1

Covid-19

Cork/Kerry Social Inclusion

Standard Operating Procedure for Self-Isolation: Version 2

Standard Operating Procedure (SOP) for the management of individuals who require self-isolation due to

Covid-19.

Applicable to: Social Inclusion Services, Statutory and Voluntary

Document Author: HSE Social Inclusion CKCH

Start date: Friday 27th March

Review date: Friday April 3rd

*This is a document that will change. Revisions will be detailed via email. Please ensure you are working off the most recent version

2

Assessment Referral Transport Support & Monitor Exit

Self-isolation means staying indoors and completely avoiding contact with other people. The following describes a Standard Operating Procedure (SOP) for the management of individuals who require self-isolation due to Covid-19. As this situation changes, responsibility lies with individuals and organisations to keep up-to-date with the most recent information and guidelines on www.HSE.ie. Patient information sheet for self-isolation at home Coronavirus (COVID-19) guidance for settings for vulnerable groups

3

Table of Contents 1. ASSESSMENT ............................................................................................................................................................................................................................ 5

2. REFERRAL ................................................................................................................................................................................................................................. 6

2.1 Testing .................................................................................................................................................................................................................................... 6

3. TRANSPORT .............................................................................................................................................................................................................................. 8

4. SUPPORT .................................................................................................................................................................................................................................. 8

4.1 Facilities.................................................................................................................................................................................................................................. 9

4.2 Wrap around services ............................................................................................................................................................................................................ 9

4.3 Opiate Substitution Treatment (OST) and Detox ................................................................................................................................................................. 10

4.4 Prescription Management ................................................................................................................................................................................................... 10

4.5 Deterioration and Escalation ............................................................................................................................................................................................... 10

4.6 Team Components ............................................................................................................................................................................................................... 10

4.6.1 GP .................................................................................................................................................................................................................................. 11

4.6.2 Social Inclusion Manager on call ................................................................................................................................................................................... 11

4.6.3 Lead Organisation ......................................................................................................................................................................................................... 11

4.6.4 Support Worker ............................................................................................................................................................................................................ 12

4.6.5 Other Contact/Family/Friend ........................................................................................................................................................................................ 13

4.7 Other Supports ..................................................................................................................................................................................................................... 13

4.7.1 Childcare ....................................................................................................................................................................................................................... 13

4.7.2 Catering ....................................................................................................................................................................................................................... 14

4.7.3 Laundry ......................................................................................................................................................................................................................... 14

4

4.7.4 Managing Rubbish......................................................................................................................................................................................................... 14

4.8 Levels of Need ...................................................................................................................................................................................................................... 15

4.8.1 Homeless Hostel ........................................................................................................................................................................................................... 15

4.8.2 HSE Social Inclusion Bed ............................................................................................................................................................................................... 15

4.8.3 Residential Drug & Alcohol Services ............................................................................................................................................................................. 15

4.8.4 Traveller Community..................................................................................................................................................................................................... 15

4.8.5 Direct Provision / Emergency Accommodation centres ............................................................................................................................................... 16

4.8.6 Programme Refugees .................................................................................................................................................................................................... 16

4.9 Partners ................................................................................................................................................................................................................................ 17

4.9.1 Primary Care .................................................................................................................................................................................................................. 17

4.9.2 Social Inclusion .............................................................................................................................................................................................................. 17

4.9.3 Public Health ................................................................................................................................................................................................................. 17

4.9.4 Mental Health ............................................................................................................................................................................................................... 17

4.9.5 Acute Hospitals ............................................................................................................................................................................................................. 17

4.9.6 Dept. Of Justice ............................................................................................................................................................................................................. 17

5. MONITORING ......................................................................................................................................................................................................................... 18

6. EXIT PLANNING ...................................................................................................................................................................................................................... 19

5

1. ASSESSMENT Individuals assessed by medical staff as having symptoms of coronavirus and requiring self-isolation

Have been advised by Public Health to self-isolate

Individuals who have no self-isolation option other than a suitable bed in the residential service or a designated HSE Social Inclusion bed

A person may need to self-isolate if they are:

are waiting to be tested for COVID-19 infection

are waiting for the results of testing for COVID-19 infection

have been diagnosed with COVID-19 infection and have been assessed as not needing hospital review and can stay

If returning from an area where self-isolation is advised from Public Health When instructed to self-isolate the person should wait where they are, until their accommodation is ready whereupon they will be safely transported to the

self-isolation accommodation by the appropriate service.

