PPE Rationale – version 1 new format (June 2021)

Introduction

This document is to support both non-social care staff and health and social care staff, in Brighton & Hove City Council, get relevant Personal Protective Equipment (PPE) through the PPE Hub or through another supplier. It could be used by other similar external services, but it should be noted that this rationale does include some specific council agreed approaches, such as the use of Type IIR masks in social care, where a type 2 mask is advocated in government guidance.

This will help council staff select and request PPE. The details reflect current government guidance. It is important that this guidance is also referred to (and applied) in order to use the PPE correctly and appropriately.

Get social care guidance

Get other sector guidance.

Any concerns regarding PPE selection, comfort, or use, should be reported to line managers initially.

Managers can then contact Health and Safety or Public Health teams if further advice is needed (contact details below). If there are concerns about the effectiveness or adverse
effects/impacts of PPE, staff/teams should notify the Medicines and Healthcare products Regulatory Agency (MHRA) through their Yellow Card process. If that PPE is sourced from Brighton & Hove Council's PPE Hub, teams should also send an email to ppe.requests@brighton-hove.gov.uk, or use phone extension 1402.

What is PPE and which items are needed

PPE is legally defined as equipment that will protect the user against health and safety risks at work.

It includes items such as:

  • respiratory protective (masks)
  • gloves
  • apron
  • eye protection

This is defined and approved by MHRA, European EN standards and Health & Safety Executive (HSE). However, in relation to COVID-19, it has also come to include items that protect others that the user/wearer may come into contact with.

Teams must ensure that the PPE used is of the right specification for the role/environment, and level of protection needed. If requesting through the Brighton & Hove City Council PPE Hub, approved specifications will have been checked by the hub before it was issued to customers.

The type of face mask needed will vary depending on the working environment. This is listed in the tables below. Information regarding PPE types, PPE needs and effectiveness can be found in the supporting document called PPE types and use.

Supporting information for the rationale 

Get supporting information on:

More information and advice

There are some important aspects relating to PPE-use in other government guidance documents and/or on our webpages. These are in the following list but others are shown on the PPE types and use document above:

Contact details for advice

Health and safety team for non-social care teams

Send an email to healthandsafety@brighton-hove.gov.uk

General Public health for health and social

Send an email to publichealth@brighton-hove.gov.uk

    Table 1: PPE selection – non-social care staff only

    Selection is based on staff undertaking:

    • essential tasks only
    • keeping social distancing
    • maintaining good hand hygiene
    • having an adequate fresh air provision in the work environments.

    Selection also needs to be mindful of other relevant Health and Safety (H&S) PPE needs.

    Task type

    Face mask or covering

    Gloves

    Apron

    Eye protection*

    Potential close contact with other
    staff in communal spaces
    Face covering
    only
    No – but regular
    cleaning should be
    in place
    No No
    Travelling with others when ‘at work or carrying out council duties’ –
    includes public transport use
    Plain (type 1)
    surgical mask
    No – but need to
    clean touch points
    in vehicle used for
    work/work vehicle
    No No
    First aid delivery in offices/council
    buildings (items should be available in first aid boxes/rooms)
    Type IIR surgical
    face mask
    Yes – as usual
    infection control
    need
    Yes – if
    available or
    change
    clothing if
    needed
    Yes – when
    dealing with
    suspected Covid
    infections or any
    splashes/
    droplets of body
    fluids.
    Possible close contact with
    clients/public in offices or council buildings
    Type II or IIR
    surgical masks
    No – maintain good
    hand hygiene
    No No – unless
    dealing with
    coughing or
    spitting clients
    Work with clients/public in their own home and social distancing can be met or close contact where
    clients are not vulnerable/shielding
    Plain (type 1)
    surgical mask
    No – unless needed
    for other H&S
    hazards
    No No – unless
    needed for other
    H&S hazards
    Possible close contact with
    clients/public in their own home and social distancing cannot be met, and clients are vulnerable/shielding
    Type II or IIR
    surgical masks –
    Yes – to help
    protect the client
    No – Unless
    clothing is
    likely to
    touch client
    or furniture
    No – unless client
    is coughing or it is
    needed for other
    H&S hazards
    Cleaning of contaminated or suspected contaminated areas Plain (type 1)
    surgical mask –
    where bodily
    fluids present
    Type IIR surgical
    mask - where
    known/suspected
    coronavirus
    contamination - COVID-19 positive test of client/resident within the last 14 days
    Yes Yes Yes – where
    splashing may
    occur
    General Cleaning tasks or work in empty clients’ houses No – unless
    needed for other
    H&S hazards
    No – unless needed
    for other H&S
    hazards
    No No – unless
    needed for other
    H&S hazards
    Outside work – with likely contact with other staff, clients, or members
    of public
    Plain (type 1)
    surgical mask –
    where social
    distancing cannot
    be maintained
    No – unless needed
    for other H&S
    hazards
    No No – unless
    needed for other
    H&S hazards

