ireland’s national action plan in response to covid …...6 7 community solidarity everyone can,...

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Ireland’s Naonal Acon Plan in response to COVID-19 (Coronavirus) Update 16th March 2020 Prepared by the Department of the Taoiseach

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Page 1: Ireland’s National Action Plan in response to COVID …...6 7 Community solidarity Everyone can, and must, play his or her part in combatting COVID-19. Solidarity, cohesion and determination

Ireland’s National Action Plan in response to COVID-19 (Coronavirus) Update 16th March 2020

Prepared by the Department of the Taoiseach

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Contents

1. Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .042 . What is COVID-19 and what we know about the virus . . . . . . . 053 . Public Solidarity and Awareness: how the public can reduce the threat of COVID-19, what we can do? . . . . . . . . . . 064 . Ireland’s Cross-Government approach in responding to COVID-19 and publication of this Action Plan . . . . . . . . . . .08

Part 1 14

Delivering a multi-agency response to COVID-19 14

Action 1: Actions for everyone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Action 2: Cross-Cutting Actions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Action 3: Communications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Action 4: Caring for our people who are ‘At Risk’ or Vulnerable . . . . . . . . . . . . . . . . . . . . 23 Action 5: Caring for people in Acute Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 Action 6: Expanding & protecting our health workforce and essential workers . . . . . . . . . . . 31 Priority Action 7: Expanding critical physical capacity . . . . . . . . . . . . . . . . . . . . . . . . . 34

Action 8: Maintaining access to essential health products, equipment and services . . . . . . . . 36

Action 9: Utilising legislative powers to support response . . . . . . . . . . . . . . . . . . . . . . . 39

Part 2 40

Dealing with the downstream impact of COVID-19 40

Business Continuity Planning across the Public Service . . . . . . . . . . . . . . . . . . . . . . . . 41 Essential Services and Utilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 Supply Chains . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47 Security, Defence & the Courts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

Banking and Financial Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53 Sectoral Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54

Economy, Employee and Business Supports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54

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2 . What is COVID-19 and what we know about the virus

Coronaviruses are a large family of viruses, some of which cause illnesses which range from the common cold to much more severe respiratory illnesses, such as Severe Acute Respiratory Syndrome (SARS). COVID-19 is a new disease caused by a strain of coronavirus not seen in humans before December 2019. As such, there is a lack of immunity in the population which means that we are all susceptible to infection and, with no vaccine currently available, COVID-19 has the potential to spread widely.

People can catch COVID-19 from others who have the virus, through inhaling small droplets from people who cough or sneeze, or through touching contaminated surfaces and then touching their face .

Its symptoms, which can take up to 14 days to show, may include a cough, shortness of breath, breathing difficulties and fever (high temperature). Information from the European Centre for Disease Control (ECDC) suggests that–

• 80% of people infected will experience a mild to moderate illness, which can be managed

at home and will make a full recovery,

• 14% of patients may experience more severe symptoms,

• 6% of people may become more seriously infected and will require hospital care.

How concerned should we be?

According to the ECDC, the risk of occurrence of widespread national community transmission of COVID-19 in the EU/EEA and UK in the coming weeks is high. The virus is spreading, and we do not have detailed and complete understanding of the disease, given that this is a new and emerging virus.

While it is not yet known definitively which groups are most at risk of complications if they catch COVID-19, we know that older people and those who have a pre-existing medical condition (e.g. heart disease, lung disease, diabetes, liver disease etc.) are at risk. As a result, these people in our society are referred to in this Plan as being in ‘vulnerable groups’. Children can be infected and become ill but seem less susceptible than persons over the age of 20 years.

1 . Introduction

As a society we are in uncharted territory as a result of the COVID-19 outbreak. Not for generations has Ireland and the globe been faced with a pandemic like this.

The unique nature and speed of this pandemic means that the two most important ways by which we can fight this disease are through determined public health-mandated measures and changing our individual and collective behaviours .

Since COVID-19 emerged globally only a short time ago, Ireland has taken, and will continue to take, several important, robust and determined public health decisions and actions to contain, delay and prepare for mitigating this virus. Our health and social care services will continue to lead the way in driving the public health approach to COVID-19, using evidence to predict the best responses for Ireland, communicating with everyone, as well as testing, tracing and caring for those who are affected by this disease.

Now is the time for solidarity, community spirit, personal behavioural change and resilience in combatting this infection. We can all play our part in trying to delay the transmission of COVID-19. We are a nation of sociable people and it is difficult to accept that we must now change our behaviour to self-distance, self-isolate, and avoid our normal social activities, such as staying home from school, out of pubs, away from sporting activities and working from home.

However, this is not an optional change of lifestyle, it is an absolute necessity. If we want to halt the spread of COVID-19 it is for all of us to act responsibly in our day-to-day lives, listen to what our public health officials, international health organisations (WHO and ECDC) and trusted media tell us and act accordingly.

COVID-19 knows no boundaries. All generations must come together and support each other in the fight against this disease. Working together we will prevail.

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Community solidarity

Everyone can, and must, play his or her part in combatting COVID-19. Solidarity, cohesion and determination on the part of everyone will assist in limiting the spread of this virus and protect the nation. Our voluntary and community organisations are at the heart of the State’s coordinated response to COVID-19, in caring for each other.

Let us not forget that it is our healthcare workers that are at the coalface of the response to this outbreak. Every day, they put themselves at risk to advise us on how to protect ourselves and everyone around us, and then they care for us should we become infected and need treatment. It is important that, as a society, we stand behind and show solidarity for our healthcare workers and carers, our health service, and workers who provide other essential services to ensure that our daily lives are impacted as little as possible.

While it is important that we protect the whole of society from COVID-19 infection, the majority of us who become infected will make a full recovery. However, for those in our society who are at greater risk (i.e. those in more vulnerable groups), we have to make a determined effort.

Our health and social care services will need to deliver new and innovative care and supports to vulnerable groups, tailored specifically to COVID-19 (e.g. through COVID-19 Clinical Hubs, community-based responses, primary care practitioners etc.), especially for those who may have to limit their normal daily routine to protect themselves or those recovering from infection at home. We are adopting a nationwide cohesive approach, in close collaboration with voluntary and community organisations, such as charities, local voluntary groups, volunteers, local businesses and wide range of individuals and organisations to contribute to the national effort in supporting those more vulnerable people in their communities.

Also, people who may be more socially vulnerable (e.g. people who live in sheltered housing, those engaging with addiction services or homeless services, people who are in direct provision centres and people in prisons or detention centres) will also need additional supports and arrangements in the context of COVID-19.

Communicating effectively

Communication plays a vital part in limiting this virus; we all have a social responsibility to educate ourselves and others about COVID-19 so that we can protect everyone from catching the infection. Trusted sources of information are those providing advice and information which is public health-led and based on sound scientific evidence. These include websites of the Government, HSE and health agencies, official posters and leaflets in public places, as well as reputable news organisations. It is important not to rely on or share unknown and unsourced commentary for your updates.

3 . Public Solidarity and Awareness: how the public can reduce the threat of COVID-19, what we can do?

We know that while there has been a rapid spread of COVID-19, initially in China and more recently in Italy and Spain, the disease has spread more slowly in certain other countries. This indicates that, with the appropriate concerted and coordinated national response, there is scope for Ireland to reduce the spread of infection and minimise the impact for everyone and especially those in our society who are most likely to be affected more seriously by the disease (our ‘at risk or vulnerable groups’). An Taoiseach in his statement to the public on 12th March reinforced the need for social distancing measures, similar to those in use in many countries, as a means of slowing down the rapid spread of the virus.

Our collective responsibility to protect ourselves and everyone around us

The whole world has quickly come to recognise that COVID-19 is highly contagious and as such poses a unique and unprecedented challenge at this time for the health and wellbeing of the human race. Because this COVID-19 infection is so new, there are currently no specific medicines or vaccines to treat or protect against this illness. While, there are several clinical trials ongoing globally to assess the effectiveness of different treatment options, it will take some time for these to be developed, tested as safe and ready for use.

We also have to remember that COVID-19 is different to the seasonal flu that circulates in Ireland every year. This is a new viral disease and as such, people in Ireland do not have any existing immunity so the regular health service activities and response, and actions that we take every year to protect ourselves from seasonal flu are not enough for COVID-19.

Consequently, the most important ‘tool in our arsenal’ against this disease is our long-standing tradition in Ireland as a society, of being compassionate and caring, and our ability to work together for the protection of all. The most important actions that we all can, and must, take to protect ourselves and others from getting COVID-19 include: washing our hands frequently; practising good respiratory hygiene and engaging in social distancing (i.e. leaving at least 1 metre (3 feet) but ideally 2m (6 feet) distance between ourselves and other people especially in the context of keeping distance from symptomatic individuals; and avoiding touching our faces). Already people across the country are adopting these new behavioural practices, out of responsibility and care for each other and it is this mass behavioural change that gives us the best possible chance, collectively as a country, of fighting this disease.

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The actions being taken within the health service and across Government are driven by three primary goals:

1) to minimise the risk of becoming unwell for all people in Ireland;

2) to minimise, in particular, the health, wellbeing and social impact for people in Ireland who may be at greater risk from COVID-19 through minimising the risk of illness for them while working to maintain their quality of life; and

3) to minimise the social and economic disruption associated with the COVID-19 outbreak and the public health measures needed to respond to it.

The public health framework underpinning Ireland’s cross-Government approach to COVID-19 response is three phased as per Table 1 below and aims to direct the immediate actions that need to be taken; ground contingency planning as the infection progresses in the specifics of COVID-19 response; and guide decision-making so that it is appropriate, proportionate and timely to ensure that health and wider actions are deployed at the right time to have the most beneficial impact for everyone.

Table 1

3 Phases Containment Phase (limited local transmission)

Delay Phase (Localised but emerging outbreaks)

Mitigation Phase (Widespread sustained transmission)

Objective of Response

Block transmission and prevent further spread by early detection of imported or local cases.

Slow down transmission of the virus; protect vulnerable populations through preventive measures and clinical management options; reduce burden on health system.

Mitigate outbreakimpact, provide essential services, prioritise protection of most vulnerable, reduce excess mortality.

In addition to reducing the number of people who become infected as much as possible, slowing the rate of spread of this disease is the key objective for Ireland as a society. This will help to ensure that the health and social care system is better able to provide care to COVID-19 affected patients and meet ongoing care needs of other patients. It will also provide more time for a vaccine against COVID-19 or other antiviral medicines to treat the infection, to be developed and manufactured. Slowing the spread of infection will also delay the peak of the epidemic and minimise the duration of the disruption across our society and to our economy.

Websites with trusted information for the public are the Government of Ireland, the HSE and the Health Protection Surveillance Centre’s websites are all listed on www.Gov.ie.

4 . Ireland’s Cross-Government approach in responding to COVID-19 and publication of this Action Plan

Actions to Date

Since COVID-19 first emerged in China about 12 weeks ago, Ireland, working in close collaboration with EU and international health organisations (WHO and ECDC) has been monitoring the evolving global situation, responding to the spread of infection and preparing for its impact in Ireland. The arrival of COVID-19 in Ireland was not unexpected, and work had been underway to prepare for this eventuality, with public health protocols in place since January and operating effectively. The first case of COVID-19 in Ireland was notified on 29 February 2020.

Like all other countries, the scale of the challenge facing the health system in Ireland is unprecedented. Consequently, robust planning and preparation will help us to respond in the best possible way as the disease progresses.

The focus of the heath service response to date has been and will continue to be on containing the spread of the virus and minimising its impact. This has included a combination of public health measures, including: awareness-raising in the population and risk communication; infection prevention and control measures in healthcare settings; providing detailed guidance to individuals returning from areas which have notified cases; rapid identification, testing, diagnosis and management of each individual case and the identification and follow up of their contacts; undertaking modelling to estimate the potential impact of COVID-19 on Ireland; as well as taking decisions and action to mitigate the impact of the outbreak, through individual and population-based measures to prevent the spread of infection.

Approach in responding to COVID-19 and developing this Action Plan

At its heart, Ireland’s response to COVID-19 is cross-Government and public health-led, founded on well-established and evidence-based approaches in dealing with outbreaks of infectious disease.

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experience, expertise and learning from responses to previous infectious threats (SARS, MERS, Ebola and the H1N1 influenza pandemic) and plans developed for dealing with those previous pandemics. In addition, the approach is informed by international collaboration and learning from the experience of other countries where COVID-19 outbreaks are more advanced and is founded upon guidance and evidence from the World Health Organisation (WHO) and European Centre for Disease Prevention and Control (ECDC).

It is a specifically tailored and “live” Action Plan designed to respond to the unique challenges posed by the progression of the COVID-19 outbreak in terms what actions are underway (or already completed) and those which need action now so that the country is prepared for the coming weeks and months. Many of the actions contained in this Plan are dynamic and relevant across all phases; containment, delay and mitigation. This means that some containment measures are still applicable and valuable while others will only be required at a later point in the case of concern about significant community transmission.

Stakeholder Forum

A Stakeholder Forum chaired by the Department of the Taoiseach has been established. This is an authoritative platform to disseminate important public health information and support public health measures; as well as to inform Government on emerging downstream social and economic impacts of Covid-19 in Ireland. The Stakeholder Forum comprises bodies from a wide variety of sectors (business, education, health, childcare and social services, sport, tourism etc.) with membership currently at 120 organisations.

This Stakeholder Forum has been convened in Government Buildings on 3 occasions since Monday 2nd March. All sessions have been well attended. Further sessions, most likely via teleconference will convene as required.

The Stakeholder forum has provided an opportunity for Government to respond to concerns and questions and for stakeholders to support the amplification of key messages through the use of collateral provided, through online forums and through stakeholder networks.

Governance and decision-making

Ireland’s national response to COVID-19 is supported by a dedicated governance structure to ensure a public health-led, whole-of-society approach (see governance structure). The National Public Health Emergency Team (NPHET) for COVID-19 met for the first time on 27 January 2020. Chaired by the Chief Medical Officer, it oversees and provides direction, guidance, support and expert advice on the development and implementation of a strategy to respond to COVID-19 in Ireland. The NPHET is supported by an Expert Advisory Group and a number of subgroups. The

Central to Ireland’s approach to date, and continuing under this Plan, will be public health measures such as: case detection, expanding the testing of individuals for COVID-19 infection; enhancing contact tracing to identify, monitor and contain the further spread of disease; utilising advanced modelling and surveillance to provide timely information about the evolving impact across Ireland so as to enable rapid planning, decision-making and response.

Principles underpinning Ireland’s approach in planning our response to COVID-19

The success of Ireland’s national approach depends on us all acting collectively and responsibly to reduce the risk for ourselves and everyone around us. Our national approach is guided by–

• the need for us all to understand, and work in solidarity with each other, to minimise illness for everyone, but especially those who are at higher risk or are in vulnerable groups;

• ensuring that the cross-Government COVID-19 response is public health-led and aligned to support our health service, our healthcare workers and all essential workers;

• solid ethical principles to ensure that Ireland’s response is open, transparent, rational, inclusive and responsive, in order to minimise harm, respect individual freedoms and

ensure fairness in relation to the use of resources.

Developing a coherent public health-led Plan for Ireland

In response to the unprecedented speed of the spread of COVID-19 globally, concurrently there has been rapid and intensive cross-Government preparation and planning to deliver a whole-of-society response in seeking to combat the disease. This is culminating in an extensive range of joined-up concerted actions and mobilisation of resources across Government and society.

