Latest Updates

Daily Briefings and FAQs



GMMH Daily Briefings

Coronavirus (COVID-19) Daily Staff briefing 08042020.pdf[

Coronavirus (COVID-19) Daily Staff briefing 07042020.pdf 

Coronavirus (COVID-19) Daily Staff briefing 06042020.pdf

Coronavirus (COVID-19) Daily Staff Briefing 05042020.pdf

Coronavirus (COVID-19) Daily Staff Briefing 04042020.pdf

Coronavirus (COVID-19) Daily Staff briefing 03042020.pdf

Coronavirus (COVID-19) Daily Staff briefing 02042020.pdf

Coronavirus (COVID-19) Daily Staff briefing 01042020.pdf

Coronavirus (COVID-19) Daily Staff briefing 31032020.pdf

Coronavirus (COVID-19) Daily Staff briefing 30032020.pdf

Coronavirus (COVID-19) Daily Staff briefing 290320.pdf

Coronavirus (COVID-19) Daily Staff briefing 280320.pdf

Coronavirus (COVID-19) Daily Staff briefing 27032020.pdf

Coronavirus (COVID-19) Daily Staff briefing 26032020.pdf

Coronavirus (COVID-19) Daily Staff briefing 25032020.pdf 

Coronavirus (COVID-19) Daily Staff briefing 24032020.pdf

Coronavirus (COVID-19) Daily Staff briefing 23032020.pdf 

Coronavirus (COVID-19) Daily Staff briefing 22032020.pdf

Coronavirus (COVID-19) Daily Staff briefing 21032020.pdf

Coronavirus (COVID-19) Daily Staff briefing 20032020.pdf

Coronavirus (COVID-19) Daily Staff briefing 19032020.pdf

Coronavirus (COVID-19) Daily Staff briefing 18032020.pdf

Coronavirus (COVID-19) Daily Staff briefing 17032020.pdf

Coronavirus (COVID-19) Daily Staff briefing 16032020.pdf

Coronavirus (COVID-19) Daily Staff briefing 15032020.pdf

Coronavirus (COVID-19) Daily Staff briefing 14032020.pdf

Coronavirus (COVID-19) Daily Staff briefing 13032020.pdf

Coronavirus (COVID-19) Daily Staff briefing 12032020.pdf

Coronavirus (COVID-19) Daily Staff briefing 11032020.pdf

News and Information

  • MIAA Anti-fraud Newsletter:  The Sentinel Spring 2020.pdf

    Please be aware of the following scam making its rounds on social media saying ‘For your free £258 award from the Government to assist you during the Coronavirus outbreak, just enter your bank details’

Fraud screenshot

    Individual Staff or Volunteer Risk Assessment.docx

  • Coronavirus: temporary closure of some GMMH centres

    All other GMMH services will run as normal currently, but the locations below are closed:
    No.93 (Health and Wellbeing Centre)
    Achieve, Bolton (St Andrews locality) – the closure will be reviewed at the end of April
    Bolton Primary Care Psychological Therapy Service base (33 Victoria Square, Bolton)

    We are making every effort to reduce the spread of the virus, and as such minimising the amount of people to our centres is essential.

    No.93 (Health and Wellbeing Centre) are looking to support vulnerable centre users through an outreach food programme and will be keeping touch with them on a regular basis to prevent them being isolated.

    Bolton Primary Care Psychological Therapy service are still taking referrals via their admin email: – send as a high priority email, titled 'Referral' and giving the Paris ID (please do not attach and patient-identifiable information to the referral).


  • ​​​​Notifying the CEF team about building closures

    Please can we remind all staff that the CEF team need to be made aware of any building closures. This is so that we can secure the premises, temporarily suspend CEF contracts that will not be required and ensure that the relevant safety measures are taken so that the buildings are compliant when they reopen.

    Please can we ask all staff to give as much notice as possible before reopening. This will enable us to reinstate any suspended CEF contracts and ensure that the premises are compliant and therefore safe for our staff and service users.

    Please notify:
    Ursula Swindells – Property Officer – / 0161 271 0922
    Ruth Lyons – Facilities Manager - / 0161 358 0833
    Ian Hankinson – Facilities Operational Services Manager - / 0161 358 1583
    Warren Duffy – Estates Manager - / 0161 271 0923
    We appreciate that these are uncertain times and it is hard to predict the future but please keep us updated as much as you are able to.



