Comparative analysis of variation in the quality and completeness of local outbreak control plans for SARS-CoV-2 in English local authorities

Abstract

Background: Local outbreak control plans (LOCPs) are statutory documents produced by local authorities (LAs) across England. LOCPs outlines LAs' response to COVID-19 outbreaks and the coordination of local resources, data, and communication to support outbreak response. LOCPs are therefore crucial in the nation's response to COVID-19. However, there has been no previous systematic assessment of these documents. We performed this study to systematically assess the quality of LOCPs and offer recommendations of good practice. Methods: All published LOCPs were assessed for basic characteristics. A framework based on Department of Health and Social Care guidelines was used to assess a random sample of LOCPs. Qualitative analysis was undertaken for LOCPs with highest completeness. Results: 137 of 150 LAs publicly published a full LOCP; nine were drafts. Statistical analysis demonstrated significant difference between reporting of mainstream schools, care homes, and the homeless population and other educational settings, high-risk settings, and other vulnerable groups. LOCPs varied in approach when structuring outbreak response information and focussed on different areas of outbreak management. Conclusions: The majority of LAs are publicly accessible. There is significant variation between the reporting of high-risk settings and groups. Suggested recommendations may help to improve future LOCP updates.