COVID-19 - Isolation plans for parent-child combinations

This page has a single parent and child meeting COVID-19 case definition - isolation plan while waiting for virology results.
Last modified
8 April 2020
Child Parent Management
Well*  Well*  Child – home isolation
Parent – home isolation
Well*  Level 1 Child – home isolation – support from social care
Parent – adult ward **
Well*  Level 2/3 Child – home isolation – support from social care.
Parent – adult ward ** Escalate to HDU/ITU as per usual pathway 
Level 1 Well*  Child – paediatric cubicle **
Parent – with child.
Level 1 Level 1 Child – paediatric cubicle **
Parent – adult ward **
Note this may alter over time – local decisions to collocate parent and child may be necessary
Level 1 Level 2/3 Child – paediatric cubicle **
If necessary need to plan locally for a child without available carer
Parent - adult ward ** Escalate to HDU/ITU as per usual pathway
Level 2/3 Well*  Child – paeds ward cubicle ** Transfer to PICU as per usual pathway if deteriorates
Parent – home isolation / PICU***
Level 2/3 Level 1 Child - paeds ward cubicle ** Transfer to PICU as per usual pathway if deteriorates
Parent – adult ward **
Level 2/3 Level 2/3 Child - paeds ward cubicle ** Transfer to PICU as per usual pathway if deteriorates
Parent – adult ward ** Escalate to HDU/ITU as per usual pathway

* deemed clinically stable and suitable to be managed as an outpatient

** ideally negative pressure, could use cubicle with lobby our cubicle without lobby only as a last resort

*** parents who are admitted with their child to PICU are then quarantined in isolation with their child and cannot come and go freely

For specific guidance on isolation plans in the neonatal unit (NNU), see our guidance, COVID-19 - working in neonatal settings.