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<p>The department has worked collaboratively with Public Health England to develop
a system of controls, which when implemented in line with a revised risk assessment,
create an inherently safer environment where the risk of transmission of infection
is substantially reduced for children and staff.</p><p>Settings must comply with health
and safety law, which requires them to assess risks and put in place proportionate
control measures. Settings should thoroughly review their health and safety risk assessment
and draw up plans on re-opening, in the event that they have to close. Settings should
have active arrangements in place to monitor that the controls are effective, working
as planned, and updated appropriately, for example when any issues are identified,
or when there are changes in public health advice.</p><p>When conducting risk assessments,
settings should ensure consideration is given to staff and children with protected
characteristics from groups where a disparity has been shown by the review of disparities
in risks and outcomes (for example, age and sex, where someone lives, deprivation,
ethnicity and/or people’s occupation).</p><p>The department has published the ‘Actions
for early years and childcare providers during the coronavirus (COVID-19) outbreak’
guidance, which provides details on the system of controls and how they work in practice.
The guidance is available here: <a href="https://www.gov.uk/government/publications/coronavirus-covid-19-early-years-and-childcare-closures"
target="_blank">https://www.gov.uk/government/publications/coronavirus-covid-19-early-years-and-childcare-closures</a>.</p><p>We
are continuing to work closely with other government departments and local authorities
to secure the most effective approach to asymptomatic testing for the whole of the
early years sector. This includes ongoing discussions about providing testing via
the education testing programme as well as strongly encouraging local authorities
to prioritise appropriate testing for early years staff via Community Testing programmes,
which now covers all local authorities. The fastest way testing can currently be delivered
is through the community rapid asymptomatic testing being run by local authorities.</p><p>We
are rolling out our asymptomatic testing programme to primary schools, schools-based
nurseries and maintained nursery schools. The asymptomatic testing programme will
offer all primary school, schools-based nursery and maintained nursery school staff
home Lateral Flow Device test kits for twice weekly testing. This will help to break
the chains of transmission of COVID-19 in education settings by identifying asymptomatic
positive cases. Those who test positive will then self-isolate, helping to reduce
transmission of the virus.</p><p>Furthermore, with regard to vaccinations, the Joint
Committee on Vaccination and Immunisation (JCVI) advises that the first priorities
for the COVID-19 vaccination programme should be the prevention of mortality and the
maintenance of the health and social care systems. As the risk of mortality from COVID-19
increases with age, prioritisation is primarily based on age.</p><p>Under the priority
groups for the first phase of vaccine rollout, those over 50 years of age, and all
those 16 years of age and over in a risk group, would be eligible for vaccination
within the first phase of the programme. This prioritisation captures almost all preventable
deaths from COVID-19.</p><p>Regarding the next phase of vaccine rollout, the JCVI
have asked that the Department of Health and Social Care consider occupational vaccination
in collaboration with other Government departments. The department is inputting into
this cross governmental exercise.</p>
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