at RJAH 15 staff have to be re fit tested as the 3M mask that some staff were tested on cannot be sourced so we have to fit test on the one that is available Specialist Community Services were quickly nationally de prioritised as a result of the COVID-19 Prioritisation within Community Health Services letter in March- updated in April - the resumption of these nationally commissioned services including amputee rehabilitation and wheelchairs- does not seem to be in any national review of these same services and it seems now to be down to local decision making - and partly now down to the availability of any PPE - hence my question in advance. Students via the HEE funded scheme would be interested to know anyone else doing this we have had a lot of Osteopaths enquire about work at RJAH Some larger Independent Sector providers have been commissioned by the NHS to provide services swft are taking students via HEE too PPE Gov Guidance link https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-personal-protective-equipment-ppe I raised at CSP professional committee today that we would require additional PPE for students on placement. That is going to be raised with HEE by the CSP What has been the responses been to BAME staff concerns in your workplace? CSP FAQ for PPE link https://www.csp.org.uk/news/coronavirus/clinical-guidance/ppe-faqs Our students would have the appropriate PPE when on placement We have done risk assessments for all our BAME staff across our organisation its the additional supply of PPE that you require as it has been decided nationally how much PPE you are allowed to order based on the number of staff you have and the number of covid positive pts. all BAME staff have had individual conversations with their managers and. risk assessments undertaken at swft. these staff have been offered alternative roles if in frontline roles but none have accepted this .we are mindful of time spent on the frontline and move staff round as able The risk assessment for BAME staff that was a system wide approach in Shropshire has been completed and their risk status has decidde on their exposure to known or suspected Covid positive patients and they are not working with this category of patients following their risk assessment. This risk assesment has now been rolled out to all staff with a deadline of 16th June for submission. Thanks and it's important that managers are supported in having these conversations sympathetically and in a supportive way. There's guidance for managers available for this and I'll ensure we post a link. Link to The CSP COVID 19 section https://www.csp.org.uk/news/coronavirus 1) PPE Government guidance https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-personal-protective-equipment-ppe Infographic (government): Primary, OP, Community https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/878750/T2_poster_Recommended_PPE_for_primary__outpatient__community_and_social_care_by_setting.pdf Infographic (government): Secondary, IP https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/886707/T1_poster_Recommended_PPE_for_healthcare_workers_by_secondary_care_clinical_context.pdf Government AGP classification: Section 8.1 of https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-personal-protective-equipment-ppe Infographic (government): AGP https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_ Link to NHS Employers guidance on risk assessments. Much of this is applicable and useful for colleagues in Private Practice and Independent Sector Organisations too https://www.nhsemployers.org/covid19/health-safety-and-wellbeing/risk-assessments-for-staff regarding PPE our trust is planning restoration of services and have been allocated appropriate levels of PPE, almost planning 2 weeks in advance. It is a cautious approach we have been asked to estimate our PPE requirement for recovery for the next 3 months I feel fairly confident managing my existing caseload remotely but I am concerned with safely managing them for 18 months or more like this. I am also very concerned about managing new patients like this that I have never met in person as I worry about mis diagnosis and mis management despite our best efforts as we're unable to complete our full hands on assessment and treatments I agree, many patients will need face to face interventions. we must plan for doing this safely I agree it is more challenging to see new patients from scratch remotely this is why I am looking at hrams reviews and longitudinal studies to look into which cohorts we can see remotely safely and which ones need face to face. In the long term I want to make all first contact remote and any patients that cannot be managed in this way will have face to face follow up and those that can be managed remotely will be but all patients even those advised and discharged will be followed up. Disproportionate number of BAME needing rehab too? Just flagging this up because need to be mindful of equity in access to rehab and barriers Gordon Bigham and BWC trust would be good to talk to as I think this was part of the survey Equality in access crucial and would be useful to link in with CSP BAME network re the results. I would like to be able to chat to the members in a conversation rather than in the chat room. This may be easier in small zoom rooms chat all private practitioner dates were fully booked as soon as put out. Yes sharing with BAME network re rehab access etc Thank you all for a very informative and useful hour Thank you, it was very helpful ! agree - this format makes the region feel far more accessible