  • Postponement of all Paris and Health Roster Classroom training

    As you know we are currently assessing the impact of COVID-19 on our workforce and the services we provide in GMMH.  This has involved a certain amount of re-prioritisation and assessment of what initiatives to STOP, START, CONTINUE as part of our business continuity planning.

    Therefore, it has been decided to postpone all Paris and Health Roster Classroom training, including all Face to Face training including site based floorwalking for the foreseeable future.

    We have developed e-learning equivalents for all the classroom courses that we offer. These can be accessed via the learning hub. Should assistance in completing these packages be required the IM&T training team will be available.

    If you have any questions or concerns in relation to IM&T Systems trainings please feel free to contact the team via e-mail or by calling 0161 358 1857.​


  • NHS Fleet Solutions

    In light of Government’s instruction last night for all non-essential retailers to close, we are experiencing immediate challenges with the delivery and collection of vehicles. Essentially no new arrangements with vehicle delivery agents can be made at present and existing arrangements are being honoured or more likely cancelled, with any scheme users notified accordingly.

    We await updates from the leasing industry on an ongoing basis. For example, whether charges for days the vehicle should be ‘off-hired’ but can’t be collected will be waived (some have already confirmed this is the case).

    Vital services to the transport industry remain open for now. This includes the two major tyre replacement businesses: Kwik Fit and ATS. Breakdown recovery services are also operating to as normal a capacity as they are able to.

    The requirement for MOTs (at three years old) is unchanged, but is under review by the Driver and Vehicle Standards Agency, as clearly this will be difficult for drivers to fulfil in the current climate.​

    Vehicle ordering: we have no plans at present to suspend vehicle ordering, as we want to remain a priority for build slots when factories reopen. Our position may change as further national guidance becomes available.

    Employee communications: has been updated with our latest statement for your staff and we are updating our FAQs. Again please may I stress that our ability to answer phone calls will be extremely limited for the foreseeable future.

Staying at Home and Social Distancing

Social Distancing Guidance 

(as of 23.03.2020)


Staying at home advice

(as of 24.03.2020) 

COVID19 guidance 24-03-2020.pdf

Stay at home page 1 Stay at home page 2 stay at home page 3


Guidance for Staff

Working from Home and Payroll guidance


  • Travel Claims

    ELFS have advised that due to the COVID19 situation they have moved their staff from office based to home working.

    As a result, they have asked us to advise staff that any travel claims should be scanned and emailed to the ELFS payroll helpdesk

    Travel claims will need to be received by ELFS by 6 April at the latest for processing within April salaries.

    ELFS are still monitoring incoming post so any travel claims which have already been posted to ELFS will be picked up.

  • Telephone Support from ELFS has been removed

    Due to the constantly evolving situation with Covid-19 we are reviewing the delivery of our payroll service to ensure service continuity. With this in mind we are increasing home working across the organisation. As a consequence we will be removing our Helpdesk telephony support from Monday 23rd March 2020.

    All payroll queries from this date should be submitted by e-mail to

    These measures are being taken to ensure that in these unprecedented times we retain the ability to deliver the payroll service.

    Thank you in advance for your support and understanding.

  • Pensions Forms are to be emailed

    Amongst all of the plans we are making to ensure that business is as normal as possible at this time, we have started having conversations about how we will handle the AW8 forms for staff who wish to retire. AW8 Pension Retirement forms will only be emailed out and NOT posted and similarly for their return to ELFS once completed, including their certificates/documents.  Employees should provide their GMMH email address  and send the AW8 form to the helpdesk,

    Staff who do not have a GMMH email address should liaise with

Cleaning and Laundering



  • Routine decontamination of reusable non invasive patient care equipment
    This includes cleaning of all plastic goggles but not visors which are single use and should be disposed of after use.
    To clean the goggles, decontaminate them with disposable cloths and a fresh solution of detergent. Rinse, dry and follow with a disinfectant solution at a dilution of 1,000 parts per million available chlorine (ppm available chlorine). Rinse and thoroughly dry.
    Appx 4.pdf

  • Best practice - management of blood and body fluids
    Appx 5.pdf


  • Contact details for Heavy Duty Team
    Heavy duty cleans are reported and recorded on Micad along with the appropriate Budget code depending on the clean
    Contact: Helen Hogan or Lisa Byrnes
    Two teams working 6.00am – 14.00 and 14.00 – 22.00
    Heavy Duty team will respond to cleaning requests as per normal for e.g. dirty protests, deep clean seclusion, 136 suites bedrooms.

