{"text_format":"1","workbook":"xlsx","n_sheets":8,"sheets":["Title page","Introduction","Instructions for use","Definiton of risk","Risk scoring matrix","Isolation Tool","Local Considerations","RAG matrix"],"not_rendered":{"charts":0,"images":3,"macros":1,"external_links":1,"defined_names":3,"comments":0,"pivot_tables":0},"unopened":[],"bounds":{"document_bytes":16777216,"sheet_cells":100000,"rows_first":2000,"rows_last":500,"rows_between":2000,"halvings":0,"cell_chars":16384,"cell_head_chars":4096},"cells_cut":0,"cells_raw":0,"read":"whole","date_system":"1900"}

{"sheet":"Title page","index":0,"n_rows":10,"n_cols":2,"rows_kept":10,"cut":false,"hidden":false,"merged":[]}
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[null,"National Infection Prevention and Control isolation prioritisation tool "]
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[null,"Version 1.0 October 2024"]
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[null,"Publication approval reference: "]

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[null,"Links"]
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[null,"National Infection Prevention and Control Manual (NIPCM)"]
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[null,"A to Z Pathogen resource"]

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[null,"Links"]
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[null,"NHS England » Chapter 2: Transmission based precautions (TBPs)"]
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[null,"NHS England Isolation tool step by step user guide"]

{"sheet":"Definiton of risk","index":3,"n_rows":16,"n_cols":4,"rows_kept":16,"cut":false,"hidden":false,"merged":[[15,1,16,1],[15,2,16,2],[15,3,16,3],[11,1,12,1],[11,2,12,2],[11,3,12,3],[13,1,14,1],[13,2,14,2],[13,3,14,3],[7,1,8,1],[7,2,8,2],[7,3,8,3],[9,1,10,1],[9,2,10,2],[9,3,10,3]]}
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[null,"Risk level and explanation used in probability and impact assessment"]
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[null,null,"Risk","Explanation / definition"]
[null,null,"Very low","Impact and probability deemed to be minimal"]
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[null,null,"Low","Impact deemed to be limited and probability low"]
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[null,null,"Moderate","Impact and probability deemed to be moderate"]
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[null,null,"High","Impact deemed to be significant and probability high"]
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[null,null,"Very High","Maximum impact and probability"]

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[null,"Risk scoring matrix (probability and impact)"]
[null,"Probability    Impact","Very low","Low","Moderate","High","Very high"]
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[null,"Very low","Very low risk","Low risk","Low risk","Moderate risk","Moderate risk"]
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[null,"Low","Low risk","Low risk","Moderate risk","Moderate risk","Moderate risk"]
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[null,"Moderate","Low risk","Moderate risk","Moderate risk","High risk","High risk"]
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[null,"High","Moderate risk","Moderate risk","High risk","High risk","Very high risk"]
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[null,"Very high","Moderate risk","High risk","High risk","Very high risk","Very high risk"]

