Updated Covid-19 face mask guidance for social care including adult care homes

Following a review of advice, the Scottish Government has updated its guidance on the use of face masks in social care settings including adult care homes.

The updated guidance recommends that face masks do not routinely need to be worn at all times within social care settings. Instead face masks should be for particular situations (for example following staff judgement, advice from health protection / public health or personal choice). This is because although Covid-19 continues to spread, transmission rates are lower and the virus is currently milder than at earlier stages in the pandemic resulting in a reduction in severity of illness and hospitalisation.

Full details are available online Coronavirus (Covid-19): use of face coverings in social care settings including adult care homes - gov.scot (www.gov.scot). Importantly, the fundamental principles of infection prevention and control precautions continue to be essential.

Antimicrobial Resistance and Healthcare Associated Infection (ARHAI) Scotland and Public Health Scotland will update their associated guidance documents as soon as practically possible.  

Providers are recommended to implement the face mask guidance as soon as possible from 14 September, or earlier if they are ready to do so. The recommendations in the guidance will require discussions with staff and those receiving care and support before adoption. For some services, the changes may be able to be implemented fairly quickly while for others, it may take longer.

Scottish Government is working with Scottish Care to host a webinar regarding changes to face masks and testing within social care. This will be open to all staff within social care to ask any questions they may have about the guidance. The date will be circulated within networks once agreed.

Review of asymptomatic testing in health and social care

A review has taken place of the remaining regular asymptomatic testing in place for health and social care staff and in high-risk settings. Scottish Government will issue advice for health and social care in the week beginning 12 September. This will have updated guidance materials and an implementation date of the end of September. Until this guidance is issued, staff should continue to test as per Coronavirus (Covid-19): social care and community based testing guidance - gov.scot (www.gov.scot).

Covid and flu vaccination – autumn/winter 2022

Vaccination and the protection it offers staff and those they care for and support is important.  The Joint Committee on Vaccination and Immunisation (JCVI) has issued advice for the Winter Covid-19 and flu programme recommending those most at risk, or those who come into regular contact with those most at risk, become eligible for a Covid-19 vaccine dose to maximise their protection over winter. Where possible, this will be co-administered with the flu vaccine, which is a safe and effective way to deliver protection.

The online booking portal for frontline health and social care workers can be accessed, along with other information on the programme and eligibility, at Winter vaccines | NHS inform. The direct portal page link is Login - Customer Service (nhs.scot).

Carers who are aged 16+ are eligible for both Covid and flu vaccination this winter. The majority will be called for vaccination later in the programme, as part of the ‘at risk’ group. At this point, appointments can be booked on the portal or through the helpline for those who don’t have digital access. The only exception is that the over 65s will shortly be sent letters with timed appointments. In those letters, it will say that unpaid carers are eligible for vaccination and give instructions on how they can book. If someone they care for gets a letter, the carer can book their appointment from that time. 

The above information is from Provider update for adult and older people services from the Care Inspectorate Newsletter Thu 08/09/2022

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