Updated 9 February 2021

Contents

What to do when you have a positive Lateral Flow Device (LFD) or PCR test result

If a student or staff member tests positive for Covid-19, you must start the following process:

  1. Conduct a risk assessment to identify contacts who will need to self-isolate
  2. Complete the template email for contacting Islington Public Health and copy the relevant officer at Islington Council:
  3. Any other students or staff members who go on to develop symptoms should inform the school/EY setting as soon as possible and the school/EY setting should follow the relevant scenario process. 
  4. After 10 days, if close contacts (children or staff members) do not develop symptoms, they can return to the school/EY setting.

When to contact PHE London Coronavirus Response Cell (LCRC)

Contact the LCRC on 0300 303 0450 or using the template email, if:

  • 10% or more of a bubble is affected within 14 days (primary/EY settings)
  • Five or more students are affected in one school year within 14 days (Secondary schools)
  • 10% or more of staff are affected within 14 days
  • Three or more bubbles are affected
  • There have been any hospitalisations
  • Your school is a SEND school
  • Your school is a boarding school

Guidance for childminders (PDF)

Due to the rise in the number of COVID cases across London, childminders, together with schools and other early years provision, should conduct their own on-site risk assessment when they receive notice of a positive Covid-19 case which affects their provision.

This guidance sets out:

  • How to do this
  • Where to seek advice from and when to escalate
  • Who and when to report the information to.

Templates

Public Health has produced a resource pack for settings that includes all of the information on this page and template letters. 

Please note that this document is not fully accessible and not all users will be able to view its content. If you need the document in another format, please contact Islington's Public Health team.

Accessible templates

These templates are all fully accessible and can be amended for your specific setting.

Frequently Asked Questions

Who is a close contact?

A ‘contact’ is a person who has been in close proximity with COVID-19 and is therefore at risk of infection. As well as cases, contacts must self-isolate.

  • Direct close contacts: direct face-to-face e.g. being coughed on or spoken to contact for any length of time OR within 1m for more than one minute.
  • Proximity contacts: less than 2m for 15 minutes or more.
  • Travel contacts: shared small vehicle together

Contacts of contacts do not need to self-isolate. This means that household members of students or staff that are self-isolating because they are contacts of a case do not need to self-isolate themselves.

What are the different tests?

  • Lateral Flow Device (LFD) test: rapid testing for people without symptoms
  • PCR test: for people with symptoms or to confirm a home-test LFD test

When does 10 days start and end?

The full 10 days isolation period starts from the day the first person in the household became ill and the first day of self-isolation is counted as day 0.

Process flowcharts

  • Scenario One - Student or Staff member tests positive from a PCR test or a lateral flow test at home, at school, or in the community.
  • Scenario Two - Student or Staff member is a close contact of someone who has tested positive for COVID19 and has been told to isolate by NHS Test and Trace.
  • Scenario Three - Student or Staff member develops symptoms of COVID-19 while at home.
  • Scenario Four - Student or Staff member develops symptoms of COVID-19 whilst at school or setting.
  • Scenario Five - Student or Staff member has a household member that develops symptoms of COVID 19.

Scenario One

Student or Staff member tests positive from a PCR test or a lateral flow test at home, at school, or in the community.

If tested positive from a home lateral flow test the individual must also get a confirmatory PCR test, but the following actions should still start immediately.

Individual to:

  • isolate for at least 10 days from symptom onset (or from test date if asymptomatic)
  • inform their household to also isolate for 10 days

Scenario Two

Student or Staff member is a close contact of someone who has tested positive for COVID-19 and has been told to isolate by NHS Test and Trace.

Individual must stay at home and not come to school/EY setting and should follow relevant guidance including self-isolating for 10 days.

Do they develop symptoms during isolation?

YES

Individual must:

A lateral flow test should not be used if a person has symptoms. A negative lateral flow test in a symptomatic person should not be used to confirm their COVID status or to end their isolation.

School/EY Setting must:

  • Follow cleaning guidance
  • Ensure stock of PPE in case further symptomatic cases on site
  • Await test results (48-72 hours)

Settings can contact local public health for advice.

NO

No further action: after the 10 days of self-isolation, the student or staff member can return to school/EY setting.

Do they test positive or negative for Covid-19?

POSITIVE

Individual to:

  • isolate for at least 10 days from symptom onset (or from test date if asymptomatic)
  • inform their household to also isolate for 10 days

NEGATIVE

Individual can return to school/EY setting if they are well, with the exception of those who have a household member who has tested positive and therefore must complete the full 10 days of isolation.


Scenario Three

Student or Staff member develops symptoms of COVID-19 whilst at home.

Individual must:

A lateral flow test should not be used if a person has symptoms. A negative lateral flow test in a symptomatic person should not be used to confirm their COVID status or to end their isolation.

School/EY Setting must:

  • Follow cleaning guidance
  • Ensure stock of PPE in case further symptomatic cases on site
  • Await test results (48-72 hours)

Settings can contact local public health for advice.

Do they test positive or negative for Covid-19?

POSITIVE

Individual to:

  • isolate for at least 10 days from symptom onset (or from test date if asymptomatic)
  • inform their household to also isolate for 10 days

NEGATIVE

Individual can return to school/EY setting if they are well, with the exception of those who have a household member who has tested positive and therefore must complete the full 10 days of isolation.


Scenario Four

Student or Staff member develops symptoms of COVID-19 whilst at school or setting.

Individual must be sent home and advised to follow the relevant guidance. If a child is awaiting collection, follow relevant guidance:

Individual must:

A lateral flow test should not be used if a person has symptoms. A negative lateral flow test in a symptomatic person should not be used to confirm their COVID status or to end their isolation.

School/EY Setting must:

  • Follow cleaning guidance
  • Ensure stock of PPE in case further symptomatic cases on site
  • Await test results (48-72 hours)

Settings can contact local public health for advice.

Do they test positive or negative for Covid-19?

POSITIVE

Individual to:

  • isolate for at least 10 days from symptom onset (or from test date if asymptomatic)
  • inform their household to also isolate for 10 days

NEGATIVE

Individual can return to school/EY setting if they are well, with the exception of those who have a household member who has tested positive and therefore must complete the full 10 days of isolation.


Scenario Five

Student or Staff member has a household member that develops symptoms of COVID-19.

Individual must:

Do they develop symptoms during isolation?

YES

Individual must:

A lateral flow test should not be used if a person has symptoms. A negative lateral flow test in a symptomatic person should not be used to confirm their COVID status or to end their isolation.

School/EY Setting must:

  • Follow cleaning guidance
  • Ensure stock of PPE in case further symptomatic cases on site
  • Await test results (48-72 hours)

Settings can contact local public health for advice.

Do they test positive or negative for Covid-19?

POSITIVE

Individual to:

  • isolate for at least 10 days from symptom onset (or from test date if asymptomatic)
  • inform their household to also isolate for 10 days

NEGATIVE

Individual can return to school/EY setting if they are well.

NO

Does the household member test positive or negative for COVID 19?

POSITIVE

Child/staff member must stay home for the full 10 days before returning to school/EY setting.

NEGATIVE

No further action: the student or staff member can return to school/EY setting