Covid-19 Notifications

Covid-19 notifications  

Notifications should be submitted using eForms.

If you are unable to access eForms please get in touch with our Contact Centre during its normal opening hours (09:00 – 16:00).

We have updated the Covid-19 notifications to make them clearer and easier to use. The purpose of these notifications is to enable us and our partners to direct help and support where it is needed. We share the general data from these notifications with Scottish Government.

We introduced specific notifications for you to tell us when there are suspected or confirmed cases of Covid-19, and when an outbreak ends. We have amended the notification for suspected cases of Covid-19 to make it clear that only one notification is required for your service when the first suspected case is identified. We do not require you to tell us about suspected cases on an individual basis.

In all Covid-19 notifications for adult and children and young people services, the health and social care partnership (HSCP) must also be notified.

Early learning and childcare services do not need to notify HSCPs but should notify their local authority where their service is providing funded early learning and childcare.

We have 4 notifications specifically for Covid-19:

1. Suspected cases of Covid-19 – please use this when the first member of staff, including agency workers, or someone who uses your service shows symptoms of coronavirus. The aim of this notification is to inform us when anyone shows symptoms of Covid-19. You only need to complete one notification that can include people experiencing care, staff and/or agency staff. If a staff member who is on leave presents with symptoms, you should include this as a suspected case if they were working during the 14 days prior to the start of their symptoms.

You do not need to do an update to this notification, no matter how many suspected cases you have, and it will remain active until either the suspected outbreak ends or there is a confirmed case. When you submit an end of a suspected outbreak notification or a confirmed case notification, the suspected cases notification will automatically be superseded.

2. End of suspected outbreak of Covid-19 – Use this notification if all the suspected cases result in negative tests, or after there have been no symptoms shown for a period of 14 days.

3. Confirmed cases of Covid-19 notification – Use this notification whenever someone using the service, or a member of staff including agency staff tests positive for Covid-19. Please also use this notification if a test has not been possible but coronavirus is confirmed by a medical professional. You need to complete a new confirmed case notification for each new person who has been confirmed as having Covid-19.

4. End of confirmed Covid-19 outbreak notification – Please use this notification when the outbreak of Covid-19 has come to an end, based on when people who have been confirmed as having Covid-19 have shown no symptoms for 14 days.

For early learning and childcare services, including childminders and out of school care services, this does not mean that services will be closed for this period. Any closures and periods of self-isolation will be directed by Public Health or Test and Protect.

When you complete these notifications, please do not share with us the names of people who are using your service or staff. For confirmed cases of Covid-19 notification please just use people’s initials.

Please continue to tell us about staff absences due to Covid-19 using the ‘Staff absence’ notification.                                                   

• Records that all registered care services (except childminding) must keep and guidance on notification reporting

• Records childminding services must keep and notification reporting guidance

• Death of person using a care service – for any death of a service user, including from confirmed or suspected covid19.  We should be notified immediately. 

• Changes of circumstances due to Coronavirus (Covid-19) - Within the notification the provider should note the change to the service provision and confirm the service can meet the care and welfare needs of the individuals that they are providing care for. This form should be used to change operating status (open/closed). It can also be used to request changes to the service delivery, for example opening or moving a Hub.  

• Removal of notification requirement - Early in the pandemic, we introduced a notification for providers to notify us if a service was closed due to the impact of Covid-19. While services are still dealing with the effects of the pandemic including a low level of infections, there are far fewer restrictions on how we live and impacts on the operation of care services.  In recognition of this, we have decided to remove the notification ‘Change of service delivery due to Covid-19’. Therefore, there is no requirement to notify us if a service is closed for a short time due to Covid-19.

  We understand there are certain circumstances when services close for a period of time and can apply to be inactive for a period of up to 12 months. You can find the details of when this can be considered and how to apply here.

These additional notifications are helping us to better understand and inform others of the pressures services across Scotland are facing during Covid-19, so that support measures can be considered and offered. 

Find out more about how the SSSC is supporting staffing at this time. 

Covid-19 staffing notifications  

• Staffing absences- a new weekly staff absence notification to be completed every Tuesday. This notification will ask about staff who are self-isolating, shielding and those who are not working due to stress related to Covid-19. We will also ask if there are staff in hospital. 

• Death of a staff member- this notification to be completed as soon as the service is made aware. 

Tell Us Once – what to do after someone dies 

Tell Us Once is a free service that allows you to share details of the deceased with relevant government departments, removing the need to engage with each one separately and supply numerous copies of the death certificate.

The service is available in all councils across England, Scotland and Wales and In 2019/2020, 78% of all citizens who registered a death went on to use the Tell Us Once service.