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[null,"Isolation Prioritisation Tool "]
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[null,"Name of assessor:"]
[null,"Date:"]
[null,"NHS patient number:"]
[null,"Ward/Area:"]
[null,"Organisation:"]
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[null,"Probability"]
[null,"Question 1: Is the patient population at risk of further exposure to this pathogen?"]
[null,{"$f":"IF(C11 = \"Yes\",\"Question 2: Is the patient population susceptible to this pathogen?\",\"\")","v":""}]
[null,{"$f":"IF(C12 = \"Yes\",\"Question 3: Is this pathogen highly transmissible, does it have features which improve its transmissibility or ability to survive in the environment, can it be widely spread, or is it antimicrobial resistant?\",\"\")","v":""}]
[null,{"$f":"IF(C13 = \"Yes\",\"Question 4: Is transmission of this pathogen likely?\",\"\")","v":""}]
[null,"Probability RAG Status ",{"$f":"IF(ISBLANK(C11),\"Answer Q1\",IF(OR(C11=\"No\",ISBLANK(C11)),\"Very Low\",IF(OR(C12=\"No\",ISBLANK(C12)),\"Low\",IF(OR(C13=\"No\",ISBLANK(C13)),\"Moderate\",IF(OR(C14=\"No\",ISBLANK(C14)),\"High\",\"Very High\")))))","v":"Answer Q1"}]
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[null,"Impact"]
[null,"Question 1: Will disease following exposure be severe in the patient population?"]
[null,{"$f":"IF(C18=\"Yes\",\"Question 2: Are a significant number of the wider patient population susceptible/at risk?\",IF(C18=\"No\",\"Question 1.1: Will this pathogen have a negative impact on current service provision and expected future capacity? \", \"\"))","v":""}]
[null,{"$f":"IF(AND(C18=\"Yes\",C19=\"No\"),\"Question 2.1: Are effective treatment and controls in place/possible?\",IF(AND(C18=\"Yes\",C19=\"Yes\"),\"Question 3: Will this pathogen have a negative impact on current service provision and expected future capacity?\",IF(C19=\"No\",\"Question 1.2: Are effective treatment and controls in place/possible?\",IF(C19=\"Yes\",\"Question 2.1: Are effective treatment and controls in place/possible?\",\"\"))))","v":""}]
[null,{"$f":"IF(AND(C18=\"Yes\",C19=\"Yes\"),IF(C20=\"No\",\"Question 3.1: Are effective treatment and controls in place/possible?\",IF(C20=\"Yes\",\"Question 4: Are effective treatment and controls in place/possible?\",\"\")),\"\")","v":""}]
[null,"Impact RAG Status ",{"$f":"IF(ISBLANK(C18),\"Answer Q1\",IF(AND(C18=\"No\",C19=\"No\",C20=\"No\"),\"Low\",IF(AND(C18=\"No\",C19=\"Yes\",C20=\"Yes\"),\"Low\",IF(AND(C18=\"No\",C19=\"Yes\",C20=\"No\"),\"Moderate\",IF(AND(C18=\"Yes\",C19=\"No\",C20=\"No\"),\"Moderate\",IF(AND(C18=\"Yes\",C19=\"Yes\",C20=\"No\",C21=\"No\"),\"High\",IF(OR(C18=\"No\",ISBLANK(C18)),\"Very Low\",IF(OR(C19=\"No\",ISBLANK(C19)),\"Low\",IF(OR(C20=\"No\",ISBLANK(C20)),\"Moderate\",IF(OR(C21=\"No\",ISBLANK(C21)),\"Very High\",\"High\"))))))))))","v":"Answer Q1"}]
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[null,"Risk = Probability and Impact ",{"$f":"IFERROR(IF(OR(ISBLANK(C15),ISBLANK(C22)),\"\",INDEX('[1]RAG matrix'!B2:F6,MATCH(C22,'[1]RAG matrix'!B1:F1,0),MATCH(C15,'[1]RAG matrix'!A2:A6,0))),\"\")","v":""}]
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[null,"Isolation recommended? "]
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[null,"Actions and decision notes "]
[null,"Please add detail here regarding the decision making process and considerations that informed the decision to isolate or not isolate the patient. This should include the date for review of isolation and de-isolation."]

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[null,null,null,null,null,null,null,null,null,null,null,null,"Please add local organisation logo"]
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[null,"Key Contacts "]
[null,"Please add any additonal local contact details here, including for example, out of hours and on call arrangements. "]
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[null,"Additional Information"]
[null,"Please add any additonal local details here, including for example, OPAL status of the hospital, local escalation policies, and details of specific cohort wards."]

{"sheet":"RAG matrix","index":7,"n_rows":11,"n_cols":6,"rows_kept":11,"cut":false,"hidden":true,"merged":[]}
["Probability / Impact","Very low","Low","Moderate","High","Very high"]
["Very low","Very low Risk","Low Risk","Low Risk","Moderate Risk","Moderate Risk"]
["Low","Low Risk","Low Risk","Moderate Risk","Moderate Risk","Moderate Risk"]
["Moderate","Low Risk","Moderate Risk","Moderate Risk","High Risk","High Risk"]
["High","Moderate Risk","Moderate Risk","High Risk","High Risk","Very high Risk"]
["Very high","Moderate Risk","High Risk","High Risk","Very high Risk","Very high Risk"]
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["Very low","Low","Moderate","High","Very high"]