Introduction

This resource has been developed to support local authorities in Cheshire and Merseyside to align our approach to Outbreak Management. As COVID-19 does not respect local authority or national boundaries, our response must be joined up both throughout our region, with neighbouring regions, and with Wales in order to be effective. The resource demonstrates how we will respond to the seven key themes outlined by Government, and how we will strengthen our approach to Outbreak Management and prevention by pooling knowledge, resources, skills and expertise to reduce the risk of COVID-19 transmission within Cheshire and Merseyside and ultimately save lives. 

Ian Ashworth (DPH CWAC and Cheshire DPH Lead for Test & Trace)

Sue Forster (DPH St Helens and Merseyside DPH Lead for Test & Trace) 

Cheshire and Merseyside Local Authorities Public Health COVID-19 Outbreak Plan Framework

Theme 1 - Planning for local outbreaks in care homes and schools

Care Homes

PHE NW Care Homes Pack 

Education and Childcare settings

PHE NW COVID-19 Template Resource Pack for School and Childcare settings

PH Supplementary Guidance for Schools during the Covid-19 Pandemic for the remainder of the summer term 2020 - Provides guidance to help schools record and take the appropriate action when a staff or child member has Covid-19 symptoms and if someone who has been in the school has tested positive for Covid-19 (confirmed case).

Generic Educational and childcare settings and provision COVID-19 Outbreak Control Plan

Schools Setting Checklist - Template for use in outbreak situation

Warn and Inform Letter No Isolation - Template factsheet for when someone in the school/setting has tested positive for COVID-19 although child has not been identified as a close contact

Outbreak Letter for schools - advice to parents of non-contact (14 day self isolation) - Template

Letter for parents of direct close contacts of COVID-19 - Advice to parents

Checklist for action to take in managing a single suspected case of COVID-19 Child - Template

Schools Template Outbreak Media Protocol - Halton example - can be modified

Action cards by setting for Local Outbreak Plans - Halton example - can be modified, to prepare and support any response to a suspected or confirmed outbreak

Schools template Outbreak Media Protocol

University or College Checklist - Template

Action to take in managing a single suspected case of COVID - For adults

Theme 2 - High risk places, locations and communities
Identifying and planning how to manage high risk places, locations and communities of interest (e.g. defining preventative measures and outbreak management strategies)

Complex cases mapping example – Halton example - To illustrate types and location of settings

Complex Settings Outbreak Plan (for local adaption) - Template

Action cards by setting for Local Outbreak Plans - Halton example - can be modified, to prepare and support any response to a suspected or confirmed outbreak

COVID-19 Tier 1 Underserved Population Setting Checklist - Template for use in outbreak situation

COVID-19 Outbreak Management Tier 1 Checklist for Workplaces 

Action to take in managing a single suspected case of COVID - For adults

Warn and inform leaflet - Factsheet for those who have been in close contact with someone who has tested positive for COVID-19

Letter Template for contacts of Confirmed COVID-19 cases - Advice to Self-Isolate for 14 days

Template to record workplace absence or employees self isolating - For workplaces and non residential complex settings in the event of a suspected/confirmed COVID-19 outbreak

COVID-19 Workplace FAQ

Outbreak control team agenda - Template

Key national guidance

Theme 3 - Local testing capacity
Identifying methods for local testing to ensure a swift response that is accessible to the entire population (e.g. defining how to prioritise and manage deployment, examples may include NHS, pop-up etc)

CM COVID-19 Testing & Swabbing Priorities Framework 

CM COVID-19 Testing & Swabbing Priorities Strategy

NHS Track and Trace 

Testing matrix for Adult Social Care

Key worker testing 

Key national guidance

Theme 4 - Contact tracing in complex settings
Assessing local and regional contact tracing capability in complex settings (e.g. identifying specific local complex communities, developing assumptions to estimate demand and options to scale capacity)

See resources in theme 2 for cross over i.e. example of mapping complex settings

Ten ways to prevent COVID-19 - See Appendix 1 COVID Training Needs Analysis to assess capacity to respond to a COVID-19 outbreak

Letter template for contacts of confirmed COVID19 cases

NHS Test and Trace Guidance for employers and businesses

Theme 5 - Data integration 
Integrating national and local data and scenario planning through the Joint Biosecurity Centre Playbook (e.g., data management planning, including data security, NHS data linkages)

Latest Governmet Coronavirus Data for UK

Theme 6 - Vulnerable people
Identifying and supporting vulnerable local people to get help to self-isolate (e.g. facilitating NHS and local support, identifying relevant community groups etc) and ensuring services meet the needs of diverse communities.

Local Areas to insert information on extra support services such as access to medicines, accommodation, food, mental health services and signposting to services where appropriate.

National
Vulnerable or at risk groups who are self isolating can get support through the NHS Volunteer Responder Service, it can provide support with things like getting food, medicines and other essential supplies. Call 0808 196 3646 (open 8am to 8pm) to get help from NHS Volunteer Responders

Theme 7 - Local Boards/Governance
Establishing governance structures led by existing Covid-19 Health Protection Boards in conjunction with local NHS and supported by existing Gold command forums and a new member-led Board to communicate with the general public.

Example of existing local legal powers - Produced by Cheshire West and Chester Borough Council on behalf of the Cheshire Local Resilience Forum, it provides examples of scenarios and the local enforcement powers which may be available to support a local containment situation.

Example of local governance CWC Outbreak Flowchart - Example from Cheshire West and Chester

COVID-19 Legal Issues

*This online resource is reflective of the documentation that is available currently and will continue to be updated as new guidance and resources are developed