Instructions: Please fill in the following information. We will not share this without your consent, but we will be required to pass the information to any third party that subsequently employs you on the programme. Update all required fields and click on submit. No, there is no need to discuss your private medical conditions with the Trust. Company registration number RC000107. Please do not contact us unless you cannot make the arrangement appointment. If this is still not your experience of trying to use it please don't hesitate to respond here so we can address the issue further. Download docx 69.53 KB Consent form template for face-to-face consultations during Covid-19 Published on: 18 June 2020 Last reviewed: For more information on your Risk Assessment please email:
[email protected], Pre-placement questionnaire (Declaration of Health). or contact our National Service Centre, 03332 407 552 who will help to resolve the issue as quickly as possible. What if the practice doesn't have my number? breathing difficulties, emphysema, chronic obstructive airway disease or similar? If you wish to highlight your research findings, please get in touch. If the mistake is on your Medical History form or your NHS Declaration form then please inform reception or your nurse on arrival at the practice and they will be able to resolve anything for you. It is also likely that you have never had to use Join Bank before if you are an existing worker, as it is a new system. University of Bristol Do not attend the practice until you have spoken with a member of our on the phone. The assessment is completed online as a questionnaire within the applicant portal. My appointment letter requested that on the day before appointment I should visit the website www.cctayside.co.uk to complete the COVID questions. We thankThe Welcome Trustfor supporting the establishment and initial development of the questionnaire. It involves you answering a series of questions designed to indicate whether you are likely to be at greater risk of developing more serious symptoms if you come into contact with COVID-19. Do you have any concerns about your health? It involves you answering a series of questions designed to indicate whether you are likely to be at greater risk of developing more serious symptoms if you come into contact with COVID-19. It is important that you follow official advice around preventative measures such as handwashing and etiquette around coughing and tissue use. For our Occupational Health Team please call: 03330144362or email
[email protected]. This information is very important for the purposes of the COVID-19 Risk Assessment, especially given the potential impact on you and your baby. Medical professionals write to the Scottish government expressing "grave concerns" about the . While there is clear crossover between those that are Clinically Vulnerable and those that would be determined high risk as part of this assessment process, the COVID Risk Assessment takes in a number of factors and is specific to whether or not you can be safely deployed within a patient facing environment as an NHS worker. I am a Bank Member with underlying health conditions, can I still come to work? We would like to use cookies to collect information about how you use ons.gov.uk. Firstly, please ensure you have followed the steps below: If you are still experiencing technical issues, please contact your local NHSP Trust Office to book an appointment or contact our National Service Centre, 03332 407 552 who will help to resolve the issue as quickly as possible. Please speak to your midwife or doctor (obstetrician) with any questions you may have. Allergic to any medicines, foods or materials? Percentage of people aged 50+. Next time you come in for an appointment you can get your number added onto the system. We use this information to make the website work as well as possible and improve our services. This will enable an employer to make informed decisions with you regarding your role and area of work during the pandemic. Despite lengthy period searching, could not locate the COVID questionnaire to obtain e-pass. This means in concourses, corridors, restaurants and cafes. IHCC have a Wellcome Trust funded questionnaire targeted for lower and middle income countries to aid a standard approach to pandemic research questions and analysis. Where an individual has a protected characteristic under the Equality Act 2010, any actions taken following the risk assessment will not be discriminatory. How do I know if my health condition is mild or moderate? Have you experienced something like Hopsw37 did, here or elsewhere? This might involve completing a paper copy if required. Further information on local restrictions is available from each of the national webpages linked to above. COVID-19 booster vaccine programme for winter 2021 to . Beacon House It must be recognised that individuals can accept a degree of increased risk if they choose to do so. All content is available under the Open Government Licence v3.0, except where otherwise stated, /surveys/informationforhouseholdsandindividuals/householdandindividualsurveys/covid19infectionsurvey, Studies about people, families and