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COVID-19 Personal Protective Equipment (PPE)

The Government is extending the provision of free PPE to health and social care providers until the end of March 2022. In order to protect the health and wellbeing of health and social care workers, as well as their patients and clients, the continued provision will ensure frontline workers can access rigorously tested and high-quality PPE. 

 

How to Get PPE

The following applies to all CQC and OFSTED registered Residential and Domiciliary Care Providers. 

The Central Government PPE portal can now be used by all adult social care homes and domiciliary care providers to order PPE for COVID-19 requirements. This is a change from previously when this was only an emergency top-up system. 

Accessing PPE - 6 simple steps to free PPE

The following items are available via the portal: aprons, gloves, Type IIR masks, hand hygiene and visors. For those undertaking aerosol generating procedures the portal can now supply FFP3 masks and coveralls / gowns. There are weekly order limits but these are under review and may be increasing over the coming weeks. 

The current registration rates for social care providers are between 30-60%. If you have not done so already, you should register on the portal via this link using your CQC registered address:

http://nhs-ppe.co.uk/

If you have any questions, more information can be found at:  

PPE portal: how to order COVID-19 personal protective equipment (PPE)

You can also watch this video - How to Order PPE using the PPE Portal

You can also ring the customer service team from 7am-7pm, 7 days a week, on 0800 876 6802.

CQC and Ofsted registered providers should be obtaining business as usual PPE via their usual suppliers. Any PPE that is required which is over and above business as usual should be requested through the national portal. If CQC and Ofsted care providers have not been able to receive sufficient or timely PPE from the national portal they can register and request PPE from Nottingham City Council (NCC).

PPE can be requested from NCC by:

  • Nottingham City Council colleagues through their Head of Service or nominated lead
  • CQC and Ofsted registered providers who cannot obtain sufficient or timely PPE through the PPE Portal
  • Providers who are not registered by CQC or Ofsted such as day centres or micro-providers
  • Citizens receiving services from personal assistants (PAs)
  • Unpaid carers who do not live with the person they are caring for

PPE request process:

  • Check the current PPE summary guidance to identify what PPE is needed.

Note: The summary guidance is our easy read version of the national guidance. This should be reviewed along with the national guidance from DHSC on https://www.gov.uk/coronavirus.

  • You will receive an email to confirm your request and a further email to let you know where and when to collect your order (subject to approval and availability of stock).

Contacts:

  • If you have any queries or an urgent request, please contact us on ppe@nottinghamcity.gov.uk
  • For any other PPE or COVID-19 related queries, please email CV19@nottinghamcity.gov.uk
  • If you need additional, specialised health protection advice call PHE East Midlands on 0344 2254 524

    How to Use PPE

    Instructional Videos

    NHS Video: Putting on and removing PPE - Public Health England instructional

    This video demonstrates how to put on (known as donning) and remove (known as doffing) your PPE in a health and social care setting.

    • This video demonstrates both the techniques you should use to put on/remove your PPE and the order in which you should do each item
    • Following this order and using the techniques is essential in preventing contamination and infection spread
    • Where the video refers to “patients”, this means any citizens you are in contact with when providing services

    Video: Cleaning Goggles

    This video has been made by Infection Control colleagues in Nottingham to demonstrate the steps in cleaning reusable goggles.


    NHS Video: How to wash your hands

    Please make sure you follow these general principles to prevent the spread of infectious viruses, including flu and norovirus, as well as Coronavirus.

    • wash your hands often with soap and water for at least 20 seconds. Use an alcohol-based hand sanitiser that contains at least 60% alcohol if soap and water are not available. This is particularly important after taking public transport. The NHS have produced guidelines on how to wash your hands effectively to prevent the spread of infection and you can find this on their website.
    • avoid touching your eyes, nose, and mouth with unwashed hands
    • avoid close contact with people who are unwell
    • cover your cough or sneeze with a tissue, then throw the tissue in a bin.
    • if you are worried about your symptoms, please call NHS 111. Do not go directly to your GP or other healthcare environment.

     

      How to Dispose of PPE

      How do I dispose of PPE used in community settings such as care homes with arrangements for clinical waste collection?

      It is really important that PPE is put on and removed carefully. Guidance is available to provide further information on how to put on and remove PPE correctly. Following the removal of PPE it should be placed inside clinical waste bins.

      How do I dispose of PPE used in citizen’s homes?