Guidelines for isolation on site:

HSE Face to face with a suspected COVID-19 patient in a GP clinic room

HSE Video- Suspected COVID 19 patient comes to reception

Duration of self-isolation:

Covid-19 test virus detected – Self isolate until 14 days since onset of symptoms and no temperature for 5 days

Covid-19 test no virus detected the HPSC advice is that these people can return normal activity 48 hours after resolution of symptoms

6

2. REFERRAL Following Assessment, referral is made by the Lead Organisation to the local Self-Isolation Team (Cork – Joe Kirby, Kery Kate Gibney) or for out-of-hours the

Social Inclusion Manager on call. Where a bed and support service is not available in the Lead Organisation, or where there is no Lead Organisation, a bed

will be identified through HSE Social Inclusion and a Support Worker will be assigned to the patient.

2.1 Testing NB: Testing is currently only for people Covid-19 symptoms, requirements for testing have recently changed, patients will be advised as to whether they

will be referred for a test.

This is being arranged via HSE Social Inclusion

Updates on fast track testing for Social Inclusion Population will be circulated

It is essential that organisations advise social inclusion of any service user who has been referred for test, either from hospital or own GP

Test is a nasal/oral swab and currently results take c 48 + hours. Hopefully this will change

Results are either

Covid-19 test - Virus detected where Covid-19 positive and manage as per guidelines

Covid-19 test - No virus detected, presumed not to have Covid-19 but be aware of false negatives / subsequent infection and continue to monitor

for any new symptoms/ deterioration

Currently, the patient will receive a text when the test result is negative or receive a phone call when the test result is positive Social Inclusion is currently trying to fast track access to results from Public Health, and are notifying them of any positive results from the Social Inclusion population

Process for service users/residents testing through normal community testing.

7

When a service user/ resident is identified as having any clinical symptoms of CoVID-19 he/she should be immediately isolated as per

HSE/DoP guidelines make direct contact with their GP/South Doc advising of their symptoms etc. Please ensure they advise the GP that

they are living in a cogenerated setting/social inclusion site. The GP will make a decision as to whether or not the person should be self-

isolated and/or referred for testing and will advise him/her of same.

Where the Lead Organisation/support workers are aware that service users/residents have presented with COVID-19 concerns and

have been advised to self-isolate/being referred for testing they will support self-isolation on site.

Refer to How to self-isolate - HSE.ie for patient information sheet for self-isolation.

The Lead Organisation/support workers must notify the Social Inclusion team with client information, as per the information gathering

template (appendix 4, 5) and send it to their point of contact in social inclusion, outlined on relevant decision tree.

Mobile numbers: it is vital these numbers are confirmed as current and working. This is how the current testing system generates

unique patient identifier numbers for each test, communicates test appointments and contacts the service user/resident with result.

Please note that this cohort will not be tested through the urgent testing process.

Process to request urgent testing for exceptionally vulnerable service users/residents who meet the criteria below:

Pregnancy.

Debilitated, dual diagnosed.

Frail elderly.

Chronic conditions.

Immune suppressed.

Health Workers.

Other.

Who can refer: GP, Social Inclusion Managers.

The referral must include:

8

The reason for the referral (see above for reference).

The name, date of birth, phone number and GP of the exceptionally vulnerable person. (This information is crucial to track the

testing process from referral to result.)

The name and contact details of the referrer.

If transport required yes/no

Testing process: Requests will be dealt with on a case by case basis.

