We are open.
Last updated 19/07/21
So… Covid restrictions have been changing this week, with UKHSA (who have taken over from PHE) reducing requirements in health care, and HMG increasing requirements in daily life. Consequently we are reassessing our infection control procedures and requirements, and the rationale behind them.
First and foremost; we are healthcare professionals, and our prime motivation is the First and foremost; we are healthcare professionals, and our prime motivation is the health of our patients. As such, the best way that we can protect you from exposure whilst on our premises is not to become infected ourselves.
Vaccines: Vaccines: These provide the vaccinated with a boost to their immune systems, so that they are primed to fight off any potential covid infection. What it doesn’t do is provide anyone with a globe of invulnerability that no virus can get past. We have both been double vaccinated, and are booked for our boosters in early December.
Face Masks: These prevent or slow the expulsion of water droplets from breathing / coughing / sneezing – the bigger the droplet, the more effective the mask. The virus survives in these water droplets – with more virus particles in larger, heavier droplets, and fewer in smaller (aerosol) droplets.
Consequently, masks protect other people from the wearer, not the wearer themselves; equally, they only reduce the chance of infection, not eliminate it.To protect ourselves, we will continue to require patients to wear a mask; and to protect patients from ourselves, we will continue to wear our own. For those who are not able/willing to wear a mask, we will continue to offer virtual consultations.
Face Shields: These are plastic barriers worn in front of the face; that prevent larger water droplets getting into our eyes, and provide extra protection for our mouths. UKHSA no longer requires us to wear face shields, as we head into an expected winter peak, with a new variant of concern, we will continue to wear these.
Aprons and Gloves: These are to mitigate the risk of transferring virus particles from surfaces and clothes (fomites) onto other surfaces, like hands and faces. Risk of fomite transmission is far lower than previously thought, even 6 months ago, and UKHSA no longer required their use. Given this, the plastic waste associated with these, we have decided not to wear gloves (but maintain strict hand hygiene), and to downgrade the aprons we use for less restrictive, washable aprons.
Cleaning: This is to kill any virus transmission on surfaces before they can be transferred to humans. Whilst risk of fomite transmission is incredibly low, it is a quick and easy precaution with little to no downside, and we will continue to clean anything touched by ourselves or out patients during a consultation.
Fallow and Ventilation: Fallow is the time we allow between patient bookings to avoid patients meeting in reception (and the risk of transmission from one to the other), whilst also allowing time to properly ventilate and clean the rooms. We will continue to allow a fallow time of 10 minutes (minimum).
Ventilation is to replace the air within the treatment room between patients, removing any airborne water droplets and their virus particles. With the colder weather, we will rely more on the air purifier, with shorter ventilation times between each patient.
Virtual Health: Appointments that require only talking and some basic movements; advice and exercise prescription etc can be conducted by video consultation; the only way of completely eliminating the risk of virus transmission. We will continue to offer virtual health consultations.
Ultimately, at Back In Action, we are doing all that we reasonably can to minimise risk whilst remaining open. However, we cannot eliminate risk, especially as COVID-19 can be spread by those showing no symptoms.