Clinical Guidance

Case Definition
COVID-19: investigation and initial clinical management of possible cases
Information on case definitions, and the initial assessment and investigation of possible cases of COVID-19 infection.



Clozapine and Depot Clinics

​​Please find below information for patients on Clozapine:
Clozapine and COVID-19 info for patients FINAL.docx

Please find below guidance for Depots:
COVID-19 Depot Guidance for Clinicians FINAL.docx

Community Mental Health




  • Government guidance for residential children's homes, including secure children's homes - see guidance for Social, Community Care and residential settings:
    Social and community care is taken to cover:
  • long-term conditions services (LTC)

  • rehabilitation services (RHS)

  • community healthcare services (CHC)

  • community-based services for people with mental health needs (MHC)

  • community-based services for people w ith a learning disability (LDC)

  • community social care (domiciliary care services including those provided for children (DCC))

  • community-based services for people who misuse substances (SMC)

  • community social workers

  • residential children's homes, including secure children's homes

  • care home services with nursing (CHN)

  • care home services without nursing (CHS)

  • support to people in their own homes


NEWS 2 and SEPSIS charts
CL11 Physical Healthcare & Wellbeing Policy.pdf



The GMMH trust are aware that there is conflicting guidance from the Resus Council and PHE. However, the position being taken by GMMH approved by Gold Command is to follow the Resus Council guidance. Please ignore the PHE resus guidance. The situation is under review Nationally

Please see below flow chart based on the latest guidance from the National Resuscitation Council. This has been carefully considered as your health and safety is our main priority. 

We cannot stress clearly enough that this guidance is only for suspected or confirmed COVID-19 cases. All other patients must be treated in the usual way.

Flow Chart_Resus Guidelines (0.2).pdf

Statement on PHE PPE Guidance 27.03.2020

Resuscitation Council UK [RCUK] has been made aware of the revised PPE guidance published by PHE on Friday 27 March 2020. 

RCUK is committed to the safety of both healthcare staff and patients during a cardiac arrest resuscitation attempt and we also understand the concerns raised about the adequate supply of PPE to clinical areas. 

RCUK was not involved in the preparation of the PHE guidance. We are currently awaiting the results of an international evidence review process, and this is expected very soon. We remain committed to working with PHE and NHSE to enable the delivery of safe, high quality care during these exceptional times, and will share the results of this review with them when available. 

In the interim, however, our current guidance (dated 27 March 2020) remains unchanged

Hand Hygiene

Ensure Bare Below the Elbow and wash forearms as well as hands

Good hand hygiene is of the utmost importance. his poster is the latest guidance for handwashing and includes washing forearms (issued 07.04.2020):


Handwashing instructions

Inpatient Wards

We issued the following three sets of guidance and planning to support the physical care management on our inpatient wards




  • Management Guidance
  1. Admissions where the only bed is on a ward with a suspected case (s) of Covid-19
  2. The person being admitted may have a suspected case of Covid-19 but is also mentally unwell

    Guidelines for the Management of Suspected or Confirmed cases of Covid-19 on an In Patient Ward GMMH_.docx


Quick Guide :

  • Preparing the Source Isolation Room
  • Care in Isolation
  • Discontinuation of Isolation  - Discuss with IPC

Isolation guidance for Patients with a Known or Suspected Infection.pdf





  • Please ensure that if a patient is negative for Covid19 and medical staff suspect influenza:
  1. Need to remain in isolation as per the Influenza policy ( IPC17 Influenza Policy.pdf) and Isolation policy ( IPC07 Isolation Policy.pdf)
  2. Staff need to continue to use PPE as appropriate for a respiratory illness when in close contact.
  3. Patient should be encourage to remain in isolation  until 5 days after the onset of symptoms subject to a clinical decision to allow patient (s) to return to the ward.
  • review patients that have not had the influenza vaccine
  • Patients at risk should be assessed to have  the PPV
  • Immunocompromised patients  on a ward with +ve influenza are assessed for Tamiflu – discuss with pharmacy
  • Reverse barrier nursing for immunocompromised patients,
  • Any patient that has influenza illness should be monitored to ensure a pneumonia does not slowly develop.

