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Supporting health and social care providers in Devon

Personal protective equipment (PPE)

Last Updated 16:00pm, 22 September 2020


Introduction

If you have any specific issues or questions that you would like to raise with us please do so as follows:

Images on the use of face coverings and masks

Devon County Council and NHS Devon have produced two simple images reminding care staff of the difference between face coverings for use by the general public and surgical masks for use when undertaking care work. The images are suitable for sharing on social media or printing out as staff notices.

Image 1

Image 2

PPE use in Hot Weather

Public Health England and the Health and Safety Executive have issued guidance on the risk of heat stroke when using of Personal Protective Equipment in warm and hot environments and actions that can be taken to reduce this risk.

National guidance

PPE guidance for community settings

Public Health England have issued illustrated guidance on the use of PPE by health and social care workers working in community settings.

Care homes safety guidance

Public Health England issued new guidance for care homes on how to work safely during this period of sustained transmission of COVID-19. The new guidance includes a document about how to work safely as well as a video about putting on and removing PPE.

Personal care settings guidance

Public Health England issued new guidance on how to work safely in domiciliary care settings during this period of sustained transmission of COVID-19.

Infection prevention and control

Public Health England guidance on infection prevention and control for COVID-19.

Public Health England contact details

If you require clarification or have concerns about infection control, please escalate them to your Line Manager in the first instance.
Managers can also contact the Public Health England Health Protection Team for advice on 0300 303 8162 or email swhpt@phe.gov.uk.

PPE distribution and supply

National and local PPE supply update 22 September

For CQC registered providers

  • Providers should order PPE through their normal supply routes for the standard volumes of PPE required before the pandemic as the free national PPE Clipper portal is for additional PPE required over and above normal pre-COVID-19 use.
  • The national Clipper system supplies free packages of PPE to all CQC registered providers, who should register directly with the Clipper portal.
  • If you have any queries about to the national PPE portal, including how to register, please ring the PPE customer service team on 0800 876 6802. This number can also be used for concerns about a product’s suitability. Further information is available on this website.
  • DCC will alert providers when changes are made to the volume of items which can be ordered from Clipper. The volumes have recently been increased.
  • DCC will continue to provide limited supplies of PPE to CQC registered providers, but only in emergencies when other supply sources have failed. Providers must evidence that they have tried to order PPE through the other routes and must describe why the emergency stock is required. Any such emergency supply will need to be collected from local PPE stores in Barnstaple, Newton Abbot, Exeter or Tavistock.

For local emergency PPE orders, all CQC-registered providers should complete this DCC PPE request form.

For non-CQC registered providers, Unpaid Carers and Personal Assistants

  • Providers should continue to order PPE through their normal supply routes for the standard volumes of PPE required pre-COVID-19.
  • From 1 October, free additional PPE will be available via DCC in accordance with national guidelines.
  • All Unregulated services/organisations, Unpaid Carers and Personal Assistants should complete this PPE request form if they require PPE and allow at least five days’ notice when submitting a request for supplies. Due to the expected increase in demand under these new arrangements, supplies will have to be collected from local PPE stores in Barnstaple, Newton Abbot, Exeter or Tavistock.

National distributors of PPE

The following companies have been secured by the Government to act as national distributors of PPE. If you are having difficulties in obtaining PPE from your usual supplier, please try these companies to obtain your PPE instead:

Further social care distributors details can also be found on page 16 of this government guidance on Admission and Care of Residents in a Care Home during COVID-19

The central PPE portal - Clipper

Although a number of providers have signed up to this portal, and received some PPE, we are aware that not all providers have registered. If you are CQC-registered, we would encourage you to register on the portal and place an order. You will need to use the email you have registered with the CQC. If this has changed, you will need to first update your email details with the CQC before signing up to the portal. Please note that the portal registration process includes an email confirmation. If you don’t receive one please check your junk mailbox. Once registered, you can order a small level of PPE as shown below, and multiple orders can be made within that limit, not just a single weekly order. Currently the PPE is supplied free of charge, so it is worth taking up this offer to help replenish your emergency PPE stock levels.

