Layer 1

PSNC: Do not name colleagues to test and trace if you have COVID-19

The PHE local health protection team should assess close contacts in pharmacy settings

PSNC has advised pharmacy teams against sharing their colleagues’ details with NHS test and trace if they test positive for COVID-19.

Instead, contractors should ask their team to give the details of the pharmacy to the contact tracer, the Pharmaceutical Services Negotiating Committee (PSNC) wrote in its test and trace guidance, updated earlier this week (October 12).

This is because any name given to test and trace is automatically registered on its system, without prior assessment to decide if they are close contacts of the infected person, PSNC added.

It is for the Public Health England (PHE) local health protection team to “assess whether there have been any recent close contacts in the pharmacy”, according to the PSNC guidance.

But it is harder for the PHE team to update the system after the contact details of pharmacy staff have already been shared with test and trace – if it then finds that those “pharmacy colleagues are not close contacts of the individual” after all, the negotiator explained.

Prevent pharmacy closures

Gordon Hockey, director of operations and support at PSNC told C+D earlier this week (October 13) that staff sharing the name of their pharmacy rather than their colleagues with test and trace if they test positive for COVID-19 would “facilitate the appropriate risk assessment of pharmacies and this may help to prevent unnecessary pharmacy closures”.

According to the PSNC guidance, contractors could be approached directly by the local health protection team and asked to share information “about contacts during the staff member’s infectious period and [to] consider whether any of these contacts have been recent close contacts”.

Use of PPE not a safety guarantee

Contractors should still ensure that the local health protection team considers contact tracing cases in their pharmacy and should escalate cases to the team if it does not get in touch with the pharmacy, the guidance stated.

PSNC also reiterated the importance of adopting measures to make their pharmacy COVID-secure, such as enforcing social distancing and using personal protective equipment (PPE).

However, contractors should “recognise that if one staff member tests positive, sometimes other staff may still be close contacts and asked to self-isolate depending on the local health protection team assessment”, it added.

Mr Hockey told C+D that PHE accepts that staff are sufficiently protected from infection only when they wear PPE during patient interactions, which are “generally of short duration”.

Local health protection teams “will evaluate the effectiveness of PPE with the other measures the pharmacy has adopted to prevent transmission of coronavirus, and the working environment,” Mr Hockey said.

This includes looking at “the size of the dispensary and the proximity of staff working” and means there will be instances where “some pharmacy staff will be asked to self-isolate if a member of staff tests positive”, he added.

PSNC’s guidance was updated following discussions it held with NHS England and Improvement (NHSE&I) and PHE.

Mr Hockey said last week (October 7) that pharmacy owners had flagged concerns over test and trace “causing staffing pressures by suggesting that whole teams must self-isolate”.

PSNC and other industry bodies sent a letter to pharmacy minister Jo Churchill last week (October 9) to raise the issues reported by pharmacy teams, warning that “some contact tracers are classifying pharmacies as retail settings, rather than healthcare establishments”.

If this continues, patients risk being unable to access “their medicines because of widespread temporary (two-week) pharmacy closures”, the letter said.

4 Comments
Question: 
Are you aware of a pharmacy that had to close due to a COVID-19 case?

Adam Hall, Community pharmacist

Call me cynical but is this not Community Pharmacy saying " risk your life and the lives of your co-workers for the sake of your boss's income"?

Really? Wow, Superintendent Pharmacist

The one surprising positive from this for me is that the PSNC seem to eventually toughening up and growing a pair... which is something I can only hope continues!

Kevin Western, Community pharmacist

So rather than admit they have made a mistake, PHE,NHSE&I and test and trace are forcing us to ignore/break/subvert the rules in order to stay functioning. Do Ministers actually have ANY say over what their departments do? if so wtf are they doing about it, and once again where is the media attention such a story deserves..... its dont rock the boat.... again, like that has always helped us.

Leon The Apothecary, Student

Pharmacy is not the only industry this is happening in regarding Test and Trace. Although I would say, if you're spending 8-10 hours a day in a building with the same person, then you're pretty close enough to be infected by them considering!

Job of the week

Relief Pharmacist or store based Pharmacist
Mid Wales - Powys (Builth and Lland
Competitive Salary + Location Supplement and Benefits