For Cork: When a person is identified in the community or residential unit that meets the criteria for urgent testing of

exceptionally vulnerable persons the referrer in the relevant services should make a referral to Elaine Conlon CNM2, HSE Adult

Homeless Integrated Team/HSE Addiction Service, by email at elaine.conlon@hse.ie

Elaine will enter referral on COVID-19 data base and will update same during the process.

Following receipt of referral, Elaine will triage same and if urgent testing is required she will forward request for testing by email

to Nicola Brett / Cora Williams DPHN.

On receipt of the urgent request for testing the DPHN will contact the testing centre to request same giving the name, date of

birth, phone number and GP of the service user/resident.

The testing centre will contact the service user/resident by text message only giving the date, time and venue for the test.

3. TRANSPORT Following referral, arrangements will be made by the local Self-Isolation Management Team or for out of hours the Social Inclusion Manager on call, for the

patient to be brought to the self-isolation bed location as soon as possible. Social Inclusion transport is available between 9am and 9pm only

4. SUPPORT Self-isolation is challenging for people so all attempts are to be made to make this experience as comfortable as possible

9

4.1 Facilities

Single room*

En-suite toilet and shower with hot running water, soap, towels.

Electricity power point

Television in bedroom

Window or appropriate ventilation

Staff will have access to the following on-site

Microwave

Freezer

Washing machine/Dryer

Wi-Fi

*Where a single room is not available multiple patients with confirmed COVID-19 may share the same room or unit of accommodation (Quarantine).

4.2 Wrap Around Services

1: Essential // 2: Necessary // 3: Helpful

Rating Provision How/who

1 Childcare Lead Organisation

1 Food – dietary requirement, 3 meals including one hot meal, snacks, Lead Organisation

1 Information on what is happening in necessary languages, interpreter

Support Worker

1 Medical Card Status Support Worker

1 Patient’s GP details and contact made with this GP of current situation Support Worker

1 Medicine/prescriptions to be arranged

Support Worker, pharmacy, GP

1 Methadone management (see 4.3) GP/Pharmacy

1 Detox: Opiate, Alcohol, Benzodiazepines (see 4.3) GP

1 Symptom check- quick questions and will also be provided with advice to call doc/ambulance Support Worker

2 Support with the following: Legal and medical appointments to be rescheduled, social welfare support to Support Worker

10

be accessed

2 Regular contact – phone, internet, people checking in (non face to face), family friends, support worker

Support Worker/Other Contacts

2 Recreation – books, magazines, puzzles, videogames, Netflix, internet, art

Support Worker/Other Contacts

2 Opportunity to go for walks, be outside, exercise,

Support Worker

3 Nicotine replacement therapy implications

Support Worker/Pharmacy

3 Provide towels Support Worker

3 Laundry facilities Lead Organisation

3 Sanitary and hygiene kits provided – soap, tampons etc. Support Worker

4.3 Opiate Substitution Treatment (OST) and Detox

This will operate on a case-by-case basis where a patient is currently on OST, requires OST, is on a Detox programme or requires same, arrangements with

the patient’s GP, Support Worker and pharmacy will be made to facilitate appropriate care. Updates are provided to clinical team by the National Clinical

Lead for Addiction services

4.4 Prescription Management

This is to be arranged with GP, pharmacy and Support Worker

4.5 Deterioration and Escalation

If symptoms deteriorate the patient should contact their GP or emergency services if necessary. Support Worker will have a checklist to guide this where

questions like: How are you today? How did you sleep? Have you eaten? Are you taking fluids? More (see Appendix 2) If client has no GP, social inclusion

GP will cover patient as per usual guidelines. The Self Isolation Team is NOT providing GP cover to everyone across services in self-isolation.

4.6 Team Components

GP on the SI rota, Self-Isolation Team, Social Inclusion Manager on call, Lead Organisation, Support Worker, Other Contact (friend/family member/

emergency contact),

11

4.6.1 GP on Social Inclusion On-call Rota

Description: This is the GP who assesses and decides if on the appropriate action to be taken.

