guidance is for health and social care staff in England who are caring for, or treating, a person who lacks the relevant mental capacity during the coronavirus outbreak. The guidance ensures that decision makers are clear about the steps they need to take during this period. It focuses on new scenarios and potential ‘deprivations of liberty’ created by the outbreak. During the outbreak, the principles of the Mental Capacity Act 2005 (MCA) and the safeguards provided by the deprivation of liberty safeguards (DoLS) still apply.

A Best Practice Guide for Care Homes: The impact of COVID-19 on mental capacity assessments, best interest decisions and deprivation of liberty safeguards

This practice guide, developed by Isle of Wight Council, aims to assist care providers when completing mental capacity assessments and best interest decisions during the COVID-19 crisis.

COVID-19 mental capacity assessment and best interest decision sheet

This COVID-19 mental capacity assessment and best interest decision sheet from Isle of Wight Council can be used in any setting.

Easy read documents about COVID-19

This series of easy read documents about COVID-19 have been developed by Isle of Wight Council for use in care home settings:

SCIE: Guidance on implementing the Mental Capacity Act

This guidance is specifically to support care homes in implementing the Mental Capacity Act during COVID-19. It covers involving residents in the process, best interest decisions, reviews, DoLS and includes a useful checklist for monitoring MCA implementation.

SCIE: Mental Capacity Act (MCA) training webinar series

SCIE has developed a series of webinars to support you and your team to understand the MCA and gain an understanding of what it means in practice.  Each week the webinars explore a different aspect of the MCA. You may also attend one-off sessions to refresh your learning in a particular area or sign up to all five for a complete overview and introduction to the Act. Each webinar will provide:

  • a presentation from an expert in the MCA
  • a forum for sharing ideas
  • Q&A opportunities to discuss the MCA-related challenges that you are facing.
  • The webinars are for anyone working in or recently joining the health, social care or voluntary workforce.

Coronavirus (COVID-19): reuse of medicines in a care home or hospice

Standard operating procedure on how to run a safe and effective medicines reuse scheme in a care home or hospice during the coronavirus outbreak.

Coronavirus (COVID-19) testing in care homes: statistics to 8 July 2020

Latest figures on coronavirus testing for social care staff, their household members and residents of care homes.

Official Statistics: Coronavirus and shielding of clinically extremely vulnerable people in England: 9 June to 18 June 2020

Statistics about individuals that are Clinically Extremely Vulnerable to coronavirus in England. Looks at how their health condition, healthcare and mental health has changed since being advised to shield. Examines whether they and those they live with are following guidance. Looks at what support is helping, or is needed, to help shield.

COVID-19: number of outbreaks in care homes – management information

Weekly number and percentage of care homes reporting a suspected or confirmed outbreak of COVID-19 to PHE by local authorities, regions and PHE centres.

Hospital discharges to care homes

NHS England and Improvement have published analysis of hospital discharges to care homes between 30 January 2020 and 16 April 2020. This includes a comparison to care home discharges from the same period in 2019.  

Impact of coronavirus in Care Homes in England (Vivaldi): 26 May to 19 June 2020

First results of the Vivaldi study on the impact of the coronavirus (COVID-19) pandemic across 9,000 care homes in England between 26 May and 19 June 2020.

Deaths involving COVID-19 in the care sector

Provisional figures on deaths involving the coronavirus (COVID-19) within the care sector in England and Wales.

COVID-19 prevalence survey: domiciliary care staff in England

This pilot study provides the first estimate of the extent of COVID-19 infections among domiciliary care workers in England.

Coronavirus (COVID-19) care home support: council transparency data

A list of councils in England that have published transparency returns on how they’ve supported adult social care during the pandemic.

Reporting process for the deaths of healthcare workers

Process changed with immediate effect meaning community deaths of healthcare workers in North Central London should be reported via the London Regional Patient Notification Team.

Health and care workers to self-isolate on return to England from high-risk countries

Registered health and care professionals travelling to England from high-risk countries will be required to self-isolate for 14 days, the government has confirmed.

Coronavirus (COVID-19): reducing risk in adult social care

This guidance is for anyone who employs people who work in adult social care. It provides a framework for how you should assess and support members of your workforce who may be at an increased risk from coronavirus. It covers:

  • the risk assessment process
  • having conversations with workers who are identified as being at increased risk
  • measures you could put in place, both across the workforce and for individuals
  • useful guidance and resources

This guidance should be used alongside PHE guidance on infection prevention and control and DHSC guidance on health and wellbeing of the adult social care workforce.

