Team Doncaster Covid-19 Response

Team Doncaster have been continuously planning a framework for our response to localised outbreaks of COVID-19 in Doncaster and an outline of our response to regional and national systems and guidance.

Team Doncaster are:

Doncaster Council

Doncaster Council is at the heart of the COVID-19 response locally. With the responsibility of Public Health locally, Doncaster Council is the lead agency on the pandemic response. Some of the key areas Doncaster Council has been and continue to work on include:
  • Tracking and managing local outbreaks
  • Local test and trace
  • Providing direct support to the most vulnerable people in Doncaster
  • Supporting education and early years providers
  • Adult social care
  • Support for local businesses
  • Issuing financial support locally in line with national guidance to those who qualify

Doncaster Children's Services Trust

At Doncaster Children’s Services Trust we are here for children, young people and families when they need extra support. We deliver children’s social care services, which includes family support, fostering, adoption, community youth teams, youth offending and residential care for young people. 

Our teams, including our amazing foster carers, have been working tirelessly throughout this pandemic to be there for Doncaster children and care leavers; providing families with practical advice and support. It’s been a challenging time for everyone, especially our children and young people who have missed time with their friends and moments to just be kids.

We are always here 24/7 to provide support across the Borough. If you have concerns about a child you can contact us by calling 01302 737777 or in the evenings and weekends on 01302 796000. 

If you feel you could be a hero at home and help support Doncaster children by fostering, please get in touch with our fostering team by calling 0808 126 2600 or visit www.trustfostering.co.uk

St Leger Homes

St Leger Homes manage over 20,000 properties across the borough for Doncaster Council and are an award winning housing provider. We always put our customers at the heart of our work and are proud to have attained the highest Customer Service Excellence from the Government for the last 10 years.

During the current pandemic, we have continued to provide all our core services to ensure tenants, residents and local communities are kept safe and get the support they need. We have achieved the highest health and safety accreditation from the British Safety Council for the last 9 years, and are continuing to follow the guidance and guidelines of the Government and Public Health England concerning preventing the spread of Covid at the current time.

If you need help please call us on 01302 862 862 or visit www.stlegerhomes.co.uk.

Healthwatch Doncaster

Healthwatch Doncaster are here to listen to local residents about their experiences with health and social care services to help improve them and, shape future service provision by helping point you to the service that is right for you.

You can call Healthwatch Doncaster on 01302 965450 if you would like to access any aspect of the service.

They have a dedicated page for Covid-19 information in which you can find the latest guidance and advice: https://www.healthwatchdoncaster.org.uk/coronavirus/

Doncaster and Bassetlaw Teaching Hospitals

Since March 2020, Doncaster and Bassetlaw Teaching Hospitals (DBTH) has cared for all those locally who have become acutely unwell as a result of COVID-19, and require hospitalisation. Colleagues across a range of specialties and services have adapted to new ways of working, including wearing personal protective equipment, in order to meet the challenges of the pandemic, as well as continuing to support those that need routine hospital care and treatment.

In partnership with local health and social care organisations, throughout December and into the New Year the Trust has supported local vaccination efforts, working tirelessly to vaccinate the majority of all patient-facing colleagues in a matter of weeks.

Our hospitals have been at the front-line of our fight against COVID-19, and will continue to lead the charge as we work to evict this illness from our town – doing it for local people and doing it for Doncaster.

Doncaster Culture and Leisure Trust

Staff from Doncaster Culture and Leisure Trust have once again stepped into Covid-19 response roles as part of Team Doncaster. Teams are covering various roles from Covid Marshalls, working in the communities to help to remind people of the lockdown guidance, to working in the testing centres, helping to facilitate the community testing that is underway in the town and working in Doncaster’s vaccine centres, looking after people who have attended a site for their vaccination. All of this work will help the town to stop the spread of the virus and help to keep people safe.

Michael Hart, Chief Executive of Doncaster Culture and Leisure Trust said; “I am extremely proud of the role our team has played in stepping up into new roles to help with the Team Doncaster approach. In the first lockdown they were instrumental in ensuring that vital food parcels and prescriptions were delivered in the community and over the last few weeks they have taken on new roles in testing and vaccination centres. Our staff’s support in embracing change continues to be greatly appreciated. This joined up approach will really help in our efforts and it is great to see them do it for Doncaster.

