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Home Topics Infectious Diseases Infections A-Z Bloodborne Viruses (BBVs) and Occupational Exposure UK Advisory Panel for healthcare workers infected with bloodborne viruses (UKAP)

UK Advisory Panel for healthcare workers infected with bloodborne viruses (UKAP)

What is UKAP?
UKAP outputs
Members of UKAP
When to consult UKAP
How to consult UKAP
Relevant guidance
Support for local incident management teams
Consultation on management of HIV infected healthcare workers
The Management of HIV infected Healthcare Workers who perform exposure prone procedures: updated guidance, January 2014
UKAP-OHR – Occupational health monitoring register of blood borne virus infected healthcare workers

What is UKAP?

In December 1991 a UK Advisory Panel was set up under the aegis of the Expert Advisory Group on AIDS to consider individual cases of HIV infected healthcare workers.

Although the Panel was originally set up to advise on action regarding healthcare workers with HIV infection, its remit was extended in 1993 to include other blood borne viruses, in particular hepatitis B and more recently hepatitis C. The Panel is now known as the UK Advisory Panel for healthcare workers infected with bloodborne viruses (UKAP). Its tasks are:

1. To establish, and update as necessary, criteria on which local advice on modifying working practices may be based.

2. To provide supplementary specialist occupational advice to physicians of healthcare workers infected with bloodborne viruses, occupational physicians and professional bodies.

3. To advise individual healthcare workers or their advocates how to obtain guidance on working practices.

4. To advise Directors of Public Health on patient notification exercises, where these are indicated, of patients treated by healthcare workers infected with bloodborne viruses.

5. To keep under review the literature on occupational transmission of bloodborne viruses and revise guidelines as necessary.

UKAP also liaises closely with the Expert Advisory Group on AIDS [external link] and the Advisory Group on Hepatitis [external link].

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UKAP outputs

UKAP is accountable to the Department of Health through Public Health England (PHE) (previously the Health Protection Agency (HPA)). Reports on UKAP activity are available to download in pdf format:

UKAP 2003 to 2004 report (PDF, 103 KB)

UKAP 2004 to 2006 report (PDF, 208 KB) 

UKAP 2007 to 2010 report (PDF, 142 KB) 

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Members of UKAP

Appointments to UKAP are made by the Chief Executive of the PHE usually for a term of one to three years. UKAP panel members are selected on the basis of their specialist expertise and include people with medical and scientific expertise as well as lay members. A list of members, register of interests and code of practice are available for download.

UKAP Panel members (PDF, 51 KB)

UKAP code of practice (PDF, 39 KB)

UKAP register of interests (PDF, 49 KB) 

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When to consult UKAP

The Panel is available for consultation:

  • when advice is needed regarding restricting the practice of healthcare workers infected with bloodborne viruses;
  • when a lookback exercise may be needed as a result of exposure prone procedures being undertaken on patients by a healthcare worker infected with a bloodborne virus;
  • for general advice concerning the categorisation of clinical procedures as exposure prone.
The Panel works within the framework of government guidance concerning healthcare workers and bloodborne viruses, and aims to interpret the guidance in relation to individual cases on a consistent basis.
 
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How to consult UKAP

A formal request for advice should be sent to UKAP via the Secretariat, accompanied by a completed UKAP enquiry pro forma (Word Document, 48 KB) send to ukap@phe.gov.uk.

The Secretariat to UKAP is provided by staff at Public Health England as indicated below:

Dr Fortune Ncube
Medical Secretary, UKAP
Consultant Epidemiologist and Consultant in Public Health Medicine,
tel: 020 8327 6423; email: ukap@phe.gov.uk

Ms Sarah Tomkins
Scientist (Epidemiology)
tel: 020 8327 7095; email: ukap@phe.gov.uk

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Relevant NHS guidance

General

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HIV

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Hepatitis B
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Hepatitis C

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Support for local incident management teams

Staff at Public Health England are available for advice and support on the management of incidents involving healthcare workers infected with bloodborne viruses, including the practical aspects of undertaking lookbacks and patient notification exercises. The UKAP lookback toolkit contains advice and template documents to assist local incident management teams. For further information please contact:

Dr Fortune Ncube tel: 020 8327 6423 or Ms Alpa Shah tel: 020 8327 6446. You can also email the team at: ukap@phe.gov.uk

Assessing the risk of iatrogenic transmissions to patients from healthcare workers diagnosed with bloodborne virus infection in the absence of an index case: advice for local incident management teams, March 2012 can be downloaded here:

UKAP local risk assessment advice, March 2012 (PDF, 67 KB) 

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Consultation on management of HIV infected healthcare workers

The Department of Health has released a consultation response on the recommendations arising from a review by a joint working group of the Expert Advisory Group on AIDS, the Advisory Group on Hepatitis and UKAP, of the current guidance on HIV infected healthcare workers [external link].

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UKAP-OHR – Occupational health monitoring register of blood borne virus infected healthcare workers

UKAP-OHR Interim Registration Form (PDF, 341 KB)

Occupational Health physicians who wish to register an individual should use the interim paper based registration system. When a consultant occupational physician puts a healthcare worker on the register, this is confirmation that they have cleared them to undertake exposure prone procedures. The UKAP does not have a remit to contact HCWs. This is the role of the consultant occupational physician. If you have any general enquiries about UKAP-OHR please contact phe.ukap-ohr@nhs.net or call 0208 327 6446. Please do not send any confidential information by email unless from another nhs.net address.

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