Covid-19 Red Hub SOP – V1.12 as at 06 05 2020 1

COVID-19 Hot Site Service Operating Procedure This document is meant as a guide for Covid Hot Sites, accepting that individual sites will apply their

locally agreed specific principles.

Document Version Control

Date Reviewer name Purpose of review Document name/version number

9/4/20 Angela Deakin Amendment to Red Site principles V1.8

9/4/20 Tina Brown Section 1 – Who - Removal of sentence re 30 min appointment; and any reference to feverish child/cellulitis – too many variables and risks with children (this applies to Derby City Bub only at this stage)

V1.8

9/4/20 Emma P Addition of Section 8 Inclusion of Home Visiting Service Spec

V1.8

9/4/20 Hazel McMurray Red site principles – Include No shielded patients are seen at the Red Hubs

V1.8

14/4/20 Seema Kumari Inclusion of word ‘Derbyshire’ in Red Hub Assessment Pathway and Telephone/Remote Triage Pathway

V1.9

14/04/20 Emma Prokopiuk Updated 1.2 Ideal Estates – clear signage V1.9

14/04/20 Emma Prokopiuk Updated 1.2 Ideal Estates - include De-cluttering of all communal spaces, such as waiting rooms and clinical rooms to assist decontamination

V1.9

14/4/20 Julie Caunt Inclusion of GP Hot Hub Setup Request form to receive Oxygen

V1.9

17/04/20 Emma Prokopiuk Hospital admission procedure V1.10

17/04/20 Emma Prokopiuk Red Hub admission for RDH, QHB and CRH V1.11

04/05/20 Dr Dew Smith Medical Assessment Form – Addition of Patient Leaflet - Information for patients discharged from the RED HUB

V1.12

06/05/20 Dr Seema Kumari Amendment to General Practice Red Hub Assessment Pathway - Updated the antibiotic guidelines in line with latest NICE guidelines

V1.12

06/05/20 Medicines Management

Refreshed link to NHSE/I - Primary Care and

Community Respiratory Resource pack for use

during COVID-19

V1.12

Covid-19 Red Hub SOP – V1.12 as at 06 05 2020 2

Urgent Note

COVID-19 is a new novel virus with limited amount of information internationally and nationally here in the

UK. Hence the information below is using the most up to date information available for sharing with

clinicians, but it must be noted that this document is not an evidenced based protocol, and therefore

clinicians should use their clinical judgement when seeing patients using the information below and their

experience/skills.

Red site principles;

A ‘RED’ site can be defined as a location(s) where patients can be seen who:

cannot be excluded from having COVID-19 and have respiratory symptoms;

all patients need to be triaged by a senior GP at their practice; and 111 can redirect back to

their own practice to make an appointment at the hub – no 111 directly bookable

appointments.

do not need to be admitted directly, but clinician assesses that they require further clinical

assessment; these patients may call the practices after being directed to by 111 after

assessment through this service;

no patients in the shielded group can be seen here

patients must be ambulatory

full attention to strict infection control measures must be taken as below

Principles of seeing patients on HOT sites:

Patients seen by appointment only, asked to wait in car or outside and be collected from their car and called into the building at allocated time after full PPE has been donned. Patients will be told to prepare to put on a mask and have hand gel applied to their hands, and asked not to touch anything.

Masks are to be given to patients and public when they attend the ‘hot’ site on arrival by clinician Non-clinical staff to remain in admin area at all times the building has patients in where possible,

unless for regular cleaning, when PPE needs to be worn. Provided PPE is to be worn by clinicians when seeing patients at the hot site as per PHE guidance. All clinical rooms to be kept clear, all surfaces to be kept clear and easily wiped, spare PPE equipment

to be kept in clinical cupboards. Clinical waste bins must be provided inside and outside the door of consulting area, and one outside

the surgery door for patient PPE disposal PPE must be worn at all times, and correct donning and doffing of equipment is mandatory link here

to procedure and disposal. Each hub should have a room for donning PPE, and follow agreed guidance for using PPE for non-suspected/suspected COVID.

No equipment is to be taken in or out of the designated examination rooms. One room always needs to be kept free for potential isolation of critically ill patients if the need

arises, and need to know where to access emergency equipment. Clinical rooms should be decontaminated after each examination of patients. Cleaning and

decontamination should be carried out in line with the government guidance: https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control.

See below ‘References’: Infection, Prevention and Control Guidance and also refer to decontamination section.

