Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Jan-Dec:12:21501327211010994.
doi: 10.1177/21501327211010994.

A Multidisciplinary NHS COVID-19 Service to Manage Post-COVID-19 Syndrome in the Community

Amy Parkin  1 , Jennifer Davison  2 , Rachel Tarrant  2 , Denise Ross  1 , Stephen Halpin  1   2   3 , Alex Simms  1 , Rashad Salman  1 , Manoj Sivan  1   2   3
Affiliations

A Multidisciplinary NHS COVID-19 Service to Manage Post-COVID-19 Syndrome in the Community

Amy Parkin et al. J Prim Care Community Health. 2021 Jan-Dec.

Abstract

The National Institute for Health and Care Excellence (NICE) describe "post COVID-19 syndrome" or "Long COVID" as a set of persistent physical, cognitive and/or psychological symptoms that continue for more than 12 weeks after illness and which are not explained by an alternative diagnosis. These symptoms are experienced not only by patients discharged from hospital but also those in the community who did not require inpatient care. To support the recovery of this group of people, a unique integrated rehabilitation pathway was developed following extensive service evaluations by Leeds Primary Care Services, Leeds Community Healthcare NHS Trust and Leeds Teaching Hospital NHS Trust. The pathway aligns itself to the NHS England "Five-point plan" to embed post-COVID-19 syndrome assessment clinics across England, supporting the comprehensive medical assessment and rehabilitation intervention for patients in the community. The pathway was first of its kind to be set up in the UK and comprises of a three-tier service model (level 1: specialist MDT service, level 2: community therapy teams and level 3: self-management). The MDT service brings together various disciplines with specialist skill sets to provide targeted individualized interventions using a specific core set of outcome measures including C19-YRS (Yorkshire Rehabilitation Scale). Community and primary care teams worldwide need such an integrated multidisciplinary comprehensive model of care to deal with the growing number of cases of post-COVID-19 syndrome effectively and in a timely manner.

Keywords: C19-YRS; Post-COVID-19 condition; community health; core set; rehabilitation.

PubMed Disclaimer

Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Tiered pathway of input needs.
See this image and copyright information in PMC

References

    1. World Health Organisation, WHO Coronavirus Disease (COVID 19) Dashboard. WHO. November 2020. Accessed March 23, 2021. https://covid19.who.int/
    1. Leeds City Council Managing Coronavirus in Leeds. December 2020. Accessed December 21, 2020. https://www.leeds.gov.uk/coronavirus/managing-coronavirus-in-leeds
    1. Roberts R, Levi M, Schilling R, Lim WS, Grocott MPW, McKee M. Covid-19: a complex multisystem clinical syndrome. BMJ. 2020;125:238-242. - PMC - PubMed
    1. Alwan NA, Attree E, Blair JM, et al.. From doctors as patients: a manifesto for tackling persisting symptoms of covid-19. BMJ. 2020;370:m3565. - PubMed
    1. Post-COVID Syndrome (Long COVID). NHS England and NHS Improvement. January 2021. Accessed January 2021. https://www.england.nhs.uk/coronavirus/post-covid-syndrome-long-covid/

Publication types

LinkOut - more resources