Care workers:“What protection is in place for workers in care settings?”

1. What are Public Health advising should be in place in care settings where a resident has COVID-19?

The link below provides details of what types of mask you should be wearing if working with someone with COVID-19

https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/874411/When_to_use_face_mask_or_FFP3.pdf

 

2. Public Health England advice for standard infection control principles that should be in place in all health and care settings.

If you work in a care setting and you have residents with COVID-19 make sure you read this guidance as it provides details of what type of PPE you need to wear.

https://www.barnetunison.me.uk/wp/wp-content/uploads/2020/04/Interim-IPC-advice-for-care-homes_v1.2_20200318.pdf

 

Public Health England are stating that if residents or staff are not showing symptoms there is no risk of sharing or contracting the virus, therefore staff do not need to wear the PPE that is required when working with residents with COVID-19.

Barnet Group – temporary-changes-to-workplace-policies-and-procedures

Barnet Group -COVID-19 – temporary-changes-to-workplace-policies-and-procedures

 

As coronavirus (also known as COVID-19) continues to spread, we recognise that our organisation needs to adapt its ways of working.

We want to help reduce the spread of coronavirus and safeguard the welfare of our staff during the coronavirus outbreak, while continuing our operations as normally as possible.

This policy explains what temporary changes we are making to our usual policies and procedures on sickness absence, flexible working, travel, and annual leave during the global health crisis.

Sickness absence

Sickness absence reporting

What is our normal policy?

Under our normal sickness absence policy, if you fall ill and cannot attend work, you would be required to:

  • notify your line manager before you are due to start work, or as soon as possible if that is not practical; and
  • provide medical evidence (typically, a fit note from your doctor) for sickness of more than seven calendar days’ absence.

What is changing temporarily?

During the coronavirus situation, it is vital that you do not attend work if you fall ill and experience any common coronavirus symptoms. These are:

  • a fever;
  • a dry cough; and
  • shortness of breath.

You should still notify your line manager of your absence before you are due to start work, or as soon as possible if that is not practical.

However, we recognise that you may be legitimately absent without having written medical evidence (typically, a fit note from your doctor). If you are given medical advice to self-isolate, we will not ask you to provide written medical evidence after seven calendar days’ absence.

This is because public health advice is that, if you show symptoms, you should avoid going to your doctor or a hospital to prevent infection from spreading. You may have been given medical advice via telephone from NHS 111 to self-isolate.

You will still be expected to:

  • explain to your line manager what medical advice you have been given and from whom; and
  • keep in regular contact with your line manager.

Given the coronavirus situation, you must make sure that your contact details are up-to-date on iTrent and your line manager has a telephone number and email address where they can reach you if you are in self-isolation.

Acceptable levels of absence

What is our normal policy?

Under our sickness absence policy, the formal procedures for managing sickness absence may be triggered as a result of:

  • 10 or more working days of sickness absence during a rolling 12 month period;
  • 4 or more episodes of sickness absence during a rolling 12 month period;
  • a single absence of 15 or more working days (long-term sickness absence);
  • any sickness that gives cause for concern or where early intervention might help.

in the previous 12 months.

What is changing temporarily?

If you are given medical advice to self-isolate (for example from NHS 111), or we ask you to self-isolate, we will not take this absence into account when determining whether or not we are taking formal action under our  sickness absence management procedure.

Sick pay

What is our normal policy?

You would normally receive, if eligible, statutory sick pay (SSP) where:

  • you have a period of sickness absence from work of at least four calendar days in a row; or
  • during sickness absence you are normally entitled, in any 12-month period to receive sick pay as defined in your contract which would reduce to half pay or no pay

What is changing temporarily?

You will be paid full pay if:

  • we have asked you to stay away from the workplace and self-isolate; or
  • you are self-isolating in response to medical advice from NHS 111, your doctor, or a local health protection team.

 

 

 

Flexible working

Requests for flexible working

What is our normal policy?

Under our flexible working policy, you can normally agree informally with your line manager to one-off or short-term changes to your working patterns or periods of homeworking.

However, if you wish to change your working patterns or work from home for an extended period, we normally ask you to make a formal request for flexible working and follow the procedure set out in our policy on employees requesting flexible working.

What is changing temporarily?

As long as the organisation’s operational needs continue to be met, you will be able to:

  • adapt your working patterns, for example to allow you to travel on public transport at less crowded times; or
  • work from home if your role allows for this,

for an extended period without having to follow our formal procedure. You can agree informally with your line manager to these changes.