Covid-19 Red Hub SOP – V1.12 as at 06 05 2020 3

Hospital Admissions If the GP / HCP has determined that the patient needs admission into hospital and the patient has the ability to make their own way to hospital (i.e. family member who brought them into the hub), and the GP / HCP feels that it is clinically safe for this to happen, then wherever possible this should be considered. However, if the patient is not able to make their own way, or the GP / HCP does not feel it is clinically safe for the patient to make their own way, then EMAS will undertake these journeys in accordance with the HCP framework.

Following clinical triage by EMAS, the response time will be determined in accordance with the HCP

framework;

HCP level 1 = 8 minute mean response / 15 minute 90th centile response. Mean = The average time to respond should be no greater than 8 minutes, 90th centile = 9 out of 10 patients should receive a response within 15 minutes

HCP level 2 = 18 minute mean response / 40 minute mean response Mean = The average time to respond should be no greater than 18 minutes,

90th centile = 9 out of 10 patients should receive a response within 40 minutes

HCP level 3 = all patients should receive a response within 2 hours

HCP level 4 = all patients should receive a response within 4 hours Red Hub Admission for RDH (as of 20 April 2020)

The assessing clinician in the Red Hub to contact the bed bureau at RDH to speak to the Acute Medicine Consultant holding the triage telephone (Mon- Fri 10am – 6pm). Outside these times it will be a middle grade clinician.

If advised that the patient needs medical admission, and does not warrant ED, the patient will be told to present directly to the Red Combined Assessment Unit (MAU). Please ensure that, if the patient is travelling independently, they are given a face mask and advised to wear this on entering the hospital.

Bed bureau will make the Red Combined Assessment unit that the patient is attending

Red Hub Admission for Queens Hospital, Burton

For Acute Medicine consultant advice for Covid referrals: phone 01283 566 333 ext. 3161 and ask for the acute medical consultant covering same day emergency care (0900-1700 Mon-Fri)

a. Outside of these hours contact the medical registrar on-call via 01283 566 333 bleep 251

For routine referrals: contact the single point of access number for QHB (as per current practice, via 01283 566 333 ext. 3161) or phone the medical registrar (number above).

GP’s should still contact SPA or seek advice from SDEC consultants regarding the patients they have seen

with Covid.

Covid-19 Red Hub SOP – V1.12 as at 06 05 2020 4

Evidently if the patient is very unwell and requires resus then an ambulance will covey a call via the alert

phone by WMAS/EMAS should be made.

Red Hub Admission for Chesterfield Royal Hospital

Patient to present to Red ED if sent from the Red Hub

1. Who (Includes ANY patient with suspected COVID symptoms)

Patients contact practice with a temperature (≥37.8 degrees) and/or persistent cough please refer patient to NHS111 online and/or call for advice (COVID-19 related symptoms)

Post NHS 111 triage the patient maybe referred back to Practice (Category 2 referral). In this case, the Practice must carry out their own clinical triage via an Advanced Practitioner/GP and undertake remote consultation (Blue Clinic). Then as appropriate:

o Advise self-care; OR

o Refer to other services e.g. Pharmacy, CAB, Social Care, etc.; OR

o Self-isolate and manage condition at home (possible prescription meds if needed); OR

o For all non-urgent face to face appointments book at your own Practice (Green clinic); OR

o Where the patient is acutely ill and is not appropriate for A&E or for self-care/isolation, and

all possible remote options to the manage the patient, including video consultation, have

been exhausted and it is absolutely necessary for a face to face appointment (<5% of

patients), then book an appointment via remote booking into the Red Clinic (use 30 minute

appointment labelled ‘Red Slot’) e.g. a feverish child, fever due to acute cellulitis, etc.

To manage expected workloads in General Practice at this time, home visiting is being secured by the CCG for housebound patients (see Service Specification) and those who are unable to attend clinic and/or patients who have been diagnosed as COVID-19 positive.

Attendance at Red Clinic only for pre-clinically triaged patients (via an advanced practitioner/GP) who have booked by the Practice onto SystmOne Red Clinic (Remote booking). See Red Clinic procedure at the end of this paper.