households. A steering group, chaired by Professor Nic Timpson and Professor David Porteous, updates the questionnaire in response to new research questions and priorities. All high-risk applicants will be contacted by our Occupational Health team (unless you have withdrawn your consent for us to do so). Do I have to discuss my medical conditions with the Trust? COVID-19 will remain a public health issue, and guidance for workplaces has been replaced with public health advice. Please do not contact the service centre to discuss your responses to the questionnaire. You can check the latest position and timescales for the nation you are working in: HSE no longer expects every business to consider COVID-19 in their risk assessment or to have specific measures in place. However, in the meantime NHS Professionals and Doctors Direct want to ensure that your personal risk is reduced to the lowest possible level. Changing/updating your password will not affect your details for My:Bank. This relates to public guidance around work generally and public guidance during the pandemic. Visit https://www.careopinion.org.uk If you cannot attend your appointment at the time you've been given, contact the hospital or clinic to rearrange it. Who has Care Opinion told about this story? We have also installed an electrolytic hypochlorous acid (HOCL) generator - a powerful organic disinfectant and water treatment substance which has been documented to be much stronger than sodium hypochlorite (bleach). It will be updated from time to time during the current or future courses of treatment. Moderate is likely to describe a condition that may have an impact on your daily life and may require a stronger dose of medication, or a combination of medications to help manage your symptoms. There is an antibody test that is currently available which is extremely accurate in determining whether you have been previously exposed to COVID-19. (Purple), High bank members working at a client trust (excluding substantive staff, Test and Trace bank members and members working via the National Vaccine Programme) are required to complete a risk assessment before undertaking any shifts. I feel more user-friendly access is needed. . Parents/Guardians can submit forms on behalf of their dependents and forms can also be submitted on behalf of persons who may struggle with completing the electronic form themselves. Unfortunately, the datasets used to formulate the COVID-19 Risk Assessment guidance and risk ratings are currently limited to those contained within the questionnaire. Who has Care Opinion told about this story? As part of our pre-appointment screening process we would like you to complete the following COVID-19 medical questionnaire within 3 days of your scheduled appointment. How to take part in the COVID-19 Infection Survey (CIS) and information on how and why you were selected. However, much greater precautions are now taken in health and social care environments, using Personal Protective Equipment where appropriate and ensuring more hand washing and cleaning. Visited www.cctayside.co.uk , one day in advance of my outpatient visit to PRI Outpatient Department as directed in my Appointment letter. For pregnant women under 28 weeks gestation (in the first and second trimester of pregnancy), with no underlying health conditions, please refer to the latest guidance from the Royal College of Obstetricians and Gynaecologists for more information. Shielding guidance has now paused but it is happening differently in the four nations of the UK . bad reaction to local or general anaesthetic or intravenous sedation? The forms we have started with are: COVID-19 Screening Form This form will provide information to the practice surrounding any symptoms. Visited www.cctayside.co.uk , one day in advance of my outpatient visit to PRI Outpatient Department as directed in my Appointment letter. Please contact us by email for more information or to be notified of updates to the questionnaires. (Purple), High If you need help completing the COVID-19 Risk Assessment questionnaire, or you have a question that is not covered here, please email the Occupational Health team on: Forms can be accessed by visiting the URL https://returntoplay.gaa.ie. If your situation changes and/or if the government advice changes, you should review and update your previously completed risk assessment. The number of people with coronavirus in the UK continues to rise, the latest weekly figures from the Office for National Statistics (ONS) suggest. Allied Health Professionals, Healthcare Scientists & Social Workers, Healthcare Support Worker Development Programme, Nursing, Midwifery, and Healthcare Assistants. However, this test cannot determine or confirm your immunity to the virus. If you have any of the following serious health conditions you are defined on medical grounds as "Clinically Extremely Vulnerable" (CEV), meaning you could be at high risk of severe illness from coronavirus. Posted by harddone (as a service user ), 2 years ago. However, I am now experiencing symptoms of COVID-19 again. If your risk category has not changed you will not be sent a new notification. Perth Royal Infirmary Please note that, due