Esses

1. HIA Network Meeting – 27th May
• Agenda
• Essex overview
• General principles
• Use of preliminary checklists/questionnaires
• Arrangements for surveyors (incl remote surveys)
• Arrangements for pricing/tenders
• Arrangements for work on site
• Any other comments

2. People who are shielded
Clinically extremely vulnerable people may include the following people:
Solid organ transplant recipients.
People with specific cancers including:
•people with cancer who are undergoing active chemotherapy
•people with lung cancer who are undergoing radical radiotherapy
•people with cancers of the blood or bone marrow such as leukaemia, lymphoma
or myeloma who are at any stage of treatment
•people having immunotherapy or other continuing antibody treatments for cancer
People with severe respiratory conditions including all cystic fibrosis, severe asthma
and severe chronic obstructive pulmonary (COPD).
People with rare diseases that significantly increase the risk of infections (such as
severe combined immunodeficiency (SCID), homozygous sickle cell).
People on immunosuppression therapies sufficient to significantly increase risk of
infection.
Women who are pregnant with significant heart disease, congenital or acquired.

3. People at risk
People 65 years and older
People of all ages with underlying medical conditions including:
• People with chronic lung disease or moderate to severe asthma
• People who have serious heart conditions
• People who are immunocompromised
• Many conditions can cause a person to be immunocompromised,
including cancer treatment, smoking, bone marrow or organ
transplantation, immune deficiencies, poorly controlled HIV or AIDS, and
prolonged use of corticosteroids and other immune weakening
medications
• People with severe obesity (body mass index [BMI] of 40 or higher)
• People with diabetes
• People with chronic kidney disease undergoing dialysis
• People with liver disease
• BAME people

4. Inclusion Me briefing
The judge acknowledged that the coronavirus and associated restrictions
complicated matters – “but there is a significant difference between carrying out a
reassessment of … general care needs which in my judgment is not required for a
DFG (given that there is already a Care Act Assessment) but would have required
access to the Claimant's home - and any assessment of the necessary building
works or resolving a planning issue which, it is not suggested would require access
to the Claimant's home”.
The judge noted that the Health Protection (Coronavirus, Restrictions) (England)
Regulations 2020 permitted movement for the purposes of work, and it was not
being suggested that “most aspects of consideration of grant applications other than
necessary visits are not capable of being carried out remotely”. In normal
circumstances, six weeks would have been more than adequate; the judge
accepted it might be a little longer due to present circumstances.
(referring to the recent McKeown Case in Islington)

5. Principles for working during covid-19
People with covid-19 symptoms or where a member of the household is
shielding
• No work to be carried out - unless to remedy a direct risk to the safety of a
household member
Clinically vulnerable clients
• Good communication before and during, with work only proceeding with
client’s agreement
• Social distancing (avoid face to face contact; room separation, but with
open doors)
• Hygiene precautions (hand-washing, regular cleaning of surfaces/objects,
use of face masks?)
https://assets.publishing.service.gov.uk/media/5eb967e286650c2791ec7100/
working-safely-during-covid-19-other-peoples-homes-240520.pdf

6. General principles
• Risk assessment to identify and manage transmission risks
(especially with regard to BAME clients/employees)
• Regular and effective communication (including client assent)
• Social distancing (both clients and colleagues)
• Hygiene control (regular hand-washing, cleaning of
surfaces/objects, avoidance of sharing tools/materials)
• PPE – usual PPE (face masks probably advisable)
Links to BEIS documents:
• https://assets.publishing.service.gov.uk/media/5eb967e286650c2791ec7100/w
orking-safely-during-covid-19-other-peoples-homes-240520.pdf
• https://www.gov.uk/guidance/working-safely-during-coronavirus-covid-19/5-
steps-to-working-safely