Community Equipment Amnesty
We are asking all care home and supported living providers across Sefton who have individuals that have been issued with community aids and equipment, and who no longer need or use this equipment, to return in to Sefton Community Equipment Stores
Read our full statement here
The North-West Science and Technical Advice Cell (STAC) Covid-19: PPE Guidance Document Summary and FAQ can be found here.
Sefton Council’s PPE Guidance
Sefton Council’s PPE Guidance document can be found here
We have a small stock of clear masks, that are being trialled to support those that may benefit from being able to still see the persons mouth when they are wearing a mask. If you would like to try these please contact EmergencyPPE@Sefton.gov.uk .
If you do use these, the Central PPE team are keen to hear your feedback here
PPE Safety Alert
Important PPE Alert
It has been brought to our attention that there is a safety alert for the Type IIR Mask Cardinal Health. Although these masks meet the breathability, filtration and splash resistance requirements of BS EN 14683, in light of ongoing monitoring, further complaints reported and testing from the manufacturer on the masks, the MHRA recommends that all lots of this product are disposed of locally. These were the very first masks we had in stock at the start of the national supply and we do not have anymore. However, can we please ask that you check your stock and discard any you may have. Any masks can be replaced from the stock at Bootle Town Hall by contacting firstname.lastname@example.org
We have been advised that the following product below doesn’t meet the Health and Safety Executive standards and is unsafe to use. This is any eye protection that was distributed in 2 parts – separate frames to lenses. Please check any equipment you have and remove this from your stock and contact email@example.com to exchange for Visors.
Tiger Eye Protector Product – Removal from the Supply Chain in respect of Covid-19 use
BSI at the request of the Health and Safety Executive (HSE) have carried out a test on Tiger Eye protective goggles and frames that originated from the Pandemic Influenza Preparedness Programme (PIPP) Stock purchased in 2009.
The test has shown the product does not meet the current requirement for splash protection required in BSN 166 (including certain testing requirements documented in BSN 168). As a result, this product should not be used in a Covid-19 setting, and we are removing it from the supply chain.
Tiger Medical Products: Protective Goggles and Frames
Product Codes PG0001 – F and PG0001-K
Barcode for frames: 6948548400224
NPC for Frames (BTP083 and BTP403) and Lenses (BTP097, BTP404 and BTP439)
Trusts will want to consider reuse of appropriate eye protection in line with the guidance. If you now urgently require eye protection PPE for your organisation, please contact the National Supply Disruption Line on 0800 915 9964 for an urgent delivery.
Advice for staff
The current Infection Prevention and Control Guidance recommends that a full face shield or visor should be used when performing aerosol generating procedures (APGs). Staff in your organisation may already have used the above Tiger Eye Protector product for non AGPs. The risk from using it in direct patient contact when not performing AGPs is limited.
If staff have used the product when performing AGPs or if otherwise they have been exposed to droplets or splashes you should communicate this to HSE through the RIDDOR route https://www.hse.gov.uk/news/riddor-reporting-coronavirus.htm.
PPE Supplier List
This Independent Suppliers List for PPE is a list of all suppliers that we have been made aware of and that have approached Sefton Council during this time to offer PPE supplies. Please note that the details of these suppliers are unchecked. Sefton Council takes no responsibility for the quality and cost of PPE equipment that is secured via these agents. It is the responsibility as a care provider that you must assure that PPE products and equipment supplied from the listed distributors is of the correct quality and compliance and all appropriate checks should be undertaken by the supplier and the provider to ensure safe use.
Find the list here
Please note that you can still email firstname.lastname@example.org if you have a critical need for PPE.
Shortage of PPE – Pathway for Providers
The PPE Flow Chart has been updated and can be found here.
There is now a dedicated email address to use for requests for emergency PPE supply – email@example.com
Please note that the normal route of supply should always be tried first and that a limited supply of around 48 hours’ worth only can be released from the central stock, as this is all that has been released nationally.
PPE Emergency Supplies Update
Due to the improving picture on PPE supply we have experienced a reduced demand for PPE emergency supplies over the weekend and therefore have moved back to a Monday to Friday Service. Please continue to submit requests to EmergencyPPE@sefton.gov.uk for weekday collections.
Some key things to consider:
Current evidence that direct and indirect contact, for example touching things or people then your face or eating, and droplets (from coughs and sneezes) are the main transmission routes and the personal protective equipment requirements reflect this. This guidance is likely to be updated as more is known about transmission of COVID-19.
Anyone working with people in the extremely vulnerable, shielded group, must wear gloves, apron and surgical mask, as a minimum. This is to provide protection to the shielded person. For provision of direct care (being within 2 metres) for any one with symptoms, plastic aprons, fluid repellent face masks, eye protection and gloves are recommended. Where it is not possible to find out in advance if the individual has symptoms then PPE should be used.
Risk assessments must be carried out for different staff groups and they need to understand how to use any PPE recommended following the risk assessment.
It is important that staff know how to put on and take off PPE correctly so that it can protect them.
Donning and doffing guides can be found here.
A guide to helping prevent facial skin damage beneath personal protective equipment can be found here.
Standard infection prevention and control precautions are also vital, alongside PPE, this means paying extra attention to handwashing and environmental cleaning and making sure that the community infection prevention and control team are contacted for advice whenever there is a resident with symptoms of COVID-19.
Community Infection Prevention and Control Team - 0151 295 3036
For Out of Hours Public Health England Health Protection Team Cheshire and Merseyside - 0151 434 4819
Thank you for continuing to support the PPE supply and demand issue by;
- Pursuing your own supply route. We hope to be able to share a process for Care Homes to access NHS Supply routes at some point this week which should greatly help
- Letting us know the issues on the daily ring round and (this is being collated to give us a national picture)
- Please await the national distribution of emergency stock which will be delivered to Merseyside on Tuesday 7th and distributed from there in. This is the latest advised date which maybe be subject to change. We have dedicated staff working on this and are ready to act as swiftly as possible. Care Homes and Care at Home providers are identified as the high priority
- Please register on the mandatory Capacity Tracker
- Please register for your mandatory NHS Net Account
Providers who have an urgent requirement for PPE, which they are unable to secure through their business as usual channels, or via their Local Resilience Forums, should contact the NSDR via the 24/7 helpline: 0800 915 9964 (Freephone number in the UK), and a Direct Line from overseas: 0191 283 6543.
Legionella Risk due to Building Closures
As buildings are closed during COVID-19, there is an increased Legionella risk if action is not taken.
As a general principle, outlets on hot and cold water systems should be used at least once a week to maintain a degree of water flow and to minimise the chances of stagnation.
To manage the risks during non-occupancy, consideration should be given to implementing a suitable flushing regime or other measures such as draining the system if it is to remain vacant for long periods (see https://www.hse.gov.uk/legionnaires/legionella-landlords-responsibilities.htm).
See full PHE guidance here.
Joint statment from MBA, Care Provider Alliance, CQC, Royal College of GPs
Information on when a GP unable to attend the home to provide a death certificate. Joint statement on Advanced Care Planning.