Personal protective equipment, staff safety and security
Personal protective equipment, staff safety and security
This page provides information on the use of personal protective equipment (PPE) to protect workers during the COVID-19 pandemic. It also includes information on wider measures that can be used to protect staff and guidance on the personal safety of pharmacy staff.
If you are looking for information on testing for pharmacy staff or support tools to assist with staff health and wellbeing, please visit our Staff wellbeing and COVID-19 testing page.
Use of PPE in community pharmacies
The latest guidance for health and care settings from Public Health England (PHE) and the other UK public health bodies, is as follows:
This supersedes all previously issued guidance issued and separate advice on the use of PPE when administering vaccines, issued by PHE and NHS England and NHS Improvement (NHSE&I).
The infection prevention and control (IPC) principles in the guidance apply to all health and care settings, including community pharmacies.
The guidance says patients’ treatment, care and support is to be managed in three COVID-19 pathways:
High risk: There is no change in recommendations for IPC or for the use of PPE by staff when managing patients who have, or are likely to have, COVID-19.
Medium risk: This includes patients who have no symptoms of COVID-19 but do not have a COVID-19 SARS- CoV-2 PCR test result. Most patients visiting pharmacies will fall within this pathway.
Low risk: Patients with no symptoms and a negative COVID-19 SARS- CoV-2 PCR test who have self-isolated prior to admission to hospital.
The use of face masks (for staff) or face coverings is recommended (where face coverings are not legally required) in addition to social distancing and hand hygiene for staff, patients and visitors in both clinical and non-clinical areas to further reduce the risk of transmission.
Physical distancing of 2 metres is considered standard practice in all health and care settings.
The following use of PPE is recommended in community pharmacies, dependent on the individual circumstances:
|Pharmacy staff interactions with patients||Staff are working in an area with possible or confirmed cases and are unable to maintain 2 metres social distance from the patients.||Sessional use of a Type IIR face mask (Fluid Resistant Surgical Mask). One session could be a half day period of time, with a new mask being used after a break from work.|
|Pharmacy staff interactions with patients||Staff are providing direct care to a patient, where there is a possibility of the patient being infected with COVID-19 and there is (anticipated) exposure to blood/body fluids or non-intact skin.||Disposable plastic apron (single use), Type IIR mask (single use or sessional) and gloves (single use) should be worn.|
|Pharmacy staff interactions with patients||Staff are providing direct care to a patient, where there is a possibility of the patient being infected with COVID-19 but there is NO (anticipated) exposure to blood/body fluids or non-intact skin, e.g. administering vaccines.||
Sessional use of a Type IIR face mask (Fluid Resistant Surgical Mask). One session could be a half day period of time, with a new mask being used after a break from work.
Apply hand-hygiene measures between patients.
|Staff working in the pharmacy, e.g. in the dispensary, with other colleagues||The pharmacy is not COVID-19 secure, because staff cannot maintain a social distance from one another at all times.||
A Type I or Type II face mask should be worn to prevent the spread of infection from the wearer.
If Type IIR face masks are more readily available, and there are no supply issues for their use as PPE, then these can be used as an alternative to Type I or Type II masks.
The use of face masks and other PPE does not remove the need for other measures to help to protect staff, patients and the public and contractors should ensure that all appropriate and relevant steps continue to be taken to make the pharmacy COVID-19 secure.
The Government’s PPE portal can be used by community pharmacies to obtain all the COVID-19 personal protective equipment (PPE) they need; the supplies will be provided free of charge and the service will operate until 31st March 2022.
The Department of Health and Social Care (DHSC) has partnered with eBay, Clipper Logistics and Royal Mail to develop this service.
How can I access the portal?
Community pharmacies should have received an email invitation to register to access the service, which will have been sent to their NHSmail shared mailbox. If you cannot find the email, you can still create an account by visiting the portal and using your NHSmail shared mailbox email address to register.
Even though your NHSmail shared mailbox has recently been updated to have the new shorter primary email address, pharmacy data was uploaded to the portal some weeks ago, before this change was made to NHSmail by NHS Digital. Contractors registering for the portal access must therefore use the longer original shared mailbox email address (in the format nhspharmacy.location.pharmacynameODScode@nhs.net). Emails sent to a pharmacy’s original longer NHSmail shared mailbox address will still be delivered to the mailbox.
What can be ordered?
Pharmacies can use the portal to meet the extra need for PPE that has arisen as a direct result of the COVID-19 pandemic. You should not use the portal to order PPE for non-COVID-19 requirements; this should be ordered through your normal supply channels.