Voluntary Action Doncaster

Voluntary Action Doncaster are developing a volunteering matching service to put you in contact with community groups in your local area so that you can help support vulnerable and isolated people during the Covid-19 pandemic.

The volunteer roles that are most needed in our local communities are:
  • Picking up shopping and supplies
  • Picking up medicines and prescriptions
  • Supporting people to keep active
  • Supporting people to stay connected and in touch
  • Providing meals
  • Posting mail
Local organisations will be able to register their interest and become members of Voluntary Action Doncaster and identify where and how they can support local volunteers.
Local people who want to volunteer their time can register their interest and tell us where and how they would like to volunteer. Voluntary Action Doncaster will then match volunteers with community groups.
If you would like to volunteer with a local community group then please register your interest 

Social Isolation Alliance

The Social Isolation and Loneliness Alliance (SIA) is a collaboration of partners from the public, voluntary, community and faith sectors who are committed to reducing social isolation and loneliness in Doncaster.

Anyone who needs help or advice, or has no other support, can ring the SIA Helpline seven days a week Monday to Friday from 8am to 8pm and Saturday and Sunday 8am to 6pm on 01302 430322.

Doncaster Chamber

Doncaster Chamber exists to support and connect companies, bringing together firms to build new relationships, share best practice and foster new opportunities. As part of the Chamber Network – one of the top five business groups – we work on our members' behalf to lobby local and national government about the key issues affecting Doncaster's business community.

The Chamber Network has had a demonstrable influence on the support available for companies and communities through the pandemic. The Coronavirus Job Retention Scheme, Self-Employed Income Support Scheme, travel corridors and the Kickstart Scheme were all shaped by Chambers and their local member businesses.

When the UK went into lockdown in March 2020, we kept the business community informed about the latest developments, helping them access support and practical advice. We continue to run frequent digital events to help members stay updated and informed with the latest information for their business. This includes hearing from leading experts, influencers and decision-makers. As the Coronavirus continues to impact businesses operations, we will continue to fight to ensure businesses can restart, rebuild and renew.

Sheffield City Region

Sheffield City Region work with a number of Local Authorities, businesses, communities and other partners to support the economic growth across South Yorkshire. We focus on transport links, business growth, housing and infrastructure and, skills and employment to help our local landscape grow.

During the current pandemic, Sheffield City Region have been working to support local communities and businesses by working closely with the Local Resilience Forum, the NHS, Public Health England, South Yorkshire Police and central Government. Along with supplying the SCR Growth Hub, which is supporting our local economy by aiding jobs and businesses across South Yorkshire.

Visit the Growth Hub website for more information on the support available, grants are available for businesses both nationally and regionally.

DN College Group

Throughout the pandemic DN College Group have continued to show a pro-active approach and an on-going commitment to its students, staff and visitors by going above and beyond to ensure everyone is safe.

This has ensured that students could effectively continue with their studies with high quality teaching and learning, whether working remotely or in the classroom.

Transforming local communities through education is at the heart of the College ethos, with many departments working together to donate food and essentials parcels during these times, to those in need within the College and out in the community.

Doncaster Schools

School places will be made available for vulnerable children and the children of critical key workers throughout the current national restrictions. Online learning will continue to be made available for those children who do not need to be in school or are isolating.

All schools will make contact with parents and carers directly to explain how they intend to continue to offer learning opportunities to children remotely.

Doncaster Families Information Service, Early Years Team and Early Years Funding team will work together to help any eligible families to childcare to secure a childcare placement.
Contact the Families Information Service:

South Yorkshire Police

South Yorkshire Police have been working tirelessly throughout this pandemic to be there for Doncaster residents and keep everyone safe.

You can report domestic abuse in South Yorkshire during Covid-19, direct to South Yorkshire Police here: https://www.reportingcrime.uk/SYPDA/

Or, you can report Covid-19 breaches direct to them here: Report a possible breach of coronavirus covid-19 measures

Business Doncaster

The Business Doncaster team has been the first port of call during the Covid-19 period handling enquiries from local businesses wishing to understand and apply for the government support and financial grants available.