2. Ideal Estates requirements

Car Park close to building or temporary facility (i.e. tent) entrance Hard flooring in corridor and consulting rooms Large Consulting room - NHSE new standard 16sqm De-cluttering of all communal spaces, such as waiting rooms and clinical rooms to assist

decontamination CQC compliant facilities , i.e. lever taps, wipeable surface Advise against locating Hubs next to pharmacies due to the risk of cross infection of none covid-19

patients collecting their routine prescriptions. If this is unavoidable follow guidance in Appendix A: https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/03/C0296_4th-update-to-pharmacists_14-April.pdf

Area for PPE prep, where available PPE – waste management from Hub sites – additional waste collections to be arranged from Derwent

logistics Clear signage to ensure patients are directed to the appropriate site/space If the Red Hub site is a Dispensing Practice, a different entrance should be used to avoid passing the

waiting area where suspected COVID patients may be.

Covid-19 Red Hub SOP – V1.12 as at 06 05 2020 5

GP Clinic Rooms x2, used in rotation with spare ready

Minimum content – anything not needed removed Wash and cleaning Facilities PPE Prep Stethoscope Otoscope 02 Sats Monitor Thermometer BP machine – with wipeable cuffs, spare cuffs needed Blood taking equipment Laminated information sheets

3. IT & Patient consent

Use shared hub electronic record for Red Hub. Practice to agree with patient (gain consent) to share record with Red Hub. Practice to enable patient record to be shared on the shared hub

4. Equipment

PPE to be collected from Practices for the Red sites and ensure Practices are ordering weekly sufficient amounts for their Practice and cover the Red sites. Practices not providing PPE equipment will not have access to Red Clinic.

Access of patients to Red sites to be examined to allow for non-touch entry and provision of supplying patients with face mask without direct contact.

Oxygen

Red Hubs should ensure they have access to Oxygen. Contact Numbers for Air Liquide are as follows: GPs/Healthcare professionals: Tel 0808 202 2229 and Patient Helpline: Tel 0808 143 9999

If a new patient requires Oxygen within normal hours Tel 01246 516128 (Chesterfield HOS-AR team) or Tel 01332 788225 (option 1 or option 4 if option 1 is engaged for South Derbyshire HOS-AR team).

If patient requires Oxygen out of hours, the referrer should complete a Part A HOOF (referral) on www.airliquidehomehealth.co.uk/hcp/ and write “COVID-19” in the consent box – see regional guidance embedded below.

Ensure the Home Oxygen team is advised if a patient has been prescribed Oxygen to enable the patient to be followed up by the team.

Prescription of Home Oxygen Mar 20.docx

GPs can obtain oxygen for the Red Hubs. Below is the request form for oxygen from Air Liquide. On receipt of this form Air Liquide will contact you to arrange delivery of four 10L Cylinders. If you wish to require any additional equipment please state in the ‘Additional Information’ box.

You will need to ensure that you order stocks of consumables (simple masks, non-rebreathe masks,

nasal cannula and tubing) as Air Liquide will not provide these.

Covid-19 Red Hub SOP – V1.12 as at 06 05 2020 6

The request form also prompts for the ordering of tubing which can be ordered from Tech Tubing

(kwalters@techtube.co.uk).

GP Hot Hub Request Form - EM.docx

Emergency Equipment Defibrillator Resus box Emergency drugs Nebuliser

5. Cleaning Cleaning of the building and environment, and deep clean arrangements should be in place. Cleaning provider to supply team on site while unit is open Clinical/HCA/Reception to carry out decontamination post every patient episode following the

patient pathway in and out of the Red Clinic site. Team to clean areas where patients or staff have made contact between deep cleans Decontamination at end of each day to be completed by the HCA/cleaner and/or cleaning company -

Deep clean all rooms, corridors, reception etc where any contact has been made to be completed by the HCA/cleaner and/or cleaning company.

Decontamination Decontamination process of equipment and the care environment must be performed using either:

A combined detergent/disinfectant solution at a dilution of 1,000 parts per million available chlorine (ppm available chlorine (av.cl.)); OR a general-purpose neutral detergent in a solution of warm water followed by a disinfectant solution of 1,000ppm av.cl.

Only cleaning (detergent) and disinfectant products supplied by employers are to be used. Products must be prepared and used according to the manufacturers’ instructions and recommended product "contact times" must be followed. If alternative cleaning agents/disinfectants are to be used, they should only on the advice of the IPCT and conform to EN standard 14476 for viricidal activity.