Domiciliary care providers

  • Domiciliary care providers with fewer than 20 clients can order: 50 II masks, 200 IIR masks, 400 aprons, 800 gloves (400 pairs), 2 bottles of hand hygiene (usually 500ml), one box of visors (usually 50 per box).
  • Domiciliary care providers with between 20 and 49 clients can order: 50 II masks, 300 IIR masks, 600 aprons, 1,200 gloves (600 pairs), 3 bottles of hand hygiene (usually 500ml), one box of visors (usually 50 per box).
  • Domiciliary care providers with between 50 and 99 clients can order: 50 II masks, 400 IIR masks, 600 aprons, 1,200 gloves (600 pairs), 3 bottles of hand hygiene (usually 500ml), one box of visors (usually 50 per box).
  • Domiciliary care providers with between 100 and 149 clients can order: 50 II masks, 600 IIR masks, 600 aprons, 1,200 gloves (600 pairs), 3 bottles of hand hygiene (usually 500ml), one box of visors (usually 50 per box).
  • Domiciliary care providers with between 150 and 500 clients can order: 50 II masks, 1,500 IIR masks, 1,400 aprons, 2,800 gloves (1,400 pairs), 3 bottles of hand hygiene (usually 500ml), one box of visors (usually 50 per box).
  • Domiciliary care providers with between 500 and 999 clients can order: 50 II masks, 3,100 IIR masks, 3,100 aprons, 6,200 gloves (3,100 pairs), 3 bottles of hand hygiene (usually 500ml), one box of visors (usually 50 per box).
  • Domiciliary care providers with more than 1,000 clients can order: 50 II masks, 5,200 IIR masks, 5,200 aprons, 10,500 gloves (5,250 pairs), 3 bottles of hand hygiene (usually 500ml), one box of visors (usually 50 per box).

Care homes

  • Care homes with fewer than 10 beds can order: 50 II masks, 200 IIR masks, 400 aprons, 800 gloves (400 pairs), 2 bottles of hand hygiene (usually 500ml), one box of visors (usually 50 per box).
  • Care homes with between 10 and 24 beds can order: 50 II masks, 300 IIR masks, 600 aprons, 1,200 gloves (600 pairs), 3 bottles of hand hygiene (usually 500ml), one box of visors (usually 50 per box)
  • Care homes with between 25 and 49 beds can order: 50 II masks, 300 IIR masks, 600 aprons, 1,200 gloves (600 pairs), 3 bottles of hand hygiene (usually 500ml), one box of visors (usually 50 per box).
  • Care homes with between 50 and 99 beds can order: 50 II masks, 300 IIR masks, 1,200 aprons, 2,200 gloves (1,100 pairs), 3 bottles of hand hygiene (usually 500ml), one box of visors (usually 50 per box).
  • Care homes with 100 or more beds can order: 50 II masks, 300 IIR masks, 2,000 aprons, 3,600 gloves (1,800 pairs), 3 bottles of hand hygiene (usually 500ml), one box of visors (usually 50 per box).

We encourage all providers to make use of this opportunity, as the PPE is currently free of charge and can be repeat ordered on a weekly basis.

All social care providers are being urged to continue to access PPE through your business as usual supply routes wherever possible as your main source of PPE.

If you any queries please contact Customer Services on 0800 876 6802.

VAT zero rating for PPE

This tax information and impact note is about a new temporary zero rate that will apply to supplies of personal protective equipment (PPE).

Advice on safe use of PPE

National quality assurance of PPE

This national guidance note provides information on the products below, which are safe for use, and clarifies the central assurance undertaken to approve release of these items into the supply chain:

  • Type IIR masks and latex labelling
  • Weian face masks
  • Blue sail nitrile gloves
  • INTCO nitrile gloves
  • Cardinal FFP3 respirator masks
  • 3M 9330+ FFP3 respirators
  • Reminder about registering product or PPE safety queries

Recall of faulty PPE equipment

Following national tests, some recently distributed items of PPE equipment have been found to be sub-standard for Covid-19 use:

  • Tiger Medical Products Protective Goggles and Frames – Product Codes PG0001-F and PG000
  • 3M 1863 FFP3 masks

The attached letter gives more information about these products and how to report the faults.

Faulty PPE for destruction

A Medical Device Alert has been issued for Cardinal Health type IIR masks, asking that affected lots are destroyed as the foam strip on the mask can flake and enter the wearer’s airway or mouth; ties and/or stitching may detach from the mask.