Importantly, public health measures are the lynchpin of this Action Plan. At the core of Ireland’s COVID-19 response and this Plan is a commitment to robust and continuing public health actions including testing individuals, contact tracing, modelling and surveillance to estimate the potential impact, communicating evolving public health messages and maintaining public awareness so that we can adapt our public health response as flexibly as possible.

So far, the Government has made a €3 billion aid package available to combat the effects of COVID-19. This funding includes €2.4 billion to fund sick pay for workers affected by COVID-19 as well as €435 million contingency funding for the HSE.

The cross-Government Actions set out in this Plan recognise that the scale and nature of the response will change as transmission of the disease in Ireland changes. This Action Plan draws from Ireland’s

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NPHET works closely with the HSE National Crisis Management Team which leads and manages the HSE’s response.

The Government established the Special Cabinet Committee on COVID-19 Response chaired by the Taoiseach on 3 March 2020. The Committee is being supported by a committee of senior officials across all Departments and the Health Service Executive and a dedicated Communications Group which coordinates a whole-of-Government communications response.

Key to enabling evidence-based decisions regarding how best to respond to COVID-19, is our capacity to use mathematical modelling to predict the disease’s potential impact on our people. This is done by using data from outbreaks already seen in more severely affected countries, informed by demographic information regarding the Irish population. In order to progress this important work, the Irish Epidemiological Modelling Advisory Group has been established, comprised of leading experts from academia, the ESRI, the Chief Scientific Officer, HSE, HPSC and others. Decisions to adapt and ‘step up’ Ireland’s COVID response are informed by this modelling expertise, public health advice as well as learning from international guidance and evidence.

In conclusion, for Ireland to have the best opportunity to prevail in containing, delaying and mitigating this disease, and vital to this Plan, is that individually we must change our behaviour, be socially responsible, work together, listen to advice from trusted sources and maintain our wellbeing and resilience to push through this unprecedented outbreak.

This Plan reinforces our commitment across Government.

Cabinet Committee

Senior Officials Group

National Public Health Emergency Team

HSE National Crisis Management Team

Expert Advisory Group

Acute Hospital Preparedness Subgroup

Medicines and Medical Devices Subgroup

Vulnerable People Subgroup

HSE Health Protection

Surveillance Centre Workforce Subgroup

Public Health Subgroup

Health Legislation Subgroup

Communications Group

Sources of evidence, data and guidance

World Health Organisation

European Centre for Disease Control

HSE Health Protection Surveillance Centre

Bioethics Subgroup

Behavioural Change Subgroup

Evidence Synthesis Subgroup

Guideline Development Subgroup

Irish Epidemiological Modelling Advisory

Subgroup

Governance Structure for COVID-19 National Response

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Part 1

Delivering a multi-agency response to COVID-19

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gani

satio

ns

and

peop

le(le

ad in

bol

d)

Build

solid

arity

an

d co

mm

unity

su

ppor

t ne

twor

ks(C

ontd

.)

All

Incl

udin

g or

gani

satio

ns

Key

Enab

lers

C

omm

unic

ation

s: K

ey m

essa

ges

for t

arge

t gro

ups

and

tailo

r tho

se m

essa

ges

to th

e sp

ecifi

c ta

rget

gro

up

Eth

ical

prin

cipl

es: S

olid

arity

and

car

ing

for y

our c

omm

unity

, min

imisi

ng h

arm

, dut

y to

pro

vide

car

e, p

ropo

rtion

ality

Acc

ess

trus

ted

med

ia, o

nlin

e an

d so

cial

med

ia n

etw

ork

Sha

re tr

uste

d pu

blic

hea

lth a

dvic

e an

d up

date

s with

you

r net

wor

ks D

o no

t sha

re te

xt m

essa

ges,

soci

al m

edia

or s

torie

s un

less

they

com

e fr

om a

trus

ted

info

rmati

on s

ourc

e

Page 11: Ireland’s National Action Plan in response to COVID …...6 7 Community solidarity Everyone can, and must, play his or her part in combatting COVID-19. Solidarity, cohesion and determination

16 17

Actio

n 2:

Cro

ss-C

utting

Acti

ons

Actio

n A

rea

Com

plet

ed /

Cur

rent

ly b

eing

impl

emen

ted

Actio

n no

w fo

r Lat

erKe

y or

gani

satio

ns

and

peop

le(le

ad in

bol

d)

Build

ing

up o

ur

publ

ic h

ealth

ac

tiviti

es

DO

H, H

SE,

DCC

AE,

D

/Tao

iseac

h,

DO

D

HSE

, HPS

C,

DA

FM

HSE

, DA

FM

HSE

, DA

FM

DO

H, H

SE

HSE

, DO

D,

Def

ence

For

ces

and

Gov

ernm

ent

Dep

artm

ents

DO

H, H

SE, C

hief

Sc

ienti

fic

Offi

cer,

Aca

dem

ia,

HPS

C, E

SRI

Ups

cale

con

tact

trac

ing

capa

city

to

man

age

incr

ease

in c

onfir

med

cas

es a

nd

prov

ide

nece

ssar

y tr

aini

ng

Exam

ine

esta

blish

ing

a na

tiona

l ser

o-ep

idem

iolo

gica

l uni

t and

ser

um b

ank

to

estim

ate

popu

latio

n ag

e-sp

ecifi

c im

mun

ity

or p

ast e

xpos

ure

– fo

r prio

ritisa

tion

of

vacc

inati

on (w

hen

avai

labl

e)

Conti

nue

and

expa

nd c

onta

ct tr

acin

g to

iden

tify,

mon

itor a

nd c

onta

in fu

rthe

r sp

read

Conti

nue

to d

eliv

er a

pub

lic h

ealth

-led

evid

ence

-bas

ed G

over

nmen

t-w

ide

resp

onse

to C

OV

ID-1

9, in

clud

ing

enab

ling

the

NPH

ET to

adv

ise a

cros

s G

over

nmen

t, dr

ive

imm

edia

te a

ction

s, an

d st

eer c

ontin

genc

y pl

anni

ng,

as w

ell a

s ap

prop

riate

and

pro

porti

onat

e de

cisio

n-m

akin

g

Ong

oing

exp

ansio

n of

hos

pita

l lab

testi

ng a

nd p

lan

for r

oll-o

ut o

f wid

espr

ead

com

mun

ity-d

eliv

ered

testi

ng

Del

iver

and

con

tinue

to e

xpan

d te

sting

of i

ndiv

idua

ls to

the

max

imum

ext

ent,

as a

cor

e pa

rt

of th

e pu

blic

hea

lth re

spon

se

Driv

e th

e w

ork

of th

e Iri

sh E

pide

mio

logi

cal M

odel

ling

Advi

sory

Gro

up le

d by

DO

H, H

SE a

nd H

PSC

to e

xpan

d th

e m

athe

mati

c m

odel

ling

capa

city

, usin

g da

ta fr

om o

utbr

eaks

alre

ady

seen

in m

ore

seve

rely

affe

cted

cou

ntrie

s an

d in

form

ed b

y Iri

sh d

emog

raph

ics,

to p

redi

ct th

e lik

ely

impa

ct a

nd e

nabl

e ev

iden

ce-b

ased

dec

ision

s on

how

bes

t to

resp

ond

to C

OV

ID-1

9

Conti

nue

to e

xpan

d an

d su

ppor

t HSE

Pub

lic H

ealth

wor

kfor

ce b

y in

crea

sing

clin

ical

and

adm

inist

rativ

e st

affing

to p

rovi

de s

trat

egic

adv

ice,

gui

danc

e an

d su

ppor

t to

wid

er h

ealth

ser

vice

Actio

n A

rea

Com

plet

ed /

Cur

rent

ly b

eing

impl

emen

ted

Actio

n no

w fo

r Lat

erKe

y or

gani

satio

ns

and

peop

le(le

ad in

bol

d)

Build

solid

arity

an

d co

mm

unity

su

ppor

t ne

twor

ks

DO

H, H

SE, D

/Ta

oise

ach,

All

Gov

ernm

ent

Dep

artm

ents

HSE

, DA

FM,

Oth

ers

HSE

, HPS

C

HSE

, HPS

C

DO

H, H

SE

DO

H, H

SE

HSE

, DO

H, A

ll G

over

nmen

t D

epta

rtm

ents

Enga

ge w

ith o

ther

Gov

ernm

ent D

epar

tmen

ts a

nd s

ecto

rs to

sup

port

and

exp

and

cont

act t

raci

ng, t

estin

g,

publ

ic h

ealth

cap

acity

, thr

ough

exp

ertis

e an

d sk

ills

Brin

g to

geth

er m

edic

al le

ader

s ar

ound

CO

VID

-19

to p

rovi

de h

ealth

ser

vice

lead

ersh

ip, c

omm

unic

ation

s,

e

xper

tise

Imm

edia

tely

reso

urce

and

prio

ritise

pub

lic h

ealth

sur

veill

ance

and

repo

rting

acti

vitie

s re

gard

ing

COV

ID-1

9

Enha

nce

our o

ngoi

ng d

iseas

e su

rvei

llanc

e an

d re

al-ti

me

data

col

lecti

on b

y Pu

blic

Hea

lth D

epar

tmen

ts to

the

HPS

C to

pro

vide

tim

ely

info

rmati

on e

nabl

ing

rapi

d pl

anni

ng a

nd d

ecisi

on m

akin

g by

NPH

ET

Ensu

re p

arity

of s

tatu

s, tr

aini

ng a

nd c

aree

r str

uctu

re fo

r spe

cial

ists

in p

ublic

hea

lth m

edic

ine,

so

that

they

are

ap

prop

riate

ly e

mpo

wer

ed to

str

ateg

ical

ly le

ad a

nd d

irect

the

heal

th s

ervi

ce C

OV

ID-1

9 re

spon

se

Expa

nd in

fecti

ous

dise

ase

mod

ellin

g ca

paci

ty in

to th

e H

PSC

Del

iver

enh

ance

d pu

blic

hea

lth-le

d re

spon

ses

and

advi

ces

acro

ss

Gov

ernm

ent a

nd s

ocie

ty e

.g.

ext

endi

ng s

ocia

l dist

anci

ngre

com

men

datio

ns, a

dvisi

ng o

n di

fferin

g re

spon

ses

in d

iffer

ent r

egio

ns a

ccor

ding

to

loca

l dise

ase

patt

erns

Incr

ease

our

cap

acity

to m

odel

dise

ase

prog

ress

ion

to e

nsur

e re

spon

ses

are

alig

ned

with

and

pro

porti

onat

e to

ev

olvi

ng s

ituati

on

Page 12: Ireland’s National Action Plan in response to COVID …...6 7 Community solidarity Everyone can, and must, play his or her part in combatting COVID-19. Solidarity, cohesion and determination

18 19

Actio

n A

rea

Com

plet

ed /

Cur

rent

ly b

eing

impl

emen

ted

Actio

n no

w fo

r Lat

erKe

y or

gani

satio

ns

and

peop

le(le

ad in

bol

d)

Impl

emen

ting

our m

odel

of

care

and

gu

idan

ce fo

r he

alth

serv

ice

prov

ider

s and

he

alth

care

w

orke

rs

HSE

, DO

H

HSE

, DO

H

Mai

ntai

ning

cr

itica

l and

on

goin

g se

rvic

es

for e

ssen

tial

patie

nt c

are

HSE

HSE

HSE

HSE

, priv

ate

prov

ider

s, 38

an

d 39

prov

ider

s

HSE

, DO

H,

GPs

HSE

, DO

H,

Phar

mac

ists

HSE

Con

tinue

to d

evel

op a

nd im

plem

ent a

n ag

reed

clin

ical

mod

el o

f car

e to

sup

port

the

man

agem

ent o

f the

o

vera

ll re

spon

se to

CO

VID

-19

whi

ch s

eeks

to p

reve

nt s

prea

d an

d m

anag

e th

e as

sess

men

t and

trea

tmen

t of

pati

ents

in th

e co

mm

unity

as

far a

s po

ssib

le

Ensu

re o

ngoi

ng s

ervi

ces

for s

peci

altie

s in

clud

ing

trau

ma,

can

cer,

obst

etric

s, CF

and

org

an tr

ansp

lant

ser

vice

s

Mai

ntai

n ur

gent

(ele

ctive

) acti

vity

incl

udin

g ur

gent

dia

gnos

tics,

canc

er ra

pid

acce

ss c

linic

s an

d di

alys

is

Enga

ge a

cute

onc

olog

y cl

inic

al n

urse

spe

cial

ists

to re

duce

the

num

ber o

f onc

olog

y pa

tient

s be

ing

adm

itted

to

acut

e se

rvic

es a

nd to

avo

id u

nnec

essa

ry a

dmiss

ions

thro

ugh

Emer

genc

y D

epar

tmen

ts

Mai

ntai

n co

mm

unity

car

e in

clud

ing

for s

ocia

lly v

ulne

rabl

e gr

oups

, com

mun

ity p

allia

tive

care

, men

tal h

ealth

, ho

me

supp

ort a

nd s

hort

-ter

m /

tran

sition

al /

long

-ter

m c

are

for o

lder

peo

ple

and

thos

e w

ithin

our

spe

cial

ist

disa

bilit

y se

rvic

es

Supp

ort g

ener

al p

racti

ce in

del

iver

ing

on-g

oing

ess

entia

l car

e of

pati

ents

Supp

ort c

omm

unity

pha

rmac

ists

in d

eliv

erin

g on

-goi

ng c

are

of p

atien

ts

Ensu

re p

rovi

sion

of e

ssen

tial p

atien

t tra

nspo

rt to

mai

ntai

n he

alth

care

acc

ess

Con

tinue

to d

evel

op a

nd e

xpan

d th

e su

ite o

f pro

toco

ls an

d gu

idan

ce fo

r hea

lthca

re w

orke

rs

(e.g

. car

e pa

thw

ays

for s

ympt

omati

c pa

tient

s, cr

iteria

for a

dmiss

ion

and

disc

harg

e fr

om c

are

faci

lities

, a

ppro

pria

te IP

C gu

idan

ce to

pro

tect

hea

lthca

re w

orke

rs)

Actio

n A

rea

Com

plet

ed /

Cur

rent

ly b

eing

impl

emen

ted

Actio

n no

w fo

r Lat

erKe

y or

gani

satio

ns

and

peop

le(le

ad in

bol

d)

Har

ness

the

capa

city

of t

he

rese

arch

and

ev

iden

ce

com

mun

ity to

su

ppor

t im

med

iate

de

cisi

on m

akin

g an

d to

ens

ure

Irela

nd is

pr

epar

ed fo

r fu

ture

thre

ats

DO

H, H

SE,

DES

(Clin

ical

/Ac

adem

ics)

DO

H

DO

H

DO

H

Key

Oth

er

Enab

lers

:

Co

mm

unic

ation

s: P

rom

pt a

nd e

ffecti

ve c

omm

unic

ation

with

all

stak

ehol

ders

ICT:

Pro

vide

suffi

cien

t ICT

to e

nabl

e co

ntac

t tra

cing

cap

acity

, sup

port

and

mai

ntai

n CO

VID

-19

isola

tion

polic

y, e

nabl

e

ph

one

tria

ge a

nd te

lem

edic

ine

prac

tices

by

heal

thca

re w

orke

rs

E

thic

al p

rinci

ples

: Min

imisi

ng h

arm

, fai

rnes

s, pr

ivac

y, s

olid

arity

Esta

blish

a d

edic

ated

pro

gram

me

with

exp

erie

nced

evi

denc

e sy

nthe

sis c

entr

es, n

ation

ally

and

inte

rnati

onal

ly,

to d

eliv

er e

xped

ited

evid

ence

revi

ews

Enga

ge w

ith e

xper

ts in

beh

avio

ural

eco

nom

ics

and

in h

ealth

lite

racy

to e

nsur

e th

at e

vide

nce

is in

corp

orat

ed

optim

ally

into

pla

nnin

g, c

omm

unic

ation

s an

d ot

her C

OV

ID-1

9 Re

spon

ses.