Infection Prevention & Control




See PPE section for more guidance on using PPE.


Guidance for patients and service users with a suspected or confirmed case of COVID-19:

COVID19 Care Plan Final.rtf

Guidelines for the Management of Suspected or Confirmed cases of Covid-19 on an In Patient Ward GMMH_.docx

Isolation guidance for Patients with a Known or Suspected Infection.docx

Please read the following guidance if a service user with suspected or confirmed COVID-19 needs to be escorted to an acute hospital:

Covid-19 District To Acute Guidance_280320_A4.pdf

COVID-19 AFS To Acute Guidance_280320_A4.pdf


Guidance for delivery of medication to service users' homes: Protocol for Staff Safely Delivering Medication to service users’ homes 8 April 2020.pdf [pdf] 441KB



NHS England central resource link: https://www.england.nh​​​ 

Public Health England (PHE) have published a Q&A blog.

​​GMMH links and documents 


Mental Health Act

as of 26.03.2020

​​Please find below updated guidance on Patient Rights,an updated flow chart and amended guidance for Section 17 leave:

COVID-19 Patient Rights.pdf 

Flow Chart_ Patient Rights.pdf

Section 17 MHA and Guidance for leave.docx

Here is the revised procedure for remote working with Second Opinion Appointed Doctors (SOADs) by the Care Quality Commission:

SOAD Requests during the Coronavirus Pandemic.docx


Physical Health Care

Planning and Detection
Please click here to access the revised care plan for suspected or confirmed COVID-19 (issued 03/04/2020): COVID-19 care plan 030420.docx

The following documents are to be used alongside this COVID-19 care plan to support people who have COVID-19 with their personal health and care needs:
Covid-19 physical health care bundle.docx 
glucose monitoring sheet.docx ketones.docx
 flow chart for weekly weights.docx  
MCM product order guide V2 (3) copy.docx
VTE assessment tool.docx 
Waterlow Score Card-front.pdf

Monitoring and Equipment
For guidance on identifying and shielding high-risk service users (issued 01/04/2020), please click here: Identifying high risk patients (002).docx

Treatment and Escalation

Palliative, End of Life Care and Death

Here is guidance on managing end of life care (issued 01/04/2020): Advice on making Ceiling of Care decisions v3.docx

Physical Health Care Training Materials

Personal Protective Equipment

When caring for patients with suspected or confirmed COVID-19, all healthcare workers need to – prior to any patient interaction – assess the infectious risk posed to themselves and wear the appropriate personal protective equipment (PPE) to minimise that risk.

Click here to access the Trust's Standard Operating Procedure for PPE: DRAFT V0.1 PPE Operational Guidance (APPROVED).docx

Easy Visual Guide to PPE

Safe ways of working Visual guide

Local physical health leads will support staff in local areas with any questions or queries about use of PPE equipment.


Prisons and Prescribed Places of Detention

Guidance for prisons and other prescribed places of detention from PHE:

Sharps Safety


Recapping of needles is not allowed and has been banned since 2013

  • All needles should be safety needles  (if you are aware there are non-safe needles which are part of the licencing of the injection e.g. depot injections, please inform and we will contact the manufacturers and MHRA)
  • Staff should be using the safety diabetic needles on pen devices  if the patient cannot administer insulin themselves.
  • Where safer sharps are not immediately available for insulin pen devices then staff  should be  aware of the method of safe removal for pen devices as shown on the video 
    NOTE - this technique will not work with INNOLET devices - video available

- Syringes should be luer lock (except pen devices which are screw thread) 



  • Hep B immunisation for staff
    Job profiles are set up on Fit4jobs as ‘clinical’ ,  ‘non-clinical’ or ‘EPP worker.’

    Clinical roles are fully assessed for hep b (and other BBV). It is possible for OH to provide a ‘clinical’ form to anyone who will be working in a setting where there is expected exposure to BBV.