You should speak to your line manager if you wish to take advantage of either of these options, or any other flexible working options that may help you at this time. However, the decision as to whether or not to agree to your request for flexible working remains with your line manager.

Once agreed, the temporary flexible working arrangement will continue until further notice. If circumstances change, your manager will discuss with you any adaptations to, or the withdrawal of, the flexible working arrangement, with the final decision remaining with your manager.

Requirement to work remotely

What is our normal policy?

Except by prior agreement with us, we do not normally require you to work remotely for an extended period.

There is normally no expectation that:

  • if you use a laptop, you always take it home with you after work each day.

What is changing temporarily?

Given the current global health situation, you may be asked to work remotely at short notice. This could be the case if our workplace closes unexpectedly as a precaution or public health measures, such as an area-wide lockdown, are introduced.

This could mean working from home, although you may have the option to work remotely from one of our other work sites if it remains open.

If it is not possible for you to work from home, you should discuss your options with your line manager.

You should ensure that, where possible, you take your laptop home with you after work each day.

You should contact the IT department if you have any queries about the remote-working system.

Travel

Non-work-related travel

What is our normal policy?

We do not normally have any rules around staff travelling outside work.

What is changing temporarily?

If you have been in a restricted area since the beginning of March 2020, you must inform your line manager immediately.

If you plan to travel to a restricted area in your own time, for example on a holiday or for family reasons, you must inform your line manager before you depart of where you are going.

You must not come to work on your return. Even if you have no symptoms, we will ask you to self-isolate for 14 days after your return from the restricted area.

On your return from a restricted area, your first step should be to visit the 111.nhs.uk website, where you can get further medical advice via telephone. You should do this even if you do not have any symptoms.

If possible, you should avoid going to your doctor or a hospital to prevent infection from spreading.

Annual leave

Changing your holiday plans

What is our normal policy?

Once you have booked annual leave, we normally allow you to cancel or change annual leave only in limited circumstances. These circumstances include where:

  • your personal circumstances warrant it and the cancellation or change does not inconvenience the organisation; or
  • you fall ill shortly before or during annual leave.

 

 

What is changing temporarily?

During the coronavirus situation, you may change your mind about travelling, or be unable to travel to your planned destination, and may wish to cancel or change annual leave that you have already booked.

If you would like to cancel or change planned leave, please speak to your line manager. We may allow you to change or cancel booked holiday, taking into account the coronavirus situation. However, this will continue to be a decision for your line manager, depending on the circumstances.

For example, if we have arranged cover for you, or arranged shift patterns on the basis that you will be on leave, we may require you to take the leave as booked.

Unused annual leave

What is our normal policy?

Our organisation’s holiday year runs from 1 April to 31 March.

Normally, we require you to take your holiday entitlement in the relevant holiday year and we allow you to carry over no more than[five days’ annual leave into the following leave year.

What is changing temporarily?

We recognise that you may be unable to take your remaining annual leave before the end of the leave year. For example, you could have an increased workload because of the coronavirus situation, or you may have cancelled or changed planned annual leave.

We are suspending our usual rule that / you can carry over no more than five days’ annual leave into the following leave year

While you should endeavour to take your holiday entitlement in the relevant holiday year, you should speak to your line manager if you think that you will be unable to do so.

As long as your line manager agrees, the annual leave can be taken later. The timing is a matter for discussion between you and your line manager.

 

 

 

OUTBREAKS OF COVID-19 IN CARE HOMES: INFECTION CONTROL MEASURES

Barnet UNISON has received a large number of concerns from careworkers who, now, like NHS staff are caring for individuals who have become infected with Coronavirus.

All care settings MUST comply with the advice set out by Public Health England. Please contact us if you are working in a setting where these minimal standards are not being adhered to.

Contact us on 0208 359 2088 (leave a message)

or email us at

contactus@barnetunison.org.uk

if you have any further concerns.

“Droplet precautions, isolation and personal protective equipment (PPE):

  • Care homes are not expected to have dedicated isolation facilities for people living in the home.
  • Isolation precautions should be implemented in the same way care homes operate for influenza.
  • A resident’s own room can be used if isolation is needed, ideally a single bedroom with en-suite.
  • If this is not possible, discuss the option of cohorting with your local PHE health protection team.

Staff should use PPE for close personal contact with a symptomatic resident or bodily fluids.

