·         This will be reviewed in line with iO +/- Government recommendations.

·         Reception area, if used, will be cleaned with disinfectant at the end of every 4 hour session.

·         The communal toilet will be cleaned before and after each 4 hour session.

·         No screened areas are required.

·         Cashless payments will be requested via BACS or by new online booking system if possible.

·         No staff involved to issue with PPE.

·         Only one patient in the practice at any one time.

·         Followed only by hands-on appointments if required and safe to do so.

·         Follow-up/maintenance appointments available also via telephone/video call.

·         If a telephone/video consultation does not meet the needs of the patient, the patient will need to be pre-screened via the telephone before they (or their chaperone) may enter the clinic.

·         Patients will be pre-screened for COVID-19 symptoms (temperature, persistent cough, change/loss of smell) in the last 7 days.

·         Further questions regarding vulnerability will also be asked where indicated to decide of the patient is safe to visit the community setting.

·         Respiratory health will also be questioned.

·         Health and vulnerability of household members will be questioned.

·         Has the patient been in contact with anyone who might have suspected COVID-19 in the last 14 days?

·         The patient will be told about modified appointment times, asked not to bring unnecessary chaperones, told about PPE and that they should wear a face mask, hand sanitising on entering the clinic, asked not to touch anything, booking and payments will be done remotely, no cash or cheques will be accepted.

·         Patients will be warned that, whilst every measure has been taken to reduce the transmission of COVID-19, there is still a risk whilst in the community and do they consider that risk significant to their wellbeing.  Telephone/video calls will be offered.

·         All triage/pre-screening information must be documented in the patient notes.

·         Should a patient advise me that they have COVID-19 type symptoms after visiting the clinic I will self-isolate for 14 days.

·         Other patients on the same day as above will be informed but will not need to isolate as no cross-over will have occurred. They will be advised to monitor for symptoms.

·         Patients will be asked to enter the clinic alone and only at their appointment time.

·         Family members and friends will be asked not to enter the clinic.

·         Chaperones will be asked to wait outside if possible or, if not, will also need to be risk assessed and will need to wear a mask during face-to-face consultations, as well as sitting on the far side of the clinic room.

·         Patients will be asked to arrive on time for their appointment, not arriving early whilst cleaning might be underway.

·         Normal access to and from the clinic will be used as no cross-over with other patients.

·         Patients will be expected to don their masks before entering the building and use hand sanitiser as they enter

·         Patients will be asked to make BACS/online payments and to use online booking where possible.

·         Patients will be advised against using the toilets, unless urgent, as these are communal and, though cleaned, hold a higher risk of contamination than the clinic

·         Appointment times will be shorted if telephone/video call has been conducted – to reduce transmission risk.

·         Treatments will be modified to avoid face-to-face techniques unless necessary.

·         If chaperones are required only one per patient will be allowed (and should be declared and screened prior to appointment).

·         Children of patients will only be allowed to accompany their parent if no childcare is possible and ideally only one child per patient.

·         Pre-screening of children will also be required.

·         Vulnerable patients will be asked to attend at the first appointments of the session.

·         Patients will be asked to avoid bringing unnecessary items into the clinic.

·         Patient will be asked to place their clothes on their chair only.

·         Patients may not need to undress (on a case by case basis).

·         Disinfectant zoflora will be used.

·         Hand towels will be provided for each patient (rather than a stack).

·         Plastic ‘linen’ will be used and wiped between patients.

·         Rooms be decluttered and patients asked not to touch anything unnecessarily.

·         Flooring will be vinyl and if not will be steam cleaner at the end of each session.

·         A fan will not be used.

·         Patients to wear masks at all times in the building.

·         Hand hygiene facilities available for patients, visitors, and staff.

·         New single-use nitrile gloves and plastic apron with each patient.

·         Fluid-resistant surgical masks (or higher grade) with each patient.

·         Eye protection, e.g. if there is a risk of droplet transmission.

·         When potentially contaminated, damaged, damp, or difficult to breathe through.

·         At the end of a 4 hour session.

·         Fluid-resistant surgical masks if respiratory symptoms e.g. from hay fever or asthma

·         Face-covering in clinical and waiting areas

·         This will then be placed in your normal waste collection.

·         Cloths and cleaning wipes also bagged and disposed of with PPE.

·         Patients will be made aware of the policy document when booking.

·         Social media and emailing will also flag the new web-based clinic-policy document.

·         Patients will be told to consult this document for updates of changes.

·         Pre-screening will take place 24 hours before an appointment

·         Patients will be asked to NOT attend the clinic if at all unwell after the pre-screening call

·         Door notices advising anyone with symptoms not to enter the building.

·         Notices on other public health measures e.g. hand washing/sanitising/Catch-it, bin it kill