Skip to main content

Covid-19 and the rapid reorganisation of general practice: Triage, shared decision-making, hubs and pathways to care in hospital and the community

 

Covid-19 and development of ‘hot’ Covid-19 hubs: discussion paper

General practice has been asked to reorganise care in to ‘cold’ and ‘hot’ sites to ensure we reduce the rate of spread, optimise use of critical care beds and ensure high quality care for those choosing not to be admitted. Over the last month researchers and NHS staff have identified key issues from the discussions and formal and informal networking amonst CCG managers, GPs and practice managers about how best to configure primary care. There is clear consensus emerging on a number of issues but also a range of strategic decisions to be made and  practical problems to overcome.

This discussion paper (which can be downloaded as a PDF) summarises our learning and has been updated as a third version. The figure (below) captures key features and issues discussed.

 

The Plymouth hub

Practices from across the Western Locality of Devon CCG and beyond, supported by Sentinel CIC and CCG developed the model collaborating with LMC and PenARC researchers. This is now a working version of the model of Figure 1 (above) and run by Sentinel in conjunction with practices. Innnovative features include tent-based assessments, an admin team ensuring video-enabled consultations, a volunteer-led vital sign visiting team and combined use of System 1 and EMIS clinical systems. The standard operating procedures can be download via this link.

 

Uncertainties and questions around primary care pathways for Covid-19

Through the ARC we have carried out a very rapid question generation and priorisation exercise about primary care pathways to care for suspected Covid-19, and in particular, about how triage is managed, and what considerations there are likely to be for groups such as those who are frail. Key questions and a description of the process were published on 01 May 2020 as a Centre for Evidence-Based Medicine blog.

 

Useful links and resources

Oxygen Saturation Monitoring: Doorstep Assessment Service - Merton Health Limited

Royal College of General Practitioners: COVID-19 Resource Hub 

Royal College of General Practitioners: Latest COVID-19 guidance in your area 

Oxford Centre for Evidence Based Medicine COVID-19 Evidence Service

 


 

Upcoming Events

Sep
10

Searching and Review Clinic

Online appointments via Microsoft Teams

COVID-19 update: As a result of the pandemic, all PenARC staff are currently working remotely. While...
More information

Sep
22

Searching and Review Clinic

Online appointments via Microsoft Teams

COVID-19 update: As a result of the pandemic, all PenARC staff are currently working remotely. While...
More information

Calendar

News

Research project attracts £750,000 funding to support remote GP care delivery during the COVID-19 pandemic

06 August 2020

A joint project between the Universities of Oxford and Plymouth has received £750,000 of funding...
Read more

ADHD services map reveals major gaps in care, failing the vulnerable

03 August 2020

New research has called for urgent action after creating a map that identifies gaps in...
Read more

Innovative HSMA training programme makes virtual return

29 July 2020

Following on from two hugely successful rounds of PenARC's Health Service Modelling Associate Programme (HSMA), HSMA 3 will launch...
Read more

News

Research Projects

Modelling demand and capacity for NHS Trusts in the South West

Theme: ARC - Methods for Research & Improvement

A tool has been developed to support forecasting resource demand and staffing capacity in NHS...
Read more

Research Projects