A multi-stakeholder pledge to keeping ourselves, our loved ones and communities safe at Goldsmiths, through identifying vulnerability in health, needs, behaviours and environments.
This self-score test acknowledges that Covid-19 can have severe and even fatal consequences for a range of people. Please complete this form for personal records and later reference if you need support from your relevant Union. The scores are in no way a clinical assessment, though categories are based on peer-reviewed medical research, and generate a code to communicate your campus needs to someone without disclosing specific, confidential information. Scoring close to ‘0’ helps to keep infection rates and their consequences low, though there is no judgement for any score. If you have problems completing this survey or find it inaccessible, please contact a Union rep to talk you through it.
You are under no obligation to disclose anything about yourself that you do not wish to, but it is advisable if you are an employee, to register any concerns about a return to campus with your employer, for your own records. You are protected by at least two pieces of legislation in raising any concerns or objections. If you are using this test to support a student, identify the College policies that support mutual decisions, and those where there are gaps or issues.
Because Covid-19 is highly contagious and the highest transmissions occur in households or residential facilities, risk factors may not just relate to you, but those you live with or care for, those who care for you, and the communities you live in and travel through. This is why we designed this test.
This is a GUCU self-assessment tool intended to aid your decision-making process and any discussions with line managers/colleagues about attending campus during the pandemic. While no assessment is perfect, the GUCU form is designed to take into account as wide a range of variables as possible, including many that are omitted from the College’s Covid-age assessment.
| Score | |||||
| Environmental Covid baseline (circle any that apply) | Working remotely 0 points | Not going near campus 0 points | Can walk, cycle or drive* to campus with only people from my own household 0 points *if an electric car | Meeting Goldsmiths students and colleagues outdoors at 2m distance with face coverings 0 points | 0 If all of these apply to you, you are Covid Neutral but do regard the further scores on health matters to protect yourself. |
| Workplace Covid baseline (circle as appropriate) (0 points when Management DOES observe a global health practice) | College conducts regular temperature and symptom checks with a contact-tracing system 20 points if NO | College has organised regular testing that is campus-specific (more than supplying NHS details) 20 points if NO | College has a reporting system / outbreak alert and a threshold for closing 20 points if NO | College has appropriate PPE or face coverings AND have managed campus DENSITY, so that as few people are on site at any one time. 20 points if NO | If you have circled or ticked any of these, please record a total here. |
| Health category 1 (circle any that apply) (individual boxes not graded in this category) | Was NHS extremely vulnerable shielding in lockdown | Was NHS vulnerable shielding in lockdown | Was advised by GP or primary care to shield in lockdown | People I live with are in any of these categories | If you circle ANY of these, add 300 to your score. Please continue scoring yourself on further categories. |
| Health category 2 (circle any that apply) | I have an underlying health condition which I believe puts me at more risk, (this may include cancer, past or ongoing) as well as other conditions 100 points | I live with someone / others with health condition(s) which I believe puts them at risk 100 points | I have a disability which would create difficulties in attending campus during the pandemic 100 points | I am pregnant AND / OR I have diabetes 300 points | If you circle ANY of these, your risk is high. Please continue scoring yourself on further categories. |
| Health category 3 (circle any that apply) | I have a major, previous viral infection which may include HIV, Ebola, Hepatitis, Epstein-Barr etc 100 points | I have had a previous, major surgery 100 points | I have an immune-related disorder, such as CFS, ME or fibromyalgia 100 points | I have a major respiratory illness (eg cystic fibrosis, COPD) 200 points | If you circle ANY of these, your risk is high. Please continue scoring yourself on further categories. |
| Health category 4 (circle any that apply) | I have a psychiatric or affective disorder (eg, psychosis, depression, anxiety) 20 points | I have existing or previous symptoms of Covid-19 – untested or tested 50 points | I have medical symptoms troubling me, not diagnosed due to GP access problems during lockdown 20 points | I am receiving hormonal treatment 50 points | Please add the scores from any boxes circled. |