Role: Where a patient’s own GP is not available, the Social Inclusion GP on-call assesses the individual and decides on appropriate action. The patient’s GP

will be the point of contact if deterioration occurs.

It is essential that patient’s own GP is notified if they have been tested, is due testing or is positive and is sent to self-isolation.

Please note that in all instances, the patient’s own registered GP is the responsible, Social Inclusion are only facilitating access to self-isolation and

support

4.6.2 Self-Isolation Management Team

Description: This team is responsible for the management and coordination of the system for self-isolation (Social Inclusion)

Role: This team support this SOP and the actions/roles/pathways herein. This team can be contacted between 9am-5pm Mon-Friday, see contacts section.

4.6.2 Social Inclusion Manager on call

Description: Following assessment, out-of-hours, this is the first contact when self-isolation is the required action. This on-call contact comprises a GP and

Social Inclusion Manager.

Role: The Social Inclusion Manager on call arranges for people to be transferred to an appropriate self-isolation bed. They will ensure that a Support Worker

will be assigned as soon as possible, i.e. if out of hours the Social Inclusion Manager on call will liaise with the Self Isolation Management Team where a

Support Worker will be contacted at 9am the following morning. If out of hours, the Social Inclusion Manager on call ensures that adequate food is available

to the patient upon arrival at self-isolation location.

4.6.3 Lead Organisation

Note: Each Lead Organisation has a skilled staff group so consider incorporating staff/task appropriate interventions to support this client group via phone

12

Description: This is the organisation who has most contact with the individual and whom the individual identifies as being their main support service. This

can be the organisation where the patient is currently resident, if applicable. The role of the lead organisation will vary depending on the nature of the

client, and this role is outlined more specifically in section 4.8 Levels of need. The Lead Organisation will identify a Support Worker to co-ordinate care, if

none available, the Lead Organisation will discuss this with the regional contacts (see Contacts). Where there is no Lead Organisation, a self-isolation bed

and Support Worker will be identified through HSE Social Inclusion. Where a patient is brought to an organisation where they are not a client, this

organisation takes on the role of Lead Organisation. Appropriate risk management is the responsibility of the Lead Organisation.

Role: (see 4.2) The Lead Organisation provides the patient with wrap around services for the duration of the self-isolation period. The role of the lead

organisation will vary depending on the nature of the client, and this role is outlined more specifically in section 4.8 Levels of need. The Lead Organisation

will support the Exit Plan (again see levels of need). The patient’s status as a service user of the Lead Organisation or of their main service provider is not

compromised while in, or upon exit from self-isolation. The Lead Organisation will update HSE Social Inclusion on bed occupancy via daily reporting, if

applicable (see 5. MONITORING).

4.6.4 Support Worker

Description: This is the identified Support Worker within the Lead Organisation or person assigned by HSE Social Inclusion.

Role: The Support Worker operates as a case manager and co-ordinates the day-to-day wraparound support for the individual. The role of the support

worker will vary depending on the nature of the client, and this role is outlined more specifically in section 4.8 Levels of need. They liaise with relevant

health and social care services where necessary. This person is the main point-of-contact for the patient while in self-isolation. In many services, Support

Workers are known to Service Users and are suitably positioned to take on this role.

Self-isolation is challenging for all individuals so all attempts are to be made to make this as comfortable as possible for people. It is important that the

patient’s concerns are acknowledged. Ask the person what might make their time in isolation more tolerable and discuss how their needs can be met in a

realistic manner.

Tasks:

Provide and explain information leaflet on self-isolation to patients

Ensure intake form is complete (see Appendix 2)

Ensure patients have a phone and charger

Phone the patient twice daily at an agreed time (see Appendix 2):

13

o social conversation

o Update from patient: How are you feeling today? Etc.

o Enquire as to the patients wellness e.g how is your breathing, are you feeling better or worse than yesterday?

o Reinforce advice on what to do if any problems deterioration, e.g call their GP

Ensure patients have adequate towels, hygiene, and sanitary items, if not flag with lead organisation or Social inclusion team as appropriate.

