An alternative, more effective and sustainable way to link contact tracing to primary care. (1)
In England there are 7435 practices with 54,000 GPs. If we have 5000 COVID19 patients per day after lockdown an average practice would see less than one case per day. (2)
Contact tracers cd be recruited through local authority public health teams and THREE tracers assigned to each practice (adjusting number for the practice size). They will chase the 10-20 contacts per case, and could help GPs with call and recall of cases. (3)
GPs will also arrange tests either at one of several GP centres assigned to do the tests in each district, or through home tests. At present this is, inexplicably, not allowed The tracers could help with organisation of tests if not too busy. (4)
The tracers will benefit from TRUST in the GP, and SUPERVISION by the primary care team. This will make contact tracing more efficient and effective. And improve their performance and job satisfaction.(5)
The spare 2700 contact tracers will be assigned to the 343 local authority teams to track and trace unregistered patients, monitor schools, vulnerable groups, work places... that's 7-8 per authority. (6)
Most important, cases and contacts DATA will be kept in REAL-TIME for each local authority area...so if cases rise there can be an instant response from the local authority team. (7)
If you're a case you simply ring a central call number which routes you to a special local authority number based on your post-code. The local authority will need a 24 hour call mechanism to collect details and inform the local GP team. (8)
I'd appreciate any comments from people about why this wouldn't work better than a central call centre. (9)
You can follow @globalhlthtwit.
Tip: mention @twtextapp on a Twitter thread with the keyword “unroll” to get a link to it.

Latest Threads Unrolled: