It is expected that the HCID assessment PPE ensemble described in this addendum will be implemented by all NHSScotland Boards by 25 August 2026.

The HCID assessment PPE ensemble is intended for use when providing direct care for all suspected or confirmed cases of a HCID prior to transfer to a dedicated HCID treatment centre in NHS England.

Healthcare workers outside of HCID clinical pathways should aim to assess any suspected cases virtually for example by video or phone call. If a suspected or confirmed HCID case presents at a primary care facility, they should be isolated in a room away from all other healthcare workers and service users, and contact made with infectious disease services to arrange next steps. 

It is important that NHS boards identify the most appropriate pathway locally, for the admission, care and transfer of a suspected or confirmed HCID case and ensure that staff within this pathway are trained in the use of the HCID assessment PPE ensemble. NHS boards should prepare to manage a suspected case admitted via any route including adult and paediatric EDs, or maternity units. 

This guidance applies to healthcare workers and staff with responsibility for:

• care of an individual with a suspected or confirmed HCID
• the procurement, stock and storage of HCID assessment PPE ensemble and Buddy ensemble
• the fit testing of healthcare workers required to wear respiratory protective equipment (RPE) as part of the HCID assessment PPE ensemble or the Buddy ensemble