Ensure patients have adequate access to laundry facilities, if not flag with lead organisation or Social inclusion team as appropriate, and advise the

client of the HSE guidelines around laundry.

Ensure refuse is disposed of appropriately (see 4.6.4) by advising the client of the HSE guidelines around refuse disposal

Ensure prearranged appointments are rescheduled, if applicable.

Ensure social welfare status is not adversely affected, if applicable.

Ensure planned exit from self-isolation (see EXIT PLAN).

Support Workers outside of Lead Organisations to be contacted by Social Inclusion Manager on call are available through:

Drug and Alcohol Task Forces

HSE Community Work Department

4.6.5 Other Contact/Family/Friend

Description: Self isolation can be a very lonely experience for people so contact with friends or family can help with this. Face-to-face contact is not an

option so use of phone and social media is recommended. This person can provide books, magazines and other recreational items. Self-isolation is

challenging for all individuals so all attempts are to be made to make this as comfortable as possible for people.

4.7 Other Supports

4.7.1 Childcare

Depending on GP advice, a whole family may be required to self-isolate together as they would already be in close contact, in which case a bigger room, or

facility may be required.

If not, family members could be contacted to mind children for a time.

In Direct Provision centres if children do not go to self-isolation with the parent and there are no family to take care of the children, childcare is required.

14

4.7.2 Catering

Description: Support Worker to ask about any dietary requirements. 3 meals, including one hot meal, and snacks to be provided daily. This is to be

provided/ coordinated by the Lead Organisation, advice on the following can be sought from the social inclusion team as necessary. Where there is no Lead

Organisation this coordinated by the Social Inclusion Support Worker. Observe HSE guidelines on managing delivery of meals, collection, and washing

utensils.

Role: Where a patient is in self-isolation in a residential service, this Lead Organisation provides catering. If in a HSE Social Inclusion self-isolation bed where

catering is not provided in-house, this service is coordinated by the Support Worker (see Appendix 3)

4.7.3 Laundry

Description: Where a patient is in self-isolation in a residential service, this Lead Organisation provides laundry services. If in a HSE Social Inclusion self-

isolation unit, laundry facilities will be available on-site. The support worker can offer the client advice on how to appropriately manage laundry according

to HSE guidelines.

Laundry bedding and towels should be placed in a plastic bag.

wash the laundry at the highest temperature for the material, with a laundry detergent

clean all surfaces and the area around the washing machine

wash hands thoroughly with soap and water after handling the laundry.

If possible tumble dry and iron using a hot setting or steam iron

Wash your hands thoroughly with soap and water after handling laundry.

Do not take laundry to a laundrette

4.7.4 Managing Rubbish

The support worker can advise the client on the appropriate handling of refuse as per HSE guidelines.

Put all personal waste including used tissues and all cleaning waste in a plastic rubbish bag

Tie the bag when it is almost full and then place it into a second bin bag and tie

Once the bag has been tied securely leave it somewhere safe

The bags should be left for three days before collection by your waste company

15

Other household waste can be disposed of as normal without any time delay.

4.8 Levels of Need

4.8.1 Homeless Hostel

Homeless Hostel

Where there is a suitable self-isolation bed in the Hostel, this service, as Lead Organisation provides laundry, catering and refuse disposal services Lead Organisation to identify Support Worker to co-ordinate care and liaise with medical and social care professionals when necessary. Where there is no suitable bed available in the Hostel, contact the Social Inclusion Manager on call to discuss transfer to another facility.

4.8.2 HSE Social Inclusion Bed

HSE Social Inclusion Bed

Where a Lead Organisation cannot provide a self-isolation space and need to access a HSE Social Inclusion space, the Support Worker from the Lead Organisation remains the person responsible for co-ordinating care. If no Lead Organisation, Support Worker to be assigned by HSE Social Inclusion. Catering to be provided by: accommodation management if applicable otherwise co-ordinated by HSE Support Worker. Laundry service to be provided by: accommodation management if applicable otherwise co-ordinated by HSE Support worker. Refuse to be managed by: accommodation management if applicable otherwise co-ordinated by HSE Support worker.

