Table 1.

Reset phase coding framework (adapted from the Ethical Framework in the UK Government’s Pandemic Flu Policy17)

Ethical principle (from Pandemic Flu Ethical Framework)	Adapted subdomain (based on NHS letter and National Voices Five Principles)
Respect	Involvement (ie, right to express views on matters affecting them, engaging those affected by decisions).
	Respecting choices about personalised care (best interests of person as a whole).
	Collaborative working/engagement (organisational coordination; NHS volunteer scheme, clinical teams, Clinical Commissioning Groups, local authorities; coproduction with voluntary sector, patient orgs, etc).
Recognising harms and balancing against benefits (physical, psychological, social and economic) – proportionality	Recover operation of healthcare (including addressing backlog of care needs, resuming home visits for vulnerable/shielding where appropriate).
	Safety of NHS staff (physical, psychological, systemic inequalities and flexible working).
	Embrace new ways of working (eg, telemedicine, home visits, etc).
	Enhance crisis responsiveness (second wave)
	Accelerate preventative programmes (obesity reduction, seasonal influenza and outreach to marginalised groups).
	Responsiveness (adapt plans to new circumstances/information).
Reciprocity	Concept of mutual exchange: take responsibility for own behaviour and reduce others expose others to risks.
	Protect those at risk of C19 (physically, socially, BAME, etc).
Fairness	Inclusivity in service recovery (eg, barriers or access needs and support those with unequal access to care).
	Patient prioritisation (to address backlog that is, clinical urgent /longest waiting, etc).
	Reduce health inequalities (social inequalities and social determinants of health).
	Everyone matters equally and weighted equally in policies and any disproportionate impact on one particular group is accounted for.
Accountability	Transparency (ie, document decisions, clarity of who is responsible for decisions, governance arrangements, assess against milestones and sharing information to help others).

BAME, black, Asian and minority ethnic; NHS, National Health Service.