The team continues to provide support to ensure that eligible businesses get fast access to funding as well as support during this difficult trading period. We have not only been answering telephone calls and assisting with completion of online applications but also responding to enquiries via social media and through the website.

The service area is also responsible for marketing and promoting the business support and schemes available to businesses and individuals to ensure businesses are aware of what is on offer and understand the eligibility and criteria.

For further information please contact Business Doncaster on 01302 735 555 or visit: www.wearedoncaster.co.uk

NHS Doncaster CCG

Clinical Commissioning Groups are ‘clinically led’ groups, which means that GPs and other healthcare professionals make key decisions.

Our values and visions are set by GPs, supported by lay members, NHS managers and other health professionals. Together, they have responsibility and freedom to make decisions about the care and services provided for Doncaster and are committed to putting local people at the heart of decision making within the local NHS.

We have responsibility for purchasing and structuring healthcare services for over 320,000 patients in Doncaster and our aim is to provide the best possible care.

We are a membership organisation and our members are the 39 local practices based in the borough.

Alongside our member practices, we have over 190 members of staff working on management projects or healthcare.

Rotherham Doncaster and South Humber NHS Foundation Trust

We provide a range of hospital and community based care across Doncaster borough, delivering specialist services for residents of all ages including mental health, learning disability, community health and alcohol and drug services. We have continued our work throughout the pandemic, introducing Covid-safe ways of caring for and maintaining contact with our patients and clients through, such as, online consultations, and face-to-face where it’s safe and necessary to do so.

Recognising the impact that Covid is having on local people’s mental health, we continue to respond quickly and efficiently to all requests for help, from support for low level worries and anxieties to crisis interventions.

Our staff have stepped up to the mark to meet this unprecedented challenge and will continue to do so with skill, dedication and professionalism.

Primary Care Doncaster

Primary Care Doncaster are the GP Federation, the practices in Doncaster make up our shareholders. Routinely PCD are involved in supporting implementation of national healthcare policy, designing workforce development initiatives, and overseeing delivery of additional primary care appointments in evenings and weekends. PCD have been involved with the planning of Doncaster’s Vaccinations Centres and have hosted 4 out of the 5 Doncaster PCNs Vaccination Sites. The federation’s resources have been nearly fully redeployed on supporting the practices to run the vaccination clinics in numerous roles including Vaccination Programme Co-Ordinators, Site Managers, Consumables officers, Rota administrators, Fridge Security Advisors, Tea & Coffee Makers, Bottle Washers! It is a monumental team effort, PCD staff see it as a privilege to be working alongside such dedicated primary care teams, and are taking the approach of rolling up their sleeves and doing whatever needs doing on a daily basis. The hours are long and the challenges are many, but it’s incredibly rewarding at the same time to be part of such a critical programme.

The 5 PCN’s

South Primary Care Network

The South Doncaster Primary Care Network consists of 10 GP practices and around 66,000 patients. The PCN is supported jointly by 3 Clinical Directors – all GP’s. The South PCN has been running the Covid Vaccination Hub in our locality, as well as visiting Care Homes to vaccinate staff and patients who reside there. The whole of the network has pulled together with the shared vision of getting the job done! All the GP practices and wider PCN staff have risen to this challenge and worked tirelessly to safely vaccinate our most vulnerable patients. Patient feedback includes; ‘Brought my 93 year old mum, so impressed with the organisation at the centre. I am grateful to you all, thank you. You are super heroes’, and ‘I would just like to say how well organised it is and what a great job they are doing.’

East Primary Care Network

The East Primary Care has certainly risen to the challenges of the COVID vaccination programme.  It’s amazing how our practices and Primary Care Doncaster have worked collaboratively together to mobilise our static clinics organising fully staffed clinics within days in response to the vaccine deliveries.  We have had the pleasure of seeing so many of our over 80’s population passing through our doors at the clinics and praising the efficiency and smoothness of the operation of the site.  We have also quickly mobilised roving teams who have visited all our care homes in a matter of weeks, organising visits around the challenges of care homes, which may have an outbreak.  Care home staff have been invited to attend our static clinics when they have been unable to be vaccinated in the care home itself and the engagement of care homes to book staff in to ensure their staff are vaccinated as quickly as possible has been really helpful.  Our roving teams have now taken on their next challenge of visiting all our housebound patients to ensure they are also protected.  Meanwhile, the static clinics remain operating several times a week.  It is amazing what can be achieved in such a short space of time and it is encouraging to find organisations working together so efficiently to protect our patients and residents in the East of Doncaster.  