Tell Us Once can notify organisations including:

• DWP State Pension, Universal Credit, Attendance Allowance and so on
• HM Revenue and Customs (HMRC)
• HM Passport Office
• Council services such as adult social services, libraries, Blue Badge, concessionary travel, electoral services
• Driver and Vehicle Licencing Agency (DVLA)
• Public Sector Pensions: NHS, Teachers, Armed forces and so on.

If you are registering a death with a registrar in your capacity as a care home manager, official informant, next of kin or relative:

• The registrar will issue you with a unique Tell Us Once service reference number.
• You can use this reference number to access Tell Us Once on line at gov.uk/tell-us-once or through a dedicated telephony team.
• A list of What you will need to complete the service to notify Central and Local government departments to stop services, notify Pensions and Benefits, cancel passports and so on is available on gov.uk/tell-us-once.

The system is easy to use and once completed departments are notified instantly, no need for you to contact them separately via telephone or in writing.

The Tell Us Once service is the result of partnership working between Central and Local government and aims to help citizens at a time when they need it the most.

If you have any questions about the service or would like to find out more, please email This email address is being protected from spambots. You need JavaScript enabled to view it.

Previous notification updates  

Adult to child ratios and new notification during Omicron (Added 11 January 2022)

Like all services, early learning and childcare settings are operating under unprecedented circumstances due to the pandemic. The Omicron variant will be extremely challenging, particularly in terms of staffing.

To support continued delivery of safe, high-quality childcare for children and families as we move through this stage of the pandemic, we have temporarily adjusted our policy position on adult to child ratios and introduced a new notification.

High-quality experiences for children should be paramount. Adjusting adult to child ratios must only be used when all other options for additional staffing have been exhausted and a risk assessment has been undertaken. Our guidance gives information on the approach to risk assessment and the required notification.

LFD staff testing notifications guidance (Added 15 April 2021)

Following the introduction of regular LFD (Lateral Flow Device) testing for staff in a range of settings and services, we wanted to provide some clarification on which notifications to use following the outcome of tests:

LFD positive test for one or more staff – Please complete Covid-19: outbreak – notification of suspected case. Only one ‘notification of suspected case’ is needed even if several people have a positive LFD test.  Staff who have a positive LFD test must then arrange to have a confirmatory PCR test.

If the outcome of the subsequent PCR test(s) is positive – Please complete Covid-19: outbreak – notification of confirmed case for each individual who has a positive PCR test.

If the outcome of the PCR test(s) is negative – Please complete Covid-19: outbreak – end of suspected case(s).

Covid-19 Scrutiny Assessment Tool (SAT) (Added 30 July 2020)

The Covid-19 Scrutiny Assessment Tool (SAT) is a trigger tool developed by the Care Inspectorate to identify indicators of potential concerns in care homes.

From 14 August this will replace the current Risk Assessment Rating (RAD) for all Care Homes (Adults, Older People, Children and Young People). Inspectors will begin this process from 30 July.

A list of questions that the inspectors will answer when completing the SAT in the RMS system can be found here. This is for service provider’s information only.

The SAT is not a risk assessment in the same way that the RAD was but will support us to identify what level of support and scrutiny is appropriate for a service taking account their current circumstances.

In developing the Covid-19 SAT we considered specific information relevant to the current Covid-19 pandemic. It is based on what our intelligence has so far identified as being key indicators or concerns within services to allow us to consider where additional support and/or scrutiny may be required. 

The Covid-19 SAT is based on a Scrutiny Assessment Tool we have developed and tested that included information from our enforcement review.  The release of the new tool was delayed due to the pandemic, we are planning to release the full SAT for all service types later in the year. 

Remember to inform us if you change your operating status (Added 28 July 2020)

A number of services closed due to Covid-19 have now reopened and others are likely to open soon, as lockdown restrictions are eased. If your service has been closed, it’s important that you contact us, so that we can change your status to ‘open’ on our system.

You should complete the ‘Changes to service delivery due to coronavirus (Covid-19)’ eform.

This eform includes when you open or close your service as well as any changes to how you operate, as detailed in the notification guidance. If you do not update your status, your service will be considered to remain closed.

Inactive care services (Added 28 July 2020)

Please note our inactive process is different from the procedures for open and closed services due to Covid-19.  It may be that your service is inactive, if this is the case and you wish to resume your service, you must follow the procedures noted in the letter sent to you when your service became inactive, which includes submitting a notification ‘Service becoming active’ in order to change your status to active and open.  

If you would like to become inactive you must submit a notification ‘Service becoming inactive’.  Any applications to extend  the timescales for inactivity agreed will be considered in line with our inactive guidance. Further information on our inactive process can be found here Inactive Care Services.

Application to vary registration due to quarantine (Added 25 June 2020)

In line with government advice that people travelling from other countries to the UK must quarantine for 14 days, we are aware that some school care accommodation services may need to vary the dates during which they are registered to operate. This will be in order to allow young people to quarantine before the start of the school term. 