  • Aprons, gloves and fluid repellent surgical masks should be used in these situations.
  • If there is a risk of splashing, then eye protection will minimise risk.
  • New PPE must be used for each episode of care.
  • On leaving the resident’s room, PPE should be removed, and hand hygiene performed immediately, as per standard infection control precautions.
  • Isolation may end after 7 days from illness onset, so long as the case feels better and has no fever.”

Read full guidance by click link below.

Interim IPC advice for care homes_v1.2_20200318

When to use a surgical face mask or FFP3 respirator: Government Guidance

© Crown copyright 2020. Public Health England Gateway number 2019 271

“When caring for patients with suspected or confirmed COVID-19, all healthcare workers need to – prior to any patient interaction – assess the infectious risk posed to themselves and wear the appropriate personal protective equipment (PPE) to minimise that risk.”

Click on the link for full advice

https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/874411/When_to_use_face_mask_or_FFP3.pdf

Front line worker: What should you do if you have someone else living with you?

Below is the latest government advice for those workers who live with someone who is defined as at risk from the Coronavirus.

“Guidance on shielding and protecting people defined on medical grounds as extremely vulnerable from COVID-19”

Updated 30 March 2020

Background and scope of guidance

This guidance is for people, including children, who are at very high risk of severe illness from coronavirus (COVID-19) because of an underlying health condition, and for their family, friends and carers. It is intended for use in situations where the extremely vulnerable person is living in their own home, with or without additional support. This includes the extremely clinically vulnerable people living in long-term care facilities, either for the elderly or persons with special needs.

Shielding is a measure to protect people who are clinically extremely vulnerable by minimising all interaction between those who are extremely vulnerable and others. We are strongly advising people with serious underlying health conditions (listed below), which put them at very high risk of severe illness from coronavirus (COVID-19), to rigorously follow shielding measures in order to keep themselves safe.

  1. Minimise as much as possible the time other family members spend in shared spaces such as kitchens, bathrooms and sitting areas, and keep shared spaces well ventilated.
  2. Aim to keep 2 metres (3 steps) away from people you live with and encourage them to sleep in a different bed where possible. If you can, you should use a separate bathroom from the rest of the household. Make sure you use separate towels from the other people in your house, both for drying themselves after bathing or showering and for hand-hygiene purposes.
  3. If you do share a toilet and bathroom with others, it is important that they are cleaned after use every time (for example, wiping surfaces you have come into contact with). Another tip is to consider drawing up a rota for bathing, with you using the facilities first.
  4. If you share a kitchen with others, avoid using it while they are present. If you can, you should take your meals back to your room to eat. If you have one, use a dishwasher to clean and dry the family’s used crockery and cutlery. If this is not possible, wash them using your usual washing up liquid and warm water and dry them thoroughly. If you are using your own utensils, remember to use a separate tea towel for drying these.
  5. We understand that it will be difficult for some people to separate themselves from others at home. You should do your very best to follow this guidance and everyone in your household should regularly wash their hands, avoid touching their face, and clean frequently touched surfaces.

If the rest of your household stringently follow advice on social distancing and minimise the risk of spreading the virus within the home by following the advice above, there is no need for them to also shield alongside you.”

Read more advice here

https://www.gov.uk/government/publications/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19

 

Barnet UNISON statement:

If you have any questions or concerns email the branch at

contactus@barnetunison.org.uk

You can keep up to date with Barnet UNISON here on our

Website here https://www.barnetunison.me.uk/wp/

Facebook https://www.facebook.com/BarnetUNISON/

Twitter https://twitter.com/barnet_unison

Do you work in a care home or school? Dial Helpline details below.

Do you work in a care home or a school ?

Do you have some concerns about Coronavirus and what procedures should be in place in your work place?

Why not give the helpline a call?

Barnet Council have set up a Public Health (PH) helpline for care homes in Barnet.

The number is 0808 281 3210, choose option 5, which will state:

“If you are calling from a care home, school or are a Councillor needing public health advice, press 5.”

The PH Team will be able to talk you through the infection control procedures and organise PPE delivery, via covid19.

End.

Enough is enough. PPE for all care workers now.

Please sign this petition

http://chng.it/GqNGny9X

We demand Personal Protective Equipment (PPE) is made immediately available for all care workers.

It is time for a change in the Public Health guidance on wearing PPE.

All care workers need to be provided with PPE (mask and gloves etc.) and training in how to use it.

Until now you have to be working with someone known to have the virus to have PPE.

