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COVID-19 clinical support

The current category is Managing Co-morbidities during Covid-19 pandemic

Children and young people

CYP – Safeguarding: see Safeguarding section

General

Febrile Children

  • RCGP top tips for assessing febrile children (September 2020)
  • FAQs from East London Health and Care Partnership on Assessing Febrile Children
  • GP Paeds Tips Blog – a volunteer run blog of paediatric tips for GPs, run by a paediatrician at Sheffield Childrens’ Hospital
  • Healthier Together – a website for GPs and Primary Care Staff with easy to use clinical pathways for common conditions in children using remote assessment (primarily Wessex based, therefore some of the clinical pathways may be more relevant to the Wessex area)
  • Vital sign ranges for children and young people

PICS/Hyperinflammatory Syndrome


Referrals to a school nursing covid-19 wellbeing clinic can now be made via a revised referral form (see referral criteria below)

  • C&YP/parent has concerns related to COVID-19 that will impact on the child attending school.
  • C&YP/parent has concerns related to COVID-19 that impact on undertaking activities of daily living.
  • C&YP has expressed worries/anxieties related to COVID-19 impacting on emotional regulation.

Clinics are held every Wednesday afternoon. Clients will be sent a text with a time to expect a telephone call. If referrals exceed clinic capacity, the referrer will be informed by email, and a letter will be sent to the client with details of the School Nurse texting service for the client to make contact with the service by text


Important message from Paediatrics: Clinicians are urged to continue to discuss/ refer urgent paediatric cases as you would normally.

  • Advice from Great Ormond Street – Advice from individual departments for specific conditions. Very few children develop severe infections with COVID-19 – whether they are immunocompromised or not. Continue any regular medication unless your doctor advises otherwise.

Childhood immunisations

Guidance on delivering childhood immunisations during COVID-19. NHSE/I (London Region) has provided a patient guidance leaflet (below) which can be sent to  patients when you call them into practice.  Also provided is the pack that Conecting4Health developed to support practices in delivering childhood immunisations. If you have any queries regarding this information please contact england.londonimms@nhs.net

Patient/ family information


Asthma management during COVID – See Respiratory section. Also refer to CES Asthma Guide

Sepsis

Wellbeing

Health visiting

  • This standard operating procedure outlines the responsibilities of health visiting staff for the delivery of the services, including the 5 mandated contacts, and managing current caseloads which will include families with safeguarding concerns and those with vulnerabilities, during the COVID-19 pandemic.

School absence notes

Following joint work by the Department of Health and Social Care and the Department for Education (DfE), School Reopening Guidance issued by DfE on 22 February has reminded schools they should not encourage parents to request unnecessary medical evidence i.e. doctors’ notes from their GP when their child is absent from school due to illness (p33). If evidence is required, it can take the form of prescriptions, appointment cards, text/email appointment confirmations etc. Input from GPs should only be sought where there are complex health needs/persistent absence issues.

This guidance also confirms the procedure for clinically extremely vulnerable children, and for those absent from school due to COVID-19 and self-isolation.