      It is really important that PPE is removed carefully – see taking off (doffing) guidance. 

      When citizens do not have symptoms of COVID-19 waste PPE should be placed in a refuse bag and can be immediately disposed of as normal domestic waste.

      For citizens who do have symptoms of COVID-19 there are additional measure for waste PPE. Prior to the visit, colleagues should risk assess whether the household is able to adhere to the safe disposal of waste PPE. If they cannot, colleagues should take their waste away with them in a disposable rubbish bag, placed into a second bag and tied securely to dispose of at their base in accordance with government guidance.

      If the citizen is able to adhere to the safe disposal of waste, then colleagues should not remove waste PPE from the citizen’s home. Colleagues should take off their PPE when at least 2m away from the citizen or any other person. It should then be put into a disposable rubbish bag, placed into a second bag, tied securely, labelled with the date and time. Waste should be stored safely and securely kept away from children and other waste for 72 hours. After this time the rubbish bags may be placed into a citizen’s household waste bin.

      Guidance on PPE

      Local guidance

      Indication and use of Personal Protective Equipment - Summary PPE Guidance for Nottingham City Colleagues during the COVID-19 Pandemic

      Government guidance

        • Government guidance on how to work safely in care homesGuidance for those working in care homes providing information on how to work safely during this period of sustained transmission of COVID-19.
        • PPE portal: how to order COVID-19 personal protective equipment (PPE)Eligible health and social care providers can order PPE through the portal to meet the increased need that has arisen as a result of the COVID-19 pandemic.

        • UPDATED Guidance on the use of face masks in care homes and domiciliary care. The Government has updated its guidance on the use of face masks in care homes and domiciliary care to prevent COVID-19 transmission. The updated guidance adds a new requirement for all staff involved in care work to wear a Type I or Type II surgical mask, even when 2m or more away from service users or other staff. This guidance also applies to any staff who share an office space or communal area with care workers who care for clients, unless a workplace assessment has been completed. Evidence has shown that those infected with COVID-19 can have very mild or no symptoms and might pass on the virus to others (such as other staff or clients) without being aware of it, so it is important to reduce the risk of this happening. Please click on the how to work safely in care homes and domiciliary care links above.

          Guidance on PPE - Latest Updates

          15th September 2021: FAO: All Provider – Continued use of PPE

          Due to the vulnerability of those requiring care in care home settings or in the community, there is no change to PPE advice. You need to wear PPE for personal care of all individuals you care for:

          • whether the person you are giving personal care to has symptoms or is known to have COVID-19 or not
          • regardless of the age of the person you are caring for
          • no matter what your role is

          See the following link for more information: PPE guide for community and social care settings (publishing.service.gov.uk)


          13th Sept 2021: PLEASE READ IMPORTANT: Reminder about FFP3 mask requirement for aerosol generating procedures

          An important reminder about the different type of face masks required when caring for a person who requires AGP’s (aerosol generating procedures).

          An AGP is a medical procedure that can cause the release of very small particles of Covid -19 from the throat of an infected person into the immediate area and therefore increase the risk of transmission to those in the immediate area.  AGP’s are occasionally carried out in care homes and the community and include suctioning needed by a person with a tracheostomy or people who are receiving CPAPBiPAP or ventilation support. 

          Some examples of AGP’s carried out sometimes in the community are as below: 

          • Tracheostomy insertion or removal
          • Bi-level positive Airway Pressure Ventilation (BiPAP)
          • Continuous Positive Airway Pressure Ventilation (CPAP)
          • Deep suctioning  (not suctioning in the mouth to clear saliva)
          • Please note – nebulizers are NOT considered a significant risk therefore DO NOT require an FFP3 mask 

          A full list of AGP’s can be found on the Gov website:  https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-infection-prevention-and-control-guidance-aerosol-generating-procedures  please check the guidance if you are unsure.

          You will need a different type of mask – called an FFP3 (filtering face piece) for the above procedures which filters out aerosols that the Type 11R surgical mask will not.  An FFP3 mask also requires a face fit test to ensure a correct fit. It is very important that all staff wearing FFP3 masks have been face fit tested by an accredited provider to ensure a secure fit.

          The FFP3 masks can be ordered via the PPE portal.  We are able to provide information for accredited providers who provide FFP3 face fit testing.  

