NHS Boards should have a COVID-19 outbreak response plan which details the roles and responsibilities of Infection Prevention and Control Teams (IPCTs) ,Health Protection Teams (HPTs) and the occupational health services (OHS) within their board when responding to COVID-19 outbreaks.
In a healthcare setting, the CPH(M) or the Infection Prevention and Control Doctor (IPCD) will chair the IMT depending on the circumstances and this should be agreed in advance and documented in the COVID-19 outbreak response plan. The ICD will usually chair the IMT, lead the investigation and management of incidents limited to the healthcare site, where no external agencies are involved and where there are no implications for the wider community. The CPH(M) would normally chair the IMT where there are implications for the wider community.
More information on IMTs and PAGS can be found in the Management of Public Health incidents: guidance on the roles and responsibilities of NHS led Incident Management Teams
An IMT generic COVID-19 agenda and a supporting agenda aide memoire in for use by the chair or wider IMT members to support consistency in discussion points during COVID-19 IMTs across NHS Scotland are available.
The board COVID-19 outbreak response plan should include clarity on the responsible teams for contact tracing and follow up amongst the following groups of individuals:
Typically, IPCTs will follow up inpatient contacts, OHS will follow up staff contacts and HPTs will follow up any contacts in the exposure period prior to hospital admission and visitors.
A case definition for the purpose of the incident must be agreed by the IMT and should include the following:
Suggested case definitions for COVID-19 as follows;