If you require to vary your registration for this purpose, please complete an application to vary registration so that the Care Inspectorate can ensure this is processed in good time.

This can be done through your eForms account. 

End to staffing shortage notification (Added 22 June 2020)

The Care Inspectorate no longer requires care services to submit notifications around staffing issues under the Red Amber Green (RAG) system. 

This notification was brought in April to assist care services to flag up where there were particular staffing shortages and allowed the Care Inspectorate, SSSC, Health and Social Care Partnerships, the NHS and Scottish Government to provide a rapid response. 

Our intelligence and data gathered in the past month indicates that care services now have good access to staffing resources directly as required, and as such we are now removing the obligation on care services to report staffing issues to us.

Any services that do experience staffing issues going forward can still access the SSSC NES portal here.

Your notifications and the new Coronavirus (Scotland) (No. 2) Act (Added 2 June 2020) 

Last week we let you know that the new Coronavirus (Scotland) (No. 2) Act is now in force. Although this does not mean any changes to the notifications you must make to us, it does mean that you are now legally bound to make these. Our legal services team have produced a helpful summary of what the new Act means for care homes, which you can read here. 

You can read the Act in full here. 

Revised notification guidance (updated 30 April 2020) 

We have updated our guidance on notifications for all services except childminders. The updated guidance includes new and updated categories of notifications related to Covid-19 that care services must make. These include notifying us of the end of an outbreak and notifications about staff. 

You can view the guidance here. 

We are very aware that we have introduced several new notifications and that there are many other people looking for data at this time. We appreciate the time and effort you are taking to complete these notifications, we will use this information to support you and to share with Scottish Government colleagues with responsibility for planning the Covid-19 response.  

Reporting of Covid-19 to the Health and Safety Executive (Added 27 April 2020) 

The Health and Safety Executive has issued guidance on RIDDOR (The Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 2013) responsibilities for employers. You can read the guidance here. 

Strategic inspection teams – quality assurance of notifications related to joint inspection work (Added 23 April 2020) 

During this pandemic, while we continue our quality assurance work in relation to deaths of looked after children, initial and significant case reviews, and serious incident reviews, we are committed to minimising demands on partners’ time and resources during this period. Read more here. 

Personal Protective Equipment (PPE)

Scottish Government provides update for social care on face masks, testing and vaccination (Added 8 September 2020)

Updated Covid-19 face mask guidance for social care including adult care homes

Following a review of advice, the Scottish Government has updated its guidance on the use of face masks in social care settings including adult care homes.

The updated guidance recommends that face masks do not routinely need to be worn at all times within social care settings. Instead face masks should be for particular situations (for example following staff judgement, advice from health protection / public health or personal choice). This is because although Covid-19 continues to spread, transmission rates are lower and the virus is currently milder than at earlier stages in the pandemic resulting in a reduction in severity of illness and hospitalisation.

Full details are available online Coronavirus (Covid-19): use of face coverings in social care settings including adult care homes - gov.scot (www.gov.scot). Importantly, the fundamental principles of infection prevention and control precautions continue to be essential.

Antimicrobial Resistance and Healthcare Associated Infection (ARHAI) Scotland and Public Health Scotland will update their associated guidance documents as soon as practically possible.  

Providers are recommended to implement the face mask guidance as soon as possible from 14 September, or earlier if they are ready to do so. The recommendations in the guidance will require discussions with staff and those receiving care and support before adoption. For some services, the changes may be able to be implemented fairly quickly while for others, it may take longer.

Scottish Government is working with Scottish Care to host a webinar regarding changes to face masks and testing within social care. This will be open to all staff within social care to ask any questions they may have about the guidance. The date will be circulated within networks once agreed.

Review of asymptomatic testing in health and social care

A review has taken place of the remaining regular asymptomatic testing in place for health and social care staff and in high-risk settings. Scottish Government will issue advice for health and social care in the week beginning 12 September. This will have updated guidance materials and an implementation date of the end of September. Until this guidance is issued, staff should continue to test as per Coronavirus (Covid-19): social care and community based testing guidance - gov.scot (www.gov.scot).

Covid and flu vaccination – autumn/winter 2022

Vaccination and the protection it offers staff and those they care for and support is important.  The Joint Committee on Vaccination and Immunisation (JCVI) has issued advice for the Winter Covid-19 and flu programme recommending those most at risk, or those who come into regular contact with those most at risk, become eligible for a Covid-19 vaccine dose to maximise their protection over winter. Where possible, this will be co-administered with the flu vaccine, which is a safe and effective way to deliver protection.

