The IBS & Gut Health Clinic is committed to reducing the spread of Coronavirus (Covid19).

We want to continue to offer the same high standards of care and treatment that you have become accustomed to, whilst also ensuring the safety of our visitors, patients and employees and staff.

As such, we have prepared the following guidance in order to ensure that any risk is reduced as far as possible.

The following advice is based on the UK Government Guideline “Working Safely During Coronavirus Covid 19” as is correct as of 3rd August 2020.

Wherever possible, appointments should be made online and conducted via Zoom, Skype or similar video conferencing software.

All clients are encouraged to use hand sanitiser or handwashing facilities as they enter the premises or before treatment.

As far as is reasonably possible, we have attempted to calculate the maximum number of clients that can reasonably follow social distancing guidelines (2m, or 1m with risk mitigation where 2m is not viable) and limited the number of appointments at any one time.

We have taken into account total floorspace as well as likely pinch points and busy areas.

We have determined if schedules for essential services and contractor visits can be revised to reduce interaction and overlap between people.

When booking an appointment, visitors and clients are asked to attend on their own, where possible.

Clients who are accompanied by children are responsible for supervising them at all times and should follow social distancing guidelines.

Clients and contractors of guidance about visiting the premises prior to and at the point of arrival, including information on websites, on booking forms and in entrance ways.

We have adjusted how people move through the premises to reduce congestion and contact between clients, for example, queue management or one-way flow. This may only be possible in larger establishments

We have ensured any changes to entrances, exits and queue management take into account reasonable adjustments for those who need them, including disabled clients. For example, maintaining pedestrian and parking access for disabled clients.

We have assessed the possibility of using spaces for queuing where available and safe, for example some car parks, excluding disabled parking bays. Queues outside are managed to ensure they do not cause risk to individuals or other businesses, for example by introducing queuing systems, using barriers and having staff direct clients.

We have minimised contact between different workers while serving a client, such as receptionists, healthcare workers etc.

We are operating an appointment-only system.

We are maintaining social distancing in waiting areas when clients wait for their appointments. When waiting areas can no longer maintain social distancing, consider moving to a ‘one-in-one-out’ policy.

We encourage clients to arrive at the time of their scheduled appointment and not before in order to reduce potential time spent in waiting areas.

We have reviewed working practices to minimise the duration of contact with the client. Your appointment will not be rushed.

Discouraging the use of changing rooms wherever possible. Clients should be advised to change and shower at home.

Keeping appointments short. Businesses should consider providing shorter, more basic treatments to keep the time to a minimum, or offering alternative treatments including tutorials to clients where services/treatments cannot be provided, for example applying make-up.

We are implementing COVID-19 related screening questions to be asked of clients ahead of their appointments, including:

– Have you had the recent onset of a new continuous cough?
– Do you have a high temperature?
– Have you noticed a loss of, or change in, normal sense of taste or smell?

If the client has any of these symptoms, however mild, they should stay at home and reschedule their appointment.

We are working with neighbouring businesses and local authorities to consider how to spread the number of people arriving throughout the day, for example by staggering opening hours; this will help reduce demand on public transport at key times and avoid overcrowding.

We are working with neighbouring businesses and local authorities to provide additional parking or facilities such as bike-racks, where possible, to help clients avoid using public transport.

2.2 Ventilation

We are increasing the existing ventilation rate by adjusting the fan speed.

We are operating the ventilation system when there are people in the building.

We are monitoring and managing filters in accordance to manufacturer instructions.

We are keeping doors and windows open if possible.

We are using ceiling fans or desk fans to improve air circulation, provided there is good ventilation.

2.3 Client toilets

We are using signs and posters to build awareness of good handwashing technique, the need to increase handwashing frequency and to avoid touching your face, and to cough or sneeze into a tissue which is binned safely, or into your arm if a tissue is not available.

We are using social distancing marking in areas where queues normally form, and the adoption of a limited entry approach, with one in, one out (while avoiding the creation of additional bottlenecks).

We are making hand sanitiser available on entry to toilets where safe and practical, and ensuring suitable handwashing facilities including running water and liquid soap and suitable options for drying (either paper towels or hand driers) are available.

We are setting clear use and cleaning guidance for toilets, with increased frequency of cleaning in line with usage.

We are keeping the facilities well ventilated, for example by fixing doors open where appropriate.

We are putting up a visible cleaning schedule can keep it up to date and visible.

We are providing more waste facilities and more frequent rubbish collection.

2.4 Providing and explaining available guidance

We are providing clear guidance on expected client behaviours, social distancing and hygiene to people before arrival, when scheduling their appointment, and on arrival, explaining to clients that failure to observe safety measures may result in services not being provided.

We are providing written or spoken communication of the latest guidelines to both workers and clients inside and outside the premises. We display posters and information setting out how clients should behave on your premises to keep everyone safe. We have considered the particular needs of those with protected characteristics, such as those who are hearing or visually impaired.

We have provided a safety briefing of on-site protocols, rules for shared areas and key facilities, for example, handwashing, in particular for freelance workers who may work at multiple locations.

We are ensuring latest guidelines are available throughout the entire premises.

We are informing clients that they should be prepared to remove face coverings if asked to do so by police officers and staff for the purpose of identification.

We are ensuring information provided to clients and visitors, such as advice on the location or size of queues, does not compromise their safety.

Where necessary, we are informing clients that police and the local authorities have the powers to enforce requirements in relation to social distancing and may instruct clients to disperse, leave an area, issue a fixed penalty notice or take further enforcement action.