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- W3154689316 abstract "Background/Aims The long-term physical and psychological impact on patients admitted with Covid-19 is unknown NHSE1 and BTS2 released guidance on aftercare of these patients In Stockport, a Covid-19 recovery group was established to optimise pathways and ensure seamless, joined up care for patients on discharge Methods The group included consultants (respiratory, ICU, geriatrician), GPs, CCG leads, LMC members, a psychologist, fatigue specialists, OTs/physiotherapists, the PR/COPD team and Life leisure A Covid recovery and fatigue management Patient Information Leaflet (PIL) were designed supporting self-care with signposting to local services Patients were triaged2 and all received letters explaining their follow up and a Covid recovery PIL The pathway ensured all patients had a planned telephone consultation with their GP or respiratory consultant at 6 weeks If admitted to critical care, they received an ICU clinic and clinical psychologist review at 12 weeks Secondary care Covid-19 clinics were established to see patients according to BTS guidance, with slots available for urgent GP referrals Patients were signposted to appropriate specialties/services (fatigue, psychology, physiotherapy, SALT) and a dedicated EMIS Covid review template in primary care was designed;the template facilitated standardised coding, improving understanding of longer-term effects of Covid-19 An online webinar was organised launching the pathway and highlighting available resources Activity packs were provided for frailer patients, both individual patients and those in care homes supporting rehabilitation and preventing readmission Patients were referred to PR if appropriate and one off fatigue management appointments were available Results To date around 350 patients have been sent letters/ PILs 29 have been seen/telephoned in Covid-19 Clinics and 26 in ICU clinics Initial patient feedback has been extremely positive, with 92% patients finding the PIL very/extremely useful and feeling the leaflet provided everything they needed to know about Covid-19 recovery 83% patients were completely happy with the care they received post discharge and didn't feel it could be improved Conclusion We have developed a novel, multi-disciplinary and integrated approach to following up Covid-19 patients Whilst many long-term effects remain unknown, the pathway allows patients to rapidly access services when needed Feedback has been extremely positive from patients to date" @default.
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- W3154689316 date "2021-01-01" @default.
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- W3154689316 title "An integrated approach to COVID-19 follow up in stockport;our experience so far" @default.
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