Public Health England has issued guidance: COVID-19: management of staff and exposed patients or residents in health and social care settings
If there is a likelihood that staff absence creates a significant risk to the health or safety of patients or service users, health and social care staff whose activities are critical to the on-going provision of care and who have been identified as a contact of a case of COVID-19 may be able to attend work rather than self-isolate if they are fully vaccinated (more than 14 days after the second dose).
Staff members should only attend work after having a negative PCR test and daily negative LFD antigen tests. This must only occur in exceptional circumstances and where additional safety measures can be upheld. The decision is subject to a risk assessment by an individual(s) nominated by the organisation’s management, and authorisation by the organisation’s local Director of Infection Prevention and Control and/or the lead professional for health protection and/or Director of Public Health relevant to the organisation. Further information can be found in the Public Health England guidance.
NHS England and NHS Improvement has issued guidance for allowing essential frontline staff to return to work following a negative PCR if they have been asked to isolate due to potential contact with COVID-19.