The online booking portal for frontline health and social care workers can be accessed, along with other information on the programme and eligibility, at Winter vaccines | NHS inform. The direct portal page link is Login - Customer Service (nhs.scot).

Carers who are aged 16+ are eligible for both Covid and flu vaccination this winter. The majority will be called for vaccination later in the programme, as part of the ‘at risk’ group. At this point, appointments can be booked on the portal or through the helpline for those who don’t have digital access. The only exception is that the over 65s will shortly be sent letters with timed appointments. In those letters, it will say that unpaid carers are eligible for vaccination and give instructions on how they can book. If someone they care for gets a letter, the carer can book their appointment from that time. 

PPE for early learning and childcare services (Added 30 June 2020)

To offer a route to buying PPE for private, voluntary and independent early learning and childcare services, including childminders and out-of-school care, the Scottish Government has set up a framework agreement with third-party supplier Lyreco.

Lyreco offers a range of products to purchase, including face masks, aprons, gloves, visors, hand sanitiser, goggles and safety glasses. All products are subject to availability and prices are updated regularly on the Lyreco website.

Please note that this is a ‘pay for’ service, and the provider will be responsible for paying for any products purchased from Lyreco under this agreement.

A list of frequently asked questions can be found here.

If you wish to open an account with Lyreco, please first read the privacy notice, then complete the form, which must include your Care Inspectorate CS number and email it to This email address is being protected from spambots. You need JavaScript enabled to view it.

Once your CS number is confirmed as being a registered care service your account will be set up. This may take a few days depending on the volume of forms returned. Lyreco will then give you access to their online ordering site, where you will be able to see the full range of products available and current prices. Opening an account does not place you under any obligation to place an order.

Local authority providers should continue to access PPE through their usual routes, in most cases through Scotland Excel.

Personal Protective Equipment (PPE)

Health Protection Scotland has published revised guidance on the use of use of personal protective equipment (PPE) by health and social care workers, in the context of the current coronavirus Covid-19 emergency.

You can download the guidance here.

This guidance has been updated to reflect pandemic evolution and the changing level of risk of healthcare exposure to coronavirus Covid-19 in the UK. It is recognised that in contexts where coronavirus Covid-19 is circulating in the community at high rates, health and social care workers may be subject to repeated risk of contact and droplet transmission during their daily work. It is also understood that in routine work there may be challenges in establishing whether patients and individuals meet the case definition for Covid-19 prior to a face-to-face assessment or care episode.

This guidance is also updated to reflect the need for enhanced protection of people in vulnerable groups undergoing shielding. 

The main changes are:

• enhanced PPE recommendations for a wide range of health and social care contexts
• inclusion of individual and organisational risk assessment at local level to inform PPE use
• recommendation of single sessional (extended) use of some PPE items
• re-usable PPE can be used. Advice on suitable decontamination arrangements should be obtained from the manufacturer, supplier or local infection control
• guidance for when case status is unknown and coronavirus is circulating at high levels
• recommendation on patient use of facemasks.

 Safe ways for working for all health and care workers

• Staff should be trained on putting on and taking off PPE. Videos are available online for training.
• Staff should know what PPE they should wear for each setting and context.
• Staff should have access to the PPE that protects them for the appropriate setting and context.
• Gloves and aprons are subject to single use as per SICPs with disposal after each patient or resident contact.
• Fluid repellent surgical mask and eye protection can be used for a session of work rather than a single patient or resident contact.
• Gowns can be worn for a session of work in higher risk areas.
• Hand hygiene should be practiced and extended to exposed forearms, after removing any element of PPE.
• Staff should take regular breaks and rest periods.

Interim guidance on the use of face masks and face coverings (Added 24 June 2020)

The Scottish Government has released interim guidance on the wider use of face masks and face coverings in health and social care.

IRIC Alcohol-based hand rubs risk of fire (Added 1 May 2020)

The Incident Reporting & Investigation Centre has released an information message containing guidance on the risk of fire from alcohol-based hand rubs. 

You can view the information centre here.

Donations of PPE and other supplies (Added 29 April 2020)

There have been instances of well-meaning individuals approaching services with offers of a range of PPE equipment.  If you are approached, please direct them to the Scottish Government supply chain hub, which is now set up to receive donations for use in the health and social care system and ensure that any donated PPE meets quality and safety standards before it is issued.

This single point of contact is available to any business, community or voluntary organisation now wishing to make donations of PPE, scrubs, uniforms and other supplies. Donors can email This email address is being protected from spambots. You need JavaScript enabled to view it.. 

Guidance is also available to those offering support in this way here.

Access to PPE once all other normal routes have been exhausted (Added 24 April 2020) 

Social care providers can refer to this guide for information on how they can now access preventative Personal Protective Equipment (PPE).

Providers should phone the triage helpline (0300 303 3020) to access their preventative PPE kit.

