During the current Covid-19 pandemic the ATP has been made aware about the reduced provision of tongue-tie services and the affect this has on mothers and babies and infant feeding.

It is thought that this is partly due to lack of clarity regarding appropriate Personal Protective Equipment (PPE) for frenulotomy. There has been debate as to whether frenulotomy is an Aerosol Generating Procedure (AGP) and therefore knowing which PPE guidance to follow. Public Health England (PHE) have been contacted and have confirmed that frenulotomy is not on the list of procedures that they consider AGPs at this current time (see Section 8.1 in link below). Members are therefore advised to follow government guidance for non-AGPs (see Section 8.6 in link below)

https://www.gov.uk/government/publications/wuhan-novel-coronavirus-infection-prevention-and-control/covid-19-personal-protective-equipment-ppe#rationale-for-updated-guidance

As members will be working in different settings and situations, they will need to carry out their own risk assessments and adjust their practice accordingly.

ATP Committee 17 June 2020