Supp

ort i

nvol

vem

ent i

n ta

rget

ed re

sear

ch c

alls

by th

e Eu

rope

an C

omm

issio

n (H

oriz

on 2

020

and

Inno

vativ

e M

edic

ines

Initi

ative

) to

adva

nce

know

ledg

e fo

r the

clin

ical

and

pub

lic h

ealth

resp

onse

Brin

g re

sear

ch fu

ndin

g ag

enci

es to

geth

er to

exp

lore

a c

olla

bora

tive

rapi

d-re

spon

se re

sear

ch c

all

Page 13: Ireland’s National Action Plan in response to COVID …...6 7 Community solidarity Everyone can, and must, play his or her part in combatting COVID-19. Solidarity, cohesion and determination

20 21

Acti

on 3

: Com

mun

icati

ons

Actio

n A

rea

Com

plet

ed /

Cur

rent

ly b

eing

impl

emen

ted

Actio

n no

w fo

r Lat

erKe

y or

gani

satio

ns

and

peop

le(le

ad in

bol

d)

Publ

ic

com

mun

icati

on

cam

paig

n fo

cuse

d on

dr

ivin

g be

havi

oura

l ch

ange

and

co

mm

unic

ating

w

ith v

ulne

rabl

e pe

ople

DO

H, H

SE,

Reve

nue

Com

miss

ione

rsA

ll D

epts

, H

ealth

A

genc

ies

Hea

lth s

ecto

r or

gani

satio

ns

Conti

nue

to h

ighl

ight

indi

vidu

al a

ction

s fo

r pre

venti

on

Com

mun

icat

e pu

blic

mes

sage

s on

re

cove

ries

Com

mun

icat

e to

the

publ

ic a

bout

how

to

resp

ond

in c

ase

of a

sus

pect

ed in

fecti

on

Tailo

r mes

sagi

ng o

n m

easu

res

that

can

be

take

n to

pro

tect

the

vuln

erab

le, o

lder

pe

ople

, peo

ple

with

disa

biliti

es a

nd

heal

thca

re w

orke

rs, c

onsid

erin

g ph

ysic

al

and

men

tal w

ell-b

eing

Com

mun

icat

e fa

cts

abou

t CO

VID

-19,

tr

ansm

issib

ility

, sev

erity

and

pre

vent

ative

m

easu

res

Resp

ond

to th

e in

trod

uctio

n of

indi

vidu

al c

ases

or c

lust

ers

Com

mun

icat

e pu

blic

hea

lth a

ction

s be

ing

take

n an

d th

at th

e pu

blic

sho

uld

conti

nue

to a

dapt

to m

easu

res

to c

onta

in,

dela

y an

d m

itiga

te th

e ou

tbre

ak

Prom

ote

empa

theti

c co

mm

unity

eng

agem

ent t

o de

tect

and

rapi

dly

resp

ond

to p

ublic

con

cern

s, m

isinf

orm

ation

and

mes

sage

fatig

ue

Com

mun

icat

e eff

ectiv

ely

with

old

er p

eopl

e, a

nd id

entif

y an

d us

e ta

ilore

d co

mm

unic

ation

cha

nnel

s to

mee

t th

eir n

eeds

, as w

ell a

s ta

ilorin

g co

mm

unic

ation

s to

the

need

s of

diff

eren

t reg

ions

Tailo

r com

mun

icati

on m

essa

ges

in o

ther

lang

uage

s fo

r peo

ple

from

ove

rsea

s li

ving

and

wor

king

in Ir

elan

d an

d fo

r Iris

h ci

tizen

s an

d to

urist

s cu

rren

tly o

vers

eas

so th

at th

ey fo

llow

loca

l CO

VID

-19

advi

ce fr

om tr

uste

d so

urce

s

Max

imise

SM

S /

text

com

mun

icati

on c

hann

els

incl

udin

g m

obile

ser

vice

pro

vide

rs,

com

mun

ity te

xt a

lert

ser

vice

s et

c.

Actio

n A

rea

Com

plet

ed /

Cur

rent

ly b

eing

impl

emen

ted

Actio

n no

w fo

r Lat

erKe

y or

gani

satio

ns

and

peop

le(le

ad in

bol

d)

Soci

al M

edia

DO

H, H

SEA

ll D

epts

, H

ealth

Age

n-ci

esH

ealth

sec

tor

orga

nisa

tions

Stak

ehol

der

Enga

gem

ents

DO

H, H

SEA

ll D

epts

, H

ealth

A

genc

ies

Hea

lth s

ecto

r or

gani

satio

ns

List

enin

g to

the

publ

ic th

roug

h m

edia

, soc

ial

med

ia

mon

itorin

g,

focu

s gro

ups

etc .

DO

H, H

SEA

ll D

epts

, H

ealth

A

genc

ies

Hea

lth s

ecto

r or

gani

satio

ns

Und

erst

and

and

resp

ond

to e

mer

ging

con

cern

s

Fee

d in

to d

evel

opm

ent o

f mes

sagi

ng a

nd p

lann

ing

for n

ext p

hase

Sup

port

com

mun

ity s

olid

arity

acti

vity

Plan

for a

nd d

eliv

er re

mot

e an

d vi

rtua

l net

wor

king

with

key

org

anisa

tions

and

gro

ups

Shar

e in

form

ation

with

key

sta

keho

lder

s an

d ne

twor

ks

Enga

ge in

two-

way

com

mun

icati

on w

ith p

ublic

and

sta

keho

lder

s

Enga

ge in

risk

com

mun

icati

on w

ith h

ealth

care

wor

kers

and

hea

lth s

ervi

ce p

rovi

ders

Diss

emin

ate

and

ampl

ify k

ey p

ublic

hea

lth m

essa

ges

and

upda

tes Ad

dres

s pu

blic

con

cern

s an

d m

essa

ge

fatig

ue in

clud

ing

for c

erta

in g

roup

s in

so

ciet

y (e

.g. t

eena

gers

, you

ng p

eopl

e et

c.)

Conti

nuou

sly a

ddre

ss m

isinf

orm

ation

Page 14: Ireland’s National Action Plan in response to COVID …...6 7 Community solidarity Everyone can, and must, play his or her part in combatting COVID-19. Solidarity, cohesion and determination

22 23

Actio

n A

rea

Com

plet

ed /

Cur

rent

ly b

eing

impl

emen

ted

Actio

n no

w fo

r Lat

erKe

y or

gani

satio

ns

and

peop

le(le

ad in

bol

d)

Wor

king

with

th

e m

edia

DO

H, H

SEA

ll D

epts

, H

ealth

A

genc

ies

Hea

lth s

ecto

r or

gani

satio

ns

Dev

elop

m

ulti-

med

ia

mat

eria

ls fo

r co

mm

unic

ating

w

ith th

e pu

blic

DO

H, H

SE,

Reve

nue

Com

miss

ione

rs

Key

Enab

lers

Et

hica

l prin

cipl

es: M

inim

ising

har

m, p

ropo

rtion

ality

, sol

idar

ity, p

rivac

y

Dev

elop

vid

eos,

info

grap

hics

, lea

flets

, pos

ters

etc

. and

diss

emin

ate

in li

ne w

ith p

ublic

hea

lth a

dvic

e

Bui

ld o

penn

ess,

tran

spar

ency

and

con

fiden

ce in

pub

lic h

ealth

adv

ice

Am

plify

key

mes

sage

s an

d up

date

s

Addr

ess

publ

ic c

once

rns,

misi

nfor

mati

on

and

mes

sage

fatig

ue

Addr

ess

publ

ic c

once

rns,

misi

nfor

mati

on

and

mes

sage

fatig

ue

Evol

ve m

ater

ials

and

mes

sagi

ng to

refle

ct e

mer

ging

issu

es

Actio

n A

rea

Com

plet

ed /

Cur

rent

ly b

eing

impl

emen

ted

Actio

n no

w fo

r Lat

erKe

y or

gani

satio

ns

and

peop

le(le

ad in

bol

d)

All

rele

vant

D

epar

tmen

ts

and

Stat

e A

genc

ies h

ave

plan

s in

plac

e fo

r vul

nera

ble

grou

ps

A

ll D

epar

tmen

ts

HSE

, s39

ag

enci

es, D

JE,

DCY

A, O

ther

s

Impl

emen

t a

dyna

mic

cl

inic

al a

nd

soci

al c

are,

co

mun

ty-b

ased

m

anag

emen

t re

spon

se,

incl

udin

gte

chno

logy

-de

liver

ed c

are

optio

ns th

roug

h CO

VID

-19

Com

mun

ity C

linic

al

Hub

s and

Soc

ial C

are

Supp

ort

Coor

dina

tion

HSE

, DO

H,

DO

D, D

TTS

HSE

Actio

n 4:

Car

ing

for o

ur p

eopl

e w

ho a

re ‘A

t Ris

k’ o

r Vul

nera

ble

Plan

and

impl

emen

t mea

sure

s fo

r, an

d co

ntinu

e to

iden

tify

at ri

sk v

ulne

rabl

e gr

oups

and

the

soci

ally

vuln

erab

le, i

nclu

ding

thos

e no

t rec

eivi

ng h

ealth

and

soc

ial c

are

serv

ices

Roll

out a

nd e

xpan

d ad

ditio

nal s

uppo

rt re

quire

men

ts re

late

d to

CO

VID

-19

Conti

nue

to p

ut in

pla

ce s

peci

fic a

rran

gem

ents

for,

and

enab

le m

obili

sed

orga

nisa

tions

acr

oss

Gov

ernm

ent

and

the

com

mun

ity a

nd v

olun

tary

sec

tor,

in c

onju

nctio

n w

ith e

ssen

tial s

uppo

rting

sta

ff, in

mee

ting

the

spec

ific

need

s of

soc

ially

vul

nera

ble

peop

le (e

.g. s

helte

red

hous

ing,

add

ictio

n se

rvic

es, h

omel

ess

serv

ices

, men

tal h

ealth

se

rvic

es, d

irect

pro

visio

n ce

ntre

s, pr

isons

, det

entio

n ca

mpu

ses

and

thos

e w

ith n

on-s

tand

ard

livin

g ar

rang

emen

ts)

Del

iver

and

exp

and

supp

orts

bas

ed o

n ne

ed

Roll

out p

roto

cols

to p

rovi

de

asse

ssm

ent /

trea

tmen

t of C

OV

ID-1

9 pa

tient

s with

mild

to m

oder

ate

resp

irato

ry

illne

ss o

r pati

ents

with

chr

onic

illn

ess

and

com

plic

ation

s du

e to

CO

VID

-19,

incl

udin

g pr

ovisi

on o

f car

e in

sub

-acu

te

com

mun

ity b

eds

Del

iver

, bas

ed o

n pr

otoc

ols,

asse

ssm

ent /

trea

tmen

t of C

OV

ID-1

9 pa

tient

s with

mild

to m

oder

ate

resp

irato

ry il

lnes

s or

pati

ents

chr

onic

illn

ess

and

com

plic

ation

s du

e to

CO

VID

-19,

in

clud

ing

prov

ision

of c

are

in s

ub-a

cute

com

mun

ity b

eds

Del

iver

incr

easin

g am

ount

of

ass

essm

ent a

nd tr

eatm

ent f

or

COV

ID-1

9 pa

tient

s with

mild

to m

oder

ate

resp

irato

ry il

lnes

s or

pati

ents

with

chr

onic

ill

ness

and

com

plic

ation

s du

e to

CO

VID

-19,

in

clud

ing

the

prov

ision

of c

are

in s

ub-a

cute

co

mm

unity

bed

s

Roll-

out a

nd d

eplo

y as

soo

n as

pos

sible

the

netw

ork

of c

.30

Com

mun

ity C

OV

ID-1

9 Cl

inic

al H

ubs

natio

nally

ac

ross

Com

mun

ity H

ealth

Org

anisa

tions

(CH

Os)

as

part

of t

he p

athw

ay o

f car

e fo

r per

sons

with

CO

VID

-19

Page 15: Ireland’s National Action Plan in response to COVID …...6 7 Community solidarity Everyone can, and must, play his or her part in combatting COVID-19. Solidarity, cohesion and determination

24 25

Actio

n A

rea

Com

plet

ed /

Cur

rent

ly b

eing

impl

emen

ted

Actio

n no

w fo

r Lat

erKe

y or

gani

satio

ns

and

peop

le(le

ad in

bol

d)Im

plem

ent a

dy

nam

ic

clin

ical

and

so

cial

car

e,

com

unty

-bas

ed

man

agem

ent

resp

onse

, in

clud

ing

tech

nolo

gy-

deliv

ered

car

e op

tions

thro

ugh

COV

ID-1

9 Co

mm

unity

Cl

inic

al H

ubs

and

Soci

al C

are

Supp

ort

Coor

dina

tion

H

SE

HSE

HSE

HSE

, DO

H

HSE

Inte

grat

e an

d sc

ale

up e

xisti

ng H

SE L

ive

and

tele

phon

e se

rvic

es to

enh

ance

com

mun

icati

on c

hann

els

to

supp

ort s

elf-

man

agem

ent i

n ho

me

envi

ronm

ent

Del

iver

rem

ote

clin

ical

sup

port

ser

vice

s pr

ovid

ing

clin

ical

tria

ge, w

hich

is in

tegr

ated

with

CO

VID

-19

com

mun

ity c

linic

al h

ubs

Dep

loy

reso

urce

s to

mee

t req

uire

men

t fo

r bro

ader

soc

ial c

are

resp

onse

for

peop

le a

t hom

e /

in-c

omm

unity

setti

ngs,

incl

udin

g sc

alin

g up

of m

anag

emen

t sup

port

se

rvic

es fo

r all

vuln

erab

le g

roup

s to

ens

ure

timel

y co

ordi

natio

n of

ser

vice

del

iver

y

Del

iver

ing

incr

easin

g am

ount

of

soc

ial c

are

for C

OV

ID-1

9 pa

tient

s with

m

ild to

mod

erat

e re

spira

tory

or c

hron

ic

illne

ss w

ith c

ompl

icati

ons

due

to C

OV

ID-1

9

Conti

nue

to e

xpan

d th

e se

rvic

es a

nd

staffi

ng o

f tho

se C

linic

al H

ubs

Iden

tify,

rede

ploy

and

recr

uit

appr

opria

te c

linic

al e

xper

tise

for e

ach

COV

ID-1

9 Cl

inic

al H

ubs

Mai

ntai

n es

senti

al h

ealth

and

soc

ial c

are

serv

ices

as w

ell a

s G

P se

rvic

es, t

o m

axim

ise th

e m

anag

emen

t of

existi

ng c

hron

ic d

iseas

es, p

allia

tive

care

, men

tal h

ealth

, spe

cial

ist d

isabi

lity

serv

ices

and

car

e of

old

er p

eopl

e

D

eliv

ered

thro

ugh

an in

tegr

ated

str

eam

lined

app

roac

h ac

ross

the

COV

ID-1

9 cl

inic

al h

ubs

an

d th

e so

cial

car

e su

ppor

t coo

rdin

ation

, util

ising

sta

ndar

dise

d gu

idan

ce

Actio

n A

rea

Com

plet

ed /

Cur

rent

ly b

eing

impl

emen

ted

Actio

n no

w fo

r Lat

erKe

y or

gani

satio

ns

and

peop

le(le

ad in

bol

d)