Test failure of GVS F30000 FFP3 respirator

On investigation a gap between the nose band and respirator has been identified in a limited number of respirators GVS F30000 FFP3 respirators. Any products with such a gap should be destroyed locally and further advice is given on this Customer Alert from the national PPE Dedicated Supply Channel.

Flosteril FLO-MED-8130 gowns must be quarantined

Flosteril FLO-MED-8130 Non-Sterile gowns supplied by Vannin Healthcare(VHC) Global do not meet minimum standards for fluid resistance and must be quarantined for collection rather than disposed of. Full product details can be found in this notification from the national PPE Dedicated Supply Channel and emergency replacements can be requested on 0800 915 9964.

PPE Face Masks – Latex Warning

We have become aware that latex may be used in the manufacture of some face masks as well as gloves. Latex can produce an allergic reaction in some individuals which can vary in severity from a runny nose and itchy eyes to anaphylaxis.

Any product, which contains a CE mark on the packaging and where latex has been used in the manufacture of that product, will be labelled with the following symbol and/or appropriate warning on its packaging.

Symbol: black triangle with the word LATEX

If you have a CE marked boxes of masks, which does not contain this symbol and/or warnings on the packaging, then the product should not contain latex.

The Council has received assurances that non-CE marked PPE distributed nationally will be checked before we receive it and we will be notified of any concerns. In the light of this we are not requiring any such PPE to be withdrawn due to latex concerns.

If you have purchased any gloves or face masks that are not CE marked on the packaging, you should make enquires with the supplier to determine whether they contain latex if the packaging is not clear.

If you have any PPE, which contains latex, you will need to refer this to your Health and Safety Competent Person. We would suggest that you provide information for all staff on the possible effects of a latex allergy for early warning  and what to do if they do develop any of the symptoms.  You should also undertake a risk assessment and attempt to identify any individuals who may be aware that they might have a latex allergy.   Finally, we would suggest that you purchase additional stock of latex free products for those who develop symptoms and look to phase out any PPE stock you hold which does contain latex.

PPE not marked as latex-free

Some IIR masks and visors provided through the national procurement route do not specifically include the latex free status and staff are advised to check stock of IIR masks and remove from use any which do not specify latex free status. The stocks listed below have been identified and should be set aside until national confirmation of their status:

  • Surgical masks IIR types: BHKZ-001 (plain blue & white box); KB027A (GBUK Healthcare); WEIAN; YESO-MED
  • Visors: BFS040420 (Bloc Face Shield); DJM Isolation Face Mask GLMZ1-1; NHSSC face splash shield;  Face Shield (1)  Protective Isolation Mask – Face Shield; Standard Visor (NSV BTP9977)

Re-usable PPE items

Please note that re-usable PPE items should be clearly marked as such and identified in advance by your organisation/manager. Re-usable PPE items may be used providing they are appropriately cleaned and stored between uses, according to the manufacturer’s instructions or local infection control policy. Your manager will advise you where this applies and there is national guidance on PPE reuse.  Goggles may be cleaned immediately after removal and hand hygiene is performed OR placed in designated closed container for later cleaning and disinfection.

Here is advice on cleaning equipment from NHS Devon:

Protective Goggles – Following recent guidance, we have recommended that goggles with elastic straps are used for single use only and are not cleaned and reused.

Protective Glasses – Protective glasses with plastic arms can be cleaned with soap/detergent and water followed by disinfection using 70% alcohol wipes. Some protective glasses come with detachable catch lanyards. Please remove and dispose of these lanyards as they cannot be sufficiently disinfected.

Face Visors with foam strip – Face visors can be cleaned with soap/detergent and water followed by disinfection with 70% alcohol wipes. Some visors have a foam strip across the top on the inside. These visors can be cleaned but can only be reused by the same member of staff.

Aerosol Gas Procedures (AGPs) PPE fact sheet and visor supply

NHS Devon CCG have produced this fact sheet which includes advice that visors or eye protection should be worn by staff when carrying out AGPs to provide further protection (in addition to the other PPE that should be worn), based on national guidance.

If additional visors are needed then NHS Devon can supply small number of reusable visors, please contact: d-ccg.carehomeandhomecarecell@nhs.net


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