4.8.3 Residential Drug & Alcohol Services

Residential Drug and Alcohol Services

Where there is a suitable self-isolation bed the service, as Lead Organisation provides laundry, catering and refuse disposal services Lead organisation to identify Support Worker to co-ordinate care and liaise with medical and social care professionals when necessary Where there is no suitable bed available, contact the Social Inclusion Manager on call to discuss transfer to another facility.

4.8.4 Traveller Community

Traveller Community

If it is possible for the person to remain at home, the Lead Organisation will provide telephone support and advice pertaining to laundry, cleaning, catering and refuse management as per HSE guidelines. If a person has to self-isolate off-site the service, they can contact the HSE community work department who will inform self isolation SI management

16

team who will arrange accommodation through the local authority if possible. Lead Organisation coordinates catering as appropriate and offers clients advice and support over the phone. Lead organisation to identify Support Worker to co-ordinate care, as outlined above.

4.8.5 Direct Provision / Emergency Accommodation Centres

4.8.6 Programme Refugees

Programme Refugees

It is not envisaged that this group will require additional services to facilitate self-isolation. However, Leah Bentham (Community Worker Refugee Support) worker for resettlement programme refugees in Cork is available to provide support and advice. Her number is 0871489623. In Kerry advise can be sought from TIRC (066 7127918) or Caroline Doyle (Community Worker, HSE) 086 7872107

Direct Provision / Emergency accommodation centres

The Direct Provision service, as Lead Organisation provides self-isolation space, laundry, catering and refuse disposal services.

It is recommended that the lead Organisation identify Support Worker within DP management to co-ordinate care and liaise with medical and social

care professionals when necessary. Social inclusion may be able to nominate someone to link in with person for social calls / telephone support, e.g

ASOS Sorina Gabor 0870988614. Where there is no suitable bed available or a service is at capacity, in an emergency, DP management can contact the

Social Inclusion Manager on call to arrange a social inclusion space, only if available. We understand that DP/Emergency centres have their own plan in

place as directed by the Department of Justice / IPAS.

17

4.9 Partners

4.9.1 Primary Care

A range of primary care services including HSE addiction may be necessary to address the complex needs of self-isolation patients

4.9.2 Social Inclusion

HSE Social Inclusion is responsible for management of the Covid-19 Self-Isolation protocol for those in Homeless, Drug and Alcohol, Traveller Support,

Refugee Resettlement.

4.9.3 Public Health

Public health is responsible for providing information and advice on protocols regarding self-isolation, including information on length of self-isolation and

management of needs during this period and answering queries regarding complex cases which require additional information

4.9.4 Mental Health

The mental health services are key partners in addressing the acute psychiatric and specialist continuing care psychiatric needs those in self-isolation

4.9.5 Acute Hospitals

The acute hospitals are key partners in addressing the emergency, acute medical needs that may arise for those in self-isolation

4.9.6 Dept. Of Justice

Protection applicants in Direct Provision in and emergency accommodation centres are the responsibility of the Dept. of Justice as the Lead Organisation

18

5. MONITORING

It is the role of each Lead Organisation to gather and forward data each morning by 10am to the Self Isolation Management Team. The line of reporting will vary depending on the nature of your organization. The process you should follow is outlined in the Decision tree chart relevant to your organization/client group.

