Covid-19 - PPE and Infection Control
PPE CAS Alert 9.5.20
A CAS alert was sent out regarding the use of the Tiger Eye Protector Product. A test on Tiger Eye protective goggles and frames has shown the product does not meet the current requirement for splash protection required and as a result, this product should not be used in a Covid-19 setting, and is being removed from the supply chain.
The Supply Chain
This remains one of the highest priorities in terms of ensuring practices have an adequate supply and also the ongoing question about the level of PPE you require in general practice.
NHSE have now set up a webpage to deal with the supply of PPE with information for primary care as follows:-
Additional supplies of PPE equipment continue to be made available to wholesalers that routinely supply to GPs, dentists, pharmacies, social care and hospices
Regional NHS leadership teams are working with individual trusts to support mutual aid and redistribution of supplies to meet greatest clinical need
Local Resilience Forums (LRFs) have received a push of PPE supplies to respond to local spikes in need, including those in social care and primary care, where there are current blockages in the supply chain. The PPE stock provided to LRFs is to support urgent need in vital services which are not linked to the NHS Supply Chain. This PPE is intended to support service providers which have exhausted their usual routes for PPE and there remains an urgent need for additional stock.
A new online ordering site is being developed and will enable primary care, community care and social care providers to register their PPE requirements more easily. The site will be rolled out so that these providers can request critical PPE from a central inventory. Further details will be released on how to register directly to providers as part of a phased approach. Orders will be managed in line with the published guidance from Public Health England and shipped directly via Royal Mail.
Accessing urgent supplies
Any organisation running critically short of PPE, and has exhausted other supply routes, can phone the National Supply Distribution Response (NSDR) on 0800 915 9964 for an urgent delivery.
Other supply routes may include Williams Medical Supplies (01685 846 666, email@example.com) and Phoenix Medical Supplies (01928 750 500).
The BMA has launched a 24/7 emergency support helpline for doctors who find their PPE is inadequate and need urgent advice. Call the PPE hotline on 0300 123 1233.
PPE & Infection Control Resources
Public Health England (PHE) have a guidance page covering PPE .
There is also a PPE hub set up on the government website to cover guidance on PPE and Infection Control across all healthcare settings.
One of the most important things about PPE is how we put this on and take it off - if done incorrectly you might as well not wear it.
Click here for a helpful video produced by a Leeds GP.
PHE have also produced a video for PPE
PHE have a page for Infection Prevention Control that includes details on PPE along with a table of recommended PPE for Primary Care (See illustration below)
The Infection Prevention Society (IPS) also have a wealth of Covid-19 resources that include awareness training, patient leaflets, guidance in particular settings and strategies for managing PPE shortages.
PPE Covid-19 Guidance for Home visits
Please click this image to access our document.
PHE have also updated their PPE detail for non aerosol gas procedures and have produced posters to demonstrate the donning and doffing. Please click on the images below to download and print as required.
The RCGP also have a webpage dedicated to PPE.