| Health category 5 (circle any that apply) | I have high blood pressure, heart condition, high cholesterol, blood clotting issues 50 points | I am asthmatic and take medication 50 points | I am menopausal 50 points | I have weight problems or very high BMI (clinically overweight or obese) 50 points | Please add the scores from any boxes circled. |
| Health category 6 (circle any that apply) | I am asthmatic but do not take medication 20 points | I have male-pattern baldness 50 points | The stress since lockdown has given me physical / psychological symptoms 50 points | I live in an area with significant air pollution 20 points | Please add the scores from any boxes circled. |
| Health category 7 (circle any that apply) | I am a smoker (any type of cigarette) 20 points | I drink alcohol in amounts that concern me and others 20 points | I take recreational drugs as a habit 20 points | I have a genetic disorder 20 points | Please add the scores from any boxes circled. |
| Household 1 Definition of ‘vulnerable’ in a pandemic unclear. We need to protect Black or Asian colleagues especially | I have caring responsibilities for children or adults (non-vulnerable) 20 points | I have caring responsibilities for children or adults (vulnerable) 50 points | I have caring responsibilities that involve visits to other (vulnerable) people 50 points | I am committed to minding or collecting children from school, not from my household 20 points | Please add the scores from any boxes circled. |
Household 2 Definition of ‘vulnerable’ in a pandemic unclear. We need to protect Black or Asian colleagues especially | I live in a Multi-generational household with vulnerable people 50 points | I am homeless and move house often 50 points | I live in a share-house with vulnerable people 50 points | I live alone but fit the category of ‘vulnerable’ in this community definition 20 points | Please add the scores from any boxes circled. |
| Household 3 Definition of ‘vulnerable’ in a pandemic unclear. We need to protect Black or Asian colleagues especially | High-density living conditions outside my household with vulnerable or non-vulnerable people (this may include halls of residence) 20 points | The community in which I live is multicultural which makes it vulnerable 20 points | I have childcare / home-school needs that will be impacted in a second lockdown or I have just returned from maternity leave (in past year). 20 points | I have community / religious commitments that demand contact with others outside my household 20 points | Please add the scores from any boxes circled. |
| Commuting 1 (circle the one most relevant) | I live less than 3 miles from campus 0 points | I live more than 3 miles from the New Cross area but in Sth London 10 points | I live in Central London but not neighbouring boroughs 10 points | Am within the M25 area but not as close to campus as the other options in this category 20 points | Record the score here. |
| Commuting 2 (circle one or more that apply currently) | I live outside the M25 boundary 20 points | Live in an area with a past or present very high R or infection rate 50 points | Live in an area threatened with lockdown 100 points | Live in an area subject to local lockdown 100 points | Record the score here. |
| Commuting 3 For journey segments, add 10 points for each multiple of 15mins – eg a 30min journey = 20 points, a 1hr journey = 40 points | I can walk or cycle to campus and the route is safe 0 points | I cannot walk or cycle to campus 10 points | Would travel to campus in a private taxi 10 points per 15mins | Would travel to campus in a share car 10 points per 15mins | Record the score here. |
| Commuting 4 For journey segments, add 10 points for each multiple of 15mins – eg a 30min journey = 20 points, a 1hr journey = 40 points | I will travel in with one or more bus journey(s) 10 points per 15mins | I will travel in with (a) London Overground journey(s) 10 points per 15mins | I will travel in with London Underground 10 points per 15 mins | I will travel in with commuter trains 10 points per 15mins | Record the score here. |
| Commuting 5 | I will travel in from another devolved nation of UK 50 points | I will travel from overseas (non-UK countries) to attend campus 50 points | I have a personal safety concern with altering commute 50 points | I will need a car-parking space near campus to commute in safely 20 points | Record the score here. |
| Age category | 18-30 10 points | 31-50 40 points | 51-60 80 points | 60+ 140 points | Record your total here |
| PLEASE | TOTAL UP | SCORES | FROM | ALL | CATEGORIES |