Most Health & Social Care Partnerships now have local hubs in place. The Triage helpline will advise on local arrangements, and will also issue providers with their Single-use Collection Reference number.

Reccomended PPE for social care by setting (Added 24 April 2020) 

Providers can refer to this guide for guideance on appropriate use of PPE. In addition to standard infection prevention and control precautions, this guide can be reffered to.

The correct order for putting on, taking off and disposal of PPE (Added 24 April 2020) 

Providers can refer to this NHS Scotland video guide for guidance on the correct order of putting on, taking off and disposal of PPE. 

Individual’s home or usual place of residence (Added 24 April 2020) 

For provision of direct care to any member of a household where one or more is a possible or confirmed case, plastic aprons, Fluid Resistant Surgical Masks, eye protection and gloves are recommended.

For delivery of care to any individual meeting criteria for shielding (vulnerable groups) or where anyone in the household meets criteria for shielding, as a minimum, single use disposable plastic aprons, surgical mask and gloves must be worn for the protection of the patient. 

In clinical areas, communal waiting areas and during transportation, it is recommended that possible or confirmed Covid-19 cases wear a fluid-resistant (Type IIR) surgical face mask (FRSM) if this can be tolerated.

Good hand washing technique (Added 24 April 2020) 

Providers can refer to this NHS Scotland guide and video guide for guidance on good hand washing technique.

Revised PPE guidance (last updated 9 April 2020)

• Covid-19 personal protective equipment (PPE) 

NHS NSS triage centre for social care (updated 24 March 2020)

NHS National Services Scotland (NSS) (NSS) has set up a helpline to deal with social care supplies during Covid-19.   

At the moment, the helpline is to be used only in cases where there is an urgent supply shortage and a suspected or confirmed case of Covid-19.  This will be reviewed regularly in the coming days and weeks. 

Care service providers can reach the NHS NSS triage centre by calling 0300 303 3020.

When contacting the helpline, providers will be required to:

• answer a series of short screening questions 
• confirm they have fully explored business as usual procurement routes
• confirm they have a suspected or confirmed case of Covid-19 and therefore have a need for Personal Protective Equipment (PPE)
• provide their Care Inspectorate registration number.

The helpline will be open 8am – 8pm, 7 days a week.

Clarification from NSS on use of vinyl gloves (added 2020)

Dear Provider,

We recently (21 May) wrote to you in relation to the supply of gloves for social care. Please accept my apologies for any lack of clarity caused as a result of our previous communication; I hope I can remove any confusion now.

Firstly, there is no change in any PPE best practice guidance. 

NSS National Procurement has supplied nitrile medical examination gloves throughout the Covid-19 pandemic response, and recently we have also issued vinyl gloves to the social care hubs.

Best practice guidance on national infection prevention and control suggests that nitrile gloves should be used where there is a risk of exposure to blood/body fluids, or when using hypochlorite for cleaning. Vinyl gloves continue to be suitable for uses where there is no risk of such exposure.

NSS National Procurement is committed to ensuring the provision of the right PPE to our colleagues in social care, so that the right items are available to support the right task. In the short term, NSS National Procurement will only issue nitrile gloves to social care hubs. We will engage with the sector to assess the future balance of need for vinyl gloves and provide regular updates.

If your organisation requires stock of nitrile gloves before you can access them through the social care hub, please contact our contact centre on 0300 303 3020 to request additional supply and we can urgently deliver this.

Kind regards,

Gordon Beattie

Director of National Procurement

NHS National Services Scotland

Other information and links

• Covid-19 Safe practice in care homes poster - A4
• Covid-19 Safe practice in care homes poster - A3
• Covid-19 Key messages in the workplace poster - A4

Covid-19

We regularly update the information and guidance on our Covid-19 web pages. Some of the information on these pages comes from the Care Inspectorate and some comes from other official bodies involved in pandemic response across social care. We encourage all care services to keep themselves up to date by revisiting these pages on a regular basis. We also encourage visiting other online sources of information and guidance such as the websites of Scottish Government, NHS Inform and Public Health Scotland.

Care Inspectorate guidance for services

As information, guidance and practice about Covid-19 is becoming established and less subject to rapid change, we are no longer maintaining the Covid-19 FAQs or the Covid-19 compendium. For key information, view our Covid-19 information page below and the guidance links on this page.

Archived Updates

You can find older updates on the Archived Updates page.

Care homes for older people Infection Prevention and Control (IPC) guidance: what has changed during September 2022? (Added 29 September 2022)

The changes to IPC guidance throughout September bring care services ever closer to business-as-usual for service delivery.

We recognise that there may be anxiety around implementing some of the changes. With continued application of Standard Infection Control Precautions (SICPs) and, where needed, Transmission Based Precautions (TBP) when caring for individuals who have suspected or known infection the risks can be managed and reduced.