Mob

ilise

co

mm

unity

co

ordi

natio

n to

col

labo

rate

in

mee

ting

the

soci

al c

are

and

othe

r nee

ds o

f ‘a

t ris

k’ a

ndvu

lner

able

gr

oups

H

SE, D

OH

, Lo

cal A

utho

rities

w

ith c

omm

unity

an

d vo

lunt

ary

grou

ps, o

ther

pu

blic

sec

tor

wor

kers

and

the

publ

ic

DRC

D, L

ocal

Au

thor

ities

, w

ith c

omm

unity

an

d vo

lunt

ary

grou

ps, o

ther

pu

blic

sec

tor

wor

kers

and

the

publ

ic

Supp

ort

gene

ral p

racti

ce

in d

eliv

erin

g ca

re to

pati

ents

w

ith C

OV

ID-1

9

H

SE, D

OH

, GPs

HSE

, GPs

HSE

, DO

H,

Phar

mac

ies

Thro

ugh

a na

tiona

l app

roac

h, s

uppo

rt v

olun

tary

and

com

mun

ity g

roup

s in

clud

ing

serv

ice

prov

ider

s to

en

hanc

e th

e de

liver

y of

com

mun

ity s

uppo

rts

for v

ulne

rabl

e pe

ople

incl

udin

g tr

ansp

ort,

invo

lvin

g br

oad

inte

racti

on w

ith c

once

rned

peo

ple,

psy

cho-

soci

al s

uppo

rts

and

supp

ort i

n re

gard

to is

sues

suc

h as

trav

el fo

ron

-goi

ng tr

eatm

ent f

or o

ther

con

ditio

ns

Impl

emen

t and

roll

out g

uida

nce

and

info

rmati

on fo

r GPs

in re

latio

n to

the

vuln

erab

le g

roup

s re

flecti

ng th

e ev

olvi

ng re

spon

se, a

nd e

nabl

e sy

stem

s fo

r pho

ne tr

iage

and

tele

med

icin

e, th

us re

duci

ng u

nnec

essa

ry h

ealth

care

Mai

ntai

n es

senti

al G

P, h

ealth

and

soc

ial c

are

serv

ices

to m

axim

ise th

e m

anag

emen

t of e

xisti

ng c

hron

icdi

seas

es, p

allia

tive

care

, men

tal h

ealth

, disa

bilit

y se

rvic

es a

nd c

are

of o

lder

peo

ple

in c

onte

xt o

f CO

VID

-19

Conti

nue

to s

uppo

rt th

e ro

le o

f com

mun

ity p

harm

acist

s in

ens

urin

g m

edic

ines

sup

ply

for s

ervi

ce u

sers

(e.g

. ch

roni

c di

seas

e, o

lder

per

sons

etc

.)

In a

ccor

danc

e w

ith a

nati

onal

app

roac

h,

depl

oy s

ocia

l car

e su

ppor

t thr

ough

a

supp

ort c

oord

inat

or, w

ithin

the

loca

l co

mm

unity

hea

lthca

re o

rgan

isatio

ns (C

HO

) an

d in

con

junc

tion

with

Loc

al A

utho

rities

, lia

ising

with

vol

unta

ry a

nd c

harit

able

or

gani

satio

ns in

org

anisi

ng c

omm

unity

re

spon

se te

ams

that

are

coo

rdin

ating

soc

ial

care

and

rela

ted

requ

irem

ents

for

vuln

erab

le p

eopl

e in

thei

r are

a

Del

iver

add

ition

al s

uppo

rt

coor

dina

tion

in li

ne w

ith

stan

dard

ised

guid

ance

Page 16: Ireland’s National Action Plan in response to COVID …...6 7 Community solidarity Everyone can, and must, play his or her part in combatting COVID-19. Solidarity, cohesion and determination

26 27

Actio

n A

rea

Com

plet

ed /

Cur

rent

ly b

eing

impl

emen

ted

Actio

n no

w fo

r Lat

erKe

y or

gani

satio

ns

and

peop

le(le

ad in

bol

d)Su

ppor

t co

mm

unity

ph

arm

acis

ts

in d

eliv

erin

g on

-goi

ng c

are

to

patie

nts,

incl

udin

g th

ose

with

CO

VID

-19

(Con

td .)

H

SE, D

OH

, Ph

arm

acie

s

HSE

, DO

H, P

SI,

Phar

mac

ies

Addi

tiona

l hom

e su

ppor

ts to

m

anag

e vu

lner

able

pe

ople

/pati

ent

and

supp

ort

care

rs im

pact

ed

by C

OV

ID-1

9 i.

Addi

tiona

l pa

tient

s di

scha

rged

from

ho

spita

lii.

Pati

ents

re

ceiv

ing

hom

e ca

re th

at h

ave

addi

tiona

l nee

dsiii

. New

pati

ents

w

ith C

OV

ID-1

9 re

late

d cl

inic

al

or so

cial

nee

ds

HSE

HSE

HSE

Max

imise

com

mun

ity p

harm

acist

s as

a re

sour

ce to

pro

mot

e se

lf-ca

re a

nd p

rovi

de a

dvic

e an

d in

form

ation

to

all i

nclu

ding

thos

e in

vul

nera

ble

grou

ps

Impl

emen

t and

roll

out g

uida

nce

and

info

rmati

on fo

r com

mun

ity p

harm

acist

s in

rela

tion

to th

e ev

olvi

ng

resp

onse

Mai

ntai

n cu

rren

t lev

el o

f hom

e su

ppor

t

Del

iver

add

ition

al h

ome

supp

ort

in li

ne w

ith c

riter

ia

Impl

emen

t res

ourc

es fo

r add

ition

ality

an

d de

liver

trai

ning

, with

add

ition

al

man

agem

ent s

uppo

rt

Thro

ugh

a na

tiona

l fun

ction

, with

man

agem

ent s

uppo

rt, c

oord

inat

e an

d pr

ioriti

se h

ome

care

bas

ed o

n cr

iteria

incl

udin

g: (i

) Criti

cal n

eed;

(ii)

Hig

h ris

k; (i

ii) R

outin

e ca

re s

uppo

rt c

oord

inati

on; (

iv) S

uppo

rt c

oord

inati

on

Enab

ling

deliv

ery

of ti

mel

y an

d co

ordi

nate

d ho

me

supp

ort s

ervi

ces,

supp

ortin

g op

timum

pati

ent s

afet

y in

the

hom

e en

viro

nmen

t

Actio

n A

rea

Com

plet

ed /

Cur

rent

ly b

eing

impl

emen

ted

Actio

n no

w fo

r Lat

erKe

y or

gani

satio

ns

and

peop

le(le

ad in

bol

d)

Key

Enab

lers

Co

mm

unic

ation

s: C

ompr

ehen

sive

com

mun

icati

ons

plan

that

can

be

com

mun

icat

ed to

vul

nera

ble

grou

ps

Et

hica

l prin

cipl

es: M

inim

ising

har

m, d

uty

to p

rovi

de c

are,

reci

proc

ity fa

irnes

s, so

lidar

ity

U

nder

pinn

ing

appr

oach

: Mak

ing

ever

y co

ntac

t cou

nt w

ill n

eces

sitat

e a

flexi

bilit

y of

role

s am

ong

heal

th a

nd

soci

al c

are

prof

essio

nals

and

be tw

een

com

mun

ity a

nd a

cute

ser

vice

s

IC

T: S

uppo

rt fo

r hom

e /

self-

man

agem

ent f

or d

iagn

osed

wel

l pati

ents

and

rem

ote

man

agem

ent o

f dia

gnos

ed p

atien

ts w

ho b

ecom

e un

wel

l,

i

nclu

ding

info

rmati

on s

harin

g an

d tr

acki

ng. S

uppo

rt fo

r man

agin

g cl

ient

ser

vice

s in

clud

ing

asse

ssm

ent,

serv

ice

and

refe

rral

dat

a

Page 17: Ireland’s National Action Plan in response to COVID …...6 7 Community solidarity Everyone can, and must, play his or her part in combatting COVID-19. Solidarity, cohesion and determination

28 29

Actio

n A

rea

Com

plet

ed /

Cur

rent

ly b

eing

impl

emen

ted

Actio

n no

w fo

r Lat

erKe

y or

gani

satio

ns

and

peop

le(le

ad in

bol

d)

All

Hos

pita

ls w

ill h

ave

a CO

VID

-19

plan

in

pla

ce

HSE

Max

imis

e pa

tient

flow

th

roug

h ou

r ho

spita

ls an

d en

sure

the

mos

t effi

cien

t use

of

exis

ting

reso

urce

s

HSE

Pr

ivat

e ho

spita

l se

ctor

Priv

ate

nurs

ing

hom

e se

ctor

Hos

pita

lity

sect

or

Hos

pita

ls re

ceiv

ing

infe

cted

pati

ents

will

hav

e a

mul

tidisc

iplin

ary

COV

ID-1

9 pr

epar

edne

ss c

omm

ittee

in p

lace

Sour

ce a

nd d

eplo

y ad

ditio

nal s

tep-

dow

n be

ds in

nur

sing

hom

es, h

otel

s et

c. to

faci

litat

e ea

rly d

ischa

rge

Enha

nce

Min

or In

jury

Uni

t ser

vice

pro

visio

n to

redu

ce p

ress

ure

on E

Ds

Rest

rict e

lecti

ve &

OPD

acti

vity

, ess

entia

l clin

ical

ser

vice

s will

be

mai

ntai

ned

as p

er A

ction

2 (C

ross

-Cutti

ng

Actio

ns)

Prov

ide

tele

phon

e tr

iage

and

sup

port

to p

atien

ts in

the

com

mun

ity to

avo

id h

ealth

care

att

enda

nce

Impl

emen

t maj

or s

urge

pla

n

Tran

sfer

cer

tain

ess

entia

l hos

pita

l ac

tivity

to p

rivat

e ho

spita

ls; m

ove

cert

ain

esse

ntial

OPD

acti

vity

to c

omm

unity

se

tting

s whe

re fe

asib

le; s

ourc

e ad

ditio

nal

step

-dow

n be

ds in

nur

sing

hom

es,

hote

ls et

c.

Faci

litat

e pa

tient

s su

itabl

e fo

r disc

harg

e w

ho a

re c

urre

ntly

del

ayed

in a

cute

hos

pita

ls

On

an o

ngoi

ng b

asis,

acc

eler

ate

appr

opria

te d

ischa

rge

of p

atien

ts to

app

ropr

iate

faci

lities

, or w

ith h

omec

are

supp

ort

Actio

n 5:

Car

ing

for p

eopl

e in

Acu

te S

ervi

ces

Actio

n A

rea

Com

plet

ed /

Cur

rent

ly b

eing

impl

emen

ted

Actio

n no

w fo

r Lat

erKe

y or

gani

satio

ns

and

peop

le(le

ad in

bol

d)Se

para

te

patie

nts t

o lim

it po

ssib

ilitie

s of

spre

ad o

f in

fecti

on in

ho

spita

ls

HSE

Expa

ndin

g pr

e-ho

spita

l car

e ca

paci

ty

HSE

D

efen

ce F

orce

sVo

lunt

ary

Am

bula

nce

orga

nisa

tions

Priv

ate

ambu

lanc

e pr

ovid

ers

Reco

nfigu

re p

hysic

al in

fras

truc

ture

in a

cute

hos

pita

ls to

faci

litat

e se

para

te tr

eatm

ent p

athw

ays

for

COV

ID-1

9 pa

tient

s; e

xpan

d ca

paci

ty a

t Nati

onal

Isol

ation

Uni

t in

Mat

er H

ospi

tal

Prov

ide

acco

mm

odati

on fo

r pati

ents

rece

ivin

g da

ily tr

eatm

ent (

e.g.

Rad

ioth

erap

y) to

min

imise

risk

of i

nfec

tion

Max

imise

sin

gle

room

usa

ge fo

r ess

entia

l tre

atm

ent o

f pati

ents

at h

ighe

r risk

, suc

h as

imm

unos

uppr

esse

d,

CF e

tc

Use

cer

tain

spe

cial

ist n

on-E

D h

ospi

tals

and/

or p

rivat

e ho

spita

ls fo

r tre

ating

infe

cted

pati

ents

Faci

litat

e N

ation

al A

mbu

lanc

e Se

rvic

e (N

AS)

to p

rovi

de h

ome

/ co

mm

unity

testi

ng s

ervi

ces

Expa

nd N

AS

clin

ical

hub

, CO

VID

-19

and

men

tal h

ealth

sup

port

des

ks i.

e. s

igni

fican

tly e

xpan

d st

aff,

incl

udin

g cl

inic

al a

dviso

rs, r

etire

d G

Ps a

nd o

ther

s to

pro

vide

clin

ical

adv

ice

at th

e su

ppor

t des

ks w

ithin

the

Nati

onal

Em

erge

ncy

Ope

ratio

ns C

entr

e of

NA

S

Conti

nue

to e

nhan

ce p

aram

edic

led

mob

ile m

edic

al s

ervi

ces

Har

ness

add

ition

al c

linic

al s

uppo

rt fr

om

the

Def

ence

For

ces,

volu

ntar

y an

d pr

ivat

e am

bula

nce

prov

ider

s

Page 18: Ireland’s National Action Plan in response to COVID …...6 7 Community solidarity Everyone can, and must, play his or her part in combatting COVID-19. Solidarity, cohesion and determination

30 31

Actio

n A

rea

Com

plet

ed /

Cur

rent

ly b

eing

impl

emen

ted

Actio

n no

w fo

r Lat

erKe

y or

gani

satio

ns

and

peop

le(le

ad in

bol

d)

Key

Enab

lers

Et

hica

l prin

cipl

es: m

inim

ising

har

m, d

uty

to p

rovi

de c

are,

fairn

ess

Ex

pand

ing

capa

city

: hea

lthca

re w

orkf

orce

; equ

ipm

ent &

veh

icle

s; c

onst

ructi

on a

nd c

ompl

etion

of m

inor

wor

ks; p

rivat

e ho

spita

ls,

priv

ate

nurs

ing

hom

es, p

rivat

e he

alth

ser

vice

pro

vide

rs; c

omm

issio

n ad

ditio

nal s

ervi

ces

and

prio

ritise

exi

sting

c

ater

ing,

laun

dry,

sec

urity

, inf

ectio

n co

ntro

l, tr

ansp

ort,

soci

al s

uppo

rt a

nd o

ther

ser

vice

s

Actio

n A

rea

Com

plet

ed /

Cur

rent

ly b

eing

impl

emen

ted

Actio

n no

w fo

r Lat

erKe

y or

gani

satio

ns

and

peop

le(le

ad in

bol

d)

Faci

litat

e re

crui

tmen

t an

d ex

pans

ion

of h

ealth

care

w

orkf

orce

DO

H H

SE &

A

genc

ies

DO

H, H

SE,

DBE

I, D

EASP

, D

JE, D

OD

, he

alth

pr

ofes

siona

l re

gula

tors

HSE

HSE

, DO

H

Mob

ilise

Def

ence

For

ces

to s

uppo

rt

the

heal

thca

re s

yste

m a

nd w

ider

soc

iety

ne

eds

Enab

le re

assig

nmen

t of m

ilita

ry a

nd

othe

r Gov

ernm

enta

l clin

ical

per

sonn

el

Enab

le re

assig

nmen

t of h

ealth

care

w

orke

rs fr

om p

rivat

e se

ctor

, and

oth

er

exte

rnal

sta

ffing

sup

port

s, on

nee

ds b

asis

Iden

tify

and

depl

oy s

ourc

es o

f ess

entia

l st

aff fr

om p

ublic

/ p

rivat

e se

ctor

s, co

nduc

t sk

ills

sear

ch to

iden

tify

staff

for

rede

ploy

men

t

Actio

n 6:

Exp

andi

ng &

pro

tecti

ng o

ur h

ealth

wor

kfor

ce a

nd e

ssen

tial w

orke

rs

Faci

litat

e th

e re

-rec

ruitm

ent o

f reti

red

heal

th s

ecto

r wor

kers

Rede

ploy

, rea

ssig

n, s

econ

d ex

isting

hea

lthca

re w

orke

rs to

fron

tline

CO

VID

-19

resp

onse

, inc

ludi

ng in

crea

sing

hour

s fo

r par

t-tim

e st

aff a

nd o

verti

me

Expe

dite

and

str

eam

line

ongo

ing

re-

crui

tmen

t (su

ch a

s st

ream

linin

g pr

ofes

-sio

nal r

egist

ratio

n, re

crui

tmen

t pro

cess

es,

besp

oke

COV

ID-1

9 te

mpl

ate

cont

ract

for

heal

thca

re p

rofe

ssio

nals

and

othe

r wor

k-er

s)

Del

iver

on

ongo

ing

basis

trai

ning

for

heal

thca

re w

orke

rs to

sup

port

CO

VID

-19

resp

onse

Prov

ide

cros

s-tr

aini

ng a

nd d

eplo

y he

alth

care

wor

kers

from

oth

er u

nits

and

ca

re a

reas

whe

re n

eede

d

Activ

ate

rede

ploy

men

t and

reas

sign-

men

t, fu

rthe

r exp

edite

recr

uitm

ent,

mob

ilise

retu

rned

retir

ed h

ealth

care

wor

k-er

s, ca

rers

, hea

lth p

rofe

ssio

nal s

tude

nts,

volu

ntee

rs e

tc.

