Class COVID Policy

COVID Class Policy

As part of my services, I provide community-based Pilates classes for the general public which includes clients who are self-managing long term problems such as chronic pain. In the advent of COVID-19 this document outlines the requirements of myself, the client or community venue.

This policy has been developed and is under review in line with the CSP’s Framework of 7 Key Factors in Making Decisions about patient contact.

Legal regulatory and professional responsibilities

As a Chartered and HCPC-registered Physiotherapist, I am bound by these professional bodies to ensure I am working safely, legally and in the best interests of individual and public health. 

All registered physiotherapists regardless of sector or setting owe a duty of care to their patients/clients.

In addition, I must also comply with the HCPC standards of proficiency for physiotherapists, specifically section 6 – Identify and Manage Risk

  • In the context of COVID-19, these responsibilities extend to physiotherapists ensuring that they:
    • Comply with government social distancing and shielding directives and mitigate, as far as reasonably practicable, the risk of transmitting the disease to patients and the wider general public, particularly to those in the vulnerable and extremely vulnerable categories. 
    • Use appropriate personal protective equipment and manage any clinical areas in accordance with COVID-19 infection prevention and control regulations. 

Risk Assessment of the working environment

See Risk Assessment table.

Infection Prevention and Control measures

For non-contact work only a type 1 or 2 mask is required to protect the potential spread from physiotherapist to clients. I will refrain from using tactile cues during classes and stick to verbal cues and demonstrations. 

Hand Hygiene – I will be bare below the elbow. I will carry a minimum 70% alcohol gel. I will utilise handwashing facilities in the venues where they are available without further surface contact eg. opening other doors or entering closed off areas of the venue. I will use hand sanitizer:

  1. On entering the building
  2. Before and after handing out any equipment used.
  3. After touching any hard surfaces (and before if able)

I will also carry cleaning wipes in order to sanitise any equipment used in the class.

Replacing facemasks in-between classes is not required.

Facemasks will be disposed of into a normal black bin liner in the boot of my car, and double bagged. It will be disposed of in the usual household waste after 72 hours holding??

PPE supplies will be transported in a closed plastic box.

Virtual First approaches

In the case of classes, first contact is usually by email anyway. I have updated my screening process to reflect the COVID situation. During the lockdown, I have provided virtual classes in different formats and will continue to do this as an alternative service for those individuals who cannot or prefer not to attend live classes at the present time. 

In my screening and communication with clients relating to resuming live classes, I am asking existing clients who fall into the higher risk category or are themselves shielding or living with somebody who is, to contact me first to discuss the risks vs. benefits of attending a live class.

The higher-risk groups include those who:

  • are older males
  • have a high body mass index (BMI)
  • have health conditions such as diabetes
  • are from some black, Asian or minority ethnicity (BAME) backgrounds

Client risk assessment and and clinical reasoning

The decision to attend a class is taken between myself and the client. This will take into consideration a risk:benefit analysis, considering:

  • If the patient / household is shielding
  • If social distancing, PPE, and IPC measures are sufficient within the group community setting
  • What alternative online provision can or cannot provide for that clients needs.
  • The risk that may be posed to other class attendees or centre users.

A discussion of the pro’s and con’s of both live and online exercise can be had. The client can ask any questions. 

Informed Consent will be documented in writing.

Client consent for attendance

I will communicate my policies clearly to my clients and therefore their attendance is an expression of their implied consent – check CSP / PhysioFirst re: consent requirements.

Guidance for Clients

  • Do not attend if you have COVID symptoms: 
    • Fever
    • Persistent Cough
    • Loss of sense of smell or taste
  • If you are in a high risk group – please contact Anna to discuss whether or not attendance at class will be safe
  • Please arrive no earlier than 5 minutes prior to start of class. There will be no waiting area available.
  • Please arrive already wearing your workout clothes – there will be no changing facilities available
  • You will be given the opportunity to wash or sanitise your hands on arrival – please do so. 
  • Upon arrival I will take your temperature. The time, temperature and your name and contact number will be held for track and trace purposes only.
  • Please bring your own mat and resistance band and if you like a head support – your own towel or small cushion.
  • Please bring your own filled water bottle as kitchen facilities will be unavailable. 
  • Please do not bring unnecessary additional bags as there is no storage space available. 
  • ALL payments will be 100% Contactless. Please do not bring cash.
  • Class swaps must be authorised in advance.

Positive Screening protocol

Clients who answer yes to the COVID screening questions OR have an elevated temperature (>37.8º) 

  • will not be allowed into the building
  • Must return home and self-isolate for 10 days
  • Book a test

See the Stay at Home government guidance for further information.

If you are unable to attend due to COVID symptoms: please let me know as soon as possible. Virtual class options will still be available.

If I am unable to attend due to COVID symptoms: I will let you know as soon as possible. I now have a healthy catalogue of pre-recorded class sessions that can be sent out in the event that I am unwell, or if I am well, I will teach the class live via Zoom. Times may vary from usual class time.

Other Information

  • I will provide cleaning supplies for you to clean your own mats etc at the end of the class.
  • Face coverings are not mandatory while exercising, however you may wish to wear a face covering before and after the class while still in the building.

References

  1. https://www.gov.uk/guidance/working-safely-during-coronavirus-covid-19/providers-of-grassroots-sport-and-gym-leisure-facilities
  2. https://mcusercontent.com/a9bba9d9583dd9abd1196db2d/files/e89f23d0-2b03-445f-9e03-c2eeb65bfd86/Physiotherapy_Led_ClassesFINAL.pdf?utm_source=Members%20list&utm_campaign=352f1c2a28-EMAIL_CAMPAIGN_2019_09_02_03_25_COPY_01&utm_medium=email&utm_term=0_0f6f3500bc-352f1c2a28-177324497&fbclid=IwAR1P1j8Oito0takf7GzgZ1a-aJX_8Rb8n4l_lHReEjilaIIBwJCjtUgP4k0
  3. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/893320/COVID-19_Infection_prevention_and_control_guidance_complete.pdf
  4. https://www.csp.org.uk/news/coronavirus/clinical-guidance/remote-or-face-face-consultations/guidance-advice-implementation
  5. https://www.hse.gov.uk/coronavirus/equipment-and-machinery/air-conditioning-and-ventilation.htm
  6. https://www.physiofirst.org.uk/resources/coronavirus-covid-19.html?fbclid=IwAR2xEi9P8e7hUaipEsEd8SeI-qh_8kmrjigKYKiJb5Ts5SdONnG34MSy7Lk