The Care Inspectorate support the implementation of updated IPC guidance and will take this into account when visiting services.

You can find a summary of guidance changes and links to further information here.

Joint statement supports winter vaccination programme (Added 8 September 2022)

Scottish Care, the Coalition of Care and Support Providers in Scotland, the Care Inspectorate and the Scottish Social Services Council have issued a joint statement to support the winter vaccination programme for social care staff. You can read the statement here.

Scottish Government provides update for social care on face masks, testing and vaccination (Added 8 September 2022)

Updated Covid-19 face mask guidance for social care including adult care homes

Following a review of advice, the Scottish Government has updated its guidance on the use of face masks in social care settings including adult care homes.

The updated guidance recommends that face masks do not routinely need to be worn at all times within social care settings. Instead face masks should be for particular situations (for example following staff judgement, advice from health protection / public health or personal choice). This is because although Covid-19 continues to spread, transmission rates are lower and the virus is currently milder than at earlier stages in the pandemic resulting in a reduction in severity of illness and hospitalisation.

Full details are available online Coronavirus (Covid-19): use of face coverings in social care settings including adult care homes - gov.scot (www.gov.scot). Importantly, the fundamental principles of infection prevention and control precautions continue to be essential.

Antimicrobial Resistance and Healthcare Associated Infection (ARHAI) Scotland and Public Health Scotland will update their associated guidance documents as soon as practically possible.  

Providers are recommended to implement the face mask guidance as soon as possible from 14 September, or earlier if they are ready to do so. The recommendations in the guidance will require discussions with staff and those receiving care and support before adoption. For some services, the changes may be able to be implemented fairly quickly while for others, it may take longer.

Scottish Government is working with Scottish Care to host a webinar regarding changes to face masks and testing within social care. This will be open to all staff within social care to ask any questions they may have about the guidance. The date will be circulated within networks once agreed.

Review of asymptomatic testing in health and social care

A review has taken place of the remaining regular asymptomatic testing in place for health and social care staff and in high-risk settings. Scottish Government will issue advice for health and social care in the week beginning 12 September. This will have updated guidance materials and an implementation date of the end of September. Until this guidance is issued, staff should continue to test as per Coronavirus (Covid-19): social care and community based testing guidance - gov.scot (www.gov.scot).

Covid and flu vaccination – autumn/winter 2022

Vaccination and the protection it offers staff and those they care for and support is important.  The Joint Committee on Vaccination and Immunisation (JCVI) has issued advice for the Winter Covid-19 and flu programme recommending those most at risk, or those who come into regular contact with those most at risk, become eligible for a Covid-19 vaccine dose to maximise their protection over winter. Where possible, this will be co-administered with the flu vaccine, which is a safe and effective way to deliver protection.

The online booking portal for frontline health and social care workers can be accessed, along with other information on the programme and eligibility, at Winter vaccines | NHS inform. The direct portal page link is Login - Customer Service (nhs.scot).

Carers who are aged 16+ are eligible for both Covid and flu vaccination this winter. The majority will be called for vaccination later in the programme, as part of the ‘at risk’ group. At this point, appointments can be booked on the portal or through the helpline for those who don’t have digital access. The only exception is that the over 65s will shortly be sent letters with timed appointments. In those letters, it will say that unpaid carers are eligible for vaccination and give instructions on how they can book. If someone they care for gets a letter, the carer can book their appointment from that time. 

Removal of notification requirement (Added 9 June 2022)

Early in the pandemic, we introduced a notification for providers to notify us if a service was closed due to the impact of Covid-19. While services are still dealing with the effects of the pandemic including a low level of infections, there are far fewer restrictions on how we live and impacts on the operation of care services.  In recognition of this, we have decided to remove the notification ‘Change of service delivery due to Covid-19’. Therefore, there is no requirement to notify us if a service is closed for a short time due to Covid-19.

We understand there are certain circumstances when services close for a period of time and can apply to be inactive for a period of up to 12 months. You can find the details of when this can be considered and how to apply here.

New guidance materials on Open with Care: Supporting Meaningful Contact in Adult Care Homes (Added 2 June 2022)

The Scottish Government has produced new guidance materials for Open with Care - Supporting Meaningful Contact in Adult Care Homes.  

• Guidance principles document for adult care homes
• Family leaflet
• Easy read for residents

These new documents build on best practice by care homes and have been developed in consultation with a range of people including care home provider representatives, Public Health Scotland, health and social care professionals, relatives, residents and the Care Inspectorate. They have been designed to provide information for different audiences, in as relevant a way as possible.

The purpose of this suite of documents is to:

• update the Open with Care visiting guidance
• set out principles and expectations for supporting people living in care homes to maintain connections
• give an overview of the measures in place to support visiting, signposting to more detailed guidance where relevant. 

