PHE: COVID-19: guidance for stepdown of infection control precautions within hospitals and discharging COVID-19 patients from hospital to home settings (updated 20 May 2020) #covid19rftlks

Public Health England | May 2020 | COVID-19: guidance for stepdown of infection control precautions within hospitals and discharging COVID-19 patients from hospital to home settings

Latest updates to this information

20 May: updates to sections 2, 3 and 4; inclusion of detail on requirements for discharge to a single occupancy room in care facility, including nursing homes and residential homes (section 5); updated with addition of ‘a loss of, or change in, normal sense of taste or smell (anosmia)’ as a symptom (section 5)

General scope

This guidance provides advice on appropriate infection prevention and control (IPC) precautions for COVID-19 patients recovering or recovered from COVID-19 and remaining in hospital, or being discharged to their own home or residential care. The NHS Hospital Service Discharge requirements issued in response to the COVID-19 emergency concerns all hospital discharges.

It is important to note that patients can and should be discharged before resolution of symptoms provided they are deemed clinically fit for discharge in a rapid, but safe, manner. People who are discharged from the NHS within the 14-day period from the onset of COVID-19 symptoms may need ongoing social care. They will have been COVID-19 tested and have confirmed COVID-positive status.

All patients being discharged to a care home will be tested prior to discharge to ascertain their COVID-19 status. Refer to the ‘safe discharge from the NHS to social care settings’ section in the Department of Health and Social Care (DHSC) adult social care plan.

In general, people with COVID-19 who are admitted to hospital will have more severe disease than those COVID-19 patients who can remain in the community, especially if they require critical care. In addition, they are more likely to have pre-existing conditions such as severe immunosuppression. In healthcare settings, there also are considerable numbers of immunocompromised and vulnerable patients.

Therefore, a precautionary approach with more stringent rules for ending isolation and infection control precautions is recommended for hospitalised patients, notably at least 14 days for those in critical care and/or immunosuppressed, compared to the at least 7-day since symptom onset rule applied to those managed in the community.

The main measures are detailed in the guidance

Read online Guidance for stepdown of infection control precautions and discharging COVID-19 patients

COVID-19: investigation and initial clinical management of possible cases

Public Health England | April 2020 | COVID-19: investigation and initial clinical management of possible cases

These documents provide information relating to the initial investigation and management of possible cases of COVID-19.

COVID-19: investigation and initial clinical management of possible cases

 

Now more than ever, Every Mind Matters

Public Health England have launched a new campaign to support people to manage their mental wellbeing during this difficult time, using Every Mind Matters self-care resources.

Public Health England has launched a campaign to encourage adults to take steps to look after their mental health during this difficult time, using Every Mind Matters and its self-care resources. The Every Mind Matters platform has been updated to incorporate the new Covid-19 mental health guidance and provide content to help people look after their mental and physical health while staying at home.

The campaign is targeted at all adults, weighted towards those most at risk of mental health problems and more vulnerable groups (such as BAME groups and those aged 70+).

Coronavirus (COVID-19): personal protective equipment (PPE) hub

Public Health England | April 2020| Coronavirus (COVID-19): personal protective equipment (PPE) hub

This guidance from Public Health England (PHE) contains information on personal protective equipment (PPE), and infection prevention and control (IPC).

We are currently experiencing sustained transmission of COVID-19 across the UK.

COVID-19: infection prevention and control (IPC)

COVID-19: personal protective equipment use for aerosol generating procedures

COVID-19: personal protective equipment use for non-aerosol generating procedures

COVID-19: guidance for first responders

Public Health England | March 2020 |March 2020 | COVID-19: guidance for first responders

Public Health England  have published advice for first responders (as defined by the Civil Contingencies Act) and others who may have close contact with symptomatic people who may have COVID-19.

First responders include those, defined as professionals and members of voluntary organisations, who as part of their normal roles, provide immediate assistance to a symptomatic person until further medical assistance arrives.

Guidance for first responders and others in close contact with symptomatic people with potential COVID-19

Coronavirus (COVID-19): guidance on vulnerable children and young people Questions and answers about the provisions being made for vulnerable children and young people.

Public Health England | March 2020 | Coronavirus (COVID-19): guidance on vulnerable children and young people

New guidance from Public Health England (PHE) covers questions and answers about the provisions being made for vulnerable children and young people.

Coronavirus (COVID-19): guidance on vulnerable children and young people