Steps to take following the death of a person who worked in adult social care in England

This guidance sets out what employers need to do if a worker or volunteer dies and includes resources about bereavement.

Check-in and Chat Plus

This is a peer-support role, provided by Responders with an enhanced DBS certificate. They are receiving additional training to provide regular telephone support and a ‘listening ear’ to people who have been shielding or experiencing challenges as a result of COVID-19.

The support that volunteers provide does not replace treatment/intervention by medical professionals, but instead it provides:

  • Companionship – forming a relationship of mutual support and understanding
  • Support – pointing to resources that help with mental health first aid
  • Check-in – to help clients identify activities and support that they can access
  • Listening ear – encouraging the client to talk about their experiences.

Support will be delivered to a client by the same volunteer for a duration of 10 weeks, with three calls taking place each week.

To refer someone who would benefit from a regular telephone check-in, please call 0808 196 3382 or go to https://www.goodsamapp.org/NHSreferral. Please ensure you have your client’s permission to make a referral on their behalf.

One off allocation of vital signs equipment across North Central London

Vital signs equipment (thermometers, pulse oximeters, blood pressure monitors) is being delivered to some of the mental health and learning disability care providers in North Central London to help support the care and monitoring of residents with COVID-19. A letter has been sent out with the equipment to mental health and learning disability care providers. This is in addition to vital signs equipment which was delivered to older people’s nursing and residential care home providers in early June. This is especially important as more services are using virtual consultations due to COVID-19, and the equipment will help to facilitate remote monitoring and improved care for residents in partnership with NHS services.

Some care providers may also have received additional pulse oximeters from NHSEI as part of winter and wave 2 COVID-19 readiness.

You can watch training videos produced on the correct use of this equipment at the following links:

Public Health England has produced a one-page guide on the routine decontamination of reusable non-invasive patient care equipment

Guidance is also available from the NHS on the use of Pulse Oximetry to detect early deterioration of patients with COVID-19 in primary and community care settings.

North Central London COVID-19 Information Pack for care providers – July 2020

This resource pack contains information on supporting residents’ with learning disabilities. See section 3 “Caring for Residents during COVID-19”.

SCIE: quick guide for learning disabilities and autistic adults during COVID-19

Guide to help care staff and personal assistants supporting adults with learning disabilities and autistic adults through the COVID-19 crisis.

The Disability Distress Assessment Tool (DisDAT)

The Disability Distress Assessment Tool (DisDAT) (recommended by NHS England) is an observation tool to identify distress and support assessments including health assessments related to coronavirus. It is designed to be used with people that have severely limited communication. It is based on the idea that each person has their own ‘vocabulary’ of distress signs and behaviours.

Pain rating scale and audio explanation   Wong and Baker’s FACES Pain Rating Scale (recommended by NHS England) uses pictures of faces to help people communicate pain intensity from ‘no hurt’ to ‘hurts worst’.

Upcoming events for NCL care providers

This document captures all upcoming training webinars until October 2020 including coping well during Covid19, NCL, and IPC webinars.  

Winter readiness webinars to support care homes

NHSEI are running a series of series of winter readiness webinars to support care homes.  Webinars are as follows:

Webinar 5 – Title : Enhanced Health in Care Homes London Winter Readiness 2020/21 Provider Webinar 2

21 October 2020, 2-3pm

Care providers can register online.

IPC weekly webinars for care homes and care providers Weekly IPC webinars continue on Thursdays from 2-4pm until October through MS Teams. View the dates and links.

Weekly NHS England palliative and end of life care webinar

NHS England’s End of Life team are running online information sessions every Thursday from 6-7pm which are open to any professional working in palliative and end of life care. To request an invite to the webinar or to submit a question for discussion, please email england.covid-eolc@nhs.net.

Public Health England webinars: Covid-19 and care home settings

PHE London is providing training to support residential care staff during the COVID-19 outbreak.

Webinars have focused on how to apply the latest guidance in practice, address practical scenarios including managing outbreaks, discharge from secondary care and testing, while revisiting the basics of infection prevention and control and clinical features of COVID-19. 

If you would like further information about these webinars, including when the next sessions will be run, contact the PHE webinar team at ImmsTraining@phe.gov.uk.