Homeless Services and drug and alcohol services Nominated person from each organisation reports data on those in self-isolation using the template relevant to your service, in appendix 4. This template is then sent daily to the appropriate contacts, outlined on the Decision tree chart relevant to your organization/client We would also ask organisations to provide the following information as an overview, also to be sent daily to the appropriate contacts, outlined on the Decision tree chart relevant to your organization/client

Date

Number of available beds

Type of bed available

Number in self-isolation

Number in self-isolation awaiting testing

Number in self-isolation awaiting results

Number of Covid-19 positive in self-isolation Direct provision Nominated person in each centre reports data on those in self-isolation using the template relevant to your service, in appendix 5. This template is then sent daily to the appropriate contacts, outlined on the Decision tree chart relevant to your organization/client Traveller organization Nominated person from each organisation reports data on those in self-isolation using the template relevant to your service, in appendix 4. This template is then sent daily to the appropriate contacts, outlined on the Decision tree chart relevant to your organization/client

19

6. EXIT PLANNING Following the period of self-isolation where individuals have had no temperature for five days and it’s been 14 days since they first developed symptoms, a

planned exit is managed by the Support Worker, Lead Organisation and HSE Social Inclusion. If required, transport is arranged by the Support Worker for

the patient. Guidelines around proper hygiene and social distancing are reinforced by Support Workers. All personal items are cleaned appropriately (see

HSE guidelines) and all laundry is freshly done. When the patient has exited the room, a deep-clean must be undertaken (see HSE guidelines).

Lead Organisation (or Support Worker where appropriate) is to inform the regional contacts below when a person is ready for Exit

7. Contacts, Resources and Appendices

Contacts

Cork: Joe Kirby 086 787 2495 Mary Cleary 087 367 2892 Eoin Coughlan 087 649 7779 Kerry: Kate Gibney 087 055 3157 Mary Cleary 087 367 2892 Eoin Coughlan 087 649 7779

20

Resources (NB check regularly for updates) Patient information sheet for self-isolation at home Coronavirus (COVID-19) guidance for settings for vulnerable groups

https://www.youtube.com/watch?v=kZnJ-oPuYE0

Information Leaflet Staff/ ON HPSC websites

Information Leaflet Patient

Information for particularly at-risk population

21

Appendix 1

Intake form Date: _____________ Support Worker__________________

Name

Telephone number

Date of Birth

Address

GP name

GP address

GP telephone number

Emergency contact name and relationship to you

Emergency contact number

Are you on any medications? Please give details

Will you need medication from the pharmacy in the next 14 days? Please detail

Do you have any dietary requirements? Please detail

Do you have any allergies? Please detail

Do you have any medical conditions? Please detail

Do you have any additional needs? Please detail

What are your childcare arrangements? Please detail

22

Appendix 2 Daily support worker checklist Date:___________________Day:_________________________

Yes/No Notes

Wellness check

How are you feeling today?

Are you feeling better or worse than yesterday?

Are you sleeping ok?

Have you any difficulty breathing?

Are you eating?

Are you talking to other people – how’s that for you?

Food in house?

Did you take your medication?

First phone call (Time)

Second phone call (Time)

Any additional notes

Any follow up required?

23

Appendix 3 Catering Services

Catering services will be provided and will vary on a case by case basis depending on the facilities and services available in the area.

Support workers can coordinate this locally. For advice and information on services which may be available you can contact the SI team.

24

Appendix 4 Date:

Information provider: (who is filing this template) Name: Email: Phone number:

*Please endeavour to have this information on every client

This template is designed to be used by everyone inputting information into the social inclusion team. Every heading may not be relevant to your particular field, please fill in as much as

you can particularly those fields in bold.

Patient Name* Telephone* DOB* GP* Date issues logged with GP

Lead org

Address Have they been referred for test?

Test Date S.I stream (Homeless, Travellers, DP, D&A)

Transport to and from test required?

Self-Isolation/ Accommodation Requirement?

Date entered into self-isolation

Additional notes on Patient i.e. underlying conditions etc.

25

Appendix 5 Date:

Direct provision/emergency accommodation centre name:

Information provider: (who is filing this template) Name: Email: Phone number:

*Please endeavour to have this information on every client

Patient Name* Telephone* DOB* GP* Date issues logged with GP

Have they been referred for test?

Test Date Transport plan? Date they began self-isolating

Other supports

Additional notes on Patient i.e. underlying conditions etc.