Pharmacies can order:
- Type IIR masks;
- Gloves; and
- Hand sanitiser.
The current weekly order limits for pharmacies are listed on the GOV.UK website; the more staff a pharmacy has, the larger the quantity of PPE that can be ordered each week.
N.B. the GOV.UK website information on order limits refers to ‘registered staff’; this is the number of staff providing pharmacy services at the pharmacy, which is recorded on the portal when an account for the pharmacy is initially set up – it is not referring to staff registered with the General Pharmaceutical Council.
DHSC are keeping order limits under review to make sure they reflect the latest public health guidance, COVID-19 demand modelling and analysis.
Delivery times and cost
PPE ordered from the portal is free of charge and orders will be delivered by Royal Mail within 4 days. Some orders will require more than one box and may be received as multiple deliveries.
All PPE offered on the portal meets UK Government quality standards.
You can find more information on PPE standards at Public Health England’s COVID-19 PPE hub and NHS guidance on supply and use of Personal Protective Equipment (PPE) and other supplies.
Question or queries
Call the customer service team on 0800 876 6802 if you have any questions about using the PPE portal.
The team is available from 7am to 7pm, 7 days a week, to help resolve your queries.
Face coverings - use by patients and customers
The majority of legal COVID-19 restrictions were removed from 19th July 2021, including the legal requirement to wear face coverings in shops and pharmacies.
Although face coverings are mow optional and social distancing is not legally necessary, NHS England and NHS Improvement (NHSE&I) has highlighted in their Primary Care Bulletin that current Infection Prevention Control (IPC) guidance remains in place.
The IPC guidance highlights that:
- Facemasks/coverings should be used by patients (if tolerated) and visitors when entering a care setting, which would include community pharmacies; and
- Areas where triaging for COVID-19 is not possible for example, community pharmacies:
- that there should be signage at entry points advising of the necessary precautions;
- staff should maintain 2 metres physical distance with customers/service users, using floor markings, clear screens or wear surgical face masks (Type IIR) where this is not possible; and
- patients/individuals with symptoms should be advised not to enter the premises.
Resources supporting the latest IPC guidance including social media assets and posters for healthcare settings to use at entrances to notify visitors that they still need to wear a face covering after 19th July 2021 are available from the Public Health England Campaign Resource Centre.
In addition, the General Pharmaceutical Council (GPhC) is reminding pharmacy owners to carefully consider the relevant guidance from governments, health and safety requirements and the GPhC’s standards for registered pharmacies, to help them ensure they continue to provide COVID-safe environments as the pandemic continues. The GPhC is also asking the public to continue to follow COVID-19 safety measures that remain in place in pharmacies to protect themselves, their communities and pharmacy staff.
The legislative changes are therefore unlikely, in general, to make a significant difference to the way that community pharmacy contractors manage the risks to patients, customers and staff, with the risk assessments they undertake. However, contractors who are located in larger retail premises or are located within another retail business, may be subject to additional practices and policies on facemasks/coverings for customers and staff. These contractors will have to consider what is practical and sensible (and enforceable) taking into account the advice available and the safety of patients, customers and staff.
Social Distancing and Infection Control risk management
All pharmacies have already put in place arrangements to support social distancing and to reduce the risk of spread of infections, but as the progress of the pandemic continues, it is clear that we will all need to maintain social distancing and COVID-19 related infection control processes for many months to come.
As the pandemic continues and we all get used to living and working in a “new normal” situation, people’s consciousness of the need to maintain social distances at all times may reduce and consequently new or additional measures at each pharmacy may need to be taken to ensure distancing is maintained on an ongoing basis.
Updated guidance is available regarding social distancing and infection control risk management
Risk assessment template
New guidance regarding safety risk assessments has been published after the lifting of legal restrictions from 19th July.
PSNC’s risk assessment template can still help pharmacy teams to identify further potential changes which could be made to their pharmacy environment or procedures during the pandemic to increase the safety of staff and patients.
As restrictions relating to COVID-19 are relaxed, many community pharmacies will be considering how services, which may have been paused at the height of the pandemic, can be reintroduced, and how this can be done safely. The Community Pharmacy Patient Safety Group have developed guidance to support pharmacy teams considering how they can minimise risk when using them: Safe use of consultation rooms: COVID-19
Handling medicines returned for disposal
The National Pharmacy Association, PSNC, Royal Pharmaceutical Society and the Community Pharmacy Patient Safety Group have jointly issued guidance for pharmacy teams on handling medicines returned for disposal during the pandemic:
Ventilation of indoor spaces to help stop the spread of coronavirus
Updated guidance is available on how ventilation in the workplace can help to stop the spread of coronavirus (COVID-19).