    If someone has not been through this process (for whatever reason), but there has been a risk assessment which identifies them as being at risk, the local manager can make a referral to Occupational Health and OH will undertake the screening at this juncture.

    The process would be for you to provide OH  with a list of the people this affects-  encrypted and with only their ERN number- this is the unique identifier on our OHIO system- initials and date of birth (so you’ll need to ensure they’re on the OHIO system before you start). 

    Then you need to tell them that they need to submit their evidence of vaccination/immunity against Hep B, MMR and varicella (or confirm that they have had chickenpox in the UK) to Blackburn Clinic . One of our OH nurses will then review the evidence and we will contact them to make an appointment if they need any further vaccinations/blood tests to confirm their status. If they don’t need anything you’ll get a suitability report after the initial review of evidence. 

    At the end of the process everyone should be fully up to date.  



  • Risk assessment form
    Source Patient Assessment and Consent Form  appendix 3 of sharps policy


  • Information if you are prescribed PEP for a needlestick injury

    Follow the guidance on the sharps injury poster - contact 0330 660 0365

    PEP is normally 28 days if A&E only provided you with a few days (e.g. 3 or 5 ) then the following options are open to you. I apologise but accessing this can sometimes be difficult so do not leave it until the last minute.   

    1) Occupational Health will NOT provide PEP  but they should contact you to arrange a blood test in 6 weeks  ( that is why you need to ensure you  contacted the 24/7 number  0330 660 0365 or the  01254 311300 during the day 
    2) Your GP will NOT prescribe PEP
    2) A & E are the primary prescriber and should prescribe the remaining days and perform monitoring blood tests  
    if A & E will not prescribe additional days PEP  then:
    3) Attend a  Sexual health clinic  e.g. 280 Upper Brook St, Manchester M13 OFH Phone: 0161 701 1555  accessing this  can be difficult,  (assumes Manchester centric) Other GUM clinics are difficult to contact
    4) Ring Ward J3  Ward Attenders NMGH  0161 720 4722 Explain the difficulty in obtaining continuing PEP. They should then arrange for you to attend, complete a re-evaluation and then prescribe PEP  or advise to stop PEP.  (assumes Manchester centric)

    Note from PAM OH regarding PEP
     "When someone is on PEP we would expect the decision to discontinue treatment to  lie with the prescriber of the PEP ..... However, we should have asked for a redacted copy of the results so that we could then stop the needlestick follow up process within OH."

    5) if you are a doctor employed by Health Education Northwest or Pennine Acute Trust then contact
    Mediscreen Occupational Health & Wellbeing Service,  
    North Manchester General Hospital,  
    Delaunay’s Road,  Crumpsall,  Manchester,  M8 5RB  
    Tel: 0161 720 2727 or 0161 604 5214 
    Generic email:

    6) If you are employed by any another organisation then you must contact your own OH providers 
    7)  NHSP have confirmed that the GMMH Trust assumes responsibility for the follow up of the needle stick injury, so an NHSP worker would be treated as though they were a member of Trust staff.

Source Blood test form -virology example

Serology form

  • Human Bites

    Bites that break the skin are classed as significant injuries. Bites that do not break the skin are not classed as significant injuries for the purposes of this guidance and the recommendations in the document do not apply. However, it is still advisable to wash the skin thoroughly with soap and water. 

    This is not a trust policy but is useful guidance:
    Guidance on the management of human bite injuries GPJ.pdf

    The risk of HIV from a human bite is very low and in most circumstances HIV PEP is not required (See BHIVA and BASHH guidance6). In extreme circumstances, if either person is known to be HIV positive and the bite draws blood, causes very deep wounds, or the viral load is high then PEP could be considered after discussion with a specialist. If HIV PEP is given, the follow-up blood test should be done 8-12 weeks after the incident. 

    The risk of bacterial infection is greater than that of BBVs. It can be caused by the numerous bacteria naturally found in the mouth and by inoculation of bacteria colonising the injured person’s skin as the biter’s teeth penetrate the skin. If a bite wound becomes infected, the longer it remains untreated the greater the risk of severe local and systemic complications.

