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About the Covid Medicine Delivery Unit
Delivered on behalf of:
- Coventry and Warwickshire ICB
- CRW Federation Collaborative
- George Eliot Hospital
- South Warwickshire Foundation Trust
- University Hospitals Coventry and Warwickshire
Pathway for Accessing Treatments for Non-Hospitalised Adults with Mild COVID-19
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About the Service
Access to treatments for Covid changed on Tuesday 27th June 2023.
Since December 2021, new COVID-19 treatments have been offered through a nationally commissioned service to people who are at the highest risk of becoming seriously ill and test positive in the community
Treatments will now be offered locally to those patients who are at the highest risk
Letters have been sent out by the national team, to the highest risk patients (June 2023). Copy available below under ‘additional information’
The treatments include nMABs (neutralizing monoclonal antibodies) infusions and oral antivirals.
The treatments are a key element in the offer to higher risk patients, reducing hospital admissions and death
The model adopted across Rugby, Coventry and Warwickshire ICS consists of an end to end integrated approach, with primary care, acute secondary care hubs supporting local patients, and community follow up
The Federation Collaborative COVID@home service will triage all patients referred via the national web view platform and referrals made by GPs, NHS 111 and CWPT
Patients will be streamed to the right outcome service (infusion, antivirals or community management)
All patients (irrespective of whether or not they are eligible for medication) will be followed up by the virtual ward team as appropriate.
Action required by GP
If your patient is possibly eligible for medication or contacts the practice because they have received a message suggesting they may be eligible for medication, please complete the attached form.
It only requires you to tick a single box and the team will triage, advise and consent the patient as well as organise referral as appropriate to an acute service.
Monitoring will also be organised.
The team will document information in the patient’s EMIS notes.
An updated EMIS version of the form is available – please use latest version
Contact details
Any queries please email us on crgpa.admin@nhs.net
Referral into local Covid treatments service
Patients to be referred in by:
- Self referral (see self referral below)
- GP
- 111 service
- Secondary Care
For most treatments currently approved for use in England, they should be started within 5 days of symptom onset
- Community Pharmacy supply of PaxlovidIf the GP hub deem the patient appropriate for treatment, supply of Paxlovid will be available via nominated Community Pharmacies.
Referral form
Follow link right
Email completed forms to: Crgpa.respiratoryathome@nhs.net
People who test positive for COVID-19 in Coventry and Warwickshire and who are at the highest risk of becoming seriously unwell are now able to refer themselves for potentially lifesaving treatment
Coventry and Warwickshire Integrated Care Board (ICB) have launched a new self-referral form that allows patients who are in the highest risk group to access treatment without having to wait to speak to a medical professional should they receive a positive test.
Previously, vulnerable patients had to report a positive test result to their local NHS services and wait for it to be referred for assessment for treatment. The introduction of a self-referral form allows patients to access these vital treatments sooner and gives them a better chance of avoiding the most severe symptoms, which can be potentially fatal in those most at risk.
Timely access to treatments is especially important for COVID-19 as they need to be given quickly after symptoms first start, ideally within five days of the onset of symptoms.
Eligibility:
Patients who are considered to be at high risk of progression to severe COVID-19 should have already received a letter from NHS England, but more information on who is eligible for treatments can be found on the National Institute for Health and Care Excellence (NICE) website .
Additionally, the following groups of patients will be eligible for treatment:
- people aged 85 years and over
- people with end-stage heart failure who have a long-term ventricular assistance device
- people on the organ transplant waiting list
- people aged 70 years and over, or who have a BMI of 35 kg/m2 or more, diabetes or heart failure, and:
– are a resident in a care home, or
– are already hospitalised.
If eligible patients test positive for Covid, they should refer themselves into the Respiratory@Home service, who are responsible for the community based Covid Medicines Delivery Unit (CMDU), using the new self-referral form.
Jamie Soden, Acting Chief Nursing Officer for the NHS Coventry and Warwickshire Integrated Care Board (ICB), said:
“Accessing these vital treatments quickly will reduce the risk of vulnerable people becoming seriously ill if they test positive for COVID-19.
“If you have a high-risk condition and experience COVID-19 symptoms, you should take a rapid lateral flow test as soon as possible. If you test positive, you should refer yourself using the new form or contact the local NHS service as soon as possible.”
“The new self-referral form makes it even easier for those most vulnerable to access COVID-19 treatments and I urge eligible patients to use the service for timely assessment for treatment.”
High risk Covid patients can also still contact their GP practice, NHS 111 or hospital specialist (if they have one) as soon as possible so that the healthcare professional can consider referral for an assessment for treatment.
You can find out more about the treatments for Covid here
Additional Information:
For review soon
Awaiting review
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Coventry
Rugby & South Warwickshire
North Warwickshire
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