The Guidelines team has produced the following directory of COVID-19 information and guidance for primary care. This page will be updated as and when relevant guidance/information is made available.

Coronavirus

Guidelines summaries

NHS England and NHS Improvement

General practice in the context of coronavirus (COVID-19)

Novel coronavirus (COVID-19) standard operating procedure: community pharmacy

NHS England, Royal College of Physicians, and the Association of British Clinical Diabetologists

Clinical guide for the management of people with diabetes during the coronavirus pandemic

NICE

COVID-19 rapid guideline: children and young people who are immunocompromised

COVID-19 rapid guideline: chronic kidney disease

COVID-19 rapid guideline: community-based care of patients with chronic obstructive pulmonary disease (COPD)

COVID-19 rapid guideline: cystic fibrosis

COVID-19 rapid guideline: delivery of systemic anticancer treatments

COVID-19 rapid guideline: dermatological conditions treated with drugs affecting the immune response

COVID-19 rapid guideline: dialysis service delivery

COVID-19 rapid guideline: gastrointestinal and liver conditions treated with drugs affecting the immune response

COVID-19 rapid guideline: managing suspected or confirmed pneumonia in adults in the community

COVID-19 rapid guideline: managing symptoms (including at the end of life) in the community

COVID-19 rapid guideline: rheumatological autoimmune, inflammatory and metabolic bone disorders

COVID-19 rapid guideline: severe asthma

PHE

COVID-19 personal protective equipment (PPE)

Professor Trisha Greenlagh

COVID-19: video consultations—information for general practices

Key COVID-19 guidance for primary care

The main source of guidance that all healthcare professionals should refer to is the NHS coronavirus guidance for clinicians and managers. The NHS has also produced a standard operating procedure (SOP) for community pharmacists. On 19 March the NHS published guidance on general practice in the context of coronavirus.

NICE has developed a series of rapid guidelines on the active management of COVID-19 infection, which can be found here.

PHE has guidance for investigation and initial clinical management of a possible case of coronavirus. PHE has also produced guidance for people advised to self isolate, as well as guidance on staying alert and safe (social distancing). All updates to PHE guidance for COVID-19 are found on the MHRA central alerting system (CAS), which should be regularly checked by practice staff. 

The NHS website has all the relevant guidance on assessment, diagnosis, management of suspected and confirmed coronavirus, disharge, isolation, and travel advice for patients.

All practices should ensure coronavirus patient information posters are displayed and visible to patients before entering the practice. Patient information should be displayed at reception, the medicines counter by any patient touch screen booking-in, waiting areas and at patient access points to clinical areas.

PHE has published information on the use of personal protective equipment (PPE). A concise table with information on recommended PPE for ambulance staff, paramedics, first responders, other patient transport services and pharmacy staff can be found here.

Department of Health and Social Care, NHS England, and NHS Improvement have published a standard operating procedure on how to run a safe and effective medicines reuse scheme in a care home or hospice during the coronavirus outbreak

NSAIDs

On 14 April 2020, NICE published its COVID-19 rapid evidence summary: acute use of non-steroidal anti-inflammatory drugs (NSAIDs) for people with or at risk of COVID-19, and NHS England and NHS Improvement released a policy statement on the use of NSAIDs in people with or at risk of COVID-19.

Community pharmacy

The General Pharmaceutical Council has signed a joint statement, alongside the Royal Pharmaceutical Society, the Association of Pharmacy Technicians UK, the Pharmaceutical Society of Northern Ireland, and Pharmacy Forum NI, on emphasising social distancing during the COVID-19 pandemic

The International Pharmaceutical Federation (FIP) has published guidance on COVID-19 for pharmacists and the pharmacy workforce, including frequently asked questions and additional resources

The Pharmaceutical Services Negotiating Committee (PSNC) has produced an overview of their Pandemic Delivery Service, which aims to provide information for pharmacy contractors and their teams on new contractual responsibilities during the COVID-19 pandemic, related to supporting extremely vulnerable patients self-isolating at home to obtain their medicines

The PSNC has published a digital guide to the Pandemic Delivery Service for community pharmacy contractors

The PSNC has worked with the National Pharmacy Association, the Royal Pharmaceutical Society and the Community Pharmacy Patient Safety Group to produce joint guidance on dealing with unwanted medicines that have been returned to community pharmacies in England.

Specialist Pharmacy Service (SPS) has published guidance on the management of drugs requiring monitoring during COVID-19

NHS England and NHS Improvement have released a document addressing the home delivery of prescription medicines during the COVID-19 outbreak

NHS England and NHS Improvement

This online consultation toolkit, developed by NHS England and Improvement, is an interactive document that provides a range of ideas and options for different professionals, including clinicians, at different points in their implementation journey

NICE

NICE has developed a series of rapid guidelines on the active management of COVID-19 infection 

NICE has also published a clinical knowledge summary (CKS) on coronavirus, which covers management of suspected coronavirus infection, advice for vulnerable groups, and where reliable clinical information can be found

Royal College of General Practitioners

The RCGP has published specific guidance for general practice, including out-of-hours.

Information for specific groups

The following is a list of links providing additional information for specific groups. This will be updated regularly as new information is published.

Woman with allergy symptom blowing nose

Allergy

The British Society for Allergy and Clinical Immunology (BSACI) has published modifications for adult allergy services during COVID-19 pandemic, which provides suggestions for changes to service provision.

