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Living Guide

This living document is produced by the GP medical directors of Londonwide LMCs in collaboration with clinical colleagues within the NHS system in London to guide London’s GP practices to best help our patients.
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Monitoring patients with Covid-19

Key messages

  • We recommend that practices develop a system for remote follow up of patients with suspected Covid-19 in the community, including those discharged into the community with ongoing symptoms.
  • The operating model must consider the immense demand and reduced workforce.
  • We are currently exploring technical solutions for self-reporting and stratifying patients so that practices are supported to clinically prioritise the patients who require clinician review.
  • Practices must be aware that there is now a requirement from NHS England regarding patients who have been assessed by NHS 111 requiring further follow up by general practice. NHS England have now confirmed that practices need to enable one appointment per 500 patients per day to be available for direct booking by NHS 111.
  • We would suggest that practices setup a Covid-19 emergency list for this specific purpose which has been configured to enable direct booking by CCAS. The appointments should be used to follow up those patients assessed by NHS 111 as needing community monitoring. When cases are booked into these slots, the practice will need to:
    • Review cases and clinically prioritise response to the patient.
    • Arrange on-going management.

The list will need to remain active for the duration of the pandemic. Following the pandemic this list will no longer be required.

We have produced further advice regarding the operating model for monitoring of patients with Covid-19 which can be accessed here.

We will continue to develop this resource.

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