For further guidance on decontamination procedure please see below ‘References’: Infection, Prevention and Control Guidance): https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control

End of shift

If shower facilities - shower, leave scrubs in bag, use clean towel , dress in own clothes, leave the building, escorted out with no contact of building or person

Scrubs and towels to be washed on high temp daily, ready for the next day

Toilet Facilities Separate patient and staff toilets Patient toilet cleaned/decontaminated after each use Toilets part of decontamination clean each evening

Aerosol Generating Procedures (AGPs) – see also AGPs in Respiratory Section Below

The red clinic will not perform any AGPs as there is insufficient appropriate PPE Chest compressions and ventilation (CPR) are AGPs and therefore should NOT be carried out.

Covid-19 Red Hub SOP – V1.12 as at 06 05 2020 7

Defibrillation is not an AGP and therefore may be administered with PPE (PPE for resuscitator and patient).

Source Resuscitation Council UK – accessed 26th March 2020 https://www.resus.org.uk/media/statements/resuscitation-council-uk-statements-on-covid-19-coronavirus-cpr-and-resuscitation/covid-healthcare-resources/

6. Workforce

Each staff member will have gone through a risk assessment. Only staff members who have been assessed

to be of low risk of complications may work in the red clinic (see separate advice).

Staff working in this clinic may require additional remuneration. Workforce across all practices to be checked for baseline on numbers, type of roles, etc then risk

estimated. Daily checks will be required to ensure effective running of hot and cold clinics Start with 1.5 to 3 ANPs plus Receptionist or HCA per red site (approx. 100k patient population), with

GP rota in place providing remote support to sites Workforce personnel will need to be reviewed daily, as may require escalation in numbers and/or

different staffing e.g. more ANPs, Nursing, GPs on site

7. Red clinic attendance process

GP/ANP clinically triages and books patient to go to the Red clinic (Practice GP provides mobile number onto booking) and provides patient with the telephone number to call Red Clinic on arrival

Only the patient, plus one carer if child under 16, will be admitted into the Red site Booked patient is told to call Red clinic on arrival, but stay in car/outside surgery Patient calls from outside Red clinic to say they have arrived at Surgery car park/outside and waits

until GP/ANP/receptionist calls back. GP/ANP/Receptionist calls patient to come to window/door where ANP/GP is waiting Through window/door/other area GP/ANP, avoiding contact with patient, rechecks if patient has a

temperature of ≥37.8 or persistent cough – if so, patient sent home to contact 111 online, on telephone or 999 if required. A home visiting service is available for truly housebound patients.

If not above, then patient is provided with a face mask and gloves/hand gel applied at window/door/other non-contact area before entering surgery, and asked not to touch any handles, surfaces or facilities

GP/ANP in appropriate PPE gear to see patient – remaining 2m away from the patient where able - diagnose, treat, prescribes (via EPS, if unable then paper copy), refers etc.as appropriate to complete episode and keeps social distance as per national protocol

All episode is fully recorded onto the SystmOne record/EMIS, including patient consent and any departures from normal processes and reasons why – ideally with no touch by the GP

Patient leaves surgery avoiding touching handles, surfaces or facilities as much as possible, and disposes of PPE they have used in a clinical waste bin outside the main surgery door

GP/ANP removes and disposes as per National guidance (see below ‘References’: ‘Best Practice – Putting on and taking off PPE’)

Red site then decontaminated (see below) all patient entry pathway and room prior to next patient GP/ANP dons new all PPE gear for next patient (see ‘References’: ‘Best Practice – Putting on and

taking off PPE’)process for fitting see Derbyshire COVID-19 Practice Plan) Decontamination every evening as per process in the Derbyshire COVID-19 Practice Plan Where available, GP/ANP to have shower on site, put scrubs/current clothes in bag, use clean towel,

don new clothes and leave building. Scrubs/clothes in bag to be washed at high temperature (as per national guidance – (see below ‘References’: ‘Infection, Prevention and Control Guidance – page 19 (5.6); Also refer to embedded document: ‘Safe Management of linens’).

Feedback to Practices is there has been inappropriate/unwarranted use of the Red clinic

Covid-19 Red Hub SOP – V1.12 as at 06 05 2020 8

The following medical assessment can be used for patients requiring assessment at the Red Hub.

Medical assessment Red Hub Derbyshire Export.pdf

8. Red Home Visiting Service

There will be a cohort of patients that require a face to face clinical assessment who are truly housebound.

It has been agreed that a dedicated service to support these patients in their home would be established. The key aim of the service is to deliver home visits by suitably qualified and equipped clinicians to patients deemed

urgent and truly housebound, meaning they cannot attend the Red Hub Clinic.

Attached is a copy of the current version of the service specification for the above service.

