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Innovation in Covid-19 patient pathways

Webinar

Covid-19 has forced a re-engineering of healthcare in all settings and accelerated 20 years of change in the NHS over the space of a few short months.

Optimising clinical systems and enabling patients to self-monitor, to aid the early identification and timely management of deteriorating patients (including those with Covid-19) in the community is a critical step in reducing avoidable deaths from all conditions.

This new ‘norm’ across the NHS involves the use of remote assessments, patient empowerment and monitoring – including pulse oximetry to pick up silent hypoxia – with both acute conditions (like Covid-19) and chronic diseases.

Supported by our regional deteriorating patient group, this webinar brings you examples of innovative ways to assess and manage patients in the community with suspected Covid-19.

The webinar was chaired by Meghana Pandit, Chief Medical Officer of Oxford University Hospitals, supported by Andrew Brent, our regional clinical lead.

Matt Inada-Kim, Acute Physician and National Clinical Lead-Deterioration/Sepsis, updated on national guidance and virtual ward wave 1 pilots.

Lalitha Iyer, Executive Medical Director Frimley Collaborative, followed with an outline of the pilot virtual ward project and experience in Slough. VIEW SLIDES FROM THIS PRESENTATION

Andy Walden, Consultant Intensive Care Medicine, Royal Berkshire NHS Foundation Trust, shared the TICC-19 (Triage Into Community Covid-19) assessment and management in ED/GP ‘hot hub’.

Dan Lasserson, Professor of Acute Ambulatory Care, University of Warwick, Clinical Lead for Ambulatory Outreach Team, Oxford University Hospitals NHS Foundation Trust, shared his work on point of care ultrasound (POCUS) in the ambulatory care setting, including care homes.

Trish Greenhalgh, Professor of Primary Healthcare Sciences, University of Oxford, updated on RECAP (Remote Covid Assessment in Primary Care) an assessment tool that provides an early warning score.

Trish says: “We developed the RECAP tool because of concerns that COVID-19 presents differently to other serious infectious illnesses and so may not be accurately classified on tools like NEWS2. We still don’t know how accurate RECAP is in patients with COVID-19 (or in patients suspected of COVID-19 who actually have something else), but we do know that the tool reflects the professional consensus of over 100 doctors, nurses and paramedics who regularly assess acutely unwell and breathless people with possible COVID-19.”