Page 19: Ireland’s National Action Plan in response to COVID …...6 7 Community solidarity Everyone can, and must, play his or her part in combatting COVID-19. Solidarity, cohesion and determination

32 33

Actio

n A

rea

Com

plet

ed /

Cur

rent

ly b

eing

impl

emen

ted

Actio

n no

w fo

r Lat

erKe

y or

gani

satio

ns

and

peop

le(le

ad in

bol

d)

Occ

upati

onal

H

ealth

&

prot

ectin

g he

alth

care

w

orke

rs

HSE

, DO

H &

A

genc

ies,

DES

, D

EASP

, DPE

R,

DO

D, D

AFM

All

Dep

ts w

ith

Occ

upati

onal

H

ealth

ser

vice

s

HSE

HSE

, DO

H &

A

genc

ies

All

Gov

ernm

ent

Dep

ts a

nd L

ocal

Au

thor

ities

as

requ

ired

Supp

ort s

ervi

ce c

ontin

uity

thro

ugh

mea

sure

s su

ch a

s re

mot

e w

orki

ng,

child

care

, acc

omm

odati

on s

uppo

rts,

tran

spor

t

Mea

sure

abs

ente

eism

and

eng

age

agen

cy s

taff

to fi

ll an

y st

affing

sho

rtag

es

iden

tified

Exam

ine

the

feas

ibili

ty o

f pro

vidi

ng

esse

ntial

hea

lthca

re w

orke

rs w

ith a

ccom

-m

odati

on (e

.g. o

nsite

or h

otel

acc

omm

oda-

tion

to a

void

infe

ction

spr

ead)

Dep

loy

addi

tiona

l sou

rces

of s

taff

as

requ

ired

Intr

oduc

e pr

ioriti

sed

tran

spor

t pro

toco

ls to

faci

litat

e cr

itica

l car

e st

aff

Conti

nue

to d

eliv

er m

easu

res

to p

rote

ct fr

ontli

ne s

taff

from

infe

ction

, inc

ludi

ng p

rimar

y ca

re p

rofe

ssio

nals

Hav

e co

nting

ency

, Spe

cial

Lea

ve &

Sel

f Iso

latio

n pl

ans

in p

lace

Ensu

re p

sych

olog

ical

/soc

ial s

uppo

rts

are

in p

lace

for h

ealth

care

wor

kers

Actio

n A

rea

Com

plet

ed /

Cur

rent

ly b

eing

impl

emen

ted

Actio

n no

w fo

r Lat

erKe

y or

gani

satio

ns

and

peop

le(le

ad in

bol

d)

Expa

ndin

g an

d pr

otec

ting

publ

ic a

nd

priv

ate

wor

kers

in

volv

ed in

the

prov

isio

n of

ot

her e

ssen

tial

serv

ices

All

Gov

ernm

ent

Dep

ts, D

OH

, H

SE &

A

genc

ies

Key

Enab

lers

Com

mun

icati

ons:

Ann

ounc

emen

ts re

gard

ing

requ

est f

or s

uita

bly

qual

ified

sta

ff no

t cur

rent

ly w

orki

ng in

the

heal

th s

ecto

r / S

tate

Age

ncie

s.

Pub

lic a

war

enes

s in

rela

tion

to s

uppo

rting

you

r loc

al h

ealth

wor

ker (

child

care

, gen

eral

sup

port

)

Ethi

cal p

rinci

ples

: dut

y to

pro

vide

car

e, m

inim

ising

har

m, s

olid

arity

, rec

ipro

city

, priv

acy

Prep

are

and

plan

for t

he p

oten

tial

rede

ploy

men

t of g

ener

al h

ealth

, civ

il an

d pu

blic

ser

vice

sta

ff to

sup

port

CO

VID

-19

resp

onse

Clar

ifica

tion

of a

rran

gem

ents

for

Publ

ic S

ervi

ce S

peci

al L

eave

and

DEA

SP

COV

ID-r

elat

ed il

lnes

s be

nefit

sup

port

s in

pl

ace

Activ

ate

the

rede

ploy

men

t of g

ener

al

heal

th, c

ivil

and

publ

ic s

ervi

ce, i

f req

uire

d

Ensu

re a

pla

n is

in p

lace

and

impl

emen

t, as

requ

ired,

mea

sure

s to

sup

port

priv

ate

and

publ

ic s

ecto

r wor

kers

in

volv

ed in

the

prov

ision

of e

ssen

tial s

ervi

ces

(e.g

. rem

ote

wor

king

, chi

ldca

re, c

are

of d

epen

dent

, tra

nspo

rt)

Page 20: Ireland’s National Action Plan in response to COVID …...6 7 Community solidarity Everyone can, and must, play his or her part in combatting COVID-19. Solidarity, cohesion and determination

34 35

Actio

n A

rea

Com

plet

ed /

Cur

rent

ly b

eing

impl

emen

ted

Actio

n no

w fo

r Lat

erKe

y or

gani

satio

ns

and

peop

le(le

ad in

bol

d)

Expa

nd a

cute

&

criti

cal c

are

bed

capa

city

HSE

, DO

D,

DO

H, O

PW,

IDA

,DTT

S,

DA

FM, S

port

Ire

land

, Oth

er

sect

ors

Expa

nd

com

mun

ity c

are

capa

city

HSE

DO

H,

OPW

, DO

D,

IDA

, O

ther

sec

tors

Prio

rity

Actio

n 7:

Exp

andi

ng c

ritica

l phy

sica

l cap

acity

Ope

n al

l ava

ilabl

e be

ds in

acu

te h

ospi

tals,

mai

ntai

n ad

ditio

nal b

eds

open

ed fo

r Win

ter A

ction

Pla

n, c

omm

issio

n ad

ditio

nal c

ritica

l car

e an

d iso

latio

n be

ds

Prov

ide

addi

tiona

l bed

s fo

r pati

ents

with

mod

erat

e, a

cute

and

criti

cal c

are

need

s

Prog

ress

coc

ooni

ng a

nd c

ohor

ting

of a

t risk

pati

ents

and

vul

nera

ble

peop

le in

acc

orda

nce

with

evo

lvin

gpu

blic

hea

lth a

dvic

e

Mai

ntai

n cu

rren

t lev

el o

f sho

rt te

rm, t

rans

ition

al a

nd lo

ng s

tay

beds

Exam

ine

all p

ossib

ilitie

s fo

r pro

vidi

ng

acut

e ca

re a

ccom

mod

ation

for p

eopl

e re

quiri

ng is

olati

on in

clud

ing:

usin

g pu

blic

fa

ciliti

es, m

ilita

ry h

ospi

tals

and

asso

ciat

ed

faci

lities

; rep

urpo

sing

faci

lities

, usin

g ho

tels

& s

tude

nt a

ccom

mod

ation

; con

stru

cting

fie

ld h

ospi

tals

Dep

loy

all p

ossib

le p

ublic

faci

lities

to

pro

vide

acu

te c

are

acco

mm

odati

on

for p

eopl

e re

quiri

ng is

olati

on in

clud

ing:

re

purp

osin

g pu

blic

faci

lities

; usin

g m

ilita

ry

hosp

itals

and

asso

ciat

ed fa

ciliti

es; c

on-

stru

cting

fiel

d ho

spita

ls; u

sing

hote

ls &

st

uden

t acc

omm

odati

on

Secu

re a

dditi

onal

bed

s in

priv

ate

hosp

itals

Actio

n A

rea

Com

plet

ed /

Cur

rent

ly b

eing

impl

emen

ted

Actio

n no

w fo

r Lat

erKe

y or

gani

satio

ns

and

peop

le(le

ad in

bol

d)

Expa

nd

com

mun

ity c

are

capa

city

(Con

td .)

HSE

DO

H O

PW,

DO

D, I

DA

, O

ther

sec

tors

Supp

ortin

g w

ider

cap

acity

HSE

,A

ll D

epts

DJE

, DH

PLG

, Lo

cal

Auth

oriti

es

Key

Enab

lers

E

thic

al p

rinci

ples

: Min

imisi

ng h

arm

, dut

y to

pro

vide

car

e, fa

irnes

s, so

lidar

ity, r

ecip

roci

ty, p

rivac

y

I

CT su

ppor

t: Su

ppor

t for

hom

e/se

lf-m

anag

emen

t for

dia

gnos

ed w

ell p

atien

ts a

nd re

mot

e

man

agem

ent o

f dia

gnos

ed p

atien

ts w

ho b

ecom

e un

wel

l

Incr

ease

and

del

iver

sho

rt te

rm,

tran

sition

al a

nd lo

ng s

tay

beds

to m

anag

e pa

tient

impa

cted

by

COV

ID-1

9:i.

Addi

tiona

l pati

ents

disc

harg

ed

fro

m h

ospi

tal

ii. P

atien

ts th

at h

ave

addi

tiona

l car

e ne

eds

iii. N

ew p

atien

ts w

ith C

OV

ID-1

9 re

late

d

clin

ical

or s

ocia

l nee

ds

Conti

nue

to d

eliv

er a

dditi

onal

sho

rt

term

, tra

nsiti

onal

and

long

sta

y be

ds a

nd

trai

ning

for c

are

staff

Prov

ide

addi

tiona

l mor

tuar

y fa

ciliti

es

and

nece

ssar

y ca

paci

ty s

uppo

rts

Ensu

re n

eces

sary

sec

urity

of h

ealth

car

e fa

ciliti

es a

nd s

uppl

ies

Enha

nce

clea

ning

of h

ealth

care

faci

lities

Page 21: Ireland’s National Action Plan in response to COVID …...6 7 Community solidarity Everyone can, and must, play his or her part in combatting COVID-19. Solidarity, cohesion and determination

36 37

Actio

n A

rea

Com

plet

ed /

Cur

rent

ly b

eing

impl

emen

ted

Actio

n no

w fo

r Lat

erKe

y or

gani

satio

ns

and

peop

le(le

ad in

bol

d)

Secu

ring

and

sust

aini

ng

conti

nuity

of

acce

ss a

nd

supp

ly to

es

senti

al h

ealth

pr

oduc

ts,

equi

pmen

t and

ve

hicl

es

HSE

DO

H, H

SE,

HPR

A, D

BEI

HSE

DO

H, H

SE,

HPR

A, D

BEI &

A

genc

ies

DO

H, H

SE

DO

H, H

SE,

HPR

A

Actio

n 8:

Mai

ntai

ning

acc

ess t

o es

senti

al h

ealth

pro

duct

s, eq

uipm

ent a

nd se

rvic

es

HSE

con

tinue

to u

nder

take

ong

oing

pro

cure

men

t of e

ssen

tial h

ealth

pro

duct

s an

d eq

uipm

ent

Criti

cally

ass

ess

the

shor

t, m

ediu

m a

nd lo

ng-t

erm

requ

irem

ent f

or, a

nd a

vaila

bilit

y of

, med

icin

es, m

edic

al

devi

ces,

PPE

and

othe

r ess

entia

l hea

lth p

rodu

cts

and

equi

pmen

t

Enha

nce

avai

labi

lity

of c

ompr

ehen

sive

real

-tim

e in

form

ation

abo

ut n

ation

al s

tock

s an

d m

ap lo

gisti

cal

requ

irem

ents

in re

latio

n to

ess

entia

l hea

lth p

rodu

cts

to e

nabl

e eq

uita

ble

allo

catio

n to

mee

t pati

ent n

eeds

ac

ross

all

care

setti

ngs

Enga

ge w

ith p

harm

aceu

tical

, med

tech

and

oth

er h

ealth

pro

duct

indu

strie

s, su

pplie

rs, p

harm

acie

s an

d re

taile

rs to

mai

ntai

n re

spon

sible

sup

ply

of e

ssen

tial h

ealth

pro

duct

s

Iden

tify

sour

ces

of a

dditi

onal

veh

icle

s fr

om p

ublic

/ p

rivat

e se

ctor

s fo

r NA

S Insti

gate

nati

onal

ly-m

anda

ted

cont

rols

on th

e su

pply

and

dist

ributi

on o

f all

esse

ntial

hea

lth p

rodu

cts

to e

nsur

e de

liver

y of

criti

cal h

ealth

ser

vice

s, if

appr

opria

te

Actio

n A

rea

Com

plet

ed /

Cur

rent

ly b

eing

impl

emen

ted

Actio

n no

w fo

r Lat

erKe

y or

gani

satio

ns

and

peop

le(le

ad in

bol

d)

Mee

ting

the

incr

ease

d de

man

d fo

r su

pply

and

di

strib

ution

of

esse

ntial

hea

lth

prod

ucts

and

eq

uipm

ent i

n re

spon

ding

to

evol

ving

ou

tbre

ak

requ

irem

ents

HPR

A, D

OH

, H

SE, D

EBI,

DTT

S, D

OD

, D

AFM

HSE

, Rev

enue

Co

mm

issio

ners

, D

OD

, DCY

A,

OPW

HSE

, DO

H,

HPR

A, D

OD

, D

EBI,

Reve

nue

Com

miss

ione

rs

HSE

, DO

H,

DTT

S, O

PW,

DH

PLG

, DA

FM

DO

D, D

OF

HPR

A, D

OH

, H

SE

HPR

A, H

SE

Ram

p up

sur

veill

ance

to id

entif

y po

tenti

al s

hort

ages

and

dim

inish

ing

acce

ss a

nd im

plem

ent m

easu

res

to

secu

re a

vaila

bilit

y of

ess

entia

l hea

lth p

rodu

cts

and

equi

pmen

t

Ensu

re th

at ro

bust

and

con

tinge

ncy

med

icin

es d

eliv

ery

arra

ngem

ents

are

in p

lace

to d

eliv

er e

ssen

tial

med

icin

es to

CO

VID

-19

patie

nts

bein

g ca

red

for a

t hom

e

Max

imise

pro

cure

men

t arr

ange

men

ts

in re

latio

n to

sou

rcin

g, p

rocu

ring

and

dist

ributi

ng e

ssen

tial h

ealth

pro

duct

s an

d eq

uipm

ent

Secu

re a

dditi

onal

ess

entia

l hea

lth

prod

ucts

, eq

uipm

ent a

nd v

ehic

les

from

all

avai

labl

e so

urce

s, pu

blic

and

priv

ate

Iden

tify

and

depl

oy a

vaila

ble

logi

stica

l ex

perti

se w

ithin

the

Def

ence

For

ces

or

othe

r pub

lic a

nd p

rivat

e se

rvic

e pr

ovid

ers

to s

uppo

rt p

lann

ing

and

oper

ation

s, in

clud

ing

depl

oym

ent o

f res

ourc

es

Secu

re a

cces

s to

, and

acq

uire

ess

entia

l m

edic

ines

, hea

lth p

rodu

cts

and

equi

pmen

t fro

m a

ll av

aila

ble

sour

ces,

if ne

cess

ary

Repr

oces

s an

d re

cond

ition

dea

ctiva

ted

med

ical

equ

ipm

ent,

whe

re p

ossib

le a

nd

safe

to d

o so

Iden

tify

and

acce

ss, i

f app

ropr

iate

, no

n-he

alth

sec

tor a

sset

s es

senti

al to

the

heal

th re

spon

se (e

.g. a

cces

s to

veh

icle

s an

d cr

aft, f

acili

ties,

infr

astr

uctu

re, D

efen

ce

Forc

e re

sour

ces,

asse

ts, m

edic

al

equi

pmen

t, co

nsum

able

s et

c.)