to the extremely high levels of activity on the National Vaccination Programme, the team may not be able to respond immediately. Check SCREEN READER MODE to make this survey compatible with screen readers. COVID-19 Self-Assessment Questionnaire: The purpose of this questionnaire is for you to self-observe your daily health prior to coming to work. It is designed to support effective screening of patients to ensure appropriate agreement has been secured for a face-to-face consultation. Your dental appointment is at. Moderate is likely the condition which may have an impact on your daily life and may require stronger dose in medication or a combination of medications to help manage your symptoms. NHS Professionals Ltd, Suites 1A & 1B, Breakspear Park, Breakspear Way, Hemel Hempstead, HP2 4TZ, Registered in England & Wales no. This Risk Assessment is based on factors such as your age and ethnicity and would not apply as part of an ordinary health assessment process but based on the most recent data available are understood to be particular risk factors associated with the virus and the resultant disease (COVID-19). TheAvon Longitudinal Study of Parents and Children, University of BristolandGeneration Scotland, University of Edinburgh, are now (July 2021) supporting the resource. This medical screening questionnaire is required for us to evaluate your current medical condition and suitability for dental treatment.This online questionnaire will be deleted within two weeks and the information will form part of your dental records we keep at the practice. Why was this not picked up during that process? From Monday, 13 February 2023, staff, patients and visitors no longer need to wear a face mask in non-clinical areas of our premises. If adjustments are required, you will be advised during your telephone assessment of the best the next appropriate steps and your information maybe passed onto HR or your local Trust Services Team who will contact you. Go HERE to access the GAA's Covid-19 Club Education eLearning Module. Are you taking any medicines prescribed by a doctor? Design Multiphase, prospective mixed methods study. You will be timed-out. The results of this risk assessment will help you, NHS Professionals (NHSP), Doctors Direct and the Trusts you work in to know if you require temporary redeployment to a work area considered low exposure to COVID -19 or temporary workplace modifications based on your level of risk. 64.8 Percentage of people vaccinated (autumn booster) up to and including 21 February 2023. (as a service user), You can access the different topic areas here. It may help to have your NHS number with you when you contact them. NHS Tayside and Angus, Dundee and Perth and Kinross Health and Social Care Partnerships have created remobilisation plans for graduallyrestoring services that were paused due to COVID-19. Having previously recovered from COVID-19 will not impact your risk status for the purposes of this risk assessment. Perth Visit https://www.careopinion.org.uk In accordance with the guidance published by the Royal Colleague of Obstetrics & Gynaecology at present, there is no evidence to suggest that COVID-19 causes problems with a babys development or increases the risk of miscarriage. Within the My Tasks section, you will find your previously completed risk assessment. This text will read: Hi, your mydentist practice is open. Personal Information contained on the Health Questionnaires is stored for a maximum period of three weeks. Other parties need to complete fields in the document. We do check the site regularly on all available browsers, so I am sorry you could not find it - you should have been given the web address in your attendance letter. This document and the information provided herein does not, and is not intended to, constitute legal advice; instead, all information, content, and materials herein are for general informational purposes only. We carry out daily staff monitoring and health checks to detect early signs of any possible corona virus infection amongst the team members. Participants 13 adults (aged 18 years) with . Share your experiences of UK health and care services, Outpatient appointment & COVID-19 questions, other people have had similar experiences, Default In this case, you will need to click forgotten password to set up a password. If Diabetic what is your HBA1C sugar control results? This information will be stored confidentially and in full compliance with the Data Protection Act (DPA) as informed by GDPR 2018. All bank members working at a client trust (excluding substantive staff, Test and Trace bank members and members working via the National Vaccine Programme) are required to complete a risk assessment before undertaking any shifts. Suffer from bronchitis, asthma, or other chest condition? Marion asks:. If Yes to Q2,3,4. However, across the UK, you are still asked to self-isolate if you test positive, which means you should work from home if you can. It is important that NHS Professionals and Doctors Direct are aware of any factors that might put you at risk if exposed to coronavirus infection. Does this mean I am immune? I don't want to fill it out electronically? Risk scores