Coronavirus (COVID-19) …Preparing to return to working from home in a private practise

Posted by Rosie Plunkett – Sunday, July 12th, 2020

Members important information:

The government’s statement on 9th July 2020 has announced that foot reflexology treatments can resume in England from Monday 13th July. Facial and hand reflexology remain, for the moment, restricted.

Of course, it will be a personal decision when you choose to return to practise based on your situation and your own view of risk. We will be here to support you with whatever decision you take.

We hope that when you read the information to follow you will feel confident that the board of Clinical Reflexology have adopted a ‘belt and braces’ approach to keep you the therapist and your clients, safe.

As always, we are very happy to answer any questions.

All enquiries to:

A Client & Therapist’s Agreement is recommended to be sent by email or post before the client’s arrival or shared when booking the appointment.

This is to assess suitability for a treatment. If your client decides to attend their appointment, you will ask them to sign, receipt and give their acceptance of this important document.

The client will be giving consent to the reflexology treatment, confirming that they are fully informed and agree that your practise is legally compliant and that they are fit for receiving a reflexology treatment during or after the COVID-19 pandemic.

Suggested content for the agreement:

Are you classed as ‘extremely vulnerable?’Have you been told to ‘shield’ by any healthcare professional?People who are in this group should have been contacted to tell them they are clinically extremely vulnerable.

Clinically extremely vulnerable people may include the following people.

1. Solid organ transplant recipients.
2. People with specific cancers:
3. People with cancer who are undergoing active chemotherapy
4. People with lung cancer who are undergoing radical radiotherapy.

5. People with cancers of the blood or bone marrow such as leukaemia, lymphoma or myeloma who are at any stage of treatment.

6. People having immunotherapy or other continuing antibody treatments for cancer

7. People having other targeted cancer treatments which can affect the immune system, such as protein kinase inhibitors or PARP inhibitors
8. People who have had bone marrow or stem cell transplants in the last 6 months, or who are still taking immunosuppression drugs
9. People with severe respiratory conditions including all cystic fibrosis, severe asthma and severe chronic obstructive pulmonary disease (COPD).
10. People with rare diseases and inborn errors of metabolism that significantly increase the risk of infections (such as severe combined immunodeficiency (SCID), homozygous sickle cell).
11. People on immunosuppression therapies sufficient to significantly increase risk of infection.
12. Women who are pregnant with significant heart disease, congenital or acquired.

Staying at home and shielding:

You’re strongly advised to stay at home at all times and avoid any face-to-face contact if you’re clinically extremely vulnerable to protect yourself.

Shielding is for your personal protection. It’s your choice to decide whether to follow the measures we advise.

Are you classed as ‘vulnerable?’
We are advising those who are at increased risk of severe illness from coronavirus (COVID-19) to be particularly stringent in following social distancing measures.
This group includes those who are:
 aged 70 or older (regardless of medical conditions)
 under 70 with an underlying health condition listed below (i.e. anyone instructed to get a flu jab as an adult each year on medical grounds):
 chronic (long-term) mild to moderate respiratory diseases, such as asthma, chronic obstructive pulmonary disease (COPD), emphysema or bronchitis
 chronic heart disease, such as heart failure
 chronic kidney disease
 chronic liver disease, such as hepatitis
 chronic neurological conditions, such as Parkinson’s disease, motor neurone disease, multiple sclerosis (MS), a learning disability or cerebral palsy
 diabetes
 a weakened immune system as the result of conditions such as HIV and AIDS, or medicines such as steroid tablets
 being seriously overweight (a body mass index (BMI) of 40 or above)
 those who are pregnant
Do you live with someone, or are you caring for someone who is ‘vulnerable?’
You may decide to not have face-to-face contact with your Reflexologist.
Coming into this private reflexology practise for a treatment will be a personal decision. If you have any concerns, we advise calling your GP or specialist to discuss this.
Do you have symptoms of COVID-19?
The most common symptoms of coronavirus (COVID-19) are recent onset of one or both of the following:
 new continuous cough
 high temperature (above 37.8°C)
In the non-vulnerable categories, to minimise close contact with you, your temperature will not be taken. I…………………………..(add your name) will trust what you tell me; that you have a normal temperature.
You must check your temperature by feel, or electronically, before you arrive at my private practise.
In the vulnerable categories, if you still decide to have a reflexology treatment and you have symptoms, you will not be treated, to protect myself and other clients.
Have you had contact with a confirmed case of COVID-19?
Was it within 14 days?
I…………………………….. (add your name) will trust what you tell me. If you have had contact with someone who has had COVID-19 within the last 14 days, you will not be treated, to protect myself and other clients.

Practicalities to consider before your arrival:
Please provide and wear any PPE you deem necessary. This will be necessary if part of your treatment is carried out whilst you are laid on your back or in a treatment chair. I do not have spare PPE.
Please avoid using the W.C facilities, if at all possible.
Wear comfortable, loose fitting clothing, blankets and towels will not be provided, please bring your own and also wear socks as bare feet is not acceptable for obvious reasons.

Attend your appointment alone and on time (not too early). One client &  myself are the only people allowed on the premises.
Please do not be alarmed by the sign on the front door –it is just asking you to phone on arrival and ask you not to enter if you have had contact with somebody with Coronavirus.

In the entrance hall, there will be a table. Please hand sanitise and sign that you have received, read and accept the terms of the Client & Therapist Agreement.

Appointments will be spaced out, to allow flow of movement around the treatment room and cleaning between appointments.

Post Treatment:
If you wish to pay by cash, please put the correct fee into a sealed envelope.
When making a future appointment. No appointment cards will be given out.

Therapsit responsibilites to self anf client:

I will wear a mask or visor.
No jewellery (including wedding rings, if they can be removed)
I confirm to be symptom free.
A fully comprehensive cleaning schedule is available on request.
End of Document

On behalf of the whole board of C.A.R. may I hope you remain safe and in good health during this next chapter.

Best wishes

Rosie Plunkett

Board member


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