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Guidance for staff intending to travel to, or returning from, Ebola affected countries

The on-going outbreak of Ebola in West Africa, primarily affecting Guinea, Liberia and Sierra Leone has been declared a Public Health Emergency of International Concern by the World Health Organization. This is the largest outbreak of this disease to ever happen.

Ebola is a severe and life threatening viral disease caused by the Ebola virus. The onset of illness is sudden, with fever, headache, joint and muscle pain, sore throat and intense weakness. This is then followed by diarrhea, vomiting, rash, impaired kidney and liver function and stomach pain. Some patients may develop a rash, red eyes, hiccups, internal and external bleeding.

Ebola hemorrhagic fever is fatal in between 50 to 90% of all clinically ill cases. Ebola is spread through direct contact with blood and body fluids from infected people. The incubation period ranges from 2 to 21 days. Anyone who has close contact with a person infected with the virus, or someone who handles samples from patients are at risk. This includes hospital staff, family members and laboratory workers, all of whom are at risk if they do not use appropriate protective equipment / barrier nursing techniques. These precautions include wearing protective gowns, gloves, and masks, in addition to wearing eye protection (e.g. eye goggles) or a face shield.

The government advises against all but essential travel to Liberia, Sierra Leone and Guinea except for those involved in the direct response to the Ebola outbreak. It remains unlikely but not impossible that travellers infected in one of the affected countries could arrive in the UK while incubating the disease and develop symptoms after their return. Although the likelihood of imported cases is very low, travellers returning to the UK from the affected areas, particularly those who have been involved in health care overseas, need to remain vigilant.

For staff who are planning to visit Ebola affected countries:

The agency requests that staff follow FCO advice and do not place themselves at risk of infection. The agency recognises that some staff may have family in one of the affected countries but it does not consider essential travel to include, for example, visiting family at Christmas. If staff choose not to follow the FCO advice and travel to one of the affected countries, this may then result in work restrictions and / or exclusion upon return as noted in the scenarios below.

All staff who travel to one of the Ebola affected countries (Guinea, Liberia and Sierra Leone) irrespective of the reason for travel (personal or work related) must contact the agency prior to leaving the UK and on return to the UK, prior to their return to work.


Existing staff who have visited Ebola affected countries - this will mainly apply to those who have visited affected countries for the purpose of charity and/or healthcare work.

If no healthcare work was undertaken whilst in one of the Ebola affected countries, and staff had no direct contact with a known or suspected Ebola, including attending a funeral, staff should:

  • Inform the agency prior to departure
  • Monitor their health / temperature for 21 days from leaving the affected country
  • If the staff member becomes unwell with symptoms such as fever, chills, muscle aches, headache, nausea, vomiting, diarrhea, sore throat or rash within 21 days of coming back from Guinea, Liberia or Sierra Leone, they should stay at home and immediately telephone 111 or 999 and explain that they have recently visited West Africa. These services will initiate the appropriate care pathway
  • They must keep in touch with the agency prior to return to work
  • Staff member will be able to return to work after 21 days


If healthcare work was undertaken abroad or the staff member had direct contact with an Ebola case e.g. routine medical / nursing care but wore appropriate protective clothing with no known breaches in the personal protective equipment (PPE), the staff member should:

  • Inform the agency prior to departure
  • Check temperature twice daily for 21 days after return and report any raised temperature or other suspicious symptoms to the monitoring team at Public Health England (PHE)
  • Must provide Occupational Health with documentary evidence from their Voluntary Aid agency / affiliated health care institution who organised the overseas placement outlining the extent of their exposure and specific detail regarding the PPE used
  • Contact the agency prior to return to work
  • Staff member will be able to return to work after 21 days and monitoring completed


If healthcare work was undertaken abroad or the staff member had direct contact with an Ebola case and may have had unprotected exposure of skin or mucous membranes to potentially infectious blood or body fluids, including on clothing or bedding, for example:


  • Unprotected handling of clinical/lab specimens
  • Mucosal exposure to splashes
  • Needlestick injury
  • Kissing and / or sexual contact
 





The staff member should:

  • Inform the agency prior to departure
  • Check temperature twice daily for 21 days after return and REPORT DAILY to the
  • Monitoring Team at Public Health England (PHE) even if the temperature is normal and the staff member is not experiencing any suspicious symptoms
  • Staff member will be able to return to work after 21 days and monitoring is completed.

For more information about the Ebola virus disease, see:

Government UK

NHS Choices: Ebola and Overview
Ebola virus disease: clinical management and guidance

Acute Elderly Care Jobs at Ambition 24AHP

Ambition 24AHP has acute elderly care jobs nationwide and other Allied Health Professionals (AHP) and Health Science Services (HSS) vacancies throughout England, Scotland and Northern Ireland.

