Post COVID Syndrome – Suspected or confirmed COVID-19 with persistent respiratory symptoms AFTER 12 WEEKS
Post COVID Syndrome is defined as presence of ongoing symptoms after COVID 19 not explained by other reasons 12 weeks after the initial infection.
Shortness of breath
Fatigue and tiredness
Mental health issues
UHCW Post COVID Syndrome Clinic (Respiratory)
Has support from Respiratory Medicine, Endocrinology and Physiotherapy
Access to other specialist services e.g. Cardiology, Rheumatology, Neurology etc if required.
UHCW will follow-up local patients admitted for COVID-19 at around 6 weeks post-discharge.
Primary Care Assessment and Referral
This guidance is particularly for patients with suspected Post COVID Syndrome not known to UHCW.
Rule out other causes of fatigue and tiredness before referral.
History of persistent symptoms 12+ weeks after onset, compatible with suspected COVID 19
COVID antibodies test (if no previous confirmed swab – Yellow topped bottle)
If COVID POSITIVE (previous swab or antibody test) request bloods:
- Full blood count
- Liver Function Tests
- Vitamin B12
- Folic Acid
- Vitamin D
Urgency of Referral
|Patients with confirmed COVID 19 swab or positive antibodies and persistent CXR changes e.g. consolidation / interstitial lung disease / fibrosis||Urgent Respiratory referral|
|Patients with positive antibodies and normal CXR||Routine Respiratory referral|
|Patients with negative antibodies and normal CXR||Consider A&G or routine Respiratory Medicine referral|
Referral Letter Information
Please refer through Referral Support Service (RSS)
Include the following and send with the Respiratory MDT referral letter:
- CXR report
- COVID antibody or previous positive swab result
- Bloods: Full blood count, Urea and electrolytes, Liver Function test, Vitamin B12, Folic Acid, Ferritin, Vitamin D, TSH, BNP, HbA1C
Click on image below or link on RIGHT for downloadable referral form
Respiratory MDT Clinics & Patient Choice
Post COVID-19 appointments will be mostly face-to-face but patient or clinical need might indicate the need for other forms of clinical review, e.g telephone or video call.
If patient would prefer not to come to hospital for first consultation please add this information in your referral in order for us to arrange a phone consultation.
Please make your patients aware of the following information:
They may receive multiple letters including:
- Respiratory physiology (breathing test)
Radiology (CT scan)
Clinic appointment (if they are booked at short-notice our team will phone them)
- A pre-booked blood test on the same day of their appointment in clinic if further tests are needed. They will be given the forms on arrival to clinic or by post.
- Invitation to participate in clinical trials.
- Referral to other specialities if needed, e.g cardiology, rheumatology, psychology, neurology.
Advice and Guidance
Please send any A&G requests for the attention of Dr B Lara or Dr A Ali.
IAPT information for GPs inc new virtual/remote offer
IAPT information for patients
– Cough suppression
– Prone position
– Voice recovery