Find information and guidance for people and families employing personal assistants using a personal budget from health or social care or their own money.
Official government guidance
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The Department of Health and Social Care published guidance for individuals who receive care and support through direct payments. This guidance was updated on 11 September. It does not have new advice but is no longer aimed at people receiving direct payments. It is now is aimed at commissioners and local government only.
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Using direct payments during the coronavirus outbreak
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The seven most important things that direct payments holders, LAs, CCGs and PAs should know during the coronavirus (COVID-19) outbreak.
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Coronavirus Job Retention Scheme: people receiving direct payments.
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Changes to the Care Act 2014 – Care Act easements: The guidance sets out how local authorities can use the new Care Act provisions, created under the Coronavirus Act 2020, to prioritise care and support for those who need it most.
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Claim back Statutory Sick Pay paid during COVID-19:If you're an employer, find out if you can use the Coronavirus Statutory Sick Pay Rebate Scheme to reclaim employees' coronavirus-related Statutory Sick Pay (SSP).
Vaccine information
Skills for Care (together with other organisations) has been working with colleagues in the Department of Health and Social Care (DHSC) about PA eligibility for vaccinations.
PAs are frontline health and social care workers and should be included in phase 1 of the vaccine rollout and cohort number 2 on the priority list. This has been confirmed by DHSC and NHS.
We will share information about the vaccine roll out on these COVID-19 pages through our usual communication channels.
Key messages and FAQs about PAs eligible for vaccination
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These headline messages and questions and answers are based on queries received by Skills for Care, Think Local, Act Personal, In-control, and Disability North, and have been developed with support from ADASS, the LGA, and individual councils.
⇨ Download the guidance
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Here is a list of local authority points of contact to support COVID-19 vaccination for frontline social care workers (including PAs).
⇨ See guidance
Booking your vaccination appointment through the National Booking Service
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From 11 February, initially for a period of 2 weeks, all eligible frontline social care workers (including PAs) will be able to book their first COVID-19 vaccination appointment through the National Booking Service. Questions will be asked at the point of booking to confirm eligibility. PAs must also inform their local authority, as well as their employer (where relevant) that they have booked their vaccine appointment.
⇨ See guidance
PAs and the COVID-19 vaccine: Employment law advice and guidance
See the latest published information about the vaccine:
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UK COVID-19 vaccines delivery plan: How the UK government was able to build up a supply of vaccines and how it is planning to deploy them.
⇨ See the guidance
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COVID-19 vaccination programme
Documents relating to COVID-19 vaccination
⇨ See the guidance
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Priority groups for COVID-19 vaccination
⇨ See the guidance
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Operational guidance: frontline health and social care workers
⇨ See the guidance
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Easy read resources: These resources are aimed at people who have, or care for someone with a learning disability.
⇨ See the guidance
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What to expect after vaccination
Information for people who have had their first COVID-19 vaccination.
⇨ See the guidance
COVID-19 testing
Regular COVID-19 testing now available for PAs
PAs in England who are directly employed by an individual (or self-employed) who provides care that requires them to come within 2 metres of an adult over the age of 18 who they support, can now access weekly COVID-19 testing. How personal assistants working in adult social care in England can access weekly COVID-19 testing. Updated to reflect the policy change for personal assistants to conduct 2 LFTs a week and not to test with PCR unless to use for a confirmatory PCR following a positive LFT.
Guidance on coronavirus testing, including who is eligible, how to get tested and the testing process.
Personal Protective Equipment (PPE)
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Guidance from Public Health England: This guidance contains information on personal protective equipment (PPE), and infection prevention and control (IPC)
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How to work safely as a home carer:
Although designed for care providers, these illustrated guides from Public Health England may be helpful to support your PAs with putting on and taking off PPE.
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What PPE to wear and when – an illustrative guide
This guide from Public Health England is designed for community health and social care settings, will also be helpful for employers and PAs.
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Guidance on the use of PPE:A video has been designed to be less clinical and easier to understand than other health related PPE videos. It is for care workers working in a care home, but may be useful for PAs and family members
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PPE supplies: If your existing direct payment contains funding to purchase PPE for your PA, you should continue to use that funding to purchase PPE. If you, or your PA, cannot obtain PPE in this way, or your direct payment is not set up to fund PPE, you should ask for assistance from the local authority or CCG that provides your direct payment who should help you to get the PPE you require.
Mark Bates Ltd The Home of Premier has created a guide in relation to PPE.
⇨ Download the PPE guide from Mark Bates.
Visiting healthcare inpatient settings during the COVID-19 pandemic
Guidance relating to visiting people in hospitals has been updated. PAs can accompany patients where appropriate and necessary to assist with the patient’s communication and/or to meet the patient’s health or social care needs.