NHSmail and Microsoft Teams webinar for social care

Webinars take place every Tuesday and Thursday from 2.30-3.30pm for social care providers to ask questions about using NHSmail and Teams. To join the webinar, please use this link – http://www.bit.ly/NHSmailwebinar. Join up to five minutes in advance to make sure you can see the screen and hear the audio.

New HEE learning pathway for care home staff
Health Education England has added a new learning pathway to its e-learning programme for health and care staff working in care home settings to help you respond to the COVID-19 pandemic.

Royal National Orthopaedic Hospital Trust: Covid-19 training for care homes

The Royal National Orthopaedic Hospital Trust (RNOH) is running Covid-19 training for care homes.

Sessions cover how to recognise and manage the Covid-19 patient, how to care for Covid-19 positive residents, how to keep yourself safe and how to keep your working environment safe.

Most of the training is delivered virtually, however there is a 90 minute face-to-face training component on hand hygiene and safe donning/doffing of PPE that is delivered on RNOH’s Stanmore site. The face-to-face training is limited to eight places per session due to social distancing so a Train-the-Trainer approach is being offered.

Contact Emma Stewart (emma.stewart18@nhs.net), Interim General Manager to Medical Directorate for more information.   

Managing Deterioration: UCL Partners and Health Education England training videos

UCL Partners and Health Education England have produced a range of training videos on managing deterioration using the National Early Warning Score.

Areas covered include how to take extra vital signs and measure blood pressure, temperature, heart rate and oxygen saturation levels.

Skills for Care COVID-19: Essential training

Skills for Care has developed COVID-19 essential training for the social care workforce. The training is available as three individual packages of learning: rapid induction programme (aimed at new staff), refresher training (aimed at existing staff) and a volunteer programme.

Useful contacts for the NCL care sector

Visit our infection and prevention control webpage for contact information including our IPC hotline.

Barnet Sam Raffell: sam.raffell@barnet.gov.uk
Muyi Adekoya: muyi.adekoya@nhs.net
Camden Richard Elphick: Richard.elphick@camden.gov.uk
Sam Jacobson: sam.jacobson@camden.gov.uk
Phillip Darby: Philip.Darby@camden.gov.uk
Enfield Des O’Donoghue: Des.O’Donoghue@enfield.gov.uk 
Haringey Farzad Fazilat: Farzad.Fazilat@haringey.gov.uk
Islington Christine Lehmann: Christine.Lehmann@islington.gov.uk
Nikki Ralph: Nikki.Ralph@islington.gov.uk
BarnetJulie Hughes: Julie.Hughes@barnet.gov.uk
Debbie Fitzgerald: Debbie.Fitzgerald@barnet.gov.uk
CamdenHelen Brisbane: helen.brisbane@nhs.net
EnfieldMaria Masiyandima: maria.masiyandima@nhs.net
Haringey Tess Murdoch: maritess.murdoch@nhs.net
IslingtonTina Jegede: tina.jegede@nhs.net
BarnetHannah Richens: Hannah.Richens@barnet.gov.uk
Sam Raffell: sam.raffell@barnet.gov.uk
CamdenTim Rising: Tim.Rising@camden.gov.uk
EnfieldDarren Ware: Darren.Ware@iwenfield.co.uk
HaringeyFarzad Fazilat: Farzad.Fazilat@haringey.gov.uk
Rick Geer: Rick.Geer@haringey.gov.uk
Islington Dan Lawson: ppeascsupplies@islington.gov.uk
Barnet Dr Sarah Shelley (End of Life Macmillan GP Lead): s.shelley@nhs.net
CamdenDr Stuart Mackay-Thomas (Frailty, Dementia and Community Services Clinical Lead): s.mackay-thomas@nhs.net
EnfieldDr Abirame Sambasivan (End of Life Macmillan GP Lead): abirame.sambasivan@nhs.net
HaringeyDr Kate Rees (Frailty, Dementia and Community Services Clinical Lead, End of Life Macmillan GP Lead): k.rees@nhs.net
IslingtonDr Imogen Bloor (Primary Care Development GP Lead): imogen.bloor@nhs.net
NCLDr Katie Coleman (NCL PCN Development Lead: Care Homes and Frailty): katie.coleman@nhs.net
Dr Shani Gray (NCL STP Care Homes Darzi Fellow): shani.gray@nhs.net