North Primary Care Network

As part of the Covid response team, the North Primary Care Network are proud to be working with our partners to implement the Covid vaccinations across Doncaster. Our hub was set up just before Christmas and we have provided staff to help target those most at risk. To date, practices within the network have been inviting patients from the top cohorts with the aim of vaccinating our over 70’s, front line health and care staff, and those clinically and extremely vulnerable. Practices within the network have also staffed roving teams that are out and about vaccinating our housebound patients and care home residents and staff. The Network have pulled together to rise to the challenge of inviting patients and staffing the Vaccination Clinics.

4Doncaster

4Doncaster is a Primary Care Network consisting of 4 local surgeries, The Burns Practice, Kingthorne Group Practice, Mount Group Practice and St Vincent Medical Centre. To date we have vaccinated 93% of our over 80s and 89% of our 75-79 year olds.  We are working hard to complete any outstanding vaccinations for housebound patients, care home residents and their staff.  We are currently contacting all patients aged between 70-74 and hope to start contacting patients who are extremely clinically vulnerable from next week.  We have currently vaccinated over 9000 people at our Rutland site and hope to have vaccinated a further 3500 by the 15th February 2021.

This has been a huge team effort from all 4 practices and we are extremely grateful to all our hard working staff for helping us achieve this. We are equally grateful to all our patients who have turned up to be vaccinated, sometimes in inclement weather. In addition, as always with regard to the COVID-19 vaccination - our surgeries plea is do not call us we will call or message you.

Central Primary Care Network

The Central Primary Care Network is made up of 7 local practices. The network has pulled to together with amazing enthusiasm to ensure the roll out of the vaccination programme has been a top priority for its patients. A static site was set up at Keepmoat stadium in collaboration with PCD.

Practices have actively released staff at short notice to ensure the vaccines are rolled out to patients quickly and efficiently. Administration staff within practices have been busy inviting patients from relevant cohorts to ensure clinics are full and no vaccines are wasted.

Team Doncaster's COVID-19 outbreak management plans are are centred around 7 themes:

  1. Planning for local outbreaks in care homes and schools (e.g. defining monitoring arrangements, identifying potential scenarios and planning the required response)
  2. Identifying and planning how to manage other high-risk places, locations and communities of interest including sheltered housing, dormitories for migrant workers, transport access points (e.g. ports, airports), detained settings, rough sleepers (e.g. defining preventative measures and outbreak management strategies)
  3. Identifying methods for local testing to ensure a swift response that is accessible to the entire population. This could include delivering tests to isolated individuals, establishing local pop-up sites or hosting mobile testing units at high-risk locations (e.g. defining how to prioritise and manage deployment)
  4. Assessing local and regional contact tracing and infection control capability in complex settings (e.g. Tier 1b) and the need for mutual aid (e.g. identifying specific local complex communities of interest and settings, developing assumptions to estimate demand, developing options to scale capacity if needed)
  5. Integrating national and local data and scenario planning through the Joint Biosecurity Centre Playbook (e.g. data management planning including data security, data requirements including NHS linkages)
  6. Supporting vulnerable local people to get help to self-isolate (e.g. encouraging neighbours to offer support, identifying relevant community groups, planning how to co-ordinate and deploy) and ensuring services meet the needs of diverse communities
  7. Establishing governance structures led by existing COVID-19 Health Protections Boards and supported by existing Gold command forums and a new member-led Board to communicate with the general public.