COVID-19 essential training
- Skills for Care has identified training that remains a priority during this period. This includes working with our endorsed providers who are delivering training. PAs can access this training, but you should discuss this with your employer first, who should contact the learning provider to make sure the training course would be suitable.
⇨ Read more.
Access to learning
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E-Learning:
Health Education England e-Learning for Healthcare (HEE e-LfH) has created an e-learning programme in response to the Coronavirus (COVID-19) global pandemic that is free to access, without logging in, for the entire UK health and care workforce, including those working in the NHS, the independent sector and social care. The programme includes key materials to help the health and care workforce respond to Coronavirus.
⇨ Access e-learning.
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Digital skills:
Learn my way is a website of free online courses for beginners, helping you develop digital skills to make the most of the online world. It includes a range of subjects including internet skills to learn about video calling, online shopping and socialising online.
⇨ Find out more
Wellbeing resources
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Staying mentally well: winter plan 2020 to 2021
The government's plans to support people's wellbeing and mental health during the COVID-19 pandemic this winter.
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Skills for Care have launched a new workforce wellbeing resource finder. This resource finder has been designed to help you quickly find trusted resources to support your own or others wellbeing. This simple tool holds different resources suited to social care from our national trusted partners. Whether you’re looking for self-help, support for others, needing someone to talk with confidentially or support with mental health, the results filtering system gives the user a few choices to reduce time and energy searching for resources. ⇨ Find out more
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Guidance for the public on mental health & wellbeing: Advice and information on how to look after your mental health and wellbeing during the coronavirus (COVID-19) outbreak. ⇨ Find out more
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Keeping in touch via video apps
The Evening Standard has produced a list of the eight video messaging apps to download if you are self-isolating.
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MARCH network
⇨ cultural and community assets has shared some home-based, creative ways to support mental health during these unique and uncertain times .
Useful templates
Key worker letter - We can confirm the personal assistants are included in the Government’s list of key workers. We have been made aware that some personal assistants may be encountering difficulties as they do not have ID like NHS workers or people employed by care providers
You can download useful templates that can be used to support your PAs below:
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CCGs may want to personalise this and send to PHB holders to support their PAs.
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Download template - this template has been developed for employers to personalise and use to support their PAs
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IE guidance for their PAs
This guidance has been written by IEs and shared with us. You can use this to develop your own guidance for your PAs bearing in mind any updated government guidance.
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Advance care planning guidance and template
‘My COVID-19 Advance Care Plan’ has been developed by NHS England and NHS Improvement and is a way to capture and share the decisions you have made around the care and treatment you would like, if you develop severe COVID-19 symptoms.
Information from local support organisations
- Disability Sheffield
Find information and support for IEs including details of a new PA register to support with recruitment.
⇨ Find out more.
- Independent Lives
Advice for Direct Payment Employers.
⇨ Find out more
- Knowlsey Disability Concern
Advice and guidance for people using direct payments.
⇨ Find out more.
- Surrey ILC
SILC has produced a series of ‘Fast Facts’ and other information to support IEs and PAs.
⇨ Find out more.
- Penderels Trust
Find answers to frequently asked questions, a be prepared factsheet and key worker letter template in relation to COVID-19.
⇨ Find out more.
- Wiltshire CIL
Wiltshire CIL has produced a list of resource and information, a joint statement with VCSE and a community support toolkit
⇨ Find out more.
- DaCE Cumbria
DaCE Cumbria has produced some resources individual employers and PAs might find useful. There’s a factsheet for people using direct payments and resources for disabled people.
⇨ Find out more.
- People Plus Independent Living
Services People Plus supports thousands of direct payment recipients in more than 25 local authority areas. They have produced a number of COVID-19 related information sheets.
⇨ Find out more.
- Inclusion Gloucestershire
You can find a link to a community help hub and general advice for anyone concerned about COVID-19 and preparing to self-isolate in easy read format.
⇨ Find out more.
- Leeds CIL
Leeds CIL has information for customers and developed guidance on pay and use of PPE.
⇨ Find out more.
- Real DPO – Tower Hamlets
Real have put together information, and other guidance, to help us help each other through this difficult time.
⇨ Find out more.
- Possability People - Brighton
For a range of information to support people during COVID-19, including details of their Get Involved Group.
⇨ Find out more.
- WECIL
You can find advice about COVID-19, dedicated direct payment advice and details of Bristol Line support.
- Disability North
General support http://www.disabilitynorth.org.uk/coronavirus-virus-our-response-guidance/
Support specifically for individual employers (IEs): http://www.disabilitynorth.org.uk/coronavirus-virus-our-response-guidance/advice-and-support-for-direct-payment-employers/
Share your COVID-19 experiences
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Be Human:
The ‘Be Human’ movement want to learn from people’s experiences during the Coronavirus Pandemic, both good and bad, and to help where they can if it is appropriate. Here’s an important opportunity to record your experiences, of getting health, social care services and treatment for COVID-19 during the period of the Pandemic and its aftermath.