The guidance principles document should be should be read in conjunction with public health and infection prevention and control (IPC) guidance from Antimicrobial Resistance and Healthcare Associated Infection (ARHAI) Scotland (Winter Addendum) and Pubic Health Scotland guidance for care homes (see links in document).

To support communications, hard copies of the family leaflet will be issued to care homes by the end of June.

PHS Covid-19 - information and guidance for care home settings (for older adults) v.3 (Added 2 June 2022)

This guidance was updated on 31 May with one change: New staff or agency staff working in the care home: Agency staff are now advised to undertake a PCR test within the previous 7 days before starting in the care home (formerly 48 hours). Risk assessment considerations are included for care home management in situations where this may not be feasible including the use of LFD testing.

you can access the updated guidance here.

Variation changes for care homes and care at home extended to April 2023 (Added 7 April 2022)

Social care continues to face challenges as a result of the Covid-19 pandemic, and we continue to support the care sector by adapting what we do, when needed.

To support services to provide support to a wider group of people, there will continue to be no requirement for providers to submit a variation for any care service type where:

• a care home for older people is caring for youngeradults or vice versa
• care at home services care for clients with different careneeds
• there is a change of operationalhours.

This will continue until April 2023.

In these circumstances, there is no requirement to submit a variation form. Instead, you should simply confirm in writing through eForms, using the notification ‘Changes to service delivery’.

Within the notification, you should note what the change is and confirm the service can meet people’s care and welfare needs.

The notification will not trigger an inspection but may trigger contact from the inspector to discuss the changes you have put in place.

For care homes that are supporting people on an interim basis until care at home is available in their area, there is no requirement to notify the Care Inspectorate. We will get this information from the oversight teams of homes being used in local areas. 

Coronavirus (Covid-19): adult care homes visiting guidance (Added 4 April 2022) 

The Scottish Government has updated guidance on visiting care homes during the pandemic plus tools and resources on visiting, and supporting residents in homes with Covid-19.

Clarification on asymptomatic testing for social care staff (Added 1 April 2022)

As soon as possible

The Scottish Government has advised that daily asymptomatic (work day) LFD testing will no longer be required and social care settings should revert back to their routine, baseline asymptomatic testing as soon as this is possible. This is either a weekly PCR or twice-weekly LFD (apart from adult care home staff who will continue to test with a weekly PCR and twice-weekly LFD).  

This approach to testing in social care has been informed by clinical advice and is subject to ongoing review. LFD tests are extremely effective at picking up the virus in asymptomatic individuals, specifically when they are most infectious and therefore more likely to pass it on to others. This is considered proportionate while still offering sufficient protection to those at highest risk.

From Monday 18 April 

The role of Covid-19 testing is changing from population wide testing, to targeted testing to support clinical care. The Scottish Government approach to testing in social care has been informed by clinical advice and is subject to ongoing review.

Based on this advice, regular asymptomatic testing will continue for parts of the health and care workforce. This is primarily in settings which are still considered high risk and/or where those using services are deemed to be at a higher risk of hospitalisation from Covid-19.

Testing will stop for staff groups in settings that are now deemed to be lower risk and/or in services which do not involve close personal care and contact or where clients are no longer at a higher risk of Covid-19.

For pathways/services continuing to test, we are moving away from using PCR testing (with the exception of adult care home staff) and asking staff to test twice weekly with LFD tests.

As stated, LFD tests are extremely effective at picking up the virus in asymptomatic individuals and specifically when they are most infectious and therefore more likely to pass it on to others.

Providers with excess LFD stock can pause their deliveries by calling the NSS helpline on 0800 008 6587.

For an overview of the social care asymptomatic pathways and changes in these pathways from Monday 18 April, click here.

Further information

Information is available on the NHS Inform website. The key messages for Scotland are:   

• As part of the Scotland-wide, coordinated response to coronavirus, NHS 24 provides the most up to date information and advice here.  
  

• NHS 24 has also set up a dedicated helpline for people who do not have coronavirus symptoms but are seeking information. The helpline number is 0800 028 2816 and is available Monday to Friday, 0800 to 1000, Saturday and Sunday, 0900 to 1700. 

• People who have travelled to an affected area and have symptoms of a cough, fever or difficulty breathing should stay at home and phone their GP (family doctor), or call NHS 24 on 111 if their GP surgery is closed.

• People with general questions are advised to visit www.nhsinform.scot/coronavirus in the first instance. This is the quickest and easiest way to get information and it also means that the 111 service is able to help those people with more immediate clinical need. NHSinform includes an interactive self-help guide where people can answer a few simple questions on line to assess whether they need to seek further help or advice by telephone.