          Links below for providers of fit testing:

          https://www.fit2fit.org/find-a-tester


          10th August 2021: How to work safely in domiciliary care guidance updated

          The ‘How to Work Safely in Domiciliary Care’ guidance has been updated and now includes the paragraph on what PPE to use when supporting an individual or client on visits out. 

          Please see updated guidance: Personal protective equipment (PPE): resource for care workers delivering domiciliary care during sustained COVID-19 transmission in England - GOV.UK (www.gov.uk)


          21st July 2021: PPE Update Message for All Providers

          From 19th July, England has moved to Step 4 of the roadmap, and most coronavirus (COVID-19) legal restrictions have been lifted. However, due to the nature of the settings and vulnerability of the population, use of PPE and infection prevention and control (IPC) measures should continue to be practised in health and social care settings including all care workers delivering care in people’s homes (domiciliary care). This applies even if staff or service users have received two doses of the COVID-19 vaccine. 

          Please continue to wear PPE as per the following guidance:

          COVID-19: how to work safely in domiciliary care in England - GOV.UK (www.gov.uk)

          COVID-19: how to work safely in care homes - GOV.UK (www.gov.uk) 

          It is also important to continue:

          • Getting testing if you have any potential COVID-19 symptoms
          • Continuing any current Lateral Flow testing arrangements you have in place

          To get tested, please visit Get tested for coronavirus (COVID-19) - NHS (www.nhs.uk)

          If you have any further questions, please contact ppe@nottinghamcity.gov.uk or refer to:

          Coronavirus: how to stay safe and help prevent the spread - GOV.UK (www.gov.uk)


          14th June 2021: PPE in the heat - guidance from HSE

          During this spell of hot weather, some care workers may have been experiencing difficulties with PPE. There is some guidance available from the Health and Safety Executive and Public Health England around this.

          Wearing personal protective equipment (PPE) in warm/hot environments increases the risk of heat stress. This occurs when the body is unable to cool itself enough to maintain a healthy temperature. Heat stress can cause heat exhaustion and lead to heat stroke if the person is unable to cool down.


          25th May 2021: PPE Guidance Change: COVID-19: how to work safely in care homes

           There has been a further review of the ‘How to Work Safely in care homes’ guidance on 18th May. The reason for this is that Public Health England have updated certain sections to reflect the latest evidence and current surveillance and epidemiology of COVID-19 in the UK. 

          There is a webinar explaining the guidance in more detail which can be viewed here: Join conversation (microsoft.com)

          The guidance can be found at: COVID-19: how to work safely in care homes - GOV.UK (www.gov.uk)

          What has changed

          This guidance has been updated:

          • to clarify the meaning of sessional use and the difference between source control and PPE
          • to clarify the safe use of face masks and when to use them, focusing on the use of:
            • the Type I or II face mask which is worn to protect others from you (source control)
            • the Type IIR face mask which is used as PPE. Type IIR face masks help to protect you, the wearer, from exposure to COVID-19 but also act as source control, protecting others from you
          • to clarify that you should change a Type IIR face mask (being worn as PPE) after providing direct personal care to COVID-19 positive residents or residents that may have symptoms of COVID-19
          • to clarify that if you have provided direct personal care to a resident who has tested negative for COVID-19 and does not have respiratory symptoms, and assuming your mask is not damp, soiled or worn for more than 4 hours, you can wear it for the next resident contact.
          • to clarify sessional use of a face mask (Type I or II) is acceptable when carrying out domestic duties or other activities more than 2 metres from residents
          • In this guidance, a session refers to a period of time where a care worker is undertaking a duty which is not delivering direct personal care to a COVID-19 positive resident or a resident with respiratory symptoms in a specific setting or environment. The session ends when the care worker finishes that task and leaves that care setting or environment, or takes a break. Sessional use is also when the care worker is providing continuous care for a cohort of residents who are not COVID-19 positive or have respiratory symptoms.
          • new advice on what to do when within 2 metres of a resident or anyone else within your working environment
          • an updated section on what to do with waste including disposing of PPE safely


          20th April 2021: PPE Guidance - Further GOV update

          Following feedback, the national PPE guidance for working safely in Care Homes (Personal protective equipment (PPE): resource for care workers working in care homes ) has reverted back to the version published on 6th April. This means that, in Care Homes, masks can no longer be used sessionally. 

          1. A fluid-repellent surgical mask must be single use and disposed of after giving personal care to each resident, and a new fluid-repellent surgical mask applied when giving personal care to another resident.
          2. A Type II mask must be single use and disposed of before leaving the resident’s room. A new mask must be donned before entering the next resident’s room.


