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November 2020 newsUpdate - Issue 132

 

Welcome to our November newsUpdate

 

There have been a lot of changes to COVID-19 measures in all four UK nations in the past weeks and we have been contacting all our Registrants by email to keep them up to date. We appreciate there is a lot of information to take in, so this issue of our newsUpdate will focus on the latest restrictions on working.

 

England

 

Current restrictions

 

The current lockdown restrictions in England began on 5 November and will continue until 2 December. 

Based on the legal advice we have received, CNHC Registrants in England meet the definition of  “other…health services, including services relating to mental health” contained in Section 47, Part 3 of the Schedule to
The Health Protection (Coronavirus, Restrictions) (England) (No. 4) Regulations 2020 and can therefore continue to practise. This legal advice has taken into account that in Sections 25D and 25E of the NHS Reform and Health Care Professions Act 2002 (as inserted by the Health and Social Care Act 2012) practitioners on Accredited Registers are defined as engaged in work that includes the provision of healthcare.

However, this is subject to the restrictions and additional requirements set out below:  

1. You must only provide therapies to clients who have identified health needs
CNHC Registrants can continue to provide the therapies they are registered for, on a one-to-one basis, for an identified mental or physical health condition or injury that is causing the client pain or having an adverse impact on their mobility or their quality of life. This is for you to establish using your professional judgement and expertise in the discipline you practise, based on information you should elicit from your client/potential client before agreeing to see them. You may decide to undertake further research, confer with colleagues at your practice or seek the advice of your professional association (while maintaining client confidentiality) before confirming a health need.

2. You need to be able to evidence a health need
Unless you have received a direct referral from a statutory regulated health professional, you must be able to evidence that your therapeutic intervention is supporting your client with their condition. You can do this by noting in your client records:
  • The symptoms your client has.
  • The adverse impact those symptoms are having on their daily life. 
  • Their medical history, including any pre-existing conditions or diagnosis they have received from their GP, hospital consultant, or other regulated health professional.
  • A clear rationale for the care that you are providing.
You should already be keeping detailed, up to date and attributable client records. See CNHC’s Code of Conduct, Ethics and Performance, section B7 “Maintaining client records” (at page 17).
 
3. Mobile working is restricted
You cannot provide treatment to a client in their own home unless you have received a direct referral from a statutory regulated health professional. If you have received a referral, you may see a client in their own home so long as you: 
  • Check that your insurance will cover this.
  • Think about how you will manage social distancing and hygiene in an environment that is not your own and communicate with the client in advance about how to manage this.  
  • Consider who else lives with the client and whether they are in a high or moderate risk group. 
  • Check before you enter the client’s home if they, or anyone who lives with them or is in their support bubble, have had any coronavirus symptoms or if they have been contacted by NHS Test and Trace and told to self-isolate. If the answer is yes, then do not enter the home or provide the therapy. 
See CNHC’s advice on seeing clients in their own homes.
 
 
The new local restriction tiers coming to effect on 3 December
 
The Prime Minster announced yesterday (23 November) a return to a tier system. Although less restrictive than the national lockdown the new three tier system will be stricter than the previous one. The new local restriction tiers are:
  • Tier 1: Medium alert
  • Tier 2: High alert
  • Tier 3: Very High alert.
In all three tiers “personal care”, the category in which complementary healthcare is deemed to fall under, can remain open. Guidance on the local restriction tiers can be found here.

A UK Government announcement on which tiers regions in England fall into is expected on Thursday.

 

Northern Ireland

 

The Northern Ireland Executive has extended the 4-week "circuit-breaker" measures introduced on 16 October.

Close contact services (i.e.' hands-on 'therapies where social distancing is not possible) re-opened by appointment from 20 November. Registrants must record and retain their client's contact details for track and trace purposes.

Other circuit-breaker restrictions remain in place in Northern Ireland. You can find government guidance on the current restrictions 
here and a summary guide outlining the restrictions here.

 

Scotland

 

Local protection levels
 
A new system of local protection levels was introduced on 2 November. You can find the guidance issued by the Scottish Government here.