• There is a communications toolkit with information for health and care settings to download, share and print  – please be aware that this is updated as the situation develops so should be checked frequently. Please use the latest version in your setting and update if required. 

NHS 24 has active Twitter, Facebook and Instagram channels that are the official social feeds for Coronavirus in Scotland. You can follow these from the links below. 

• https://twitter.com/NHS24
• https://www.facebook.com/NHS24
• https://www.instagram.com/nhs24.scot/

Health Protection Scotland has also produced information and guidance which should be useful and this is updated at regular intervals.

The Scottish Government summary of response arrangements for coronavirus in Scotland can be found here.   

Other guidance

• Tell Us Once service (last updated 08 April 2020)
• Information and guidance for social or community care and residential settings Version 1.6 (last updated 2 April 2020)
• Coronavirus (Covid-19): social distancing in education and childcare settings (31 March 2020)
• Coronavirus (Covid-19): childcare closures and emergency provision (30 March 2020)
• clinical guidance for the management of clients accessing care at home, housing support and sheltered housing (last updated 26 March 2020)
• clinical guidance for nursing home and residential care residents (last updated 26 March 2020)
• letter from the Chief Medical Officer, Chief Nursing Officer and Chief Social Work Adviser about Covid-19 clinical guidance for social care settings (last updated 26 March 2020)
• advice note for practitioners from Mental Welfare Commission (updated 26 March 2020)
• guidance for non-healthcare settings (last updated 25 March 2020)
• guidance for childminders (last updated 25 March 2020)
• social care at heart of response to coronavirus (updated 23 March 2020)
• guidance for non-healthcare settings (last updated 20 March 2020) (guidance for educational and early learning and childcare settings has now been updated and incorporated into this guidance)
• letter from Deputy First Minister to local authorities on school and ELC closures (19 March 2020)
• letter from Care Inspectorate chief executive (17 March 2020)
• letter from Cabinet Secretary for Health and Sport - social care guidance (13 March 2020)
• factsheet on the coronavirus for places of education

NHS Inform has published guidance leaflets and posters in a variety of different languages and easy-read format. You can download these from their website here.   

How to use our 'Registered by' widget

What is the 'Registered by' widget?

The widget is a logo with some coding behind it that can be displayed on any website.  Each registered care service has its own widget to connect directly to its own information pages on the Care Inspectorate website.

So, if you are a care service and you want to show your website visitors that you are registered with us, you can download the widget and display it on your website.  When your website visitors click on the widget, a new window will open that displays the Care Inspectorate information page for your service. Your own webpage will still be open.

Who can use the widget?

Anyone can use the widget, but they must abide by our terms and conditions, which are at the bottom of this page.

How do I download the widget?

Go to the information page for your service, on this website.

Click on the ‘Care Inspectorate Registered Widget’ tab in the menu bar on the left.

Follow the instructions.  You may need to ask your website administrator, hosting provider or website developer to help you.

Add the embed code to your website where you want it to appear.  For example, in a footer, a sidebar and so on.

The widget code will work on your website straight away.

Troubleshooting

This is a simple and straightforward piece of coding and should not cause issues.  If you do have difficulty, first contact your web administrator. If your web administrator is unable to resolve the issue, please email us at This email address is being protected from spambots. You need JavaScript enabled to view it..

Terms and conditions

You can use the widget:

• in relation to any care service registered by the Care Inspectorate.

You cannot:

• use it in any way that would deliberately mislead people
• modify it in any way
• use it any way that would bring the Care Inspectorate into disrepute
• sell it or sublicence it
• use it in any way that could intentionally damage or overburden the Care Inspectorate website
• put anything around the widget that implies that the Care Inspectorate endorses you or your service.

Other conditions of use

The widget is designed to be used in conjunction with the Care Inspectorate website.  Accordingly, use of the widget is also governed by our website's core privacy notice.

Disclaimer of warranties

We make our best efforts to make sure the widget is always available and provides accurate information, but it is provided 'as is', with no warranties.

Limitation of liability

The Care Inspectorate disclaims any responsibility for any harm resulting from your use of the widget.

You understand and agree that you access and/or use the widget at your own discretion and risk, and that you will be solely responsible for any damages to your computer system or loss of data that results from accessing or using the widget.

The Guide - key terms

The Guide provides information for community planning partnerships (CPP) about the process for the joint inspection of services for children and young people at risk of harm.  This includes services for children under the age of 18 years at the point of involvement with services. It should be read in conjunction with the quality framework for children and young people in need of care and protection (QIF).

This section provides definitions of some of the key terms that may be used during the course of an inspection, or that may be included in inspection reports. If partnerships being inspected have any queries about any part of The Guide they should consult with their inspection lead, or with their link inspector if not being currently inspected.

• Introduction
• Resources and documents