          13th April 2021: Further Change to the Updated Adult Social Care Guidance for PPE

          There has been a further recent change to the updated Adult Social Care Guidance for care workers working in care homes during sustained COVID-19 transmission in England on 10th April. Previously it was stated that fluid resistant (Type IIR) masks should be changed between each resident in Care Homes. 

          However, the advice is now that these masks can be used sessionally but must be changed if you have been giving personal care to residents and you are changing your work duties, for example, going to the staff only area or the office. 

          A new fluid-repellent surgical mask must be used while providing personal care for different residents with respiratory symptoms or with a positive COVID-19 test.

          For more information please see Personal protective equipment (PPE): resource for care workers working in care homes during sustained COVID-19 transmission in England - GOV.UK (www.gov.uk)


          9th April 2021: National PPE Guidance Update

          Please note that the national PPE guidance has been updated for Adult Social Care, following a review of the current evidence. Please read the guidance provided by your authority and increase your orders via the PPE portal if required. 

          The updates may or may not change the PPE you are expected to use in your work settings. The guidance as to when to change PPE has been updated for everyone. Please read the below carefully as an update or reminder, and continue to check the latest version of your PPE Summary Guidance.

          1. If within 2 metres of the client and carrying out direct personal care or domestic duties, the PPE recommended is as follows:

          • Disposable gloves
          • Disposable plastic apron
          • Fluid repellent (type IIR) surgical mask
          • Eye protection (if risk of splashing)

          2. If more than 2 metres from a client undertaking domestic duties and not delivering personal care, the PPE recommended is as follows:

          • Disposable gloves
          • Type II surgical mask

           In addition, you may require:

          • Disposable plastic apron (only if there is a risk of contact with bodily fluids or secretions or splashing onto your clothing)
          • Eye protection (if the client has had a positive COVID-19 test and is quarantining, or has respiratory symptoms)

          3. Surgical masks must be single use and disposed of after each task e.g. personal care, and a new mask applied when giving personal care to another client. 

          4. In Care Homes, surgical masks must be disposed of before leaving the resident’s room. A new mask must be donned before entering the next resident’s room.

          This is a change from previous guidance which advised that masks could be worn continuously while providing care, unless taking a break from duties.

          5. In domiciliary care, including personal assistants, a surgical mask must be single use and disposed of at the end of each homecare visit and a new mask applied when entering a different client’s house.

          This is a change from previous guidance which advised that the same mask could be worn between different households/visits.

          The maximum period of time for wearing a type II mask is 4 hours, and the mask must be changed if it becomes moist, wet or uncomfortable to wear.

           For more information, please see:

          Recall and Safety Notices

          PLEASE READ IMPORTANT: Reminder about FFP3 mask requirement for aerosol generating procedures (13th Sept 21)

          An important reminder about the different type of face masks required when caring for a person who requires AGP’s (aerosol generating procedures).

          An AGP is a medical procedure that can cause the release of very small particles of Covid -19 from the throat of an infected person into the immediate area and therefore increase the risk of transmission to those in the immediate area.  AGP’s are occasionally carried out in care homes and the community and include suctioning needed by a person with a tracheostomy or people who are receiving CPAPBiPAP or ventilation support. 

          Some examples of AGP’s carried out sometimes in the community are as below: 

          • Tracheostomy insertion or removal
          • Bi-level positive Airway Pressure Ventilation (BiPAP)
          • Continuous Positive Airway Pressure Ventilation (CPAP)
          • Deep suctioning  (not suctioning in the mouth to clear saliva)
          • Please note – nebulizers are NOT considered a significant risk therefore DO NOT require an FFP3 mask 

          A full list of AGP’s can be found on the Gov website:  https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-infection-prevention-and-control-guidance-aerosol-generating-procedures  please check the guidance if you are unsure.

          You will need a different type of mask – called an FFP3 (filtering face piece) for the above procedures which filters out aerosols that the Type 11R surgical mask will not.  An FFP3 mask also requires a face fit test to ensure a correct fit. It is very important that all staff wearing FFP3 masks have been face fit tested by an accredited provider to ensure a secure fit.

          The FFP3 masks can be ordered via the PPE portal.  We are able to provide information for accredited providers who provide FFP3 face fit testing.  

