Government sets out next steps for living with COVID.

Date published: 30 March 2022


People at risk of serious illness from COVID-19, and eligible for treatments, will continue to get free tests to use if they develop symptoms, along with NHS and adult social care staff and those in other high-risk settings, Health and Social Care Secretary Sajid Javid has announced.   

Free testing for the general public ends on 1 April as part of the Living with Covid plan which last month set out the government’s strategy to live with and manage the virus.   

Although COVID-19 infections and hospitalisations have risen in recent weeks, over 55% of those in hospital that have tested positive are not there with COVID-19 as their primary diagnosis.    

Free universal testing has come at a significant cost to the taxpayer, with the testing, tracing and isolation budget costing over £15.7 billion in 2021-22. This was necessary due to the severe risk posed by COVID-19 when the population did not have a high level of protection. 

Thanks to the success of the vaccination programme and access to antivirals, alongside natural immunity and increased scientific and public understanding about how to manage risk, the population now has much stronger protection against COVID-19 than at any other point in the pandemic. 

This is enabling the country to begin to manage the virus like other respiratory infections. 

From 1 April, updated guidance will advise people with symptoms of a respiratory infection, including COVID-19, and a high temperature or who feel unwell, to try stay at home and avoid contact with other people, until they feel well enough to resume normal activities and they no longer have a high temperature.

Until 1st of April individuals should continue to follow the current guidance.

From the 1 of April, anyone with a positive COVID-19 test result will be advised to try to stay at home and avoid contact with other people for 5 days, which is when they are most infectious.

Advice will be provided for individuals who need to leave their home when they have symptoms or have tested positive, including avoiding close contact with people with a weakened immune system, wearing a face-covering and avoiding crowded places.   

Secretary of State for Health and Social Care Sajid Javid said: “Thanks to our plan to tackle Covid we are leading the way in learning to live with the virus. We have made enormous progress but will keep the ability to respond to future threats including potential variants.  

“Vaccines remain our best defence and we are now offering spring boosters to the elderly, care home residents and the most vulnerable – please come forward to protect yourself, your family, and your community.”    

                                            Free tests still for certain groups

Under the plans set out free symptomatic testing will be provided for: 

·        Patients in hospital, where a PCR test is required for their care and to provide access to treatments and to support ongoing clinical surveillance for new variants;  

·        People who are eligible for community COVID-19 treatments because they are at higher risk of getting seriously ill from COVID-19. People in this group will be contacted directly and sent lateral flow tests to keep at home for use if they have symptoms as well as being told how to reorder tests; and     

·        People living or working in some high-risk settings. For example, staff in adult social care services such as homecare organisations and care homes, and residents in care homes and extra care and supported living services, NHS workers and those working and living in hospices, and prisons and places of detention (including immigration removal centres), where infection needs to be identified quickly to minimise outbreaks. People will also be tested before being discharged from hospital into care homes, hospices, homelessness settings and domestic abuse refuges. 

Asymptomatic lateral flow testing will continue from April in some high-risk settings where infection can spread rapidly while prevalence is high. 

This includes patient-facing staff in the NHS and NHS-commissioned Independent Healthcare Providers, staff in hospices and adult social care services, such as homecare organisations and care homes, a small number of care home visitors who provide personal care, staff in some prisons and places of detention and in high risk domestic abuse refuges and homelessness settings. In addition, testing will be provided for residential SEND, care home staff and residents during an outbreak and for care home residents upon admission.

This also includes some staff in prisons and immigration removal centres. 

Children and young people who are unwell and have a high temperature should stay at home and avoid contact with other people, where they can.

They can go back to school, college or childcare when they no longer have a high temperature, and they are well enough to attend.  

The government has retained the ability to enable a rapid testing response should it be needed, such as a new variant of concern.    

This includes a stockpile of lateral flow tests and the ability to ramp up testing laboratories and delivery channels.   

                                                Adult Social Care 

 A number of changes and new guidance is also being confirmed today for adult social care including:    

·        From 1 April, those working in adult social care services will also continue to receive free personal protective equipment (PPE). Priority vaccinations and boosters for residents and staff will also continue   

·        Updated hospital discharge guidance will be published setting out how all involved in health and social care will work together to ensure smooth discharges from hospital and people receive the right care at the right time in the right place   

·        Designated settings will be removed. These were initially set up to provide a period of isolation to COVID-19 positive patients before they move into care homes and before routine point of care testing for COVID-19 was available. Restrictions on staff movement will also be removed   

·        Streamlined guidance on infection and prevention control measures will be published to set out long-standing principles on good practice, and support consistency across the adult social care sector. This will include details on future measures for COVID-19 and other respiratory viruses to ensure providers have the latest information on best practice which will include information on admissions, visiting and PPE   

·        Updated guidance for adult social care providers and staff to set out the current testing regime across adult social care 

·        Outbreak management periods in care homes, which can include visiting restrictions, have been reduced from 14 to 10 days   

·        People aged 75 and over, residents in care homes for elderly adults and those who are immunosuppressed are now eligible to receive a Spring booster jab to top up their immunity to COVID-19. Around five million people will be eligible for a Spring booster around six months after their previous dose, and the NHS has contacted over 600,000 people inviting them to book an appointment. Anyone who has not yet had a COVID-19 jab continues to be encouraged to take up the ‘evergreen’ offer. 

 


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