Stethoscope and heart

Cardiovascular

Angiotensin converting enzyme inhibitors and angiotensin receptor blockers

The Primary Care Cardiovascular Society has developed some specific advice about COVID-19 for patients taking angiotensin converting enzyme inhibitors (ACEi) or angiotensin receptor blockers (ARBs)

The British Cardiovascular Society (BCS) together with the British Society for Heart Failure (BSH) released a joint statement with regards to treatment with ACEi or ARB in relation to COVID-19

Hypertension

The European Society of Cardiology Council on Hypertension has published a position statement on ACE-inhibitors and angiotensin receptor blockers in relation to social media reports surrounding COVID-19

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Care of the elderly

The British Geriatrics Society has compiled a list of current official UK/global advice and publications relating to COVID-19

 

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Diabetes

For guidance on practical recommendations for the management of diabetes in patients with COVID-19:

Diabetes UK has produced COVID-19 guidance for people living with diabetes and their families, with emphasis on social distancing measures

NHS England has produced a page of key information to support the delivery of diabetes care in London

The Primary Care Diabetes Society has published a COVID-19 fact sheet for healthcare professionals to consider when caring for people with diabetes, including links to guidance and general advice for managing diabetes during intercurrent illness

eent

Eye, ear, nose, and throat

ENT UK has published information on loss of sense of smell as a marker of COVID-19 infection

 

Gastrointestinal tract_AS

Gastrointestinal

The British Society of Gastroenterology (BSG) has published specific COVID-19 advice for healthcare professionals in Gastroenterology and Hepatology

 

Paediatrician doctor is examining child with stethoscope_AS

Paediatrics

The Royal College of Paediatrics and Child Health (RCPCH) has published COVID-19 guidance for healthcare professionals working in paediatrics and child health, with signposts and links to further information

RCPCH has published guidance on paediatric multisystem inflammatory syndrome temporally associated with COVID-19

 

Close Up Of Pregnant Businesswoman In Office

Pregnancy

Royal College of Obstetricians and Gynaecologists (RCOG) has published COVID-19 information for healthcare professionals caring for pregnant women

RCOG, Royal College of Midwives, RCPCH, PHE, and Health Protection Scotland have published guidance for healthcare professionals on COVID-19 infection in pregnancy

kidney_AS

Renal

The Renal Association has published a position statement on COVID-19 and ACE inhibitor/angiotensin receptor blocker use

Asthma lungs

Respiratory

Asthma UK has published health advice concerning COVID-19 for people with asthma.

The British Thoracic Society (BTS) has published information to support the respiratory community during the COVID-19 outbreak, including community respiratory services, COPD and COVID-19 for HCPs, advice for HCPs treating patients with asthma, and obstructive sleep apnoea

The Global Initiative for Asthma (GINA) has published answers to frequently asked questions on the management of asthma during the COVID-19 outbreak

The Global Initiative for Chronic Obstructive Lung Disease (GOLD) recognises that people with chronic obstructive pulmonary disease (COPD) are among the worst affected by COVID-19 and is working with the World Health Organization (WHO) to try to minimise the impact of the infection. GOLD has produced a brief list of guidance for patients with COPD

HIV particles

Sexual health

British HIV Association (BHIVA) has produced guidance for the management of adults with HIV on antiretroviral treatment (ART) during the coronavirus pandemic

Terrence Higgins Trust has produced information on COVID-19, guidance for people living with HIV, and answers to frequently asked questions

 

person scratching psoriasis on hand

Skin and wound care

International Psoriasis Council (IPC) has published a statement on the COVID-19 outbreak

British Association of Dermatologists (BAD) has published a statement on dry skin and frequent handwashing to reduce COVID-19 risk

woman with cough_AS_247x165

Women’s Health

The Faculty of Sexual and Reproductive Healthcare (FSRH) has published information on the provision of long-acting reversible contraception (LARC) during the COVID-19 outbreak

FSRH has produced a guide for patients to help them stay informed about contraception and abortion services during the COVID-19 pandemic

Further FSRH guidance on COVID-19:

Clinical advice to support provision of effective contraception during the COVID-19 outbreak

Recommendation on extended use of the etonogestrel implant and 52 mg levonorgestrel-releasing intrauterine system during COVID restrictions

The Primary Care Women’s Health Forum (PCWHF) has produced guidance on managing contraceptive provision without face-to-face consultations to help primary care clinicians support women with their contraceptive needs during the coronavirus pandemic

PCWHF has published guidance on managing consultations remotely during the coronavirus pandemic, including advice on heavy menstrual bleeding (HMB), intermenstrual bleeding (IMB), post-menopausal bleeding (PMB) (occurring in women not using HRT), post-coital bleeding (PCB), and unscheduled bleeding on HRT

PCWHF has published a PCS COVID-19 Community Contraception Guide, covering oral contraception: repeat or new starter, and long acting reversible contraception: Depo DMPA, implant, copper IUD, and IUS

Further PCWHF guidance links:

NHS England and NHS Improvement has worked PHE to develop guidance on smear taking during COVID-19

RCOG has published guidance for COVID-19 infection and abortion care, as well as Q&A relating to this guidance

Further information

COVID-19 testing is available for essential workers who are self-isolating

Nursing and Midwifery Council (NMC) has published a joint statement from chief executives of statutory regulators of health and care professionals

Royal Pharmaceutical Society (RPS) has produced guidance on ethical, professional decision-making in the COVID-19 pandemic