That may have been right back then but now it’s got to change.

Care workers need PPE.

PPE needs to be provided on the assumption any of us could have Covid-19.

We can’t afford our care workers being exposed to the virus or passing it on to service users.

It takes just one case in a care home and suddenly care workers will be sent home to self-isolate.

But who looks after the residents if you send the care workers to self-isolate?

We don’t have enough care workers to work to this strategy which is why ALL care workers must be provided with PPE.

We can see there isn’t enough PPE for the NHS but this should not be a reason for not making this demand.

If care homes start falling where do you think this will end?

More admissions to hospitals!

If this Government can’t ensure there is enough provision of PPE then they should step aside and let others take over.

It’s already happening and we can’t stay silent on this any longer.

It’s a simple demand – PPE must be provided for all care workers.

No excuses, no delay.

End.

 

Barnet UNISON Pays Tribute to The Little Chief, Susan Sullivan

We have sad news to communicate with our Barnet UNISON community.

Susan Sullivan has become the first fatal victim of the Coronavirus we know of in our community.

She wasn’t a member of Barnet UNISON but she made her contribution and she made it count. She was one of two people who put their names to efforts to bring a judicial review against the Council for bringing the disastrous Capita into our services.

Susan had a learning disability and was a user of Barnet Council services so understood the value of the services provided by many of our members. This was what she sought to defend. She valued us.

We came to value her as she appeared on a number of demonstrations and took part in occasional meetings. Of course she did so with the full support of her parents, John and Ida. They have all been valuable members of our campaigns which saw John publicly speaking out in solidarity with our striking YCB colleagues on a number of occasions including the House of Commons.

We often heard John refer to his daughter as “Little Chief”. We cannot thank them enough for their comradeship and solidarity.

Our thoughts are very much with them in their grief and now worry about the potential progress of this virus within their family.

R.I.P Susan Sullivan “Little Chief”.

Three workers in the Dust truck is not safe

The threat of COVID 19 both real and perceived is growing stronger every day especially amongst front line workers who are being asked to carry on a deliver services as normal.

But these are not normal times. We are in a global pandemic which is sweeping across the globe, some countries faster than others.

The response from workers in public services is incredible people are offering support to other services which are under serious pressure.

Once such service that needs to continue otherwise there will be another type of public health risk is the Waste and Recycling Service.

There can sometimes be 3 or 4 workers sitting inside a vehicle a clear contravention of the government advice on social distancing.

Earlier this week Barnet UNISON wrote to Barnet Council requesting urgent measures to be put in place to safeguard our member’s health and safety.

Our demands are as follows:

1. Cleaning regime.

The inside of the vehicles are subjected to thorough cleansing regime each day.

That Hand gel is provided for each team every day. Please note there are no toilets available for these staff to use therefore no access to water and soap.

Cleansing wipes to be provided to each team every day.

Gloves and masks to be provided to each team every day.

Provision of toilet facilities for the workforce

Procedure to change how they currently work to reflect government advice about social distancing.

2. Bonus/recognition payment

Workers have asked that the Council pay a bonus to the reflect the recognition of the work they are currently providing under difficult circumstances.

3. Mental Health

To increase awareness of counselling support for staff working on the frontline during this national crisis.

4. Food and supplies

It is well documented that access to supermarkets is proving problematic and for the key workers it will more difficult for them to access supermarkets as they are working. Barnet UNISON has asked Barnet Council look to secure means by which food and supplies can be provided on an order basis for key workers.

 

***** Barnet Council have responded see below:

Cleansing

Hand sanitiser gel has been issued to the crews and drivers have a supply of hand wipes for them and the crew to use.  Drivers can request more from the Supervisors once their supply has gone.  Drivers are also being issued with cleansing wipes so that they are able to wipe down surfaces, handles and steering wheels in the cab.  We have also progressed arrangements to implement a cleansing regime for vehicle cabs.  Nitril gloves are currently also available on request for those who may wish to use them.

We have sourced resource that will be undertaking a deep cleanse of the RCV cabs on Saturday this week.  Following this, we will have a team of four people working from Monday to clean the vehicle cabs.  RCV’s will be cleaned on Monday, Wednesday and Friday evenings and Street Cleansing vehicles will be cleaned on Tuesday and Thursday evenings.

Payment.

No bonus payment will be paid to key workers.

Mental Health

Mental Health First Aiders to be made available for staff to contact and discuss their issues.

Food and Supplies

No.

 

End.

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