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Infection Control

Good infection prevention and control is central to reducing and delaying the spread of coronavirus. Key infection control resources are highlighted here.

Infections and outbreaks in care homes: Vivaldi Study 1 – 22 October 2020 – Vivaldi Research Team

The VIVALDI-1 survey was set up before Capacity Tracker was widely used. It collected information on the number of staff and residents in each care home and the number of confirmed COVID-19 infections. The study found that infections and outbreaks were less likely in care homes that:

  • Paid statutory or more than statutory sickness pay to staff (compared to homes that did not provide sickness pay at all)
  • Made sure staff only worked with either infected or uninfected residents, not both
  • Did not employ bank or agency nurses or carers
  • Had higher numbers of staff per resident.


Infection Control Fund 2: LGA notes to local authorities – 15 October 2020 – LGA

The Local Government Association has issued further notes to local authorities regarding the use of the ICF 2. You can download the links below:

Infection Control Fund 2 – LGA Further advice

Infection Control Fund 2 – LGA note on allocation to community providers 


Infection prevention and control webinar – 13 October 2020 – Better Care Fund team

The Better Care Fund team will be hosting a webinar on infection prevention and control in care homes next Tuesday, 20 October at 2pm. A cancellation message was sent in error to those already registered. The webinar is going ahead. Contact england.bettercarefundteam@nhs.net.


Infection Prevention and Control information gathering tool – 5 October 2020 – CQC

CQC’s inspection teams have been using an information gathering tool to look at how well staff and people living in care homes are protected by infection and control. They have recently completed some work making small changes to the questions so that they collect better information. Changes are highlighted in red on this PDF.


Minister's letter to care providers re ICF - 1 October 2020

Letter from Helen Whatley, Minister of State for care MP regarding the second ICF fund worth £546m available for infection control expenditure until March 2021.


Infection Control Fund: round 2  - 1 October 2020 – GOV.UK

Government guidance sets out the infection control measures that the new infection control fund will support, including information on the distribution of funds and reporting requirements. 

Local authorities should pass 80% of each instalment directly to:

  • care homes within the local authority’s geographical area on a per beds basis
  • CQC-regulated community care providers (domiciliary care, extra care and supported living) within the local authority’s geographical area on a per user basis.

Government expects this to take no longer than 20 working days upon receipt of the funding in a local authority, subject to providers meeting the conditions as stated in the local authority circular (October 2020).

The other 20% of the funding must be used to support care providers to take additional steps to tackle the risk of COVID-19 infections but can be allocated at the local authority’s discretion. (Note this can include “paying care staff their usual wages in order to attend a GP or pharmacy to be vaccinated against flu outside of their normal working hours”.

The funding will be paid in 2 tranches. The first will be paid to local authorities on 1 October 2020. The second tranche will be paid in December 2020.

Government expects the grant will be fully spent on infection control measures (as outlined in the grant determination letter) by 31 March 2021. ‘Spent’ means that expenditure has been incurred on or before 31 March.


See also Guidance for care providers, and Supplies including PPE for related information


Adult Social Care Infection Control Fund – Updated 21 September 2020 – GOV.UK

Sets out the infection control measures that the infection control fund will support, including information on the distribution of funds and reporting requirements. Added updated document ‘Reporting template: annex E of circular’ and updated deadline to 30 September 2020.


Infection Control Fund (ICF) extended with extra £546m fund – 17 September 2020 – GOV.UK

The Infection Control Fund has been extended to ensure care homes have the resources they need to halt transmission of COVID-19 throughout winter.

The fund can be used to pay staff wages for those self-isolating and hire more staff to restrict movement between homes.


COVID-19: personal protective equipment use for aerosol generating procedure – Updated 21 August 2020 – GOV.UK

Guidance on the use of personal protective equipment (PPE) for aerosol generating procedures (AGPs). Updated headings on instruction sheets, in line with the written guidance, to include airborne precautions.


Infection Prevention and Control compliance assessment tool – 21 August 2020 – NCF

The National Care Forum (NCF), Quality Compliance Systems (QCS) and Standards Wise International have developed an audit tool that supports organisations to assess their own practices, and prepare evidence for audit which meets CQC requirements and also conforms to international standards.

The tool is structured around eight questions and prompts that CQC inspectors will use to assess infection prevention and control procedures in all care settings in England from September.


Infection control fund: Letter from the Minister of Care – 29 July 2020 - DHSC

The Minister for Care has written to Directors of Adult Social Care yesterday about the infection control fund. The letter clarifies intentions around the clawback mechanisms to try and reassure providers who have concerns around accepting this funding.

The letter states:

“Where providers have used funding on infection control measures as set out in the Grant Circular or as discussed with the Department, then the Department’s unequivocal position is that this will not be clawed back. I also expect the local authority to provide assurance to each provider to the same effect. I should be clear that the principal policy intent of the clawback provision is to ensure that local authorities distribute all the £600m funding to providers as quickly as possible, and that the department will reclaim any funding that is not distributed by local authorities to providers. While it is also correct that the clawback provisions enable us to recover any grant that is not used for the purposes it was given, to comply with state aid rules, as I have set out we do not envisage using it for such purposes unless there is a fraudulent activity or clear misuse of these public funds.”


COVID-19: cleaning of non-healthcare settings outside the home – 15 July 2020 – GOV.UK

This guidance describes the principles of cleaning and disinfection during the coronavirus (COVID-19) pandemic. It applies to non-healthcare settings outside the home, such as hotels, non-care work places, etc. It is not aimed at care settings, but may be of interest to care providers in relation to office spaces.


