Covid Guidance – How is our clinic keeping you safe and how can you help us?

(updated 13/7/2020)

Based upon: JRM Physiotherapy Covid Risk Assessment & Guidance updated 24 June 2020

When you attend the clinic for an appointment, you'll find things a little different to usual, as we have put in place measures to reduce the risk of coronavirus to patients and staff. If these processes are followed correctly, patients can be confident that they are unlikely to come into contact with anyone other than their therapist when they attend the clinic, thus ensuring the risk to themselves and the therapist is as low as possible. We thank all our patients for their understanding and support with these processes. If you have any questions or concerns please contact us to discuss them prior to your appointment.

Booking Process

  1. Online booking for face-to-face appointments is temporarily suspended to ensure that patients are able to be triaged over the phone or via email to determine whether face-to-face or online consultation is appropriate.
  2. Patients must complete a Risk Assessment & Consent Form and answer all the questions prior to attending the clinic. This shall be sent to all patients as a link via text message and email prior to their appointment. For those unable to complete this online, paper forms will be available by the back door. Pens and clipboards will be disinfected with sani-wipes after each use. Therapists will risk assess each patient based on these forms. For the safety of our staff and patients, clients are not able to be admitted to the clinic if they have indicated that they, any of their household, or anyone they have had physical contact with have had COVID-19 symptoms or a positive COVID-19 infection test within the last 14 days. The consent form is mandatory for all clients, and clients who refuse to complete the consent form will not be admitted to the clinic and will incur the full cost of the therapy session.
  3. If patients have been identified by the NHS as extremely clinically vulnerable / at greater risk of severe illness from COVID-19 / should be shielding the therapist will need to discuss this with the patient over the phone prior to the appointment to ensure they are able to make an informed decision about attendance at the clinic.
  4. To facilitate social distancing in the treatment rooms, we ask patients not to bring anyone with them into the clinic. The car park is available for friends / carers to wait. Social distancing should be adhered to in the car park. Where a chaperone is essential, this must be identified on the Risk Assessment & Consent Form and have been discussed with their therapist, prior to attending the appointment. The chaperone’s name, address and phone number should be included in the appointment notes to support Contact Track & Tracing.
  5. No walk-in appointments are permitted at this time. All patients must book via phone / email at least 24 hours in advance.
  6. Cancellations due to ill health / COVID-19 symptoms will not incur the usual cancellation fee at this time.
  7. Payment by debit / credit card is preferred (contactless where possible – the contactless limit has been increased to £45). If paying by cash we ask that you bring the exact amount.

Access to the Clinic

  1. To limit the number of people in the building, the waiting room is currently not in use. Patients will need to wait in the car park at the rear of the clinic, and enter the clinic through the back door when instructed to do so by the therapist, who will go out and collect them when they are ready for their appointment.
  2. Patients will leave the clinic by the front door only.
  3. Patients are asked to wear a face covering or mask. Single use masks will be offered to patients upon arrival, or they may wear their own mask / face covering. Disposable masks must be taken away with the patient and not disposed of on the clinic premises.
  4. Upon entry and exit patients should use the hand sanitiser (after putting on their mask).
  5. Patients are permitted to bring their own water bottle with them which they must take with them when they leave the clinic. They are not permitted to bring any other food or drink onto the premises.

Staff Hygiene

  1. All staff will be wearing a uniform which will be laundered after each shift, on its own at the maximum temperature for the garment (ideally 60 degrees).
  2. Uniform is not to be worn outside the clinic – staff will change into clean uniform upon arrival and change out of uniform at the end of their shift before leaving.
  3. Long hair should be tied up.
  4. Hands should be washed with soap for at least 20 seconds in-between patients, before and after eating, and after using the bathroom. Hand sanitiser should also be used as much as possible to supplement hand-washing.
  5. Food and drink should not be taken into the treatment rooms. Water is available from the water fountain.

Personal Protective Equipment

  1. Staff will follow these Public Health England guidelines for all patients:
    • Disposable nitrile gloves (single-use, to be changed in between every patient.)
    • Disposable plastic apron (single-use, changed in-between every patient)
    • Fluid-repellent mask (IIR) (sessional)
    • Glasses and / or visor for close-proximity treatments (to be disinfected between patients)

Cleaning

  1. Staff will ensure adequate disinfecting and donning / doffing time for PPE is left between appointments.
  2. In between appointments, therapists will clean with disinfectant antiviral spray and wipes: Plinth / couch, stool / chair, keyboard, mouse, card machine, door handles, waterproof pillows, plus any equipment used. Plus after every use they will clean the door handles on the exterior doors, banisters, grab rails (front and back), bathroom facilities and kitchen area.
  3. The clinic will be deep cleaned every weekend as usual.
  4. Those accessing the toilet facilities should disinfect them using the antiviral wipes provided after use.
  5. Ventilation by fresh air will be optimised.
  6. Paper towels will be available and fresh couch roll will be used on the plinth and pillow for every patient.
  7.  As always, fabric towels used for sports massage will be single-use only and following a treatment will be laundered at a minimum of 60 degrees.
  8. All general waste bins will be emptied at the end of every day by the last therapist to use that room / the clinic.
  9. Clinical waste must not be disposed of with the general waste, but placed in the yellow clinical waste bin.