Page 22: Ireland’s National Action Plan in response to COVID …...6 7 Community solidarity Everyone can, and must, play his or her part in combatting COVID-19. Solidarity, cohesion and determination

38 39

Actio

n A

rea

Com

plet

ed /

Cur

rent

ly b

eing

impl

emen

ted

Actio

n no

w fo

r Lat

erKe

y or

gani

satio

ns

and

peop

le(le

ad in

bol

d)

Impl

emen

ting

ICT

enab

lers

to

faci

litat

e th

e he

alth

serv

ice

resp

onse

to

COV

ID-1

9

HSE

, OG

CIO

, D

OH

Key

Enab

lers

Com

mun

icati

ons:

Pro

mpt

and

effe

ctive

com

mun

icati

on w

ith a

ll st

akeh

olde

rs

Capa

city

: Eng

age

and

com

miss

ion

publ

ic a

nd p

rivat

e se

rvic

e pr

ovid

ers

E

thic

al p

rinci

ples

: Min

imisi

ng h

arm

, sol

idar

ity

Dep

loy

ICT

solu

tions

to e

nabl

e he

alth

and

soc

ial c

are

resp

onse

s, su

ch a

s sc

aled

-up

call

cent

re fa

ciliti

es;

CRM

sol

ution

s to

sup

port

tria

ge a

nd fo

llow

up

of s

uspe

cted

and

con

firm

ed c

ases

; con

tact

trac

ing;

hom

ecar

e pr

ioriti

satio

n; a

ligne

d CR

M s

oluti

on fo

r hea

lth a

nd s

ocia

l car

e in

tera

ction

s to

pro

vide

coh

esiv

e su

ppor

tive

serv

ices

; sa

fegu

ardi

ng; a

nd te

lehe

alth

sol

ution

s to

min

imise

non

-ess

entia

l pati

ent c

onta

ct w

ith c

linic

ians

, etc

.

Actio

n 9:

Util

isin

g le

gisla

tive

pow

ers t

o su

ppor

t res

pons

e

Actio

n A

rea

Com

plet

ed /

Cur

rent

ly b

eing

impl

emen

ted

Actio

n no

w fo

r Lat

erKe

y or

gani

satio

ns

and

peop

le(le

ad in

bol

d)

Max

imis

e th

e us

e of

all

legi

slativ

e po

wer

s in

the

publ

ic in

tere

st

to su

ppor

t the

re

spon

se to

CO

VID

-19

DO

HO

ther

Dep

ts, a

s ne

cess

ary

Key

Enab

lers

E

thic

al p

rinci

ples

: Min

imisi

ng h

arm

, pro

porti

onal

ity, r

ecip

roci

ty, d

uty

to p

rovi

de c

are,

priv

acy

In th

e pu

blic

inte

rest

, use

exi

sting

, and

exp

and

whe

re n

eces

sary

, leg

islati

ve p

ower

s, to

sup

port

the

heal

th

serv

ice

in re

spon

ding

to C

OV

ID-1

9, fo

r exa

mpl

e:

• p

opul

ation

pro

tecti

on m

easu

res

rega

rdin

g iso

latio

n an

d qu

aran

tine

hea

lth p

rofe

ssio

nal r

equi

rem

ents

to e

xpan

d th

e po

ol o

f ess

entia

l hea

lthca

re w

orke

rs •

faci

litati

ng th

e sh

arin

g of

dat

a to

ena

ble

plan

ning

and

del

iver

y of

ess

entia

l ser

vice

s to

indi

vidu

als

• s

ecur

ing

acce

ss to

ess

entia

l inf

rast

ruct

ure,

hea

lth p

rodu

cts

and

serv

ices

Use

legi

slativ

e po

wer

s to

ena

ble:

refo

rms

to s

ocia

l pro

tecti

on s

uppo

rts

for e

mpl

oyee

s an

d se

lf-em

ploy

ed •

con

tinui

ty o

f sta

tuto

ry s

yste

ms

and

serv

ices

disr

upte

d by

impa

cts

of m

itiga

tion

arra

ngem

ents

Page 23: Ireland’s National Action Plan in response to COVID …...6 7 Community solidarity Everyone can, and must, play his or her part in combatting COVID-19. Solidarity, cohesion and determination

Part 2

Dealing with the downstream impact of COVID-19

Page 24: Ireland’s National Action Plan in response to COVID …...6 7 Community solidarity Everyone can, and must, play his or her part in combatting COVID-19. Solidarity, cohesion and determination

4241

Busi

ness

Con

tinui

ty P

lann

ing

acro

ss th

e Pu

blic

Ser

vice

Reco

nfigu

re o

ffice

acc

omm

odati

on

Esta

blish

pro

toco

l for

sta

ff pr

esen

ting

at

wor

k w

ith s

ympt

oms

Cons

ider

alte

rnati

ves

to in

-per

son

mee

tings

Iden

tify

chan

nels

and

deve

lop

prot

ocol

fo

r sta

ff co

mm

unic

ation

s

Disp

lay

publ

ic h

ealth

info

rmati

on o

n offi

ces

incl

udin

g pu

blic

faci

ng o

ffice

s

Actio

n A

rea

Com

plet

ed /

Cur

rent

ly b

eing

impl

emen

ted

Actio

n no

w fo

r Lat

erKe

y or

gani

satio

ns

and

peop

le(le

ad in

bol

d)

HR

Man

agem

ent

All

Dep

artm

ents

Bus

ines

s Co

ntinu

ity P

lann

ing

Team

to m

onito

r dev

elop

men

ts

M

onito

r gui

danc

e on

trav

el (i

nclu

ding

per

sona

l tra

vel)

Po

stpo

ne n

on-u

rgen

t eve

nts

invo

lvin

g st

aff a

nd e

xter

nal s

take

hold

ers

Iden

tify

alte

rnati

ve a

ccom

mod

ation

in

eve

nt o

f bui

ldin

g cl

osur

es

Actio

n A

rea

Com

plet

ed /

Cur

rent

ly b

eing

impl

emen

ted

Actio

n no

w fo

r Lat

erKe

y or

gani

satio

ns

and

peop

le(le

ad in

bol

d)

Conti

nuin

g Se

rvic

e D

eliv

ery

All

Dep

artm

ents

Key

Enab

lers

for

Busi

ness

Co

ntinu

ity

Plan

ning

acr

oss

the

Civi

l Ser

vice

C

omm

unic

ation

s

IC

T

Acc

omm

odati

on

Iden

tify

and

prio

ritise

criti

cal b

usin

ess

func

tions

and

ess

entia

l sta

ff

Iden

tify

met

hods

of c

omm

unic

ation

for

supp

liers

; ext

erna

l cus

tom

ers

and

inte

rnal

cu

stom

ers

Ensu

re B

usin

ess

Conti

nuity

Pla

ns(id

entif

ying

criti

cal f

uncti

ons

and

esse

ntial

sta

ff) a

re in

pla

ce fo

r all

agen

cies

an

d bo

dies

und

er th

e ae

gis

of th

e re

spec

tive

depa

rtm

ents

Iden

tify

alte

rnati

ve m

etho

ds o

f wor

king

, e.g

. rem

ote

wor

king

, dep

loym

ent,

re-d

eplo

ymen

t, re

stru

ctur

ed d

ay /

wee

k

Pla

n fo

r alte

rnat

e te

ams

of s

taff

to w

ork

diffe

rent

sch

edul

es a

nd c

over

criti

cal i

denti

fied

func

tions

Pla

n fo

r and

mon

itor r

equi

rem

ents

for r

edep

loym

ent o

f sta

ff to

sup

port

the

heal

th s

ervi

ce

Iden

tify

serv

ices

that

can

be

susp

ende

d /

defe

rred

with

the

leas

t pos

sible

impa

ct o

n th

e se

ctor

Page 25: Ireland’s National Action Plan in response to COVID …...6 7 Community solidarity Everyone can, and must, play his or her part in combatting COVID-19. Solidarity, cohesion and determination

4443

Actio

n A

rea

Com

plet

ed /

Cur

rent

ly b

eing

impl

emen

ted

Actio

n no

w fo

r Lat

erKe

y or

gani

satio

ns

and

peop

le(le

ad in

bol

d)

Ener

gyD

/CCA

EN

etw

orks

and

Em

erge

ncy

Plan

ning

team

Ei

rGrid

Gas

Net

wor

ks

Irela

nd

Tele

com

sD

/CCA

ECo

mRe

gN

etw

ork

oper

ator

s

Esse

ntial

Ser

vice

s and

Util

ities

Ensu

re B

usin

ess

Conti

nuity

Pla

ns

(iden

tifyi

ng c

ritica

l fun

ction

s an

d es

senti

al s

taff)

are

in p

lace

(and

test

ed) f

or

EirG

rid a

nd G

as N

etw

orks

Irel

and

in th

e co

ntex

t of C

OV

ID-1

9

Ensu

re B

usin

ess

Conti

nuity

Pla

ns

(iden

tifyi

ng c

ritica

l fun

ction

s an

d es

senti

al s

taff)

are

in p

lace

for t

elec

oms

in

the

cont

ext o

f CO

VID

-19

Mon

itor r

espo

nse

of E

irGrid

and

Gas

Net

wor

ks Ir

elan

d an

d pr

ovid

e su

ppor

t as

requ

ired

Mon

itor a

nd te

st c

ontin

uity

of t

elec

oms

serv

ices

Mon

itor u

sage

and

reso

urce

the

Emer

genc

y Ca

ll A

nsw

erin

g Se

rvic

e ap

prop

riate

ly

Ensu

re e

lect

ricity

em

erge

ncy

plan

s, ar

e in

pla

ce w

hich

prio

ritise

key

ser

vice

s(in

clud

ing

heal

thca

re fa

ciliti

es) t

o im

plem

ent i

f req

uire

d

Ensu

re p

roce

dure

s an

d eq

uipm

ent i

n pl

ace

in th

e ev

ent o

f ess

entia

l wor

ks (e

.g.

gas

esca

pe) a

t pro

pert

y of

sym

ptom

atic/

isola

ting

cust

omer

s

Actio

n A

rea

Com

plet

ed /

Cur

rent

ly b

eing

impl

emen

ted

Actio

n no

w fo

r Lat

erKe

y or

gani

satio

ns

and

peop

le(le

ad in

bol

d)

Broa

dcas

ting

D/C

CAE

RTÉ

TG4

Post

alD

/CCA

EA

n Po

st

Was

teD

/CCA

ED

/HPL

GLo

cal

Auth

oriti

esEP

A

Wat

erD

/HPL

GIri

sh W

ater

Loca

l Au

thor

ities

Nati

onal

Fe

dera

tion

of

Gro

up W

ater

Sc

hem

es

Ensu

re B

usin

ess

Conti

nuity

Pla

ns

(iden

tifyi

ng c

ritica

l fun

ction

s an

d es

senti

al

staff

) are

in p

lace

for b

road

casti

ng s

ervi

ces

in th

e co

ntex

t of C

OV

ID-1

9

Mon

itor a

nd te

st c

ontin

uity

of b

road

casti

ng s

ervi

ces

Mon

itor a

nd te

st c

ontin

uity

of b

road

casti

ng s

ervi

ces

Mon

itor a

nd te

st c

ontin

uity

of w

aste

man

agem

ent s

ervi

ces

Ensu

re B

usin

ess

Conti

nuity

Pla

ns

(iden

tifyi

ng c

ritica

l fun

ction

s an

d es

senti

al

staff

) are

in p

lace

for p

osta

l ser

vice

s in

the

cont

ext o

f CO

VID

-19

Ensu

re B

usin

ess

Conti

nuity

Pla

ns

(iden

tifyi

ng c

ritica

l fun

ction

s an

d es

senti

al

staff

) are

in p

lace

for w

aste

man

agem

ent

serv

ices

in th

e co

ntex

t of C

OV

ID-1

9

Ens

ure

Busin

ess

Conti

nuity

Pla

ns (i

denti

fyin

g cr

itica

l fun

ction

s an

d es

senti

al s

taff)

are

in p

lace

for a

ll lo

cal

auth

oriti

es a

nd w

ater

pla

nt o

pera

tors

in th

e co

ntex

t of C

OV

ID-1

9

Page 26: Ireland’s National Action Plan in response to COVID …...6 7 Community solidarity Everyone can, and must, play his or her part in combatting COVID-19. Solidarity, cohesion and determination

4645

Actio

n A

rea

Com

plet

ed /

Cur

rent

ly b

eing

impl

emen

ted

Actio

n no

w fo

r Lat

erKe

y or

gani

satio

ns

and

peop

le(le

ad in

bol

d)

Wat

er

(Con

td .)