Aims

The aims of this plan are

  • To prevent the occurrence and spread of COVID-19
  • To identify any new cases of COVID-19
  • To respond promptly to any new cases of COVID-19
  • To reduce the impact of any new cases, clusters or outbreaks of COVID-19
  • To build public confidence in the local approach to COVID-19 control

Objectives

The key objectives of this plan are:

  • To summarise the key risks, planning assumptions and considerations that underpin the planning and response arrangements to local outbreaks of COVID-19;
  • To define the roles and responsibilities of responding organisations and professionals;
  • To outline the procedure for managing and responding to COVID-19 outbreaks in single settings and/or institutions e.g. schools and care homes;
  • To outline the procedures for identifying and managing COVID-19 outbreaks in high risk places, locations and communities of interest;
  • To outline the local and regional contact tracing capability and process in complex settings, and interfaces with national systems and programmes;
  • To summarise the process and coordination of support for vulnerable people needing help to self-isolate;
  • To outline local methods and access routes to timely testing and interfaces with national systems;
  • To provide an overview of national and local data, intelligence and surveillance flows and role of the Joint Biosecurity Centre;
  • To summarise the governance structures for the management and response to localised outbreaks of COVID-19 in Doncaster.

Partnership:

Covid-19 Response Team and Outbreak Management

The COVID-19 Task Force will drive the coordination and management of outbreaks of COVID-19 in Doncaster, along with key elements of prevention, risk management, data and intelligence and wider local response.

This will include a number of central, dedicated teams ensure a timely and coordinated response to outbreaks of COVID-19 in Doncaster including:

  • Public health (health protection and EPRR) Core Team
  • Contact Tracing central team
  • Data cell/dedicated team
  • Specialist Infection Prevention and Control resource (through Testing and IPC cell
  • Communications
  • Localities leads
  • Outbreak planning and development team

Unified Local Delivery Process

The governance and reporting structure for COVID-19 outbreak management in summarised below.

Governance and reporting procedure for COVID-19

 

Public Health and The Health Cell

Under the Health and Social Care Act 2012, Directors of Public Health in upper tier and unitary local authorities have a duty to prepare for and lead the local authority public health response to incidents that present a threat to the public’s health.

In relation to local outbreaks of COVID-19, this includes:

  • Lead the local multi-agency IMT and ensure effective co-ordination of actions, resources and response
  • Ensure the provision of expert advice from both the public health team and Team Doncaster partners such as Doncaster CCG. This will include amongst other specialisms infection prevention and control support and advice
  • Mobilise plans to increase access to local COVID-19 testing arrangements
  • Mobilise resources for local contact tracing in complex settings, including increasing capacity and bespoke training
  • Ensure the follow-up and support settings to continue to operate whilst managing the outbreak, including support with infection prevention and control (through the IPC task and finish group)
  • Provide regular and timely updates to Council leadership, Team Doncaster Gold, Cabinet and elected members amongst others.

The COVID-19 health cell will continue to provide expert leadership across the local health system and will closely support and link to the COVID control board and IMTs through the designated representatives from NHS Doncaster Clinical Commissioning Group.

This may include:

  • Develop solutions across Health Providers in relation to Local, Regional and National expectations for the management of COVID-19 within Doncaster with clear actions
  • Provide Coordination and leadership in relation to Health response
  • Provide single point of appropriate updates and communication through to relevant stakeholders 
  • Provide a strategic point of escalation for Health Providers
  • Identify key risks and escalate risks as appropriate
  • Identify appropriate and proportionate data collation and reporting
  • Prepare updates and information for the covid control board and daily IMTs
  • Support reporting arrangements
  • Maintain oversight of the arrangements for the management of outbreaks in commissioned and clinical settings such as primary care settings and provision

 Infection, Prevention and Control

The infection prevention and control and testing task and finish group will provide specialist advice and guidance on infection prevention and control and assure local arrangements for testing, including access, increasing capacity and data sharing as appropriate.

This may include:

  • Ensure clear IPC guidance and information to staff in high-risk settings, including care homes
  • Ensure additional capacity for the provision of lower level IPC advice through a “train the trainer” approach
  • Ensure additional support for quality assured routine deep cleaning
  • Provide information and advice on PPE guidance when this is required
  • Provide advice and guidance on the routes for accessing testing in localised COVID-19 outbreaks, including on risk assessment and prioritisation of testing to where it will be a more effective tool in understanding and managing an outbreak and protecting life.

