STAFF FAQs: New Access and Bio-Security Measures

Making our NCA Hospital sites safe

As part of the implementation of our new Infection Prevention & Control (IPC) and bio-security measures across our hospital sites in relation to separately controlled access for staff and patients, staff comms went out on Friday 15 May in the COVID-19 daily update and details are available below and on our intranet and web section - here.  

In addition, a series of Staff FAQS have been developed that seeks to answer a number of NCA wide and site specific questions from staff across the organisation.

Thank you for your engagement so far on these changes and for your understanding and patience as they are implemented.

If you have a question you’d like us to answer on changes following the implementation of IPC and bio security measures, please contact us at Trust.communications@pat.nhs.uk


Site specific FAQs


NCA Wide Staff FAQs

Key changes

  1. What changes are being made to accessing hospital sites across NCA?
  • From Monday 18 May we are separating the entry points into our hospital sites for our staff, patients and visitors.

This will mean:

  • Dedicated entrances for staff on all sites, separate to patients and visitors.
  • Some entrances may be locked. Please familiarise yourself with the entrances on each site
  • Security checks will be in force at all entry points.
  • Your staff ID badge must be shown on entering the hospital and visible on site at all times
  • Please observe social distancing if you have to queue at any of our staff entrance points
  • Please clean your hands or use hand sanitiser upon entering our sites and clinical areas
  • Ensure your colleagues and teams are aware of these new safety measures
  • Please wear the level of PPE recommended for you before entering any of our clinical areas
  • There will likely be some teething problems as we implement these necessary inconveniences, so please be patient, understanding and proud that we are taking this action and leading in the fight to protect our patients and our workforce.
  1. Where are the new dedicated entrances?

Salford Royal  - See map 

Dedicated Entrances for staff, patients and visitors

Hope Building South Entrance (off Central Car Park) * - Patient / Visitor / Contractors

Dermatology near Entrance 4 * - Patient / Contractor / STAFF

Entrance 2 – Brooke Building (near The Christie) * - Patient / Visitor / Contractor / STAFF

Entrance 1 – Turnberg Level 0 * - STAFF only

Mayo Building – Level 1 entrance - STAFF / visitors

A&E Entrance - ED staff and patients only

* Physical security presence

 

The Royal Oldham Hospital – map here

  • Entrance 5 – Staff entrance only
  • Entrance 2 – Staff entrance only
  • Main entrance – Patient and Visitors only

Fairfield - map here

  • Entrance 3 – Staff entrance only (centre of map)
  • Entrance 5 – Staff entrance only (right of map)
  • Main entrance – Patients and Visitors

Rochdale Infirmary – map here

  • Dry riser double doors(rear of main entrance) - Staff
  • Stonehill entrance (rear doors, same side as the waste area) – Staff
  • Main entrance – Patient and Visitors

Rationale for the changes

  1. Why have these changes been brought in now?
  • The prevalence and risk of Coronavirus spreading is still with us and very real. As the NHS begins to enter a period of recovery and stabilisation, there will be a need to support more patients in attending our hospitals for elective and outpatient appointments.
  • In light of this, we must double down our ability and put in place robust measures to protect our workforce and our patients to prevent cross infection and the spread of the virus. We must protect us all.
  • The safety and wellbeing of everyone is the NCA’s top priority. We all have a responsibility to work together to ensure our hospitals are safe and secure for our patients, ourselves and out for each other.
  • We want everyone to be safe, and feel safe, across our hospitals, whether you are at work or in our care.

      4. Has there been a security breach and is this being introduced as a response?

  • There have been no security breaches on any of our sites, we are making these changes to increase the safety and security of our staff, patients and visitors.


    5. If these changes are due to Covid19 why weren’t they made 8 weeks ago?
  • These changes are not a direct response to the Covid pandemic, they are being brought in as part of our recovery and stabilisation planning phase.
  • As outlined above, as the NHS begins to enter a period of recovery and stabilisation, there will be a need to support more patients in attending our hospitals for elective and outpatient appointments.
  • In light of this, we must double down our ability and put in place robust measures to protect our workforce and our patients to prevent cross infection and the spread of the virus. We must protect us all.
  • The safety and wellbeing of everyone is the NCA’s top priority. We all have a responsibility to work together to ensure our hospitals are safe and secure for our patients, ourselves and out for each other.
  • We want everyone to be safe, and feel safe, across our hospitals, whether you are at work or in our care.

 6. How will these measures improve our infection prevention and control risks?

  • The new access arrangements will mean a reduced risk of cross infection by limiting the points of access to the hospital site and helping to keep staff and patients apart wherever possible.
  • We would remind staff to remain vigilant and challenge where you feel able, following these key rules:
  • Please follow social distancing rules, staying at least 2 meters apart from others unless using PPE in clinical settings
  • Adhere to social distancing even when you are on your break/lunch or outside the site
  • Avoid gatherings of over two people
  • Challenge where appropriate and remind others of our infection control measures
  • Politely remind colleagues, patients or visitors who are not social distancing or not following instructions around safety and cleanliness


7. Doesn’t limiting access to fewer entrances make social distancing harder? At peak times surely we need all entrances open to reduce crowding?

  • The new access arrangements will mean a reduced risk of cross infection by limiting the points of access to the hospital site, with patients and staff reminded regularly and consistently about social distancing guidelines and how to implement them.
  • As the new arrangements start to bed in we will assess any crowding risks and issues and respond appropriately. If you have any concerns or suggestions about this issue please email communications@pat.nhs.uk

Immediate impacts

8. Will all entrances not in use be physically locked or manned by security?

  • Some entrances may be locked following the introduction of these changes. Please familiarise yourself with the entrances on each site.
  • Security checks will be in force at all entry points.
  • Your staff ID badge must be shown on entering the hospital and visible on site at all times


9.How will these changes affect NCA fire evacuation procedures?

  •      The fire evacuation process is not changed through this security process. As always staff needs to ensure they are familiarised with their nearest fire exit


10.How will staff and patients with disabilities be accommodated?

  • Any staff member, patient or visitor with a disability will continue to be able to access the usual disabled entrances and exits. Please speak to your line manager if you have any questions or email trust.ommunications@pat.nhs.uk

11.  How will these changes work after hours and overnight for people who work late shifts?

  • The new access arrangements are in place from 6am until 10pm, and will resume to normal overnight (between 10pm and 6am) when numbers of people on site are usually lower.

  • If you have any concerns about your access during these times please speak to your line manager who will be able to support you or alternatively email trust.ommunications@pat.nhs.uk


12. How will Walk In X-ray services be affected?

  • Our X-ray Departments at all sites within the NCA have previously offered a drop in / open access for patients attending from Primary Care, Secondary Care Outpatient Clinics and Pre-Op Clinics.
  • Due to restrictions through social distancing requirements we will not be able to continue with this arrangement as there is no way to control the number of patients in our waiting areas at any given time. As attendances are now starting to increase we need to introduce an appointment system to manage demand and maintain safety. Please can Clinical Services who would normally direct patients to attend the x-ray dept for a plain film x-ray contact their local Radiology Services Manager to agree a process:
  • Royal Oldham Hospital / North Manchester General Hospital / Fairfield General Hospital / Rochdale Infirmary – Stephanie Antrobus, Radiology Services Manager Stephanie.antrobus@pat.nhs.uk

Communication & Information 

  1. Will there be signage put up? Will we have signage for visually impaired?
  • New signage and information for staff and patients is currently being designed and manufactured, and will start to appear across our sites from w/c 18 May.
  • We will ensure that all signage meets disability standards and is fit for purpose.

      2.  Are there any plans to communicate the changes to patients?

  • A comprehensive campaign to keep staff and patients informed about all the changes that will be implemented is about to be launched. Part of this will include patient information and we are working with Patient Experience and PALS to ensure this is a joined up process.

Site specific questions  - Oldham Care Organisation

  1. I work in J Block. I am normally in work for around 7.10 am and there is hardly anyone around at that time. Could the doors be opened from 7am and closed at 9.30 am most staff are in by then, then re-open at 3.30pm and close at 4.30pm?
  • Not at this time. Entrances 5 and 2 have been identified as the best options for accessing the Oldham site.
  • As mentioned above, the new access arrangements are in place from 6am until 10pm and will resume to normal overnight (between 10pm and 6am) when numbers of people on site are usually lower.
  • Please be aware that we will continue to monitor staff feedback, operational issues and any risks and escalations closely as we work through this next phase in our stabilisation and recovery planning.

2Could entrance A please be considered as a staff entrance? It is accessible for those in childrens, A&E, AMU the site management office. At night this is a well-lit entrance and is the safest entrance out of hours. If the restrictions are in place 6-10, the night shift starts at 8 so would still be affected?

  • Not at this time. At this point, entrances 5 and 2 have been identified as the best options for accessing the Oldham site, if you have any concerns about your personal safety please speak to your line manger or email us at trust.ommunications@pat.nhs.uk
  • Please be aware that we will continue to monitor staff feedback, operational issues and any risks and escalations closely as we work through this next phase in our stabilisation and recovery planning.

 3. Both exits mean that it is a long way round to get to J Block, are there any alternatives that can be made available?

  • Not at this time. At this point, entrances 5 and 2 have been identified as the best options for accessing the Oldham site. Please make yourself familiar with the map if you need further assistance please advise your line manager who will be able to support you.
  • Please be aware that we will continue to monitor staff feedback, operational issues and any risks and escalations closely as we work through this next phase in our stabilisation and recovery planning.