and weightings are regularly updated as new information is made available by relevant authorities. This includes ensuring consistent availability of appropriate PPE. *=~[$\82^mHu=,b00\m. Taking or have you taken steroids in the last 6 to 12 months? The latest information and guidancecan be found at, The latestpublic health guidance andadvice for coronavirus along with information about the Test and Protect programme can be foundat, Coronavirus (COVID-19) What you need to know, Please visit our dedicated page for more information, Remobilisation Plan April 2021-March 2022 Mid-year Review Update, Tayside Health and Social Care Services Remobilisation Plan (April 2021 to March 2022), Tayside Health and Social Care Services Remobilisation Plan - Remobilise, Recover, Redesign (31 July 2020 - 31 March 2021), Operational Unit Mobilisation Plan and Timeline (up to 31 July 2020), Coronavirus and cancer - information if you are a patient or carer, Click here to proceed to NHS Tayside website, you work in the NHS health or social care settings and have symptoms, you have a health condition which means youre eligible for new COVID-19 treatments. Helpful information for Coronavirus (COVID-19) Infection Survey (CIS) participants, including frequently asked questions (FAQ). What if my situation changes? Amanda Aston, an officer based at Guildford police station in Surrey, is said to have 'distorted' difficulties in her relationship with Matthew Taylor knowing he would likely face repercussions. However, it is expected that guidance will be updated at a later date to allow individuals previously classed as high risk to operate in patient-facing environments after completing a full course. Update all required fields and click on submit. See the official advice, see the specific FAQs, please scroll down or. Information on what the Coronavirus (COVID-19) Infection Survey (CIS) is and why it was created. Are the details different? 15,136,450 Total number of people vaccinated (autumn booster (aged 50+)) up to and including 21 February 2023. Please note, however, that any employer (whether that be NHS Professionals or a lead trust delivering the National Vaccination Programme) has a duty of care to ensure it does not place staff into a work location where recognised risks to their health cannot be adequately managed even where staff are informed of such risks. Please provide your contact details, and a member of the team will be in touch. The completion time may vary for each bank member, but we have estimated that it should not take any longer than 5-10mins. They will go through everything with you and discuss what works best for you as an individual. To request the questionnaire or support please email us. This questionnaire is freely available to population health researchers to download. Wellcome Covid-19 All Questions (June 2021) (Office document, 221kB). About: NHS Tayside. Maintaining social distancing can be difficult. Have a pacemaker or have you had any form of heart surgery? Name: _____ Find out all about the survey and what to expect if you are asked to take part. Are you happy to for us to arrange an appointment for you as soon as possible? Cancer of the Blood (e.g. Emerging evidence now suggests that vertical transmission of the virus being transmitted from mother to baby during the period immediately before and after birth, is probable. It is available to download and use in whole or in part. Angie Dalgarno, Support Officer, Business Unit, NHS Tayside about a year and a half ago. I am from a BAME community and I am concerned that I am at higher risk of becoming seriously unwell if I get infected with COVID-19. If you . You can change your cookie settings at any time. mydentist is a trading style of mydentist Group Limited whose Registered Office is at: Europa House, Europa Trading Estate, Stoneclough Road, Kearsley, Manchester, M26 1GG Whose Registered No is: 05657369. mydentist Group Limited as above is a member of the mydentist group. This allows direct comparison with studies carried out at similar or different times or settings. Please note that, if you are deployed to the National Vaccination Programme as a direct employee of a lead trust, rather than on the NHS Professionals bank, we will (subject to your consent) pass the details of the COVID-19 Risk Assessment to a named HR or Occupational Health representative of that lead trust. Senior Nurse, Practice Development, Nursing and Midwifery Directorate. Do I have to share the results of my assessment with anybody else? The risk assessment questionnaire contains a series of questions and is easy to fill out. If I come back as high risk, will I be stopped from working? COVID19 Pre-appointment screening and Medical questionnaire. This risk assessment must be completed online. It involves you answering a series of questions designed to indicate whether you are likely to be at greater risk of developing more serious symptoms if you come into contact with COVID-19. How does this risk assessment relate to the Equality Act 2010? You no longer have to tell your employer you have Covid. About: Summary. Am I immune? The information will be kept strictly confidential and will not be shared with anyone outside the practice. The Coronavirus (COVID-19) Infection Survey (CIS) is the largest regular survey of coronavirus (COVID-19) infections and antibodies, providing vital information to help the UKs response to the pandemic. You will recieve an email notification when the document has been completed by all . Some questions are available in REDCap and Qualtrics. %PDF-1.5 % Currently it is unknown how long any immunity to COVID-19 might last. Suffer from hay fever, eczema, or any other allergy? You can complete your Risk Assessment. or call us on 0845 113 0012, Response from How we will store and use your samples and data from the COVID-19 Infection Survey (CIS). I am a pregnant Bank Member; can I care for patients with COVID-19? This will help us understand who is most at risk and why, and how we tackle this and future pandemics. What if I have received a COVID-19 vaccine? harddone
[email protected] How do I know if my condition is mild or moderate? You must take extra measures (more frequent hand sanitisation, wearing a mask, minimising contact with others etc) and may prefer to postponeyour dental appointment until after the current pandemic. If your responses do not identify you as high risk based on the overall risk score or based on any individual responses to the questionnaire, you will be automatically progressed to the next stage of the process. CoVID Supervisors in clubs can verify that individual members of their teams/panels have submitted forms and are permitted to participate. That's not a problem you are still able to fill it out on paper at the practice. Details of how boosters will be delivered will be set out on the above website nearer to the program start date. Depending on your location, your skills and your training, it may also be possible for you to join the NHS Professionals bank and be deployed to support the NHS elsewhere during this critical time in a low-exposure area. As all vaccination sites will likely be classed as high-exposure areas based on the volume of patient interactions, you may not be able to be deployed to the National Vaccination Programme until the current risk level changes or the risk factors are reviewed in light of further research into the impact of COVID-19. Tell us what was good and what could be improved, say thanks or call for change I do not identify with the gender or ethnicity categories provided in the questionnaire. GAA Covid Health Questionnaire now available Tuesday 23 June 2020 The Covid Health Questionnaire each person participating in Gaelic Games must complete prior to the first occasion that they return to their club is now available. NHS Tayside, Posted by This questionnaire helps to ensure that different studies collect consistent data, so that we can make future comparisons of the impact of Covid across the UK and internationally. It is important that NHS Professionals, or any subsequent NHS Trust employer, is aware of any factors that might put you at risk if exposed to coronavirus infection. Pregnant women from 28 weeks gestation (in the third trimester of pregnancy), and pregnant women at any stage of pregnancy with significant congenital heart disease, were previously recommended to shield because being at very high risk of developing severe illness from Coronavirus. . Since I filled in the form I got COVID symptoms, what should I do? If applicable, a new risk category will be presented to you and confirmed in an email. Bristol, BS8 1QU, UK We have checked it again today and it seems to be working. Debbie Baldie, Senior Nurse, Practice Development, Nursing and Midwifery Directorate, NHS Tayside 2 years ago. Percentage - autumn booster. To request a copy of the questionnaire or for support please email us. PH1 1NX, Posted by If you make a mistake firstly don't worry. If your assessment results in a high risk, the OH Services Support & In Life Care Team will contact you to arrange a telephone assessment. for further advice. 4676 0 obj <> endobj Research funding agency representatives include:Bridget Taylor (ESRC), Bruna Galobardes (Wellcome Trust), Catherine Moody (MRC), Gavin Malloch (MRC), Laura Morrell (ESRC), Mary de Silva (Wellcome Trust), Rhos Walker (HDRUK), Tamysn Derrick (MRC). It involves you answering a series of questions designed to indicate whether you are likely to be at greater risk of developing more serious symptoms if you come into contact with COVID-19. Filte chuig gaa.ie - suomh oifigiil CLG. Changing/updating your password will not affect your details for My: If your assessment results in a high risk, the OH Services Support & In Life Care Team will contact you to arrange a telephone assessment. . If the mistake is on your covid checker or something has changed then please call the practice to confirm before attending. Daily body temperature checks are carried out routinely for staff and patients. You will need your participant ID to enter the questionnaire. Is for you as soon as possible to do so website www.cctayside.co.uk to the... Test that is currently available which is extremely accurate in determining whether you withdrawn! Guidance during the current or future courses of treatment use this information is very for! Document, 221kB ) your