    * Eye protection - where necessary, eye protection/visors are worn in addition to a surgical mask and not instead of.

    Table 2: PPE selection – for social care staff

    Such as:

    • care homes
    • home care
    • Learning disability houses
    • hostels

    Task type

    Face mask or covering

    Gloves

    Apron

    Eye protection*

    Potential close contact with others in communal spaces- such as welfare space/ office/treatment rooms/corridors

    Type IIR surgical
    mask

    No 

    No

    No

    Travelling with others when ‘at work’ on public transport

    Plain (type 1) surgical mask

    No

    No

    No

    Travelling with other carers or clients when ‘at work’ in work vehicle / vehicle used for work

    Type IIR surgical face mask

    No -but need to
    clean vehicle
    touch points

    No

    No

    Direct contact with clients/residents
    within 2 metres

    Type IIR surgical face
    mask

    Yes

    Yes

    No – unless
    coughing or
    spitting risk

    Direct contact with clients/residents
    within 2 metres who are coughing,
    suspected/confirmed Covid19**

    Type IIR surgical face
    mask

    Yes

    Yes

    Yes

    Interaction with clients/residents
    over 2 metres for example, activities or tea round

    Type IIR surgical face
    mask

    No

    No

    No

    Direct contact with clients within 2
    metres in their own home

    Type IIR surgical face
    mask

    Yes

    Yes

    Yes

    Direct contact with clients in their
    own home within 2 metres who are
    suspected/confirmed Covid-19**

    Type IIR surgical
    mask

    Yes

    Yes

    Yes

    Aerosol Generating Procedures***
    – unlikely in Brighton & Hove City Council

    FFP3 (fit tested)

    Yes

    Fluid Repellent
    Gown

    Yes

    Cleaning of the environment

    Cleaning of contaminated or suspected
    contaminated areas – even if area is
    unoccupied

    Type IIR surgical
    mask

    Yes

    Yes

    Yes

    General Cleaning tasks within 2
    metres of client or potential for 2
    metres to be breached.

    Type IIR surgical
    mask

    Yes 

    Yes

    No – unless
    needed for
    other H&S
    hazards

    General Cleaning tasks with social
    distancing of more than 2 metres of
    client

    Type IIR surgical
    mask

    No – unless
    needed for
    other H&S
    hazards

    No – unless
    needed for
    other H&S
    hazards

    No – unless
    needed for
    other H&S
    hazards

    Kitchen staff, whilst in the kitchen. Otherwise refer to relevant section above

    Kitchen staff within 2 metres of
    clients/others (individual risk
    assessment needed)

    Type IIR

    No – unless
    needed for
    other food/
    H&S hazards

    No – unless
    needed for
    other H&S
    hazards

    No – unless
    needed for
    other H&S
    hazards

    Kitchen staff tasks more than 2
    metres from clients/others

    No - but good
    workplace ventilation
    is needed

    No – unless
    needed for
    other food/
    H&S hazards

    No – unless
    needed for
    other H&S
    hazards

    No – unless
    needed for
    other H&S
    hazards

    * Eye protection - where necessary, eye protection/visors are worn in addition to a surgical mask and not instead of.

    ** COVID-19 positive test of client/resident within the last 14 days or suspected infection by association with other confirmed cases

    *** An aerosol generating procedure (AGP) is a medical procedure that can result in the release of airborne particles (aerosols) from the respiratory
    tract. Go to the list of procedures. There is no evidence that FFP3/2 masks add value over Type IIR for droplet protection when both are used with other recommended PPE measures; except in the context of clinical aerosol generating procedures (AGPs).

      You can download and print more documents on our PPE information page.