Modifications to the delivery of NHS face-to-face general practice consultations during the COVID-19 pandemic in England [version 3; peer review: 2 approved]

Background: In order to minimise transmission of SARS-CoV-2, the virus causing COVID-19, delivery of English general practice consultations was modified in March 2020 to enable the separation of patients with diagnosed or suspected COVID-19 from others. Remote triage and consultations became the def...

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Autores principales:	Lorna J. Duncan, Kelly F.D. Cheng
Formato:	article
Lenguaje:	EN
Publicado:	F1000 Research Ltd 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/65c67f00832949e793ee6b41fada3373
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spelling	oai:doaj.org-article:65c67f00832949e793ee6b41fada33732021-11-29T14:03:15ZModifications to the delivery of NHS face-to-face general practice consultations during the COVID-19 pandemic in England [version 3; peer review: 2 approved]2046-140210.12688/f1000research.52161.3https://doaj.org/article/65c67f00832949e793ee6b41fada33732021-11-01T00:00:00Zhttps://f1000research.com/articles/10-261/v3https://doaj.org/toc/2046-1402Background: In order to minimise transmission of SARS-CoV-2, the virus causing COVID-19, delivery of English general practice consultations was modified in March 2020 to enable the separation of patients with diagnosed or suspected COVID-19 from others. Remote triage and consultations became the default, with adapted face-to-face contact used only when clinically necessary. Face-to-face delivery modifications were decided locally and this study aimed to identify the different models used nationwide in spring/summer 2020. Methods: In June 2020, a survey was sent by email to the 135 Clinical Commissioning Groups (CCGs) responsible for planning and commissioning NHS health care services in England to identify the local organisation of face-to-face general practice consultations since March 2020. Results: All CCGs responded. Between March and July 2020, separation of patients with diagnosed or suspected COVID-19 (‘COVID-19 patients’) from others was achieved using the following models: zoned practices (used within 47% of CCGs), where COVID-19 and other patients were separated within their own practice; ‘hot’ or ‘cold’ hubs (used within 90% of CCGs), separate sites where COVID-19 or other patients registered at one of several collaborating practices were seen; ‘hot’ and ‘cold’ home visits (used within 70% of CCGs). For around half of CCGs, either all their GP practices used zoning, or all used hubs; in other CCGs, both models were used. Demand-led hub availability offered flexibility in some areas. Home visits were mainly used supplementally for patients unable to access other services, but in two CCGs, they were the main/only form of COVID-19 provision. Conclusions: Varied, flexible ways of delivering face-to-face general practice consultations were identified. Analysis of the modified delivery in terms of management of COVID-19 and other conditions, and other impacts on staff and patients, may both aid future pandemic management and identify beneficial elements for practice beyond this.Lorna J. DuncanKelly F.D. ChengF1000 Research LtdarticleMedicineRScienceQENF1000Research, Vol 10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Lorna J. Duncan Kelly F.D. Cheng Modifications to the delivery of NHS face-to-face general practice consultations during the COVID-19 pandemic in England [version 3; peer review: 2 approved]
description	Background: In order to minimise transmission of SARS-CoV-2, the virus causing COVID-19, delivery of English general practice consultations was modified in March 2020 to enable the separation of patients with diagnosed or suspected COVID-19 from others. Remote triage and consultations became the default, with adapted face-to-face contact used only when clinically necessary. Face-to-face delivery modifications were decided locally and this study aimed to identify the different models used nationwide in spring/summer 2020. Methods: In June 2020, a survey was sent by email to the 135 Clinical Commissioning Groups (CCGs) responsible for planning and commissioning NHS health care services in England to identify the local organisation of face-to-face general practice consultations since March 2020. Results: All CCGs responded. Between March and July 2020, separation of patients with diagnosed or suspected COVID-19 (‘COVID-19 patients’) from others was achieved using the following models: zoned practices (used within 47% of CCGs), where COVID-19 and other patients were separated within their own practice; ‘hot’ or ‘cold’ hubs (used within 90% of CCGs), separate sites where COVID-19 or other patients registered at one of several collaborating practices were seen; ‘hot’ and ‘cold’ home visits (used within 70% of CCGs). For around half of CCGs, either all their GP practices used zoning, or all used hubs; in other CCGs, both models were used. Demand-led hub availability offered flexibility in some areas. Home visits were mainly used supplementally for patients unable to access other services, but in two CCGs, they were the main/only form of COVID-19 provision. Conclusions: Varied, flexible ways of delivering face-to-face general practice consultations were identified. Analysis of the modified delivery in terms of management of COVID-19 and other conditions, and other impacts on staff and patients, may both aid future pandemic management and identify beneficial elements for practice beyond this.
format	article
author	Lorna J. Duncan Kelly F.D. Cheng
author_facet	Lorna J. Duncan Kelly F.D. Cheng
author_sort	Lorna J. Duncan
title	Modifications to the delivery of NHS face-to-face general practice consultations during the COVID-19 pandemic in England [version 3; peer review: 2 approved]
title_short	Modifications to the delivery of NHS face-to-face general practice consultations during the COVID-19 pandemic in England [version 3; peer review: 2 approved]
title_full	Modifications to the delivery of NHS face-to-face general practice consultations during the COVID-19 pandemic in England [version 3; peer review: 2 approved]
title_fullStr	Modifications to the delivery of NHS face-to-face general practice consultations during the COVID-19 pandemic in England [version 3; peer review: 2 approved]
title_full_unstemmed	Modifications to the delivery of NHS face-to-face general practice consultations during the COVID-19 pandemic in England [version 3; peer review: 2 approved]
title_sort	modifications to the delivery of nhs face-to-face general practice consultations during the covid-19 pandemic in england [version 3; peer review: 2 approved]
publisher	F1000 Research Ltd
publishDate	2021
url	https://doaj.org/article/65c67f00832949e793ee6b41fada3373
work_keys_str_mv	AT lornajduncan modificationstothedeliveryofnhsfacetofacegeneralpracticeconsultationsduringthecovid19pandemicinenglandversion3peerreview2approved AT kellyfdcheng modificationstothedeliveryofnhsfacetofacegeneralpracticeconsultationsduringthecovid19pandemicinenglandversion3peerreview2approved
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Modifications to the delivery of NHS face-to-face general practice consultations during the COVID-19 pandemic in England [version 3; peer review: 2 approved]

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