You can also use this
postcode checker to find out which level of protection applies to you.

Levels 0 and 1: You can provide close contact services (i.e. 'hands-on' therapies where social distancing is not possible) including mobile services.

Levels 2 and 3: You can provide close contact services from your premises, including a home treatment room. However, mobile working is not permitted.

N.B. Services offered in the ‘high risk zone’: For levels 0 to 3 the Scottish Government's guidance states: "The ‘high risk zone’ is defined as ‘the area in front of the face where splashes and droplets from the nose and mouth may be present, which can pose a hazard’. If treatments in the high risk zone cannot be carried out without the ability to be provided from the side of the face or behind the head and therefore require prolonged periods in the highest risk zone then they should not be offered."


Level 4All CNHC Registrants providing close contact services in areas subject to level 4 restrictions must stop working until 11 December. Eleven council areas moved into level 4 on 20 November – City of Glasgow, Renfrewshire, East Renfrewshire, East Dunbartonshire, West Dunbartonshire, North Lanarkshire, South Lanarkshire, East Ayrshire, South Ayrshire, Stirling, and West Lothian.

What will happen when level 4 restrictions end?
The Scottish Government will assess nearer the time the level that will apply in each area when the level 4 restrictions end.
 
Travel restrictions

 

Guidance on non-essential travel that had previously been advisory became law on 20 November:

  • People living in level 3 or level 4 areas will not be allowed to travel outside those areas unless it is essential.
  • People from other parts of Scotland will not be able to travel into level 3 or level 4 areas unless it is essential.
  • People in Scotland will not be allowed to travel to other parts of the UK unless it is essential.
This means that:
  • As close contact services must close in level 4, Registrants who live in areas in levels 0 to 3 cannot travel to work in level 4 areas.
  • Registrants can leave their home in a level 4 area to work in a level 3 area, but please be mindful of the national effort to control the virus and carefully consider if your travel is essential and within the law.

 

Wales

 

New national restrictions replaced the fire-break measures on 9 November.

CNHC Registrants providing close-contact services (i.e. working 'hands-on' where social distancing is not possible) are able to work under these new restrictions. 
 
More advice and information

 

You can find out advice on following government advice on working safely here.

You can find also information and resources in the
coronavirus news section of our website. 


 

Contact us with your questions

 

If you have any questions, comments or would like to know more about registering with CNHC, please don't hesitate to contact us at info@cnhc.org.uk

 
 

 

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Contact CNHC:

Email info@cnhc.org.uk

or call on 020 3668 0406.


 

The following are back issues of newsletters in PDF form you can read online or download:

 

Issue 131 - October 2020

Issue 130 - September 2020

Issue 129 - August 2020

Issue 128 - July 2020

Issue 127 - June 2020

Issue 126 - May 2020

Issue 125 - Apr 2020

Issue 124 - Feb 2020

Issue 123 - Jan 2020

Issue 122 - Dec 2019

Issue 121 - Nov 2019

Issue 120 - Oct 2019

Issue 119 - Sept 2019

Issue 118 - August 2019

Issue 117 - July 2019

Issue 116 - June 2019

Issue 115 - May 2019

Issue 114 - Apr 2019

Issue 113 - Mar 2019

Issue 112 - Feb 2019

Issue 111 - Jan 2019

Issue 110 - Dec 2018

Issue 109 - Nov 2018

Issue 108 - Oct 2018

Issue 107 - Sept 2018

Issue 106 - Aug 2018

Issue 105 - July 2018

Issue 104 - June 2018

Issue 103 - May 2018

Issue 102 - April 2018

Issue 101 - March 2018

Issue 100 - February 2018

Issue 99 - January 2018

Issue 98 - December 2017

Issue 97 - November 2017

Issue 96 - October 2017

Issue 95 - September 2017

Issue 94 - August 2017

Issue 93 - July 2017

 

CNHC's newsletter was launched in November 2009. It is sent electronically to all registrants who have an email address and all those on CNHC's contact list.

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