Individual cases are identified and managed nhs test and trace. When many cases are found in one setting, be ita many cases are found in one setting, be it a care home for instance, a factory or a hospital, that is classified as a cluster and that will be dealt with largely by the local director of Public Health who has statutory powers to close individual organisations. When Public Health england or the new gbc identifies clusters that are linked to one another, that is defined as an outbreak and the range of local and National Actions may be needed. Decisions are taken through our local Action Committee command structure and it works as follows. If phe spots a problem that needs attention or a problem as reported through the Regional Health protection teams, then the outbreak is assessed at the daily local Action Committee bronze meeting. Issues of concern are raised to the local Action Committees silver meeting which is chaired by the chief medical officer and problems requiring min
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