D/H

PLG

Irish

Wat

erLo

cal

Auth

oriti

esN

ation

al

Fede

ratio

n of

G

roup

Wat

er

Sche

mes

Fire

and

Em

erge

ncy

Serv

ices

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PLG

Nati

onal

D

irect

orat

e of

Fi

re a

nd

Emer

genc

y M

anag

emen

tCh

ief F

ire

Offi

cers

A

ssoc

iatio

n (C

FOA

)Fi

re A

utho

rities

Publ

ic T

rans

port

D/T

TAS

NTA

HSE

Mon

itor a

nd te

st c

ontin

uity

of w

ater

sup

ply

Mon

itor a

nd te

st c

ontin

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of fi

re a

nd e

mer

genc

y se

rvic

es a

t nati

onal

and

loca

l lev

els

Enga

gem

ent w

ith a

ll pu

blic

tran

spor

t ope

rato

rs, L

ocal

Lin

k, ta

xis

and

com

mer

cial

bus

ope

rato

rs

Iden

tify

chan

nels

and

deve

lop

prot

ocol

for c

omm

unic

ation

s with

Nati

onal

Tra

nspo

rt A

utho

rity

and

Publ

ic

Tran

spor

t com

pani

es

Issu

e gu

idan

ce o

n co

nting

ency

pla

nnin

g to

Gro

up S

chem

es

Ensu

re B

usin

ess

Conti

nuity

Pla

ns

(iden

tifyi

ng c

ritica

l fun

ction

s an

d es

senti

al s

taff)

are

in p

lace

for fi

re a

nd

emer

genc

y se

rvic

es in

the

cont

ext o

f CO

VID

-19

Ensu

re B

usin

ess

Conti

nuity

Pla

ns

(iden

tifyi

ng c

ritica

l fun

ction

s an

d es

senti

al

staff

) are

in p

lace

for a

ll pu

blic

tran

spor

t op

erat

ors

in th

e co

ntex

t of C

OV

ID-1

9

Actio

n A

rea

Com

plet

ed /

Cur

rent

ly b

eing

impl

emen

ted

Actio

n no

w fo

r Lat

erKe

y or

gani

satio

ns

and

peop

le(le

ad in

bol

d)

Publ

ic T

rans

port

D/T

TAS

NTA

HSE

Key

Enab

lers

for

Esse

ntial

Ser

vice

an

d U

tiliti

es

Co

mm

unic

ation

s and

eng

agem

ent

IC

T

Equi

pmen

t

Mon

itor a

nd te

st c

ontin

uity

of p

ublic

tran

spor

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vice

s (in

clud

ing

serv

ices

pro

vide

d by

priv

ate

oper

ator

s

Mon

itor p

asse

nger

num

bers

on

publ

ic tr

ansp

ort a

nd e

nsur

e pr

otoc

ols

for p

ublic

tran

spor

t are

con

siste

nt w

ith

HSE

pub

lic h

ealth

adv

ices

Page 27: Ireland’s National Action Plan in response to COVID …...6 7 Community solidarity Everyone can, and must, play his or her part in combatting COVID-19. Solidarity, cohesion and determination

4847

Actio

n A

rea

Com

plet

ed /

Cur

rent

ly b

eing

impl

emen

ted

Actio

n no

w fo

r Lat

erKe

y or

gani

satio

ns

and

peop

le(le

ad in

bol

d)

Food

Sup

ply

D/A

FMD

/BEI

D/T

aoise

ach

Loca

l Aut

horit

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SEG

roce

ry re

taile

rs

and

dist

ribut

ors

Supp

ly C

hain

s

Conti

nue

to re

view

criti

cal s

ervi

ces

and

resp

onsib

ilitie

s fo

r:m

aint

aini

ng o

pera

tions

in li

vest

ock

mar

ts,

slaug

hter

hous

es, a

nim

al p

roce

ssin

g an

d da

iry p

roce

ssin

g fa

ciliti

esen

surin

g th

at fo

od b

usin

ess

oper

ator

s ca

n co

ntinu

e to

ope

rate

with

app

ropr

iate

re

gula

tory

ove

rsig

hten

surin

g m

inim

um d

isrup

tion

to th

e im

porti

ng a

nd e

xpor

ting

of li

vest

ock

and

othe

r pro

duct

s su

bjec

t to

Sani

tary

and

Ph

ytos

anita

ry c

ontr

ols

Man

age

and

mon

itor c

ritica

l ser

vice

s an

d re

spon

sibili

ties

for:

i. m

aint

aini

ng o

pera

tions

in li

vest

ock

mar

ts, s

laug

hter

hous

es, a

nim

al p

roce

ssin

g an

d da

iry p

roce

ssin

g fa

ciliti

esii.

ens

urin

g th

at fo

od b

usin

ess

oper

ator

s ca

n co

ntinu

e to

ope

rate

with

app

ropr

iate

regu

lato

ry o

vers

ight

iii. e

nsur

ing

min

imum

disr

uptio

n to

the

impo

rting

and

exp

ortin

g of

live

stoc

k an

d ot

her p

rodu

cts

subj

ect t

o

San

itary

and

Phy

tosa

nita

ry c

ontr

ols

Mon

itor t

he im

pact

of C

OV

ID-1

9 on

con

sum

er d

eman

d an

d on

agr

i-foo

d su

pply

cha

ins

Enga

ge w

ith m

ajor

gro

cery

reta

ilers

and

dist

ribut

ors

on c

ontin

genc

y pl

anni

ng, i

nclu

ding

mea

sure

s to

add

ress

cr

itica

l foo

d di

strib

ution

or l

ocati

onal

issu

es if

requ

ired

Mon

itor f

ood

pric

ing

to in

form

any

requ

ired

actio

ns

Ensu

re fi

sher

y ha

rbou

rs re

mai

n op

en to

mai

ntai

n co

mm

erci

al s

ea fi

shin

g ac

tivity

Actio

n A

rea

Com

plet

ed /

Cur

rent

ly b

eing

impl

emen

ted

Actio

n no

w fo

r Lat

erKe

y or

gani

satio

ns

and

peop

le(le

ad in

bol

d)

Tran

spor

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/TTA

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TA

Reta

il an

d M

anuf

actu

ring

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terp

rise

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ndID

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cal E

nter

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O

ffice

s

Key

Enab

lers

C

omm

unic

ation

s and

eng

agem

ent

L

egis

latio

ns: C

onsu

mer

Pro

tecti

on A

ct 2

007

Dev

elop

pro

toco

l to

ensu

re c

ritica

l fr

eigh

t is

iden

tified

and

prio

ritise

d fo

r qu

ick

onw

ard

dist

ributi

on fr

om p

orts

and

ai

rpor

ts

Mon

itor s

uppl

y ch

ain

logi

stics

to in

form

con

tinge

ncy

plan

ning

and

any

requ

ired

actio

ns

Enga

gem

ent w

ith b

usin

ess

repr

esen

tativ

e bo

dies

and

ass

essin

g po

ssib

le b

usin

ess

impa

cts

incl

udin

gon

sup

ply

chai

ns

Enga

ge w

ith s

uppl

y ch

ain

oper

ator

s on

con

tinge

ncy

plan

ning

, inc

ludi

ng m

easu

res

to a

ddre

ss c

ritica

l goo

ds

(incl

udin

g fo

od) d

istrib

ution

or l

ocati

onal

issu

es if

requ

ired

Page 28: Ireland’s National Action Plan in response to COVID …...6 7 Community solidarity Everyone can, and must, play his or her part in combatting COVID-19. Solidarity, cohesion and determination

5049

Actio

n A

rea

Com

plet

ed /

Cur

rent

ly b

eing

impl

emen

ted

Actio

n no

w fo

r Lat

erKe

y or

gani

satio

ns

and

peop

le(le

ad in

bol

d)

Polic

ing

An

Gar

da

Síoc

hána

DJE

Pros

ecuti

on o

f off

ence

sD

irect

or o

f Pu

blic

Pr

osec

ution

s D

JE

Secu

rity,

Def

ence

& th

e Co

urts

Prio

ritisa

tion

of c

ore

func

tions

and

ope

ratio

ns w

hile

max

imisi

ng v

isibi

lity

(incl

udin

g as

sistin

g so

cial

dist

anci

ng

and

rein

forc

e re

silie

nce)

Gar

da C

omm

unity

Eng

agem

ent N

etw

orks

read

y to

sup

port

and

reas

sure

vul

nera

ble

pers

ons

and

loca

l com

mun

ities

Rede

ploy

men

t of G

arda

í, re

vise

d ro

ster

s, le

ave

and

hum

an re

sour

ces

arra

ngem

ents

in A

n G

arda

Sío

chán

a to

m

axim

ise c

apac

ity a

nd fu

nctio

nalit

y of

the

serv

ice

Ensu

re b

usin

ess

conti

nuity

pla

ns in

pla

ce to

faci

litat

e th

e on

goin

g pr

osec

ution

of o

ffenc

es in

the

cont

ext o

f CO

VID

-19

incl

udin

g: •

Prio

ritisa

tion

of c

ases

and

lega

l pro

cess

es s

ubje

ct to

impe

ndin

g st

atut

ory

time

limits

• R

edep

loym

ent o

f sta

ff to

cov

er c

asel

oads

• P

oten

tial c

losu

re o

f som

e co

urth

ouse

s

Incr

ease

wor

kfor

ce c

apac

ity in

clud

ing

attes

tatio

n of

stu

dent

s in

Gar

da C

olle

ge,

flexi

bilit

y re

latin

g to

retir

emen

t in

cert

ain

circ

umst

ance

s, an

d de

signa

ting

of a

n ex

cepti

onal

eve

nt fo

r the

pur

pose

s of

th

e W

orki

ng T

ime

Dire

ctive

Incr

ease

Gar

da fl

eet c

apac

ityRe

view

of G

arda

pow

ers

unde

r the

H

ealth

Act

194

7 re

latin

g to

infe

ctiou

s di

seas

es

Actio

n A

rea

Com

plet

ed /

Cur

rent

ly b

eing

impl

emen

ted

Actio

n no

w fo

r Lat

erKe

y or

gani

satio

ns

and

peop

le(le

ad in

bol

d)

Adm

inis

trati

on

of ju

stice

in th

e Co

urts

The

Cour

ts

Serv

ice

An

Gar

da

Síoc

hána

, D

irect

or o

f Pu

blic

Pr

osec

ution

s, Iri

sh P

rison

Se

rvic

e

DJE

Ope

ratio

n of

Pr

ison

sIri

sh P

rison

Se

rvic

e

DJE

Ensu

re c

ontin

genc

y pl

an in

pla

ce to

add

ress

impa

cts

of C

OV

ID-1

9 (e

.g. c

ontin

uity

of s

uppl

y ch

ain,

sta

ffing

, es

senti

al a

dmin

istra

tion

serv

ices

)

Iden

tify

chan

nels

and

deve

lop

a pr

otoc

ol

for t

he c

omm

unic

ation

with

Judg

es, s

taff,

an

d co

urt u

sers

Prov

ide

trai

ning

to s

taff

to id

entif

y sy

mpt

oms

of C

OV

ID-1

9 an

d de

velo

p pr

otoc

ols

in th

e ev

ent o

f a s

uspe

cted

and

co

nfirm

ed c

ase

incl

udin

g id

entifi

catio

n of

iso

latio

n ar

ea(s)

Incr

ease

cap

acity

for J

udge

s an

d st

aff to

w

ork

rem

otel

y

Dev

elop

a p

roto

col f

or a

ltern

ate

arra

ngem

ents

(e.g

. use

of t

echn

olog

y)

as a

resu

lt of

rest

rictio

ns o

n op

erati

ons

of re

gion

al o

r nati

onw

ide

cour

ts, i

nclu

ding

ac

cess

to ju

dici

al re

med

ies

for c

ateg

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s of

vul

nera

ble

pers

ons

Cons

ider

pot

entia

l for

furt

her

rest

rictio

ns o

n th

e op

erati

on o

f cou

rts

The

Cour

ts S

ervi

ce h

as in

trod

uced

m

easu

res

to s

cale

bac

k th

e w

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of th

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, suc

h as

:•

Onl

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gent

cas

es, a

nd c

ases

not

invo

lvin

g w

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ses,

etc.

will

go

ahea

d•

Det

aile

d ar

rang

emen

ts fo

r all

cour

ts

ha

ve b

een

mad

e av

aila

ble

on c

ourt

s.ie

Page 29: Ireland’s National Action Plan in response to COVID …...6 7 Community solidarity Everyone can, and must, play his or her part in combatting COVID-19. Solidarity, cohesion and determination

5251

Actio

n A

rea

Com

plet

ed /

Cur

rent

ly b

eing

impl

emen

ted

Actio

n no

w fo

r Lat

erKe

y or

gani

satio

ns

and

peop

le(le

ad in

bol

d)

Ope

ratio

n of

Pr

ison

s(C

ontd

.)

Irish

Pris

on

Serv

ice

DJE

Ope

ratio

n an

d m

obili

satio

n of

the

Def

ence

Fo

rces

Def

ence

For

ces

incl

udin

g th

e A

ir Co

rp, N

aval

Se

rvic

e an

d th

e A

rmy

Civi

l Def

ence

Vo

lunt

eers

DO

D

Dev

elop

pro

toco

l for

redu

ced

acce

ss to

pr

isons

e.g

. dec

reas

ing

visit

s, ca

ncel

ling

non-

esse

ntial

eve

nts

Issu

e pr

otoc

ols

to a

ll pr

isons

in re

latio

n to

pha

ses

of lo

ck-d

own

Cons

ider

opti

ons

to m

itiga

te th

e ris

k of

an

outb

reak

in p

rison

s (e

.g. t

empo

rary

re

leas

e)

Iden

tifica

tion

of k

ey p

erso

nnel

to e

nsur

e se

curit

y an

d de

fenc

e of

the

Stat

e

Ensu

re A

id to

the

Civi

l Pow

er s

truc

ture

s ar

e in

pla

ce

Ensu

re A

id to

the

Civi

l Aut

horiti

es s

truc

ture

s ar

e in

pla

ce

Dev

elop

sel

f-iso

latio

n pr

otoc

ol fo

r “liv

e-in

” per

sonn

el

Actio

n A

rea

Com

plet

ed /

Cur

rent

ly b

eing

impl

emen

ted

Actio

n no

w fo

r Lat

erKe

y or

gani

satio

ns

and

peop

le(le

ad in

bol

d)

Cybe

r Sec

urity

Nati

onal

Cyb

er

Secu

rity

Cent

re

DCC

AE

Key

Enab

lers

C

omm

unic

ation

s and

eng

agem

ent

I

CT

L

egis

latio

n: H

ealth

Act

194

7

E

quip

men

t

Ensu

re m

onito

ring

and

dete

ction

of c

yber

sec

urity

issu

es, i

nclu

ding

sec

onda

ry is

sues

that

may

aris

e w

ith

incr

ease

d se

rvic

e de

man

d, th

at m

ay a

ffect

the

heal

thca

re s

ecto

r inc

ludi

ng th

roug

h co

nsta

nt c

omm

unic

ation

w

ith in

tern

ation

al c

ount

erpa

rts

Page 30: Ireland’s National Action Plan in response to COVID …...6 7 Community solidarity Everyone can, and must, play his or her part in combatting COVID-19. Solidarity, cohesion and determination

5453

Actio

n A

rea

Com

plet

ed /

Cur

rent

ly b

eing

impl

emen

ted

Actio

n no

w fo

r Lat

erKe

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ns

and

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le(le

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d)

Ope

ratio

n of

Ba

nkin

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kEC

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nkin

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Com

mun

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Enga

ge w

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anki

ng a

nd p

aym

ents

sec

tor t

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e pl

an a

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h su

pply

and

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ks

Enga

ge w

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nt o

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of p

aym

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s an

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tern

ation

al c

ard

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chem

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nting

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ts

Mon

itor d

evel

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(e.g

. ban

k liq

uidi

ty re

port

s, re

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ls on

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s, an

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debt

mar

kets

) an

d id

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anci

al a

nd o

pera

tiona

l risk

s ac

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tors

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g fo

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mos

t vul

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omic

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ncy

plan

s to

ens

ure

paym

ent a

nd o

ther

com

mitm

ents

are

met

(e.g

. far

mer

s, se

a fo

odpr

oces

sors

, com

mun

ity g

roup

s, so

cial

wel

fare

cla

iman

ts)

