Belsize Priory Medical Practice

COVID-19: Face coverings

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In England, you must wear a face covering by law in the following settings:

  • public transport
  • indoor transport hubs (airports, rail and tram stations and terminals, maritime ports and terminals, bus and coach stations and terminals)
  • shops and supermarkets (places which are open to the public and that wholly or mainly offer goods or services for retail sale or hire)
  • indoor shopping centres
  • banks, building societies, and post offices (including credit unions, short-term loan providers, savings clubs and money service businesses)

You are expected to wear a face covering immediately before entering any of these settings and must keep it on until you leave.

Face coverings are also needed in NHS settings:

  • Hospitals and primary or community care settings, such as GP surgeries.

They are advised to be worn in care homes. Individual settings may have their own policies and require you to take other measures.

You are also strongly encouraged to wear a face covering in other enclosed public spaces where social distancing may be difficult and where you come into contact with people you do not normally meet.

Where this law does not apply

Face coverings are required to be worn in any shops, including food shops and supermarkets, but are not required in hospitality settings, including restaurants with table service, bars, and pubs. They are also not required in entertainment venues (such as cinemas or casinos), visitor attractions (such as heritage sites or museums), exercise and sports venues (such as gyms).

Where a shop is within another premises which does not require a face covering (such as a museum or other visitor attraction) they are required in the shop only. Check for signage upon entry and exit to know when this is the case.

When you can remove a face covering

You can remove your face covering in order to eat and drink if reasonably necessary (see Section 3). This should be in an area that is specifically for the purposes of eating and drinking, such as a food court.

If a shop or supermarket has a café or seating area for you to eat and drink, then you can remove your face covering in this area only. You must put a face covering back on once you leave your seating area.

The government’s guidance for keeping workers and customers safe during COVID-19 in restaurants, pubs, bars and takeaway services clearly advises that designated indoor seating areas for customers to eat or drink should at this time only be open for table service, where possible, alongside additional infection control measures.

How to wear a face covering

A face covering should:

  • cover your nose and mouth while allowing you to breathe comfortably
  • fit comfortably but securely against the side of the face
  • be secured to the head with ties or ear loops
  • be made of a material that you find to be comfortable and breathable, such as cotton
  • ideally include at least two layers of fabric (the World Health Organisation recommends three depending on the fabric used)
  • unless disposable, it should be able to be washed with other items of laundry according to fabric washing instructions and dried without causing the face covering to be damaged

Making your own face covering

If you want to make your own face covering, instructions are widely available online. We do not endorse any particular method but be considerate of materials and fabrics that may irritate different skin types.

Emerging evidence suggests that the risk of transmission may be reduced by using thicker fabrics or multiple layers. However, the face covering should still be breathable.

Children should make face coverings under the supervision of an adult and face coverings for children should be secured to the head using ear loops only.

If you would like more information on how to make a face covering with materials from around your home please visit the Big Community Sew website. Here you will find step-by-step video tutorials on how to make face coverings and other useful tips and advice

Face covering exemptions

You do not need to wear a face covering if you have a legitimate reason not to. This includes:

  • young children under the age of 11 (Public Health England do not recommended face coverings for children under the age of 3 for health and safety reasons)
  • not being able to put on, wear or remove a face covering because of a physical or mental illness or impairment, or disability (within the meaning of section 6 of the Equality Act 2010)
  • if putting on, wearing or removing a face covering will cause you severe distress
  • if you are travelling with or providing assistance to someone who relies on lip reading to communicate
  • to avoid harm or injury, or the risk of harm or injury, to yourself or others
  • to avoid injury, or to escape a risk of harm, and you do not have a face covering with you
  • to eat or drink if reasonably necessary
  • in order to take medication
  • if a police officer  (including a British Transport Police officer) or other authorised person requests you remove your face covering

There are also scenarios when you are permitted to remove a face covering when asked:

  • if asked to do so in a bank, building society, or post office for identification
  • if asked to do so by shop staff or relevant employees for identification, the purpose of assessing health recommendations, such as a pharmacist, or for age identification purposes including when buying age restricted products such as alcohol
  • if speaking with people who rely on lip reading, facial expressions and clear sound. Some may ask you, either verbally or in writing, to remove a covering to help with communication

Please DO NOT approach a GP surgery to ask for a doctor’s notes to exempt from the requirement on health grounds, for example, asthma.

Exemption cards

Some people may feel more comfortable showing something that says they do not have to wear a face covering.This could be in the form of an exemption card, badge or even a home-made sign.

This is a personal choice and is not necessary in law.

Those who have an age, health or disability reason for not wearing a face covering should not be routinely asked to give any written evidence of this. Written evidence includes exemption cards.

If you are exempt from wearing a face covering, you can download or print an excemption card below and carry it with you. You may want to print it and wear it on a lanyard or attach it to your clothing. You can show it if you are asked why you are not wearing a face covering.

Last updated: July 24, 2020

Date published: 27th April, 2022
Date last updated: 27th April, 2022