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Antimicrobial Resistance and Healthcare Associated Infection (ARHAI) Scotland published the HCID Addendum on 25 August 2025 which contains guidance on the use of the new UK HCID assessment PPE ensemble. NHS Boards in Scotland have until 25 August 2026 to implement the new ensemble and once the transition is complete, healthcare workers should follow the guidance within the HCID Addendum. 

Education to support adoption of the new ensemble can be found on this page. Until the transition is complete, the Viral Haemorrhagic Fever (VHF) donning and doffing PPE video first published in 2014 will remain available for use.

Welcome

Welcome to the High Consequence Infectious Diseases (HCID) learning page. These resources are designed to equip learners with the knowledge and skills required to don and doff HCID assessment personal protective equipment (PPE) when caring for suspected or confirmed HCID cases.

Completion of these materials is essential for healthcare workers involved in the care of suspected or confirmed HCID cases in NHS Scotland.

Learning Requirements
  • Completion of the HCID Assessment PPE eLearning Module is essential before progressing to practical donning and doffing. 
  • Use the complementary resources (videos and posters) to reinforce your understanding of donning and doffing of the HCID assessment PPE ensemble and decontamination procedure for wellington boots. 
  • For practical donning and doffing of HCID assessment PPE please see the NHS Scotland Competency Checklist for Personal Protective Equipment.

Access the learning resources below: 

1. Complete the eLearning module:

Learning Objectives 

By the end of this module, you will be able to: 

  • Be aware of the process of HCID Assessment PPE donning and doffing (the procedure for safely putting on and taking off PPE) 
  • Describe personal behaviours in the red zone which reduce the risk of personal contamination 
  • Be aware of the role of the doffing buddy
2. Watch the training videos:

The training videos are also contained in the eLearning Module, but are included below as a quick reference: 

These videos demonstrate the correct techniques for donning and doffing PPE, as well as the correct procedure for boot decontamination.

3. Review the posters (for quick reference during training):

These posters are ready to print and can be used as a checklist to support the donning and doffing of PPE during training and in practice.

Additional Resources

Further training opportunities are available on the HCID Training – UK Website