4. Is it possible to swipe in at the basement under entrance A so we don’t have to walk through the corridors?

  • Not at this time. At this point, entrances 5 and 2 have been identified as the best options for accessing the Oldham site. Please make yourself familiar with the map if you need further assistance please advise your line manager who will be able to support you.
  • Please be aware that we will continue to monitor staff feedback, operational issues and any risks and escalations closely as we work through this next phase in our stabilisation and recovery planning.

5. Can staff still swipe to get in at the children's unit at ROH?

  • Not at this time. At this point, entrances 5 and 2 have been identified as the best options for accessing the Oldham site. Please make yourself familiar with the map if you need further assistance please advise your line manager who will be able to support you.
  • Please be aware that we will continue to monitor staff feedback, operational issues and any risks and escalations closely as we work through this next phase in our stabilisation and recovery planning.

6. I work for Acute Oncology- based with Palliative Care in the admin office (Pennine Square) we need access to main hospital daily including weekends - which entrance do we use

At this point, entrances 5 and 2 have been identified as the best options for accessing the Oldham site. Please make yourself familiar with the map if you need further assistance please advise your line manager who will be able to support you.

 7. It would make sense for there to be an entrance at both ends of the hospital, for example entrance 2 and entrance A, then the main entrance for patients and visitors. Why has this not been considered?

At this point, entrances 5 and 2 have been identified as the best options for accessing the Oldham site. Please make yourself familiar with the map if you need further assistance please advise your line manager who will be able to support you.

Please be aware we will continue to monitor staff feedback, operational issues and any risks and escalations closely as we work through this next phase in our stabilisation and recovery planning.

 8. I work nights, so do I still have to use entrance 2 because I don't have a swipe card?

  • At this point, entrances 5 and 2 have been identified as the best options for accessing the Oldham site. However the new access at the main entrances arrangements are only in place from 6am until 10pm and will resume to normal overnight (between 10pm and 6am) when numbers of people on site are usually lower. Please speak to your line manager if you are unsure or need further support.

 9Do you need an ID card to get into the staff entrance 2?

  • All staff will be required to show their ID at staff entrances.

10. What is the perceived benefit to this when we are sharing entrances and exits to wards, units, cafe royal, front shop and all departments?

The new access arrangements will mean a reduced risk of cross infection by limiting the points of access to the hospital site.

  • We would remind staff to remain vigilant when in communal areas such as wards, units, café royal, the shop and other departments and challenge where you feel able, following these key rules:
  • Please follow social distancing rules, staying at least 2 meters apart from others unless using PPE in clinical settings
  • Adhere to social distancing even when you are on your break/lunch or outside the site
  • Avoid gatherings of over two people
  • Challenge where appropriate and remind others of our infection control measures
  • Politely remind colleagues, patients or visitors who are not social distancing or not following instructions around safety and cleanliness

11. What happens with staff who are on call and who need quick access to the site from the on call car parking spaces?

  • The entrance points have been selected as the most appropriate in terms of location to car parking spaces. For on call staff there is some flexibility in emergency situations to use the most appropriate entrance to ensure quick access to meet their on call requirements.

12. What about other buildings like Lucy Pugh, D Block Square, etc will they be open?

  • For any entrances than can be secured and managed by the department they give access to this can be managed locally.

13. The door in the basement near childrens provides access for lots of staff members and also provides access for mortuary staff, porters, for gas cylinder access etc. Can this not be kept open?

  • Not at this time. At this point, entrances 5 and 2 have been identified as the best options for accessing the Oldham site. Please make yourself familiar with the map if you need further assistance please advise your line manager who will be able to support you.
  • We will continue to monitor staff feedback, operational issues and any risks and escalations closely as we work through this next phase in our stabilisation and recovery planning.

14. Where can staff get hand sanitiser? Some of our areas are running out or need more dispensers.

15.How will patients get to K Block (OPD B ), adult medicine and chest clinic if entrance 5 is for staff only?

  • Patients would need to use the external of the building. We are looking to implement a “shuttle bus” from the main entrance to the outpatient buildings. We hope to implement this in the coming days.

16. Is accompanying a patient to be collected at the main entrance for discharge going to be affected? Would we have to come back in through the staff entrance?

  • Staff should accompany the patient to the Patient exit to ensure patient safety and return through Entrance 2.

17. If we work in A&E or AMU couldn't we go in the entrance to the right of the main A&E entrance (the glass tunnel). I would definitely feel safer going in that way.