The guidance includes a short section on ‘workplace settings’ which explains the importance of identifying areas that are not well ventilated, gives examples of control measures for reducing the risk of airborne transmission and indicates that any actions to improve ventilation should not compromise other aspects of safety and security (for example, propping open fire doors should be avoided).
It indicates that employers should provide employees with clear guidance on ventilation, why it is important, and instruction on how to achieve and maintain good natural ventilation or to operate systems if there are user controls. There is also brief advice on mechanical ventilation systems.
The guidance follows an update to the Health and Safety Executive guidance for employers on Ventilation and air conditioning during the coronavirus (COVID-19) pandemic. This fuller guidance for employers adds the reminder that ventilation should be considered alongside other control measures needed to reduce risks of transmission as part of making your workplace COVID-secure.
HSE spot checks and inspection of pharmacies
The Health and Safety Executive (HSE) is continuing to undertake spot checks and inspections of work environments, including community pharmacies, to ensure workplaces are COVID-secure – doing this by calling, visiting and inspecting relevant premises. HSE also assists local authorities, which also undertake inspections of retail premises, including community pharmacies.
HSE information states that officers visiting premises will carry identification from their business (HSE works with approved partners) and a letter of authorisation from HSE. Calls may currently come up as an unknown number. If you wish to verify that an officer who calls or visits your organisation is genuine – which pharmacy contractors are particularly encouraged to do if contact is made by telephone – please call 0300 790 6896.
For more information on HSE on spot checks and inspections, see Work Right – HSE campaigns
Individual staff risk assessments
Supporting staff from 1st April 2021 when shielding is paused
NHSE&I published a letter for primary care teams on supporting clinically extremely vulnerable (CEV) staff when shielding is paused from 1st April 2021. It advised that employers, should refresh risk assessments for all CEV staff to determine the appropriate work arrangements from 1st April, reflecting the current workplace context, as well as including next steps to support these staff members.
Individual risk assessments
NHSE&I requested all NHS providers, including pharmacy contractors, to complete individual risk assessments for at least staff in at-risk groups (including Black, Asian and Minority Ethnic (BAME) staff) by 24th July 2020.
A letter from NHSE&I outlined the responsibilities of employers as well as the support available to help them, including an annex highlighting examples of good practice.
Support on undertaking staff risk assessments is available from the following organisations:
- NHS England and NHS Improvement (NHSE&I) – also see their webinar for community pharmacy
- NHS Employers
- Faculty of Occupational Medicine
- General Pharmaceutical Council (GPhC)
- National Pharmacy Association (NPA)
- Pharmacists’ Defence Association
- Royal Pharmaceutical Society (RPS)
PSNC is concerned about the higher COVID-19 risks identified for BAME individuals, particularly those who work in the healthcare sector, and we support the need for these risk assessments, particularly for those people who are in more vulnerable groups.
Security and personal safety
During the outbreak, there have been reports of security incidents at community pharmacies, including a very few where those attending a pharmacy have been abusive to staff. Therefore, while you may be tempted to try – for very short periods – to operate community pharmacies with a pharmacist alone due to staff having to leave unexpectedly, PSNC would urge you not to do so and to always ensure there is a minimum of two pharmacy staff the premises at all times.
Contractors are also reminded that as supermarkets and others increasingly prioritise NHS staff over other customers, NHS or other forms of identification can become targets for theft and should be kept safe and not on display.
PSNC and the other national pharmacy bodies have had discussions with senior police representatives regarding the safety of community pharmacy teams and premises during the pandemic. The National Police Chiefs’ Council has issued the following guidance for community pharmacy teams:
LPCs may also be able to raise any security concerns with local police forces and the Police and Crime Commissioner.
Resources on respecting pharmacy teams
As well as the above support, the following resources may be useful in managing public expectations during the pandemic. NHS England and NHS Improvement (NHSE&I) created some primary care assets to help explain to the public how accessing services may differ during the pandemic. The pharmacy resources urge the public to:
- treat pharmacy teams with respect and follow the guidance on social distancing and face coverings;
- not go to a pharmacy if they have coronavirus symptoms or are self-isolating;
- ask about moving their prescriptions to electronic repeat dispensing (eRD); and
- order repeat prescriptions online.
The social media images and suggested wording for posts can be downloaded as part of the NHS Primary Care Access Social Media Assets pack in the Campaign Resource Centre.