On this tab we have information about NHS and clinical guidance, discharge procedures and commissioning.

Summary of guidance

11.6.20 – Pulse oximetry to detect early deterioration of patients with COVID-19 in primary and community care settings

The NHS has released a document which sets out the principles to support the remote monitoring, using pulse oximetry, of those with confirmed or possible COVID-19.

28.5.20 SCIE Guidance on safeguarding adults with dementia

SCIE has released new guidance on safeguarding adults with dementia.

Updated 20.5.20 Guidance for Stepdown of Infection Control Precautions within Hospitals and Discharging COVID-19 patients from hospital to home and residential settings

The government has issued advice on appropriate infection prevention and control precautions for stepdown in hospital or discharge to home or residential settings (20.5.20). This is an overarching look at discharge and you will note it redirects care home providers to the relevant care home admission guidance.

Updated 19.5.20 Admission and care of people in Care Homes

Guidance has been released about the care of residents during COVID-19. As of 20.4.20 it is under review. As of 20.5.20 new symptoms have been added.

It is very important you read this guidance carefully and in conjunction with the new PPE guidance. Please note the following:

  • In Section 1 – admission of residents, it states that there is an expectation that the hospital discharge service will clarify COVID-19 status and any symptoms during the process of transfer from hospital to the care home. It currently says negative tests are not required prior to transfers or admissions into the care home.
  • Annex C: Talks about the isolation of COVID-19 symptomatic residents. Please note the required 14-day isolation for symptomatic residents
  • Annex F: Contains details of social care distributors and the helpline
  • Annex H: Contains some information about supporting your care staff
  • Annex I: Contains information about the capacity tracker

Some of our initial views can be found in an article on carehome.co.uk. We think there are number of issues that need to be addressed with this guidance. NCF also have a number of top-tips about how to approach hospital discharges and what you should be asking for, from discharge teams.

Of note, please challenge any attempts to make you complete anything other than the Capacity Tracker.

14.5.20 – NHS operating framework for urgent and planned services in hospital settings during COVID-19

The NHS has published rules around how hospitals will operate urgent and planned services as the COVID-19 crisis continues.

Updated 13.5.20 Hospital Discharges & The Capacity Tracker

DHSC has updated its hospital discharge service requirements (updated 13.5.20) to state that it is currently under review and easy read guides. The wider document sets out how all health and care systems and providers will alter their discharging arrangements and provision of community support to enable the discharge of all patients as soon as it is clinically safe to do so. It is very important that you read this guidance and note what you are required to do – particularly in regards to the Capacity Tracker.

See our summary of the Capacity Tracker Requirement– 19.3.20

12.5.20 – Capacity Tracker CQC and CPA Letter

The Care Provider Alliance has circulated letter with a statement on the use of data in the COVID-19 crisis. It highlights that the members of the CPA have agreed with DHSC, NHS, CQC and MHCLG that there are two national data collection mechanisms which you need to complete:

Please see the link to the statement for more information about what to do when asked to submit the same data to multiple trackers.

11.5.20 – Clinical guidance for end of life visits

The NHS has released guidance for supporting compassionate visiting arrangements for those receiving care at the end of life.

28.4.20 – Allocation of £3.2bn to Local Authorities

The government has published a rather interesting document which details the allocation of the first two rounds of COVID-19 emergency funding to Local Authorities. You can see how much your LA was given.

24.4.20 – Guidance for Remote Verification of Expected Death out of hospital.

Members have already flagged very significant concerns about being asked to take on the role of Verification of Deaths in care settings. It looks like BMA and RCGP have produced this guidance to do just this.

NCF maintains this is a hugely sensitive issue and providers must feel empowered to support their staff in these situations. Indeed, as the guidance points out, if its is not possible to support verification of death via remote means, then alternative methods will be needed.

17.4.20 – Joint Statement on Data Collection and Trackers

CPA (of which we are a part), CQC, DHSC and NHS England & Improvement, have issued a statement detailing the trackers and data collection you are expected to complete: NHS Capacity Tracker and CQC Update (for home care). It makes it clear that local authorities, CCGs and other local bodies should not be asking for their own data collection trackers to be completed. They should be accessing Capacity Tracker or the CQC systems for the data they require.

16.4.20 Anthony Collins templates for communications with commissioners

Anthony Collins has produced a useful set of templates designed for specific scenarios with commissioners. You can see a summary of the scenarios here along with price and details about how to access.

23.3.20 – CCG Commissioning Functions

NHS England has assumed the commissioning functions of the CCGs in England. NCF will be following this closely to see what it means for the care sector:

March 2020 – Critical Care Guidance

NICE have issued guidance to maximise the safety of patients who need critical care during the COVID-19 pandemic, while protecting staff from infection. Please look at the admissions to hospital, admissions to critical care and the accompanying algorithm in particular.

Jack Plans Ahead for Coronavirus: a guide for family and carers

An illustrated resource on end of life care planning in the context of coronavirus. Aimed at family and carers.

Here is a selection of free resources for you to download.

When someone dies from coronavirus: a guide for families and carers

An illustrated resource on how to respond when somebody dies from coronavirus. Aimed at family and carers.

Here is a selection of free resources for you to download