Enco

urag

e th

e us

e, w

here

pos

sible

, of t

he c

onta

ctle

ss p

aym

ent m

etho

d

Enga

ge w

ith in

sura

nce

indu

stry

to e

nsur

e co

ntinu

ity o

f ins

uran

ce s

ervi

ces

Bank

ing

and

Fina

ncia

l Ser

vice

s

Ensu

re B

usin

ess

Conti

nuity

Pla

n (id

entif

ying

criti

cal

func

tions

and

ess

entia

l sta

ff) a

re in

pla

ce C

entr

al

Bank

in th

e co

ntex

t of C

OV

ID-1

9

Actio

n A

rea

Com

plet

ed /

Cur

rent

ly b

eing

impl

emen

ted

Actio

n no

w fo

r Lat

erKe

y or

gani

satio

ns

and

peop

le(le

ad in

bol

d)

Educ

ation

DES

SEC

CAO

Hig

her

Educ

ation

In

stitu

tions

Furt

her

Educ

ation

tr

aini

ng c

entr

es

Sect

oral

Ser

vice

s

Prov

ide

info

rmati

on a

nd a

dvic

e to

sch

ools,

col

lege

s, et

c. a

ligne

d w

ith d

evel

opm

ents

of C

OV

ID-1

9

Dev

elop

con

tinge

ncy

plan

s to

add

ress

prim

ary

and

post

-prim

ary

scho

ol c

losu

res

and

lost

tuiti

on ti

me,

prio

ritisin

g ex

am y

ears

Dev

elop

alte

rnati

ve S

tate

exa

m a

rran

gem

ents

(inc

ludi

ng o

ral a

nd p

racti

cal e

xam

s) if

requ

ired

Plan

for p

oten

tial i

mpa

ct o

f del

ayed

resu

lts o

n CA

O/c

olle

ge p

roce

ss a

nd a

cces

s to

pla

ces

and

any

knoc

k-on

eff

ects

for t

rans

ition

to 3

rd le

vel e

duca

tion

Plan

for p

oten

tial i

mpa

ct o

f del

ayed

3rd

leve

l exa

min

ation

s

Cons

ider

impa

ct (i

nclu

ding

fina

ncia

l) of

clo

sure

of 3

rd le

vel e

duca

tion

faci

lities

(e.g

. R&

D,c

ance

llatio

n of

in

tern

ation

al c

onfe

renc

es)

Cons

ider

impa

cts

of a

nd d

evel

op c

ontin

genc

y pl

ans

for c

losu

re o

f fur

ther

edu

catio

n ce

ntre

s

Page 31: Ireland’s National Action Plan in response to COVID …...6 7 Community solidarity Everyone can, and must, play his or her part in combatting COVID-19. Solidarity, cohesion and determination

5655

Actio

n A

rea

Com

plet

ed /

Cur

rent

ly b

eing

impl

emen

ted

Actio

n no

w fo

r Lat

erKe

y or

gani

satio

ns

and

peop

le(le

ad in

bol

d)

Early

Yea

rs a

nd

Child

care

DCY

ACh

ildca

re s

ecto

r

TUSL

AD

CYA

TUSL

A

Issu

e in

form

ation

to s

ecto

r (in

cl. c

hild

care

pro

vide

rs, c

hild

min

ders

, and

Cou

nty

Child

care

Com

mitt

ees)

Ensu

re B

usin

ess

Conti

nuity

Pla

n (id

entif

ying

criti

cal f

uncti

ons

and

esse

ntial

sta

ff) is

in p

lace

in th

e co

ntex

t of

COV

ID-1

9

Conti

nued

pay

men

t of c

hild

care

sub

sidie

s to

pro

vide

rs b

y Po

bal/

DCY

A fo

r ser

vice

s di

rect

ed to

clo

se b

y H

ealth

Aut

horiti

es

Iden

tify

staff

cap

able

of r

edep

loym

ent t

o su

ppor

t the

hea

lth s

ervi

ce if

requ

ired

Cons

ider

furt

her s

uppo

rts

for t

he c

hild

care

sec

tor a

s a

resu

lt of

CO

VID

-19

disr

uptio

n

Child

care

for e

mer

genc

y an

d ot

her e

ssen

tial w

orke

rs w

ill b

e pr

ioriti

sed

alig

ned

to p

ublic

hea

lth a

dvic

e

Cons

ider

impa

cts

on c

hild

pro

tecti

on a

nd w

elfa

re s

ervi

ces

in e

vent

of l

ong-

term

disr

uptio

n ca

used

by

COV

ID-1

9 (e

.g. I

nter

im C

are

Ord

ers)

Actio

n A

rea

Com

plet

ed /

Cur

rent

ly b

eing

impl

emen

ted

Actio

n no

w fo

r Lat

erKe

y or

gani

satio

ns

and

peop

le(le

ad in

bol

d)

Obe

rsto

wn

Child

ren’

s D

eten

tion

Cam

pus

DCY

AO

bers

tow

n Ch

ildre

n’s

Det

entio

n Ca

mpu

s

Hom

eles

snes

s Se

rvic

esD

HPL

GD

Hea

lthH

SELo

cal a

utho

rities

Hom

eles

snes

s se

rvic

e pr

ovid

ers

Ensu

re p

lan

in p

lace

to a

ddre

ss n

eeds

of y

oung

peo

ple

and

staff

on

cam

pus

and

ensu

ring

core

sup

port

serv

ices

are

ava

ilabl

e (e

.g. b

ed m

anag

emen

t, st

aff ro

ster

ing)

Prov

ide

for a

dditi

onal

out

reac

h te

ams

to o

ffer b

eds

and

acco

mm

odati

on to

roug

h sle

eper

s

Ope

rate

Bus

ines

s Co

ntinu

ity M

anag

emen

t with

a fo

cus

on re

spon

se re

quire

d fo

r iso

latio

n an

d re

loca

tion

as

requ

ired

Intr

oduc

e pr

ecau

tions

to m

inim

ise ri

sk o

f inf

ectio

n am

ong

serv

ice

user

s an

d st

aff

Issu

e ho

mel

essn

ess

serv

ices

spe

cific

gu

idan

ce to

all

loca

l aut

horiti

es a

nd

serv

ice

prov

ider

s

Dev

elop

mea

sure

s to

redu

ce d

eman

d fo

r em

erge

ncy

acco

mm

odati

on

Page 32: Ireland’s National Action Plan in response to COVID …...6 7 Community solidarity Everyone can, and must, play his or her part in combatting COVID-19. Solidarity, cohesion and determination

5857

Actio

n A

rea

Com

plet

ed /

Cur

rent

ly b

eing

impl

emen

ted

Actio

n no

w fo

r Lat

erKe

y or

gani

satio

ns

and

peop

le(le

ad in

bol

d)

Fore

ign

Affai

rsD

FAT

Imm

igra

tion

Serv

ice

Del

iver

yD

JE -

Bord

er

Man

agem

ent

Uni

tIri

sh

Nati

onal

isatio

n an

d Im

mig

ratio

n O

ffice

- In

tern

ation

-al

Pro

tecti

on

Offi

ceD

ublin

Airp

ort

Auth

ority

Revi

ew a

nd u

pdat

e Tr

avel

Adv

ice

with

sup

port

of m

issio

n ne

twor

k

Ope

rate

ded

icat

ed C

OV

ID-1

9 ph

one

line

for I

rish

citiz

ens

abro

ad o

r who

inte

nd to

trav

el a

broa

d in

th

e ne

ar fu

ture

All

appl

ican

ts h

ave

been

com

mun

icat

ed w

ith re

gard

ing

atten

danc

e at

app

oint

men

ts if

retu

rnin

g fr

om a

ffect

ed

regi

ons

and

feel

unw

ell

Prov

ide

tran

slate

d H

SE g

uide

lines

and

ens

urin

g ap

plic

ants

in te

mpo

rary

acc

omm

odati

on h

ave

an a

ppro

pria

te

unde

rsta

ndin

g of

them

Dev

elop

pro

toco

ls fo

r sta

ff de

alin

g w

ith

pote

ntial

hig

h ris

k ca

ses

Dev

elop

alte

rnati

ve a

rran

gem

ents

to

s

uppo

rt s

ocia

l dist

anci

ng m

easu

res,

incl

udin

g •

sus

pens

ion

of fi

nger

prin

t app

licati

ons

• e

xpan

sion

of c

ateg

orie

s of

app

lican

ts

t

hat c

an a

pply

for r

enew

als

onlin

e •

ext

ensio

ns o

f val

id p

erm

issio

ns fo

r

thre

e m

onth

per

iod

Actio

n A

rea

Com

plet

ed /

Cur

rent

ly b

eing

impl

emen

ted

Actio

n no

w fo

r Lat

erKe

y or

gani

satio

ns

and

peop

le(le

ad in

bol

d)

Imm

igra

tion

Serv

ice

Del

iver

y(C

ontd

.)

DJE

- Bo

rder

M

anag

emen

t U

nit

Irish

N

ation

alisa

tion

and

Imm

igra

tion

Offi

ce -

Inte

rnati

on-

al P

rote

ction

O

ffice

Dub

lin A

irpor

t Au

thor

ity

Key

Enab

lers

Com

mun

icati

ons a

nd e

ngag

emen

t

ICT

Dev

elop

sel

f-iso

latio

n pr

otoc

ols

for

appl

ican

ts in

acc

omm

odati

on c

entr

es w

ho

are

affec

ted

by C

OV

ID-1

9 an

d m

anag

e im

pact

s

Page 33: Ireland’s National Action Plan in response to COVID …...6 7 Community solidarity Everyone can, and must, play his or her part in combatting COVID-19. Solidarity, cohesion and determination

6059

Actio

n A

rea

Com

plet

ed /

Cur

rent

ly b

eing

impl

emen

ted

Actio

n no

w fo

r Lat

erKe

y or

gani

satio

ns

and

peop

le(le

ad in

bol

d)

Econ

omy

DFi

nCe

ntra

l Ban

kN

TMA

Empl

oyee

Supp

orts

DEA

SPD

PER

DH

ealth

DBE

IW

RCEm

ploy

er

Repr

esen

tativ

esTr

ade

Uni

on

Repr

esen

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esBa

nkin

g Se

ctor

Land

lord

and

Te

nant

re

pres

enta

tive

grou

psG

Ps

Econ

omy,

Em

ploy

ee a

nd B

usin

ess S

uppo

rts

Ass

ess

the

natio

nal a

nd in

tern

ation

al m

acro

econ

omic

impl

icati

ons,

and

any

appr

opria

te re

spon

ses

Dev

elop

con

tinge

ncy

plan

s fo

r man

agin

g th

e im

pact

of i

ncre

asin

g cl

aim

ants

of s

ocia

l wel

fare

pay

men

ts, i

n pa

rticu

lar J

ob S

eeke

rs B

enefi

t and

Job

Seek

ers A

llow

ance

, whi

le m

aint

aini

ng p

aym

ents

to e

xisti

ng c

lient

s

Publ

ish re

gula

r hig

h fr

eque

ncy

econ

omic

dat

a

Publ

ish m

acro

-eco

nom

ic a

sses

smen

t, re

vise

d ec

onom

ic a

nd fi

scal

fore

cast

s (A

pril

2020

Stab

ility

Pro

gram

me

upda

te)

Enga

ge c

lose

ly, a

long

with

rele

vant

Eur

opea

n in

stitu

tions

, on

all i

ssue

s re

latin

g to

impa

cts

on th

e Iri

sh

finan

cial

and

ban

king

sys

tem

Parti

cipa

te in

ong

oing

EU

and

inte

rnati

onal

resp

onse

s to

the

econ

omic

impl

icati

ons

of C

OV

ID-1

9

Refo

rms

agre

ed fo

r sic

k pa

y, il

lnes

s be

nefit

and

su

pple

men

tary

ben

efit t

o en

sure

that

em

ploy

ees

and

the

self-

empl

oyed

can

abi

de b

y m

edic

al a

dvic

e to

sel

f-iso

late

, whe

re a

ppro

pria

te

Actio

n A

rea

Com

plet

ed /

Cur

rent

ly b

eing

impl

emen

ted

Actio

n no

w fo

r Lat

erKe

y or

gani

satio

ns

and

peop

le(le

ad in

bol

d)

Empl

oyee

Supp

orts

(Con

td .)

DEA

SPD

PER

DH

ealth

DBE

IW

RCEm

ploy

er

Repr

esen

tativ

esTr

ade

Uni

on

Repr

esen

tativ

esBa

nkin

g Se

ctor

Land

lord

and

Te

nant

re

pres

enta

tive

grou

psG

PsIn

trod

uce

legi

slatio

n an

d sy

stem

for n

ew C

OV

ID-1

9 se

lf-iso

latio

n pr

ovisi

ons

Prov

ide

DEA

SP a

nd D

BEI j

oint

Firs

t Res

pond

er s

uppo

rt s

ervi

ce th

roug

h In

treo

Offi

ces

and

deve

lopm

ent

agen

cies

to h

elp

min

imise

lay-

offs

in a

ffect

ed fi

rms

Cons

ider

how

sch

emes

(e.g

. Sho

rt T

ime

Wor

king

Pay

men

t Sch

eme)

can

be

best

util

ised

and

prom

oted

to h

elp

mai

ntai

n jo

bs th

roug

h CO

VID

-19

pand

emic

Enga

ge w

ith th

e ba

nkin

g se

ctor

abo

ut th

e fle

xibi

lities

in re

latio

n to

mor

tgag

e pa

ymen

ts a

nd o

ther

issu

es fo

r th

ose

tem

pora

rily

affec

ted

by C

OV

ID-1

9 pa

ndem

ic

Enga

ge w

ith la

ndlo

rd a

nd te

nant

repr

esen

tativ

e gr

oups

and

pro

vide

gui

danc

e on

sup

port

s av

aila

ble

Issu

e Jo

int S

tate

men

t by

Gov

ernm

ent,

Empl

oyer

and

Tra

de U

nion

re

pres

enta

tives

on

need

to s

uppo

rt

wor

kers

affe

cted

by

COV

ID-1

9

Publ

ish W

orkp

lace

Rel

ation

s Co

mm

issio

n G

uida

nce

Noti

ce fo

r em

ploy

ers

and

empl

oyee

s

Page 34: Ireland’s National Action Plan in response to COVID …...6 7 Community solidarity Everyone can, and must, play his or her part in combatting COVID-19. Solidarity, cohesion and determination

6261

Actio

n A

rea

Com

plet

ed /

Cur

rent

ly b

eing

impl

emen

ted

Actio

n no

w fo

r Lat

erKe

y or

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ns

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d)

Busi

ness

Supp

orts

DBE

ID

EASP

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nD

PER

Reve

nue

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e Ire

land

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cted

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Agr

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pac

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edia

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easu

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sines

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• V

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Reve

nue

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, am

ong

othe

r thi

ngs,

VAT

retu

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and

tax

clea

ranc

e ce

rtific

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ell a

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taili

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dvic

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med

at a

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ow a

nd

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lt of

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impa

ct

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OV

ID-1

9

Actio

n A

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Com

plet

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rent

ly b

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emen

ted

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n no

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r Lat

erKe

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satio

ns

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nD

PER

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Key

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lers

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mun

icati

ons a

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emen

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ICT

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ge w

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urop

ean

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miss

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on

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e A

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exib

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s an

d ap

prov

als

for

ente

rpris

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quiri

ng s

uppo

rt

Page 35: Ireland’s National Action Plan in response to COVID …...6 7 Community solidarity Everyone can, and must, play his or her part in combatting COVID-19. Solidarity, cohesion and determination

24