COVID Red Home Visiting Service Draft Service Spec - V1.9 21 04 20.docx

Guidance for Respiratory Patients

The following link leads to the Primary Care and Community Respiratory Resource pack for use during COVID-19.

https://elearning.rcgp.org.uk/pluginfile.php/149311/mod_resource/content/1/Primary%20Care%20and

%20Community%20Respiratory%20Resource%20Pack%20during%20COVID-19%20final%2028.3.20.pdf

When to Suspect COVID-19 : Clinical presentation and advice

Self isolation for 7 days if patient has symptoms of persistent cough and/or temperature/fever ≥37.8 degree Celsius and/or flu like illness ( sore throat, runny nose, limb/joint pain, headaches) and contact NHS 111 online advice (PHE case definition criteria)

Isolation for 14 days for the rest of the household. If any other member of household develops symptoms they need to stay at home for 7 days and do not need to complete the full 14 days, if no longer have symptoms.

Clinical assessment for patients who need admission:

Oxygen saturations <94% (<88% if COPD) Age ≥ 65 Respiratory rate >24 Any co-morbidity

If yes to any, DO NOT request a CXR or bloods (follow the triage pathways as indicated)

Consider admission if:

Symptoms/signs of lower respiratory tract infection Complications (GI/Cardiac/Pneumonia) Significant exacerbation of an underlying condition

Covid-19 Red Hub SOP – V1.12 as at 06 05 2020 9

Any new hypoxia patients should not be referred to the home oxygen teams until a clinical assessment has

been undertaken. The triage pathway (algorithm) should be followed in the current COVID crisis.

Risk factors for severe respiratory illness which may be applied to COVID-19

Elderly, asthma/COPD, diabetes, heart failure, immunocompromised, morbid obesity, smoking, pregnancy (over 28 weeks gestation)

Respiratory DROPLET PPE : for all suspected and confirmed COVID-19 cases

The PPE for aerosol generating procedures changed on 2nd April 2020:

Close contact is now defined as within 2 metres of a patient

Fluid repellent surgical masks and eye protection is now recommended

Masks and eye protection should be worn for a “session” of work

Gloves and apron, hand washing should include the forearms (not just the wrists). Forearms should

be washed first and then the wrists/hands.

As before, a long sleeved gown should be worn when a risk of splashing bodily fluids is anticipated.

Up-to-date guidance can be found at:

https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-

control/covid-19-personal-protective-equipment-ppe

Respiratory AIRBORNE PPE for Aerosol Generating Procedure

Long sleeved gown, FFP3 mask, gloves and eye protection visor

When_to_use_face_mask_or_FFP3.pdf

Aerosol generating procedures include:

Intubation, Bronchoscopy, Non-invasive Ventilations, High flow nasal oxygen, suction, CPR. There is belief that peak flow and inspection of the oropharynx may be included and so should be avoided in the setting.

Supplemental oxygen

Supplemental oxygen use via nasal cannulae, venturi masks or non-rebreathe masks are not considered an aerosol-generating intervention.

Nebuliser therapy

Nebuliser therapy is not considered an aerosol-generating intervention.

Resus

The UK Resus Council guidance is very clear on this. Do NOT start CPR on a suspected/confirmed COVID-19

patient unless you are wearing an FFP3 mask, long sleeved gown, gloves and eye protection. CPR is an

aerosol generating procedure. The member of staff who notices a collapsed patient showing no signs of life

should pull the emergency buzzer if available or stand at the entrance of the room or cohorted area and

state “COVID-19: possible cardiac arrest.” Staff should then don correct PPE before entering. Do not look,

Covid-19 Red Hub SOP – V1.12 as at 06 05 2020 10

listen and feel for breathing. Start chest compressions only after a pulse check. Get an AED on the patient

and shock if there is a shockable rhythm.

ALL doctors should make early decisions about ceilings of care on every new suspected admission so that

staff are not placed in the situation of doing CPR on patients when the chances of success are small.

Are healthcare workers more at risk of getting sick?

No – not if you scrupulously follow infection control precautions. We need to wash our hands like never

before – PROPERLY. We need to ensure surfaces are regularly wiped down, door handles are cleaned,

stethoscopes are cleaned, and we wear correct PPE. We need to change our clothes at the end of our shift.

The embedded document below details safe management of laundering of clothes/uniforms.

Safe management of linen.docx

If you have an underlying health condition you will have received an e-mail from Occupational Health or

been notified by the Department of Health. Some staff may be redeployed if necessary.

