Covid-19 vaccination is now a condition of deployment to those frontline workers who provide face-to-face care for patients and clients. This was defined as those deployed to undertake direct treatment or personal care as part of a Care Quality Commission (CQC) regulated activity. As a Personal Assistant employed by Homecare Direct, this applies to you.


These new regulations will protect vulnerable people and individual workers in health and social care settings, including hospitals, GP practices, and where care is delivered in a person’s home. The requirements will apply to CQC-regulated activities whether they are publicly or privately funded. They will also apply where a regulated activity is delivered through agency workers, volunteers or trainees, or contracted to another provider. This means health and care workers will need to have received a full course of COVID-19 vaccination in line with the UK Health Security Agency (UKHSA) guidance in order to continue to be deployed.



Some individuals will be exempt from the regulations:

  • those under the age of 18
  • those who are clinically exempt from COVID-19 vaccination
  • those taking/taken part in a clinical trial for a COVID-19 vaccine
  • those who do not have direct, face to face contact with a service user, for example, those providing care remotely, such as through triage or telephone consultations or managerial staff working in sites apart from patient areas
  • those providing care as part of a shared lives agreement. Shared Lives caring arrangements are excluded from the requirements because the Shared Lives caring model is different from other forms of care as it involves the care recipient living in the home of the carer. However, those staff living with their client will still be advised to receive full vaccination.
  • people receiving end of life care where vaccination is not in the person’s best interests


  • people with learning disabilities or autistic individuals, or people with a combination of impairments where vaccination cannot be provided through reasonable adjustments
  • a person with severe allergies to all currently available vaccines
  • those who have had an adverse reaction to the first dose (for example, myocarditis)
  • Short-term exemptions will also be available for those with short-term medical conditions and as an option that some pregnant women may choose to take.



For those who are medically exempt, who can still be deployed, we will work with you to mitigate the risk of COVID-19 transmission to vulnerable clients, you and your colleagues. If you are exempt, you can apply for an exemption pass as proof. The link is attached to this document.


New Staff

Those newly joining the workforce will also need to be vaccinated in order to be deployed by a CQC registered person. The registered person must only deploy those who have had their first dose of vaccination, with a second dose within 10 weeks. It will be the responsibility of the CQC-registered person, either the service provider or registered manager, to ensure that they only deploy those who have provided evidence that they have been vaccinated against COVID-19. For health and care workers who may be exempt, the CQC-registered person must have seen evidence of their medical exemption before they can deliver care.


Time Frame

It is important to balance the risk of COVID-19 this winter with the need for time for employers to put in place processes and communications with workers. Therefore, we have been given a twelve-week grace period to allow time for providers to engage with workers, while still moving quickly enough to protect service users as soon as possible.



Therefore, subject to parliamentary passage, these regulations will not come into force until 1st April 2022 in order to provide the health and care sector with enough time to implement the requirement and help minimise risks to workforce capacity over the winter period.


Friends and Families

This vaccination enforcement will not be extended to friends and family members who visit people in health and social care settings or a person’s home. We will still strongly encourage friends and family members who are visiting clients’ homes to get their COVID-19 vaccination as soon as possible if they haven’t already. Introducing this requirement could cause distress to those clients in need of visits, comfort and support.


All staff will need to apply for the below letter through


Once received a copy will need to be sent to Head office for file.  Head office will need all evidence on file no later than 01.02.2022 .


If you have any problems or questions please call the office.  03450619000

Making vaccination a condition of deployment in the health and wider social care sector: government response (


COVID-19 medical exemptions: proving you are unable to get vaccinated – GOV.UK (


Treatment of disease, disorder or injury | Care Quality Commission (