⇨ Share your experience.
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Recruiting during COVID-19:
Skills for Care recognises that you may have had extra recruitment challenges during the COVID-19 pandemic and would like to hear about any creative ways you, or organisations that support you, have been doing so your care needs have continued to have been met, for example, sharing or pooling PAs. Email PA.Framework@skillsforcare.org.uk to share your solutions.
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Write a blog for Skills for Care:
Employers across social care and health are sharing their stories during the pandemic. If you’d like to write an article or blog for Skills for Care, please email PA.Framework@skillsforcare.org.uk with a summary of what you’d like to talk about and share with others.
Useful links
- Corona heroes
For people and families to help share useful links, practical tips and ideas that people who manage their direct payments have put in place for themselves and their PAs.
⇨ Find out more.
- Fast track DBS
If you need to recruit a new PA quickly during this time, the DBS has launched a fast track DBS check. Discuss this with your usual DBS service.
⇨ Find out more.
- ACAS
Coronavirus (COVID-19): advice for employers and employees.
⇨ Find out more.
- Create my support plan
It is important that you plan for your care needs. If your normal PA is unable to work, it is possible that you might get support from somebody who does not already know how you want things done.
Create my Support Plan allows you to create a support plan you can give to your social worker during the care assessment processes.
- Carers UK
Current government guidance as it relates to carers, offers suggestions for making plans, answers some frequently asked questions, a Wellbeing Action Plan and more.
⇨ Find out more.
- Mark Bates Ltd/Premier Care
Insurance provider Mark Bates Ltd. has developed a guide for individuals who employ their own staff. It contains the most common questions that they have been asked, reminds IEs of their policies and to seek the support of the helpline if required.
⇨ Find out more.
- Mark Bates Ltd – Furlough FAQ
Mark Bates Ltd. has developed a short guide for CCGs and local authorities who are thinking about pursuing the redeployment of personal assistants whilst they are not working in their usual roles.
⇨ Download the furlough FAQs.
- Fish Insurance
A list of FAQs for people who employ PAs and covering a wide range of scenarios can be found.
⇨ Find out more.
- Challenging Behaviour Foundation
The charity for people with severe learning disabilities whose behaviour challenges has developed some COVID-19 specific information and resources.
⇨ Read more.
Supporting your PAs at work during COVID-19
- COVID-19 self-assessment and risk management tool
This self-assessment and risk management template has been developed by individual employers with the aim of supporting PAs to return to work during the COVID-19 pandemic. It has been kindly shared with Skills for Care so that others who are employing PAs can use it or adapt it to meet their support needs. It is an example of the kind of self and risk assessments you may want to consider.
⇨ Download the 'COVID-19 self-assessment and risk management tool'
- PAs returning to work & safety of individual employers who have been shielding
Shielding measures are being lifted by the Government on 1st August, TLAP’s direct payment reference group has helped produce the following factsheet which will help individual employers to support their PAs to return to work. It was authored by Mark Bates Ltd, co-sponsors of the London Self Directed Support Forum.
⇨ Download the factsheet
- Risk Assessment Tool for Personal Assistants (PAs) Returning to Work
This tool, developed by Sheffield Individual Employer and PA Development Group, has been developed to help employers to think about how they might support their PAs to return to work and feel they are in a safe environment. The information in this document is only a guide. It gives you topics and poses questions for you to consider when assessing the risks that might exist, and how you may minimise these.
⇨ See the risk assement tool.
- Working safely during the coronavirus (COVID-19) outbreak
This guidance from the Health and Safety Executive (HSE) is for all types of employers and is designed to make work and workplaces safe. Individual employers may find some aspects of it helpful.
⇨ See guidance
Flu vaccination for PAs
The Department of Health and Social Care has published the winter flu vaccination guidance. This includes the guidance itself, a leaflet and letter of entitlement for PAs. This is available to all PAs, including those employed via personal budgets, personal health budgets and self-funding arrangements.
Easy read guidance
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Guidance for people receiving direct payments: - See guidance
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Information about Coronavirus from Mencap - read more.
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Skills for Care have also developed dedicated COVID-19 webpages covering all areas of the adult health care sector should you need it, access the pages.
We're sharing feedback with the Department of Health and Social Care and NHS England & Improvement on the challenges many of you are facing, so that where possible they can be picked up in future guidance. If there’s a specific problem you don’t know how to deal with, please get in touch at PA.Framework@skillsforcare.org.uk.