Face coverings: when to wear them and how to make your own – 14 July 2020 – GOV.UK

Explanation of what face coverings are, their role in reducing the transmission of coronavirus (COVID-19), the settings in which they are recommended, and how they should be safely used and stored. This information is based on current scientific evidence and is subject to change. This information relates to the use of face coverings in public spaces where social distancing is not always possible.


Local lockdowns – 7 July 2020 - GOV.UK

Government information on coronavirus includes a section on Local Lockdowns. This currently covers information on social distancing, education and childcare settings, travel, and specific information regarding Leicester.


COVID-19: potentially infectious people – 8 July 2020 - PHE

How public health officers apply Schedule 21 to the Coronavirus Act 2020 in response to the COVID-19 pandemic.


COVID-19 waste management standard operating procedures – Updated 3 July 2020 – NHS England and NHS Improvement

This document sets out the waste management approach for all healthcare facilities including primary care facilities and testing facilities in England and Wales during the COVID-19 outbreak.


Local outbreak plans – 30 June 2020 – Association of Directors of Public Health

The ADPH has developed an ‘explainer’ about Local Outbreak Plans to support stakeholders, the media and the public in understanding what they are and how they will work.  


Infection Control Fund: Briefing for care providers on reporting to LAs – 12 June 2020 – CPA

This CPA briefing note provides further information and examples to support care providers’ reports to local authorities. It should be read alongside the Government guidance and related annexes.

The CPA is suggesting a limited number of different areas at a top level against which care providers can easily allocate costs, whilst also giving a series of examples to prompt providers to think about how to consider their full range of costs. 


Infection Control Fund: guidance and annexes – 9 June 2020 – GOV.UK

Full guidance on the Adult Social Care Infection Control Fund, and annexes including reporting templates.


Infection Control Fund: Q&A - 8 June 2020 – GOV.UK

The Adult Social Care Infection Control Fund is worth £600 million. The primary purpose of this fund is to support adult social care providers, including those with whom the local authority does not have a contract, to reduce the rate of COVID-19 transmission in and between care homes and support wider workforce resilience. A small percentage of it may be used to support domiciliary care providers and support wider workforce resilience to deal with COVID-19 infections. 

This Q&A has been prepared by the Department of Health and Social Care in response to a number of questions received from local government and care providers.  Nothing contained within it supersedes the terms of the grant determination document.


Infection control for care homes: LA grant circular - 22 May 2020 - GOV.UK

The primary purpose of the £600m fund is to support adult social care providers, including those with whom the local authority does not have a contract, to reduce the rate of COVID-19 transmission in and between care homes and support wider workforce resilience. A small percentage of it may be used to support domiciliary care providers and support wider workforce resilience to deal with COVID-19 infections. This funding will be paid as a Section 31 grant ring fenced exclusively for actions which support care homes and domiciliary care providers mainly to tackle the risk of Covid19 infections and is in addition to funding already received.  See also the Minister’s letter of 22 May 2020.


Infection control fund for care homes – 14 May 2020 – GOV.UK

A new care homes support package including a £600 million adult social care infection control fund has been introduced to tackle the spread of COVID-19 in care homes. Read the Ministerial letter, information on the package, and template for local authorities.


How to work safely in care homes – 17 April 2020 – GOV.UK

Guidance for those working in care homes providing information on how to work safely during this period of sustained transmission of COVID-19. Includes guidance on use of PPE.


Infection prevention and control guidance and resources - Updated 2 April 2020 - GOV.UK


Range of Public Health England guidance and resources for health and care staff on infection prevention and control during coronavirus outbreak. Resources include: 

Introduction and organisational preparedness

Transmission characteristics and principles of infection prevention and control

COVID-19 personal protective equipment (PPE)

Table 1. Recommended PPE for healthcare workers by secondary care clinical contex (PDF) 

Table 2. Recommended PPE for primary, outpatient, and community care (PDF) 

Table 3. Recommended PPE for ambulance, paramedics, first responders and pharmacists (PDF) 

Table 4. Additional considerations for COVID-19 (PDF) 

COVID-19: visual guide to safe PPE (PDF) 

Reducing the risk of transmission of COVID-19 in the hospital setting

Occupational health and staff deployment


Posters include:

Best practice hand rub (PDF)

Best practice hand wash (PDF) 

Best practice management of blood and body fluid spills (PDF)

Facial hair and FFP3 respirators (PDF)

Routine decontamination of reusable equipment (PDF)


Infection prevention and control in care homes – 2 April 2020 – GOV.UK

Guidance on admissions for care homes includes annex E on infection prevention. Care homes are not expected to have dedicated isolation facilities for people living in the home but should implement isolation precautions when someone in the home displays symptoms of COVID-19 in the same way that they would operate if an individual had influenza or diarrhoea and vomiting. 

CPA guidance on infection prevention and control – CPA

General guidance on good infection prevention and control from the Care Provider Alliance, including a downloadable checklist.

Posters and materials – including handwashing guidance – Public Health England

Download or order free resources, such as leaflets, posters, guides and resource packs

10 Steps to effective handwashing (PDF) - Royal College of Nursing

Regularly and thoroughly washing hands reduces the spread of infection. Wash hands for at least 20 seconds. Avoid touching your face.

Personal Protective Equipment for care sector – Department of Health and Social Care (18 March 2020)

Government announces that all care homes and home care providers will be automatically sent fluid repellent facemasks

Infection control  in adult social care settings - Deputy CMO webinar recording – 24 March 2020 (PDF)

Download a PDF of notes from webinar with Deputy Chief Medical Officer, and access the audio recording.

Guidance for care of the deceased with suspected or confirmed coronavirus – 31 March 2020 – GOV.UK

Those handling bodies should be aware that there is likely to be a continuing risk of infection

See all related information on coronavirus.