{"id":16867,"date":"2023-10-03T12:20:40","date_gmt":"2023-10-03T11:20:40","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/?page_id=16867"},"modified":"2024-08-07T14:05:18","modified_gmt":"2024-08-07T13:05:18","slug":"post-covid-referral-guidance","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/covid-19\/post-covid-referral-guidance\/","title":{"rendered":"Post-COVID Referral Guidance"},"content":{"rendered":"\n<p>There is currently no pan-Lothian post-covid referral service.<\/p>\n\n\n\n<p><strong>All acutely unwell patients should be assessed via A&amp;E or the Flow Centre.<\/strong><\/p>\n\n\n\n<p><strong>Alternative Referral Options:<\/strong><\/p>\n\n\n\n<p>Patients should be referred to the appropriate specialty depending on their symptoms and signs (e.g. respiratory, cardiology, neurology). In addition to the below, please check the relevant specialty RefHelp pages for alternative referral pathways.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Patients with ongoing fevers &gt;38<sup>o<\/sup>C or symptoms of infection of more than 3 weeks duration, documented in a temperature diary, where no other explanation for the fever is apparent, especially if the patient is immunocompromised, please refer to<a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/infectiousdiseases\/\" data-type=\"link\" data-id=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/infectiousdiseases\/\" target=\"_blank\" rel=\"noreferrer noopener\"> Infectious Diseases<\/a> <\/li>\n\n\n\n<li>Post covid breathlessness including when pulmonary embolism is suspected; respiratory pathway <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/respiratory\/postcovidbreathlessness\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/apps.nhslothian.scot\/refhelp\/Respiratory\/post-covid-breathlessness<\/a><\/li>\n\n\n\n<li>Patients with breathlessness, tachycardia, or reduced exercise intolerance can be referred for a 12 lead ECG initially. If this is abnormal an echocardiogram can be requested directly, (see&nbsp;<a rel=\"noreferrer noopener\" href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/referrals-for-echocardiography\/\" target=\"_blank\">referrals for echocardiography<\/a>)<\/li>\n\n\n\n<li>Patients with persistent tachycardia can be requested to have ambulatory monitoring (see&nbsp;<a rel=\"noreferrer noopener\" href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/directaccessambulatoryecgmonitoring\/\" target=\"_blank\">Direct Access Ambulatory ECG<\/a>)<\/li>\n\n\n\n<li>For further cardiology information post covid please see  <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/paediatric\/paediatriccardiology\/cardiac-investigations-for-breathless-patients\/\" data-type=\"link\" data-id=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/paediatric\/paediatriccardiology\/cardiac-investigations-for-breathless-patients\/\" target=\"_blank\" rel=\"noreferrer noopener\">cardiac investigations for breathless patients <\/a>page<\/li>\n\n\n\n<li>Patients with symptoms more suggestive of a possible cancer diagnosis (such as lymphadenopathy or unexplained weight loss) should be urgently referred via the appropriate USOC Sci Gateway pathway see <a rel=\"noreferrer noopener\" href=\"http:\/\/www.cancerreferral.scot.nhs.uk\/Home\" target=\"_blank\"><strong>http:\/\/www.cancerreferral.scot.nhs.uk\/Home<\/strong><\/a><strong>. <\/strong>GPs can refer directly for CT scan of the chest \/ abdomen \/ pelvis for those with non-specific features concerning for malignancy <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/paediatric\/paediatric-radiology\/gpaccesstoctforsuspectedcancernoclinicallyobviousprimary\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/apps.nhslothian.scot\/refhelp\/Oncology\/gp-access-to-ct-for-suspected-cancer-(no-clinically-obvious-primary)<\/a> &nbsp;<\/li>\n\n\n\n<li>GP Practices within the pilot scheme can refer to the <a rel=\"noreferrer noopener\" href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/covid-19\/digitalsupportpathwayforlongcovid\/\" data-type=\"link\" data-id=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/covid-19\/digitalsupportpathwayforlongcovid\/\" target=\"_blank\">Digital Support Service for Long Covid <\/a><\/li>\n<\/ul>\n\n\n\n<p><strong>This page has been produced by Referrals Advisor CW without Specialty input 02-10-2023.<\/strong><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p>\u200b<a href=\"https:\/\/www.homerton.nhs.uk\/covid-recovery-and-rehabilitation\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.homerton.nhs.uk\/covid-recovery-and-rehabilitation<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/www.yourcovidrecovery.nhs.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.yourcovidrecovery.nhs.uk<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/www.nhsinform.scot\/illnesses-and-conditions\/infections-and-poisoning\/coronavirus-covid-19\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.nhsinform.scot\/illnesses-and-conditions\/infections-and-poisoning\/coronavirus-covid-19<\/a><\/p>\n\n\n\n<p><a rel=\"noreferrer noopener\" href=\"https:\/\/www.rcot.co.uk\/how-manage-post-viral-fatigue-after-covid-19-0\" target=\"_blank\"><strong>how-manage-post-viral-fatigue-after-covid<\/strong><\/a> <\/p>\n\n\n\n<p><a rel=\"noreferrer noopener\" href=\"https:\/\/eur01.safelinks.protection.outlook.com\/?url=https%3A%2F%2Fwww.yourcovidrecovery.nhs.uk%2Fchildren-and-young-people-with-covid%2F&amp;data=05%7C01%7CHeather.Levy%40nhslothian.scot.nhs.uk%7Cb4b2d44d5f1a443afab508dbcfcc5424%7C10efe0bda0304bca809cb5e6745e499a%7C0%7C0%7C638332248704464017%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&amp;sdata=tENeVMD9nZs85bGYJDUHMNGkanDIZt1HUxT19sb1zWg%3D&amp;reserved=0\" target=\"_blank\"><strong>Children and young people with COVID \u2013 Your COVID Recovery<\/strong><\/a><\/p>\n\n\n\n<p>Further resources regarding recovery after covid may be available in the Resources and Links tab of<a rel=\"noreferrer noopener\" href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/covid-19\/digitalsupportpathwayforlongcovid\/\" data-type=\"link\" data-id=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/covid-19\/digitalsupportpathwayforlongcovid\/\" target=\"_blank\"> The Digital Support Pathway for Long Covid<\/a><\/p>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>There is currently no pan-Lothian post-covid referral service. All acutely unwell patients should be assessed via A&amp;E or the Flow Centre. Alternative Referral Options: Patients should be referred to the appropriate specialty depending on their symptoms and signs (e.g. respiratory, cardiology, neurology). In addition to the below, please check the relevant specialty RefHelp pages for<\/p>\n","protected":false},"author":6,"featured_media":0,"parent":3756,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[1007],"class_list":["post-16867","page","type-page","status-publish","hentry","category-https-apps-nhslothian-scot-refhelp-post-covid-referral-guidance"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"heatherlevy","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/heatherlevy\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/covid-19\/https-apps-nhslothian-scot-refhelp-post-covid-referral-guidance\/\" rel=\"tag\">Post-COVID Referral Guidance<\/a>","rttpg_excerpt":"There is currently no pan-Lothian post-covid referral service. All acutely unwell patients should be assessed via A&amp;E or the Flow Centre. Alternative Referral Options: Patients should be referred to the appropriate specialty depending on their symptoms and signs (e.g. respiratory, cardiology, neurology). In addition to the below, please check the relevant specialty RefHelp pages for","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/16867","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=16867"}],"version-history":[{"count":10,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/16867\/revisions"}],"predecessor-version":[{"id":20358,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/16867\/revisions\/20358"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3756"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=16867"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=16867"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}