Data Team

The data cell team will be central to the response to local COVID-19 outbreaks by collating, analysing and triangulating all available data to provide a situation overview upon which decisions on prevention work and outbreak control measures are required can be made.

This may include:

  • To receive, share and process data to and from a range of sources in a timely way to deliver all local Covid-19 outbreak management functions including contact tracing.
  • To integrate test, track and trace data from all sources to enable: contact tracing, infection mapping and surveillance, epidemiological analysis to enable decisions and monitor effectiveness and impact.
  • To analyse data in near real-time, using time series and trend/forecasting analyses with the aim of:
  • Identifying local outbreaks and hotspots through data analysis and mapping;
  • Providing evidence to aid decision makers about local response measures;
  • Providing evidence to aid decision makers looking to redistribute resources;
  • Provision of support (where required) to people self-isolating; and
  • Where possible, undertake forecasting and predictive analytics.
  • Support the preparation of national situation reporting as required.

 Organisations Involved

This plan has been developed for use by organisations involved in the management of localised COVID-19 outbreaks in Doncaster. It will assist responding staff and organisations to understand the risk and management of COVID-19 outbreaks and incidents in the Borough. The plan will also refer to actions and arrangements in place to respond to future outbreaks and incidents. Plan holders will receive updated copies following any changes and reviews.

A number of organisations may be involved in the management of a communicable disease incident or outbreak in Doncaster. Depending on the nature and scale of the outbreak, these may include, amongst others:

  • Doncaster Council;
  • Public Health England;
  • St Leger Homes of Doncaster;
  • Doncaster Children’s Services Trust (DCST);
  • Rotherham, Doncaster and South Humber NHS Foundation Trust (RDaSH);
  • Doncaster and Bassetlaw Teaching Hospitals Foundation Trust (DBTHFT);
  • NHS Doncaster Clinical Commissioning Group (DCCG);
  • Yorkshire Ambulance Service (YAS);
  • Primary care services;
  • FCMS;
  • Voluntary sector and community groups;
  • South Yorkshire Police;
  • NHS England.

 

Prevention:

Interventions

A range of interventions are available in planning the response and controlling the identified risks. These include:

  • Public information:

    Ensuring advice and information is available to the public is a core function of public health. Key messages related to the control of outbreaks of COVID-19 include:

    • Physical distancing of 2m or more
    • Self-isolation if symptomatic
    • Self-isolation if have been in close contact with a symptomatic individual
    • Practice good hygiene e.g. washing your hands for 20s or more, keeping your hands below your shoulders etc.
  • Social Distancing:

    Much of the guidance to help reduce the spread of covid-19 as focussed on physical distancing principles such as:

    • Maintaining a distance of at least 2m or more from those not in the same household or same social bubble;
    • Maintaining a distance of at least 1m where 2m is not possible, with additional protective measures in place;
    • Adaptations to the public realm such as increase signage, distance markers and queuing systems amongst others.
  • Enhanced hygiene including deep cleaning:

    Much of the public and professional messaging and guidance to help reduce the spread of COVID-19 has been associated with enhanced hygiene practices. These include:

    • Washing hands with soap and water for 20 seconds or more. Where soap and water/hand washing facilities are not available, hand gel can be used;
    • Increasing access to handwashing and sanitisation facilities and hand gel dispensing facilities at entrance and exit points;
    • Enhanced cleaning and more frequent cleaning routines of common touch points such as door handles, hand rails etc.
  • Infection prevention and control
  • Restriction of movement:

    Restriction of an individual’s movements for the prevention of transmission of infections may be necessary for severe infections. Health Protection legislation (Department of Health, 2010) provides a number of options for restricting the movements of individuals in this way:

    • Requests to cooperate for health protection reasons/infection prevention and control;
    • Part 2A orders which can be used to isolate cases and effectively quarantine contacts;
    • Coronavirus act.
  • Restriction of access:

    In contrast to the restriction of the movements of individuals, restrictions can also be placed on the access to certain premises, or things, under the health protection regulations. Specifically these include:

    • Requirements to keep infectious children away from school;
    • Request to control/manage the number of visitors to health and/or social care premises;
    • Requests for cooperation for health protection purposes where employees are asked to refrain from attending work;
    • Part 2A orders which can be made in relation to premises or things to prevent or limit access and therefore exposure to health hazards.