  • Not at this time. At this point, entrances 5 and 2 have been identified as the best options for accessing the Oldham site. Please make yourself familiar with the map if you need further assistance please advise your line manager who will be able to support you.

18. Will patients still be using entrance 5 to access K block and physio outpatients ? As not sure how else they would get down there if say they have got off the bus walked down through main entrance ... especially for older generation would be a long way to walk all the way round to K block?

  • Patients would need to use the external of the building. We are looking to implement a “shuttle bus” from the main entrance to the outpatient buildings. We hope to implement this in the coming days.

 19. Can staff use shop facility/cash machine if on dinner break ? Or go outside via main entrance on dinner and tea breaks?

  • The shop and cash machine can still be accessed as usual, however staff should use entrance 2 or 5 to enter or exit the building unless in an emergency.

20. We are on call midwives working day /night and having to access equipment and transport cylinders via childrens entrance and Entrance A, is there flexibility for midwives to access these entrances?

  • At this point, entrances 5 and 2 have been identified as the best options for accessing the Oldham site. We will continue to review the access requirements.

21. The Staff Entrance opposite Lucy Pugh is quite frequently used for access to paediatrics, maternity and neonatal wards for both clinical and non-clinical staff. Could this be considered as one of the staff entrances to remain open?

  • At this point, entrances 5 and 2 have been identified as the best options for accessing the Oldham site. We will continue to review the access requirements.

22. Is Entrance A going to be open to general public e.g access to maternity wards for women in labour as that’s where they generally get dropped off?

  • Entrance A is currently open for emergency access to the maternity wards and controlled via an intercom to security. The Patient and Visitor entrance is the main entrance and patients should be directed as such.

23. Please could we keep the code on the outside entrance to J block and have it as a staff entrance/exit. It would save all the many therapies and support staff having to walk all the way round from entrance 5, mixing with people along the way. It doesn't make sense to make that door non operational.

  • At this point, entrances 5 and 2 have been identified as the best options for accessing the Oldham site. We will continue to review the access requirements.

24. The students who opted in and are due to start tomorrow have been told we’re not getting ID badge and to use our student cards- will this affect us getting in or will the above entrances be open as usual?

  • This is not the case and new starters should apply for a pass using the usual process, the application form can be found

 25. If we need to go to and from the education centre can we use entrance J?

  • At this point, entrances 5 and 2 have been identified as the best options for accessing the Oldham site. We will continue to review the access requirements.

 26. For staff whose depts are outside of the main hospital, ie down the main drive, which entrance would they use to access canteen/shop, as we currently use J block entrance. Going the longer way round means most of our dinner time being used. If we can access side door near children’s that’s fine but what do we do if not?

  • At this point, entrances 5 and 2 have been identified as the best options for accessing the Oldham site. We will continue to review the access requirements.

Site specific questions  - Bury and Rochdale Care Organisation

  1. Are we allowed to leave at the main entrance when we finish around 11pm to midnight?
  • The new access arrangements are in place from 6am until 10pm, and will resume to normal overnight (between 10pm and 6am) when numbers of people on site are usually lower.
  • If you have any concerns about your access during these times please speak to your line manager who will be able to support you or alternatively email         trust.communications@pat.nhs.uk
  1. Will allowances made for staff with mobility issues who may have difficulty accessing their work areas after a longer walk?
  • Any staff member, patient or visitor with a disability will continue to be able to access the usual disabled entrances and exits. Please speak to your line manager if you have any questions or email trust.communications@pat.nhs.uk
  1. The main problem I can see with this is our orthopaedic patients having to get down to our clinic from the main entrance. They can't usually walk that far so it will put pressure on the porters to bring them down. How can we manage this?
  • This does form part of the porter role and can be requested from the reception help desk, but should there be more patients than the porters can cope with there are volunteers on hand to offer additional support for orthopaedic patients if needed.
  1. The normal entrance/exit for us is still working – the door on the corner past estates at Rochdale Infirmary. Should we be using this or not?
  • This door should be used by patients using Dieticians services only. (The general public do not have access the rest of the hospital from this door)

Site specific questions - Salford Care Organisation

  1. Some staff reported that security not maintain social distancing at entrances today, can you advise?
  • The security staff are now wearing the appropriate PPE and are aware of the social distancing rules.
  1. There are concerns around entrance 9 can you advise?
  • Entrance 9 will stay in operation as this is the access point for our elective patients coming to DCS.
  1. The use of underground corridors has been raised as an issue, in terms of time and familiarity, for teams including critical and anaesthetics on call particular if fast bleeped to HCU. Can you advise?
  • This is being reviewed by the Resus Teams, more information to follow on this.

Further Staff information

If you have any further questions about the access to site changes:

  • Staff can access our Employee Assistance Programme facility called Vivup on 03303 800658.