Ability to isolate residents within their own care homes
1. 1)
307
No
Actions to restrict staff movement between care homes
1. 2)
284
Yes
Increased support to recruit additional staff and to expand the available staffing pool. To avoid ambiguity, DHSC to strengthen guidance and communications confirming sharing of staff across care homes is not permitted unless faced with an emergency
Paying staff full wages while isolating following a positive test
1. 3)
111
Yes
DHSC to issue clearer guidance around the expectations of care homes paying full wages as a result of a positive test. Longer-term, it is essential to retain the numbers and skills of an engaged and supported workforce. DHSC to support additional Financial assistance in exceptional circumstances, for example, loss of revenue from empty beds and the risk this brings to care home business continuity.
Focus 2: Testing 
Registration on the government's testing portal
2. 1)
261
Yes
DHSC to provide IT support to assist with small care homes registration. DHSC to provide faster turnaround times for test results through its portal. Request that test results via the national portal are shared with local system to ensure complete data picture. DHSC to clarify the question to ensure results reflect all forms of testing such as community support teams. Additional support and training on best practice for how to use the testing kits
2. 2)
99
Yes
Testing of all residents discharged from hospital to care homes
2. 3)
226
No
Section complete Focus 3: Personal Protective Equipment (PPE) and Clinical Equipment
Access to sufficient PPE to meet needs
3. 1)
328
Yes
Successful, supported and timely rollout of the national distribution portal "Clipper" Free issue of essential PPE or if there is to be a charge then priced at the 
 
manufactured cost Greater clarity around equipment requirements 
Access to medical equipment needed for Covid19
3. 2)
274
Yes
Section complete Focus 4: Workforce support
Access to training in the use of PPE from clinical or Public Health teams
DHSC to consider stipulating that each care home has a nominated trainer specifically for PPE use
4. 1)
290
Yes
Access to training on use of key medical equipment needed for COVID19
4. 2)
236
Yes
DHSC to offer support with Technology upgrades, both technical and financial, in putting the necessary infrastructure into care homes to allow access to video consultations Guidelines and issue resolution concerning indemnity of NHS staff working across care providers
Access to additional capacity including from locally coordinated returning healthcare professionals or volunteers
4. 3)
139
Yes
Section complete
Focus 5: Clinical support
Named Clinical Lead in place for support and guidance
5. 1)
247
No
Access to mutual aid offer (primary and community health support)
5. 2)
320
No
There may be a time-lag with recorded responses as guidance and policies have recently changed from just testing people with symptoms to asymptomatic testing. Norfolk take a view that the most effective results are gained from tests undertaken by clinical or specifically trained staff (NCC have adopted this approach with our local testing offer) NCC/N&WCCG have a long established criteria for safe acute discharge and have commissioned a step down facility to ensure swift discharge for patients unable to be isolated NCC have an established system to meet urgent PPE needs across all health and social care providers. This operates 7/7 with two dispatches per day Norfolk is confident with its training arrangements: general guidance, telephone support, virtual and were appropriate face-to-face but require care homes to have the infrastructure to maximise on our offer 

Norfolk has assigned a Clinical Lead for each registered care home. As a direct result of this feedback, additional communications is being planned Norfolk is supporting the development of a peripatetic workforce model across health and care professionals aligned