Read on Twitter
We know people are contacting their GP and attending ED in higher numbers than ever.
We need to think why to help come up with sensible solutions to help them and the services feel safe.
People have had things they have worried about for ages; but didn’t want to bother NHS
1/
We need to think why to help come up with sensible solutions to help them and the services feel safe.
People have had things they have worried about for ages; but didn’t want to bother NHS
1/
We are finding those people often have serious things and need to be seen face to face quickly with good and fast access to diagnostics if serious.
People have deteriorating or new mental health conditions
We need urgent expansion of high quality flexible community treatment 2/
People have deteriorating or new mental health conditions
We need urgent expansion of high quality flexible community treatment 2/
We need urgent expansion of inpatient ADULT AND PAED eating disorder facilities and community teams that can do bloods, ecg.
Some people have non serious things but they have spent a lot of time worrying about them
We need efficient ways of managing, prob f2f to reassure. 3/
Some people have non serious things but they have spent a lot of time worrying about them
We need efficient ways of managing, prob f2f to reassure. 3/
Phone, for many people, doesn’t seem to give that reassurance.
So do we need to get them to some community based clinics....perhaps utilising some clinicians that have retired or locums who haven’t got work. But WITHOUT lots of red tape? With full GP notes integration. 4/
So do we need to get them to some community based clinics....perhaps utilising some clinicians that have retired or locums who haven’t got work. But WITHOUT lots of red tape? With full GP notes integration. 4/
Existing primary and secondary care cannot manage current tsunami of real need.
We need to think of other ways.
Additional diagnostics
Efficient right person, right place, care, that suits both patient and clinician and means one contact might be enough?
5/
We need to think of other ways.
Additional diagnostics
Efficient right person, right place, care, that suits both patient and clinician and means one contact might be enough?
5/
Proper long covid clinics, with MDT of physicians, diagnostics, physio, resp physio, occ health, psych.
Lots are focused just on resp. That isn’t enough.
This is and will be a huge workload
6/
Lots are focused just on resp. That isn’t enough.
This is and will be a huge workload
6/
If we don’t think system wide and try and do this on current staffing and facilities, with social distancing, and using remote in wrong places, we risk doubling up, missing things, the wrong people waiting, and unwell and scared people repeatedly attending and suffering 7/
The systems and people showed they could flex fast and amazingly at the onset of covid, it now needs to do the same for everything. And not be constrained by “how we do things” talk.
Everyone is now exhausted and we need to acknowledge and think cleverly 8/8
Everyone is now exhausted and we need to acknowledge and think cleverly 8/8
Missed one out. Living in a state of heightened alert for over a year, with less support, huge stress and for some loss of income has been hard. Very hard. People generally are more irritable. Communication becomes more fraught when expectations on both sides not managed.