password will not impact your risk status for the of! With anyone outside the practice or intravenous sedation I do n't worry aged 18 years ) with any questions may! Problem you are asked to take part in the document has been replaced with public health advice not the... Social Workers, Healthcare Scientists & Social Workers, Healthcare Scientists & Social Workers, Healthcare support Worker Development,. Daily health prior to coming to work out electronically above website nearer to the Scottish government expressing & ;. Us unless you can change your cookie settings at any time resolve the issue quickly. The meantime NHS Professionals and Doctors Direct want to ensure that your personal risk is to. To coming to work establishment and initial Development of the questionnaire or for support please email us of risk! Survey compatible with SCREEN readers teams/panels have submitted forms and are permitted to participate fill it out on paper the. In part findings, please scroll down or National service Centre to discuss your responses to the virus allied Professionals. 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Request the questionnaire under the Equality Act 2010, any actions taken following risk... Recovered from COVID-19 will not be discriminatory update your previously completed risk assessment to... Risk is reduced to the questionnaire be recognised that individuals can accept a degree of increased risk if choose... Extremely accurate in determining whether you have COVID guidance for workplaces has been replaced with public health issue and! Conditions with the Trust information for Coronavirus ( COVID-19 ) Infection Survey ( CIS ) information. Download and use in whole or in part confidential and will not affect your for... Or to be working how does this risk assessment will not be sent a new notification you in. Health advice our on the health questionnaires is stored for a face-to-face consultation who! Restrictions is available from each of the questionnaire around coughing and tissue.. Be contacted by our Occupational health team please call the practice you when you contact.! As an individual I know if my health condition is mild or moderate be by... Of the National webpages linked to above involve completing a paper copy if required soon possible! Has not changed you will recieve an email notification when the document not discriminatory! Find out all about the Survey and what to expect if you are still able fill! Details of how boosters will be in touch difficulties, emphysema, chronic obstructive airway disease or similar Coronavirus COVID-19! Wellcome COVID-19 all questions ( FAQ ) four nations of the COVID-19 risk assessment degree of increased if! Need your participant ID to enter the questionnaire been secured for a face-to-face.! ), you will recieve an email to support effective Screening of patients to ensure that personal. Risk category has not changed you will find your previously completed risk assessment, especially given potential... My: Bank the phone determine or confirm your immunity to COVID-19 copy required. 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Health issue, and guidance for workplaces has been secured for a maximum period of weeks! Set out on paper at the practice to confirm before attending practice Development, Nursing and Midwifery.. Paper copy if required allows Direct comparison with studies carried out at or. Questions ( FAQ ) unless you have COVID population health researchers to download your... A mistake firstly do n't worry does n't have my number carry out daily monitoring! Support please email us patients with COVID-19 number added onto the system checks are carried out at similar different... This text will read: Hi, your mydentist practice is open www cctayside co uk covid questionnaire Infection Survey ( CIS is. Questionnaire or for support please email us contained on the health questionnaires is stored for a period..., but we have checked it again today and it seems to be working ; about the the of... Have you had any form of heart surgery Welcome Trustfor supporting the establishment initial! 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If required fever, eczema, or other chest condition SCREEN readers virus Infection amongst the team be! Is for you as an individual has a protected characteristic under the Act... Where an individual has a protected characteristic under the Equality Act 2010, any actions taken following the assessment! Status for the purposes of the questionnaire, 221kB ) appointment for to. Obtain e-pass university of Bristol do not contact the service Centre, 03332 407 552 will! Make informed decisions with you and confirmed in an email make the arrangement.... Infection amongst the team will be updated from time to time during the pandemic are asked take... Limited to those contained within the my Tasks section, you should review update. Bad reaction to local or general anaesthetic or intravenous sedation arrangement appointment form I got COVID symptoms, should... Outside the practice does n't have my number mydentist practice is open tell your employer you have been previously to! 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