The Ambition agency is a nationally contracted provider of AHP locums to the NHS, and is Government Procurement Service (formerly NHS Buying Solutions) approved. The AHP agency supplies medical staff to a range of hospitals, PCTs, prisons and private organisations.

A member of the A24 Group, further information is at www.a24ahp.co.uk.

The agency is continually recruiting for Acute Medicine department positions, including for:

*General medical problems
*Acute elderly care
*Respiratory problems
*Diabetes Endocrine conditions
*Gastroenterology
*Stroke

Currently operating nationwide, Ambition A24AHP specialises in the provision of acute elderly care jobs and vacancies for other AHP Allied Health Professionals and HSS Health Science Services staff for temporary placement within the private sector and the NHS. The A24 Group was one of the first AHP and HSS agencies to provide a 24-7 service in the UK for acute elderly care.

It ensures amongst the highest rates of pay because of its capability to provide staff at short notice - often when other staffing agencies are unable to do so. Ambition has a reputation for a fast, high quality service to clients - busy healthcare providers for whom the agency provides staffing solutions every day, 365 days of the year.

The service features for acute elderly care include a range of on-line facilities, such as a personal diary that enables staff to notify the agency of availability for shifts. There are also automated alerts, so that temporary staff can be reminded when mandatory registrations fall due.

Ambition 24AHP supports the NHS careers objectives and has vacancies nationwide, from Portsmouth to Preston.

Ambition is also recruiting Allied Health Professionals in the following disciplines: Cardiographers (Band 5/6); Counsellors; Dieticians; Occupational Therapists (Band 6/7), neurology, surgery, community rehab, medicine and stroke, paediatric; Pharmacy technicians, hospital, community; Pharmacists, hospital, community; Physiotherapists (Band 6/7) cardiothoracic, care of elderly, community, learning disabilities, mental health, muscular skeletal, neuro, paediatric, orthopaedic, surgery; Psychologists; Radiographers (Band 5/6/7) diagnostic, sonographers, therapeutic, ultrasound; and Speech and Language therapists (Band 6/7) tracheostomies, fluoroscopy, neuroscience, CCU and stroke.

Fore more information:

View Our Contact Details

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Agency Workers Alert: Time for Free NHS Flu Jab

A24 Allied Health Professionals is encouraging all UK healthcare workers to have the free NHS Flu jab for which all healthcare workers are eligible.

Frontline nurses, HCAs and other agency workers should protect themselves by having the flu vaccine to prevent the spread of flu to colleagues and other members of the community.

The 2012/13 UK vaccine protects against three types of flu virus, according to the NHS Cumbria Partnership. This year's flu jab protects against:

  • H1N1 - the strain of flu that caused the swine flu pandemic in 2009
  • H3N2 - a strain of flu that can infect birds and mammals and was active in 2011
  • A strain of flu that was active in 2010 known as B/Wisconsin/1

 

 

 

Britons are the 'most unhygienic nation', according to a new report. Britons were half as likely as other nationals to cover their hands and mouth more frequently when coughing or sneezing during the swine flu pandemic, the study has suggested.

The findings were published in the journal 'Lancet Infectious Diseases'. Dr Gillian Steel Fisher of the Harvard School of Public Health in Boston, in America, said: "The wide variations between countries in our study shows that in the event of another serious outbreak of infectious disease, public perceptions have to be taken into account to best tailor and communicate policy approaches that need public support in each country.

"Our findings suggest that promoting non-pharmaceutical interventions - such as handwashing and avoiding large public gatherings of people - do not jeopardise the adoption of vaccination, though the uptake of vaccines was low compared to other behaviours in all countries we surveyed.

"To maximise the effect of pandemic policies, future efforts might need to combine vaccination programmes with support for the most effective non-pharmaceutical interventions."

For more information:

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UK Payroll Department Opening Times: Effective Monday 6th August

Candidates are advised that - to meet the agency's deadline for ensuring agency workers are paid each Friday on time - the agency is making some small changes to opening hours for candidate calls.

The payroll department will be open for phone calls between 9am and 5pm on Mondays, Tuesdays and Thursdays and between 9am and 4pm on Fridays. Candidates can continue to send time sheets via the usual channels - post:

Group House
92 - 94 Lind Road
Sutton, Surrey
SM1 4PL

Or email: This email address is being protected from spambots. You need JavaScript enabled to view it.

The deadline for receipt of time sheets remains Monday midday for payment on the Friday of the same week. Payroll queries can be made by email to This email address is being protected from spambots. You need JavaScript enabled to view it. .

 


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