    A number of these have already been in place at various points throughout this pandemic.

  • Decontamination:

    The Health Protection (Local Authority Powers) Regulations 2010 allow Local Authorities to make arrangements to disinfect a thing or premises upon the request made by the owner or custodian of the thing or premises.

    Public Health nurses/ infection prevention and control nurses will advise of the most appropriate method of decontamination. This should also be taken through the COVID-19 Infection Prevention and Control task and finish group and the core COVID-19 Incident Management Team and task force. 

  • Vaccination:

    Vaccination is an important means of primary prevention, providing a level of acquired immunity in the individual. Through community (herd) immunity, vaccination also protects susceptible individuals within a population once a minimum level of coverage has been achieved.

Identification and Support for Vulnerable People

Throughout the pandemic, significant work has been undertaken to ensure that vulnerable people are identified and supported when this is required through the community hub and the communities cell. Arrangements are now in place through localities cells, locality MDTs and the local voluntary, community and faith sector groups to ensure that support remains accessible for vulnerable residents and those needing to self-isolate that cannot get support elsewhere.

This includes establishing, supporting and signposting to wider support networks.

Communities and multi-agency locality teams have reviewed communities in relation those more vulnerable to the impacts of covid and have prioritised the higher-risk people, settings or places for monitoring, visibility and action/support. Individuals identified as requiring support through local contact tracing or welfare calls will be referred for support to the relevant locality team single point of contact emails.

Preventative Measures for those that are Vulnerable include (but are not limited to):

·         Ongoing humanitarian support to enable shielding for those requiring it

·         Targeted up to date guidance and information for shielded and vulnerable populations

·         Targeted education/ social distance measures for vulnerable people in areas of concentration, including hygiene, routines, training regarding PPE.

·         Targeted education for wider community and networks/facilities in these locations about the vulnerability

·         Specific support for Carers and service providers for vulnerable people

·         Localise targeted messaging in affected areas to alert people to heightened risks of community transmission (to vulnerable people, carers and wider community).

There is also a Support Page for those that have been identified as Clinically Extremely Vulnerable.

Financial support for self-isolation may be available subject to eligibility criteria. Those requiring further information will be directed to call 01302 735336 (option 1).

 

Response and Outbreak Management

Vaccinations

Vaccination is an important means of primary prevention, providing a level of acquired immunity in the individual. Through community (herd) immunity, vaccination also protects susceptible individuals within a population once a minimum level of coverage has been achieved.

A borough wide vaccination programme is currently taking place, you can find more information on the Covid-19 Vaccination Programme via the Doncaster CCG website.

National Action Cards

A number of nationally developed action cards for a range of sectors, settings and venues are available online for sector/setting/venue use. These outlined initial outbreak management actions that should be undertaken to contain any potential outbreaks including symptoms and testing, initial contact tracing, key guidance links and when to inform their PHE Health Protection Team. Local information has been circulated on how to inform the most appropriate local authority team for advice and support.

The national action cards available are outlined in the following sections, including direct links to download these resources.

 

Contact Tracing

Contact tracing is the process of identifying the contacts of people who have confirmed or suspected infection. These contacts are then required to take certain actions, such as self-isolation, with the aim of interrupting the onward transmission of Covid-19.

Government guidance defines a contact as a person who has been close to someone who has tested positive for Covid-19 anytime from 2 days before the person was symptomatic and up to 7 days from the onset of symptoms. Specifically this includes:

  • People who spend significant time in the same household as a person who has tested positive for COVID-19;
  • Sexual partners;
  • A person who has had face-to-face contact (within 1 metre) with someone who has tested positive for COVID-19;
  • A person who has been within 2 metres of someone who has tested positive for COVID-19 for more than 15 minutes;
  • A person who has travelled in a small vehicle with someone who has tested positive for COVID-19 or in a large vehicle or plan near someone who has tested positive for COVID-19.

