AQW 6408/22-27 Written question to the Minister of Health

To ask the Minister of Health for an update on the creation of a care pathway for those living with long Covid.

Asked by Nick Mathison MLA on 14 February 2024

  • Answered
  • Written
Tabled
14 February 2024
Answer due by
29 February 2024
Answered
26 February 202412 days after tabling
Department
Department of Health
Priority question
No

Answer

The following services to support and assist people who are living with this condition have been established in all 5 HSC Trusts.

Strand 1 - Post-COVID-19 syndrome (PCS) patients referred by primary or secondary care to a one-stop-shop MDT assessment service

Patients can be referred to the MDT assessment clinic from primary and secondary care. Patients receive an holistic assessment to include:

identifying patients with breathlessness who may benefit from pulmonary rehabilitation; and,

those who may need onward referral to secondary or community services and/or signposting to self-management resources.

Strand 2: - Bespoke pulmonary rehabilitation / dysfunctional breathing service for patients with significant respiratory symptoms post-COVID-19

The purpose of this strand is to put in place timely, effective arrangements for outpatient rehabilitation following COVID-19 resulting in significant respiratory symptoms.

Strand 3 - Patients discharged from critical care (both COVID-19 and non-COVID-19)

The purpose of this strand is to put in place timely, effective arrangements for the follow-up and assessment of people discharged from critical care (both COVID-19 and non-COVID-19), reflecting the known risk of long-term sequelae following a long stay in critical care.

Strand 4 - Strengthening psychology support to all Trusts

The psychological impact of COVID-19 (depression, anxiety disorders, PTSD, traumatic bereavement, psychosis, risk to self and/or others) is recognised in extant national guidance. Each Trust has been supported to recruit an additional senior psychologist, with their main role supporting strand 3, but also providing advice to staff working in strands 1 and 2.

Strand 5 - Regional MDT clinical physiology, SLT and dietetic support

Selected patients may need diagnostic tests by respiratory clinical physiologists, onward referral for dietetic and speech and language therapy (SLT) from the one-stop-shop MDT assessment service, the critical care follow-up and pulmonary rehabilitation strands.

Strand 6 - Signposting and access to self-management resources

Patients in NI can access self-management resources which include the NHS App Your Covid Recovery (Managing The Effects | Your COVID Recovery)

Official sources