          Links below for providers of fit testing:

          https://www.fit2fit.org/find-a-tester


          Communication to Care Providers about PPE (9th Dec 2020)

          Further to our communication around the Bloc Visors, and in light of the withdrawal of the acute shortages guidance, we have decided that all eyewear issued by Nottingham City Council as PPE, should be treated as disposable only within a health and social care setting.

          This means that eye protection can be used continuously, until you need to take a break from duties or move between settings, and should be disposed of after removal.

          If you require more eyewear, please place your order through the national PPE Portal: -

          http://nhs-ppe.co.uk/

          or Nottingham City Council’s stocks at: -

          https://myaccount.nottinghamcity.gov.uk/service/order_your_ppe

          Any queries, please contact ppe@nottinghamcity.gov.uk


          Update on Vinyl Gloves (10th November 2020)

          The updated national guidance states different gloves can be used for different purposes in care homes and home care. However, Nottingham City Council and Nottinghamshire County Council are providing Nitrile gloves, rather than Vinyl gloves, as we believe these are the most appropriate for use in care homes and home care due to their durability. You can find more information at the links below:

          COVID-19: how to work safely in care homes

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


          Recall of Cardinal Type IIR Masks (29 June 2020)

          Official notification from the NHS Supply Chain states there is a product RECALL with batches of Cardinal Type IIR masks, supplied centrally and distributed by the LRF. The fault is either with the stitching on the ties or with the foam nose strip, potentially causing particles to flake whilst it’s being worn. For more information see https://updates.supplychain.nhs.uk/5IP7-1S3F-98P753C2/cr.aspx 

          These masks were distributed to colleagues as part of their PPE during April and early May and may no longer be in use. If are still using Cardinal Type IIR masks, please stop using these and return them to Harvey Hadden for disposal. Please order replacement masks.

          This recall note updates an advisory note from 27 May 2020.

           


          Recall of KN95 masks (12 June 2020)

          Official notification received from the HSE today states there is an issue with the quality of masks designated as KN95 including a lack of compliance with European standards.

          For more information see: https://www.hse.gov.uk/safetybulletins/use-of-face-masks-designated-kn95.htm

          If you are still using KN95 masks, please return these to Harvey Hadden and order replacement masks

           


          Advisory on LRF Type II Masks (13 May 2020)

          The LRF have issued Type II masks. Whilst our records suggest that none of these masks have been distributed to colleagues in Nottingham we request you check that all the masks you’ve received are Type IIR.

          Type II masks are not fluid resistant so can be used as a surgical mask, for example when preparing food for someone in the extremely vulnerable shielding group, but cannot be used in a direct and/or personal care situation

          These masks are not easily distinguished. Please follow the guidance on this page for PPE requirements and usage.

           


          Recall of Tiger Eye Protective Goggles and Frames (9 May 2020)

          Official notification was received from the Department of Health and Social Care stating that Tiger Medical Products protective goggles and frames supplied through the National Supply Chain and distributed by the LRF do not meet the current requirements for splash protection and therefore should not be used whilst we have sustained transmission of COVID-19. 

          All colleagues who have goggles as part of their PPE should arrange to return them as described in the letter from the LRF (see below) and collect replacement eye protection. Whilst we recognise that colleagues may be concerned, the letter from central government states the risk from using Tiger Eye protective goggles and frames in direct patient contact, when not performing aerosol generating procedures (AGPs), is limited.

          Unpaid carers who do not live with the person they are caring for

          If you are an unpaid carer and do not live with the person you care for, it is recommended that you wear personal protective equipment (PPE) when delivering this care. This includes if you are caring for a family member. You can access free COVID-19 related PPE from your local authority. 

          If you used PPE before COVID-19, you should continue to get this from your usual supplier.

          If you live in Nottingham City:

          You can register and order a supply of all your COVID-19 related PPE through Nottingham City Council’s online system

          https://myaccount.nottinghamcity.gov.uk/service/order_your_ppe

          The amount and type of PPE you should wear will depend on the type of care you provide. For more information on what PPE is needed when, please see:

          https://www.gov.uk/government/publications/coronavirus-covid-19-providing-unpaid-care/guidance-for-those-who-provide-unpaid-care-to-friends-or-family

           

          If you cannot use the internet, then please telephone Nottingham Health and Care Point on  0300 131 0300 and tell them that you need to order some PPE for your care role.

          Any questions can be emailed to ppe@nottinghamcity.gov.uk

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