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COVID-19 clinical support

The current category is COVID-19 General

Palliative care/ symptom control

Advance Care Planning – see Pro-active care for at risk patients

Guidance of death and certification – see the resources section.

General

Patient/family resources

Clinical resources, including borough-specific

Palliative Care Medicines

 24-hour access to injectable symptom control medications for the adult dying patient in the community: Guy’s and St Thomas’ NHS Foundation Trust have provided the following guidance regarding the  request of medications:

OUT-OF-HOURS (6.30 pm – 8 am Mon – Fri, 24 hours on Saturday, Sunday and bank Holidays).

For patients living in LambethSouthwark and Bromley

  • Telephone the South East London Doctor’s Cooperative (SELDOC) on 020 8194 7594.

IN-HOURS – The GP should contact the community pharmacy to confirm injectable symptom control medications are in stock:

  • 1st choice: The patient’s usual community pharmacy, then if stock not available,
  • 2nd choice: One of the community pharmacies on the SEL palliative care drug access scheme. Contact details of nominated community pharmacies can be found below in section on Community pharmacies

Resources from the NHS England Hosted Pan- London MAAR chart Webinar

Information on Community Pharmacies:

Hospices

St Christopher’s: open to referrals as usual for both their community offer and inpatient unit. Accepting referrals 7 days a week and continue to accept Covid+ patients. Please refer in the usual way by calling 020 8768 4500 (24 hrs a day) or email a referral form.

Resuscitation

Compression only CPR with patients mouth and nose covered in cloth. Safe to use defibrillator.

  • SEL CAG have produced a Statement of Best Practice covering documentation of DNACPR (do not attempt cardiopulmonary resuscitation) decisions in out of hospital settings.  
  • DNACPR form . Also available when you complete a CMC update – see Advance care planning for CMC details