Contacts only require follow up if the exposure occurred during the infectious period, which is deemed to begin 48 hours before onset of symptoms or 48 hours before the time of the test is the person is asymptomatic.

National NHS Test and Trace Programme

The national NHS test and trace service has been set up to:

  • Ensure that anyone who develops symptoms of coronavirus (COVID-19) can quickly be tested to find out if they have the virus, and also includes targeted asymptomatic testing of NHS and social care staff and care home residents
  • Help trace close recent contacts of anyone who tests positive for coronavirus and, if necessary, notifies them that they must self-isolate at home to help stop the spread of the virus.

Local Contact Tracing

A core team of staff have been trained and are undertaking contact tracing on a rota basis. A dedicated database system has been set up to monitor cases and contacts and quality assurance is in place. In some cases, other teams and colleagues may undertake and facilitate contact tracing activity, including in settings where an existing relationship and trust with those being contact traced is beneficial.

Cases are passed to us for “Local Follow up” from the National Test & Trace Team if:

  • Case has not engaged after 24 hours
  • Case has provided incorrect contact details
  • PHE would like us to follow up locally for more information on cases escalated tier 1 relating to Doncaster

Monitoring Effectiveness

Effectiveness of contact tracing will be reviewed on a regular basis through the daily Incident Management Team meetings and reviews of incidents and/or outbreaks. Regular contact, training updates and support is provided to the contract tracing team through the Track and Trace MS teams channel process which is subject to quality assurance and supervision support from the contact tracing lead.

Contacts who are health and care staff

A staff member who has been caring for a person who has tested positive for COVID-19 or who has symptoms of COVID-19 while the staff member was wearing appropriate PPE will not automatically be asked to self-isolate

There are however some circumstances that the member of staff will need to isolate for 14 days in line with advice to the general population. These are:

  • A staff member who has been caring for a person who has tested positive for COVID-19 or who has symptoms of COVID-19 whilst wearing PPE, but the PPE has been breached;
  • A staff member who has been in contact with anybody else who has tested positive for COVID-19 whether at work or in the community.

Testing

An overarching Doncaster COVID Testing Strategy is also in place which aligns to the objectives of this outbreak control plan.

There are a wide range of testing approaches outlined in the figure below. However, the simplest split is between testing in those who have one of the 3 clinical symptoms of COVID-19 (new and continuous cough, high temperature and a change of/or loss of sense of taste or smell) so called symptomatic testing  and testing in people who don’t display one of the 3 clinical symptoms known as asymptomatic testing.

   

  There are 5 core objectives for testing in Doncaster:

  1. Control transmission
  2. Monitor incidence and Trends and assess severity over time
  3. Mitigate the impact of COVID-19 in health care and social care settings
  4. Rapidly identify all clusters or outbreaks in specific settings
  5. Prevent (re-)introduction into Doncaster where sustained control has been achieved

 

Testing for those with symptoms:

Covid-19 swab testing is now routinely available to all members of the public with coronavirus symptoms by visiting https://www.nhs.uk/conditions/coronavirus-covid-19/testing-and-tracing/ask-for-a-test-to-check-if-you-have-coronavirus/ or by calling 119.

Work is also progressing on the requests for 2 urban located Local Testing Sites designed for those arriving on foot or by bike, making testing more accessible to local communities in the borough.

We also have plans in place to be able to deploy testing to specific locations in the event of larger outbreaks to support management and response.

 

Testing for those without symptoms (rapid testing):

Regular rapid testing is currently being offered to some frontline staff groups in Doncaster and will shortly be opened up to more key worker groups. We are working hard to improve access to testing for local communities and will be able to provide more information on this soon.

Incident Management Team

Incident Management Team

The partnership Incident Management Team meets daily to review incidents, clusters and outbreaks of covid-19 across a range of settings and communities including schools and early years settings, care homes, health settings, vulnerable communities and more. It aims to:

  • Understand outbreaks/incidents across the borough
  • Ensure effective incident management of those outbreaks/incidents
  • Assess what preventative action we might take.

The team considers the latest data and intelligence and determines key areas for further investigation, specialist support, prevention activity or outbreak management actions.

 

Last updated: 02 June 2021 10:34:44