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COVID-19 Healthcare:
RCAs to be undertaken for all healthcare-associated infections

NHS England is asking all organisations to conduct root cause analyses (RCAs) for every probable healthcare-associated COVID-19 inpatient infection (i.e. patients diagnosed more than seven days after admission).

In a letter sent to all NHS Trusts and Foundation Trusts on 24 June 2020, NHS England is asking all organisations to do root cause analyses (RCAs) for every probable healthcare associated COVID-19 inpatient infection (i.e. patients diagnosed more than seven days after admission) and such cases should be treated as “untoward incidents” (as referred to in the annex to the letter).

In the same letter, NHS England also directed that healthcare-associated COVID-19 infection rates at a local level must be analysed and reviewed on a daily basis to check case numbers and “particularly to note trends”. NHS England expects these reviews to be led by executive directors.

For any organisations deemed to be ‘outlier’ Trusts, a further response will be required at a regional level. Trusts ought to take a full review of actions implemented locally and mobilise a regional infection prevention control support officer into the organisation. An ‘outlier’ is defined statistically according the national average number of cases aggregated over the preceding four weeks.

Another key point to note is that NHS England has reminded Trusts that as part of their responsibilities, all relevant staff, including Black, Asian and minority ethnic staff, should be offered a risk assessment. This is an important point to bear in mind as Coroners may consider what risk assessments were undertaken when reviewing COVID-19 related workplace deaths.

If you have any questions surrounding the requirements set out in the latest letter then please contact Clyde & Co for advice.

Padideh Dolatshahi
Senior Associate, Clyde & Co LLP

Clyde & Co LLP and Premium Medical Protection Ltd accept no responsibility for loss occasioned to any person acting or refraining from acting as a result of material contained in this summary. No part of this summary may be used, reproduced, stored in a retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, reading or otherwise without the prior permission of Clyde & Co LLP. © Clyde & Co LLP 2020

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