    Human bites may transmit bloodborne pathogens (BPs) by exposing the biter's oral mucosa to the bitee's blood and the bite wound to biter's saliva. Consequently, bites may require postexposure follow-up per the Occupational Safety and Health Administration (OSHA) BP standard. Literature reveals that BP transmission via bites is rare. Review of available records in our developmental center identified no bite-related BP transmission between 1993 and 2011. To avoid unnecessary testing while remaining OSHA-compliant, we propose an algorithm for selective follow-up of bites. Since hepatitis B virus can be transmitted by mucosal exposure to blood and, rarely, also by nonintact skin exposure to blood-free saliva, all biters and bitees require hepatitis B follow-up. Since hepatitis C virus and human immunodeficiency virus (HIV) transmissions require "visible blood" exposure, and since saliva is usually bloodfree, risk of HCV-HIV transmission from biter to bitee is negligible. Therefore biters need HCV-HIV testing only after bloody saliva bites. Since biter's oral mucosa invariably gets exposed to bitee's blood (reverse exposure), all bitees should be tested for HCV-HIV infectivity. Our proposed algorithm may prevent harm and waste from unnecessary biter testing and venipuncture. 

    Biting presents a theoretical risk if a bite is so severe as to puncture the skin, and if the person biting has HIV, has his/her own blood in his/her mouth, and s/he is highly infectious either because they are recently infected or because s/he has a late stage HIV illness. But there has never been a reported case in the UK of infection from biting and only a handful of possible cases around the world.
    If biting is included in advice and guidance as a possible transmission route it needs to be made clear that it presents an extremely low risk of transmission and even then only in very exceptional circumstances. 





  • Prevalence and risk factors for HIV, hepatitis B, and hepatitis C in people with severe mental illness: a total population study of Sweden
    Risk factors HIV Hep B Hep C MH.pdf





Patients who meet the following criteria (inpatient definition) 24.03.2020

Medical To Review; 

  • requiring admission to hospital (a hospital practitioner has decided that admission to hospital is required with an expectation that the patient will need to stay at least one night)


  • have either clinical or radiological evidence of pneumonia


  • acute respiratory distress syndrome


  • influenza-like illness (fever ≥37.8°C and at least one of the following respiratory symptoms, which must be of acute onset: persistent cough (with or without sputum), hoarseness, nasal discharge or congestion, shortness of breath, sore throat, wheezing, sneezing

Note: Clinicians should consider testing inpatients with new respiratory symptoms or fever without another cause or worsening of a pre-existing respiratory condition.


  • Swabbing only by trained staff

    Swab kits at the Curve reception 24/7:  0161 773 9121
    Must wear gloves, apron, ffp2R and eye protection goggle or visor


  • List of trained staff as at 23.03.2020

    SWAB TRAINED STAFF - 23.03.2020.pdf
  • Swab Testing Flow \ Chart
    Flow Chart version 3 24 03.2020.pdf
    NOTE NEW NUMBER FOR RESULTS:  0161 276 8824
  • Training slides
    Covid 19 testing update 23.03.2020.pdf
  • Obtaining an upper respiratory tract diagnostic sample 
    Health Protection Scotland, with support from stakeholders, has produced a short video clip to support colleagues required to obtain an upper respiratory tract diagnostic sample.

    This resource describes the techniques involved in obtaining an upper respiratory tract COVID-19 diagnostic sample and covers the:
  • options available in relation toCOVID-19-Upper respiratory tract samples
  • technique involved in obtaining a nose swab
  • technique involved in obtaining a throat swab

    Obtaining an upper respiratory tract diagnostic sample



Disposing of clinical waste

We have received assurances that there is no increased risk of Coronavirus (COVID-19) spreading from clinical waste. Normal packaging, handling and disposal m​ethods are appropriate as the risk of catching the virus is associated with direct contact with another person who is already infected.  

Waste can continue to be packaged in UN3291 approved orange bags that are closed with an appropriate mechanism (cable tied or swan necked) and consigned as infectious waste suitable for alternative treatment. Normal UN approved sharps bins can be used for sharps waste.

Should this situation change, we will update this, so please check back regularly. ​

Video Apps

Stay connected during social distancing with video apps. We have complied a list below of free to use apps that are available on IOS, Android, Windows and Mac systems.

  • For Work
    Microsoft Teams

Guide to using video for work A Practical Guide to Video Mental Health Consultation​