Healthcare staff ARE at risk of stress and burnout during this time. The Intensive Care Society has put a

handy poster together about how we can look after ourselves and each other during this pandemic. A

pandemic is a rare event, one that most people will never have to live through. It’s ok to not be ok. Many

of us will not want to take our worries home, so let’s make room to talk to each other and be kind. We

cannot control a pandemic. We can control some things though: what we look at on social media, who we

spend time with, and how we look after ourselves and each other.

Should patients wear a mask?

WHO guidance is that patients should wear masks if they are suspected in triage, in transit and in a

cohorted area (red zones). Patients should not wander around wearing masks.

Should maintain >2 m distance from others. Staff should wear PPE in the cohort area.

Stethoscopes

Either clean properly own stethoscopes between patients or use cheap stethoscopes in between two

consulting rooms which are cleaned after every patient.

Additional Respiratory Support for GPs Available

Chesterfield Royal Hospital (North Derbyshire GPs)

North Derbyshire GPs can access the CRH respiratory line for general respiratory advice and guidance by

calling their unique Consultant Connect Dial-In Number shown on their practice poster or use the

free Consultant Connect App to call (the app can be downloaded from either the App Store or Google

Play). The app is the quickest and easiest way to speak to a consultant. Also embedded below is the GP

start up guide. If GPs have any queries regarding using Consultant Connect, contact Grace Housden at

Consultant Connect on the following email: grace.housden@consultantconnect.org.uk

Covid-19 Red Hub SOP – V1.12 as at 06 05 2020 11

Consultant-Connect-GP-Startup-Guide.pdf

Impact+ (Community Respiratory Service (South Derbyshire GPs)

GPs in South Derbyshire and Erewash areas can also contact the Lung Line at Impact+ for general advice

and support with respiratory patients – Tel 01332 788225 (select Option 1 or Option 4 if Option 1 is busy).

Covid-19 Red Hub SOP – V1.12 as at 06 05 2020 12

Patient Access Procedure & Flow Chart for Red Clinic

This process is to enhance and clarify the procedure during the current climate.

Urgent symptoms needing

absolutely necessary face

to face appointment

<5% of patients (e.g.

feverish child, fever due to

cellulitis, SOB/cough from

other causes)

Book face to face appointment

Red Clinic

Practice Receptionist

signposts patient

Self – Care

Other support

services e.g. CAB,

social care, social

prescribers etc.

GP / ANP Remote

Consultation

Blue Clinic

Suspected COVID-19

Advise self-care initially

BUT if symptoms worsen

advise patient to refer to

NHS 111 Online

Patient contacts practice

Category

2 Ref

Temp ≥37.8 or

persistent cough

Complete care

episode

Query COVID-19

with mild symptoms

signpost to NHS

Coronavirus website

https://www.nhs.uk/c

onditions/coronavirus-

covid-19/

If symptoms worsen

then advise patient to

use NHS 111

online/call

Face to Face

appointment, only

when

ESSENTIAL, and

possible COVID-

19 symptoms

excluded

Green Clinic

Admission via

appropriate route

(999 for COVID-19

admissions)

Urgent symptoms needing

absolutely necessary face to

face appointment

Patients that require a face to face clinical assessment who

are truly housebound, plus those pateients who have

exhausted all other options and have no transport

avialable

Red Home Visiting

Service

Covid-19 Red Hub SOP – V1.12 as at 06 05 2020 13

Covid-19 Red Hub SOP – V1.12 as at 06 05 2020 14

See Appendix 1

Covid-19 Red Hub SOP – V1.12 as at 06 05 2020 15

Covid-19 Red Hub SOP – V1.12 as at 06 05 2020 16

Appendices:

Appendix 1 – Patient Leaflet linked to Medical Assessment Form - Information for patients discharged from the RED HUB:

Information for patients discharged from the RED HUB - V1Share.pdf

References:

Guidance and standard operating procedures: Coronavirus (COVID-19) and general practice

19.3.20 –https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/03/Managing-

coronavirus-COVID-19-19-in-general-practice-GP-SOP_19-March.pdf

Infection prevention and control guidance for pandemic coronavirus -

https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/874316/

Infection_prevention_and_control_guidance_for_pandemic_coronavirus.pdf

Best Practice - Putting on and taking off PPE –

https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/874316/

Infection_prevention_and_control_guidance_for_pandemic_coronavirus.pdf