News and Notices

Protect yourself – complete your ALAMA Covid-age tool

Protecting our teams has been a key part of our work through the pandemic - thank you for the risk assessments you have already completed. As we have learnt more about COVID and how it impacts us individually, our Occupational Health team have been using the ALAMA COVID-age tool to ensure that we provide the most appropriate support. We are now asking all colleagues to complete this self-assessment if they have not completed one since 1 November 2020. The COVID-age tool gives an evidence-based assessment of how individual factors such as age, ethnicity, gender, and health conditions impact on our vulnerability, and allows us to ensure that we provide the right support.


Please could all colleagues;

  • Complete the COVID age self-assessment via this link: (
  • Email Occupational Health , cc’ing your line manager. Subject header must contain NAME, DOB and COVID AGE SCORE. This will support OH to triage these assessments and prioritise reviews with the most vulnerable.
  • If you are happy to share a screenshot of your assessment at this stage then please attach it to the email.
  • Line managers - please ensure that all of your team have completed (please support colleagues at greater risk to complete as a priority)
  • Occupational Health will prioritise responses based on scores.
  • Managers to ensure that anyone scoring 85+ remain at home until OH assessment has been completed. Those scoring 70+ and 50-70 ensure appropriate restrictions in place as per guidance table below.
  • Managers to use the COVID-age score/OH advice to update DCHS risk assessment (including any measures put in place) for all staff please (including those who have already had a COVID-age assessment since November 2020). Please either update the existing assessment, or we have produced a simplified updated assessment template (link here) that can be used.

Interim guidance for managers

Vulnerability level


Workplace considerations

Very High

Covid-age around 85 and above

High risk of death if infection occurs.


Ideally work from home.


Where local viral prevalence is moderate or high, take additional, sensible precautions such as ensuring a low likelihood of anyone breaching social distancing. Ensure good hygiene and wear appropriate face coverings or PPE.


Where clinical work, care work and working closely with others is essential, risks must be managed reasonably and effectively. Working only with patients or clients who have tested Covid-negative may be an example of reasonable risk-management.


DCHS colleagues in this group should work from home unless advised otherwise by Occupational Health.


Covid-age around 70 to 85

High risk of becoming hospitalised and seriously ill if infection occurs.


Keep the risk in the workplace as low as reasonably practicable by redeployment or controls including PPE.


Clinical work, care work and working closely with others (such as teaching, sharing a vehicle, using public transport) may be possible where testing of patients and staff, and provision of controls (e.g. screens, PPE) are effective in managing the risk.


Some individuals in essential roles may be asked to accept a higher risk and agree to do so where this can be justified.


Covid-age around 50 to 70

Those who are much less likely to develop severe disease if infection occurs

A moderately increased risk of infection may be accepted where there are no reasonably practicable means of reducing it further.


Includes clinical work with higher hazard and risk levels, or roles where physical control or restraint is required, or where additional risk has to be accepted and can be justified.


Covid-age below around 50

Those who are very unlikely to develop serious disease if infection occurs

Increased risk of infection may be accepted where there are no reasonably practicable means of reducing it further.


No current evidence of significantly increased risk or increased fatality rates in mother or baby in most cases unless mother has significant medical problems. There is emerging evidence of increased hospitalisation with severe symptoms in older mothers and ethnic minority mothers.

Current advice is to minimise the risk to pregnant women, while allowing them to choose whether to attend work and what role to undertake at work. Risk should be reduced as far as reasonably practicable.


Advised to avoid roles where a degree of risk cannot be avoided, such as clinical work, care work and working closely with others.


Particular care should be taken in the third trimester, especially for mothers from the at-risk groups including older mothers and ethnic minorities.


Mothers with known additional risk factors such as congenital heart disease will be given specific advice by their antenatal team.