COVID-19 Clinical Solutions

Instructions on how to submit your COVID-19 Clinical Solutions are detailed below

Your clinical solutions

• We produced a factsheet for healthcare professionals on how exercise can enhance immunity against common pathogens. We also produced a public leaflet on how to strengthen your immune system. Alex Wadley, Sam Lucas, Brian Johnson (14 Dec 2020)
• Patients were given the opportunity to text message the practice in-house pharmacy regarding their medication. Saleh Issa, Shimnaz Nazeer (2 Nov 2020)
• We streamlined the task-flow process for patient online registration, reducing the online registration process to 4 minutes. Samiul Ahmed, Umer Gondal, Malik Takreem Ahmad (15 Sep 2020)
• We created a home visits team, who complete a home visit as soon as a request is submitted and triaged by a GP. Drew Bradman, Rebecca Marshall (14 Sep 2020)
• We analysed the Qatar government’s preparations for the re-opening of schools to determine if they will be effective at preventing a potential second wave. Amit Varma, Ismail Dergaa (1 Sep 2020)
• We studied and provide a summary of the Qatar government’s COVID-19 contingency plan from the first confirmed case to 5 August 2020. Maktoum Abdul Azeez, Mohamud A Verjee (11 Aug 2020)
• We created a guide to assist the general public in moving forward safely as lockdown restrictions ease, with particular attention given to BAME communities. Farhana Rahman, Ed Blunt (8 Jul 2020)
• We collated data on relative risks for COVID-19-related mortality and derived a measure (Covid-age). This can be calculated and used to inform consultations with patients about their vulnerability and returning to work. Peter Croft, David Coggon, Anthony Williams, Paul Cullinan (26 Jun 2020)
• An EPaCCS is being used by all practices in three CCGs to share information about end-of-life patient preferences and care plans. Dan Cottingham, Jenni Lawrence, Avinash H Pillai (15 Jun 2020)
• We formed an in-house ethical issues team to support clinicians and help aid in difficult situations and decision making. Jo Simpson, Domini James, Claire Anderton (11 Jun 2020)
• North Lincolnshire were the first across Humber, Coast and Vale to have all 19 practices signed up to use Engage Consult for online consultations. Adam Ryley, Avinash H Pillai (3 Jun 2020)
• We rolled out the Urgent and Emergency Care RAIDR app for practices to centrally submit their daily sit-rep information. Adam Ryley, Erica Ellerington (3 Jun 2020)
• All practices within North Lincolnshire now have the software to carry out video consultations. This is being rolled out for use within care homes. Carrie Cranston, Avinash H Pillai, Adam Ryley (3 Jun 2020)
• We provided practices with remote access to clinical systems, with technical support available. Avinash H Pillai, Adam Ryley, Carrie Cranston (3 Jun 2020)
• We delivered a virtual training package to assist carers with end-of-life care during the COVID-19 pandemic. Claire Hebden (1 Jun 2020)
• We led a team of nurses to deliver widespread virtual training to all carers in care homes within North Lincolnshire. Claire Clarke, Mel Jasjew, Vicky Jacklin (29 May 2020)
• We created a GP role to provide clinical decision making capacity to support community teams managing urgent care at home. Neveen Samuel, Karen Fanthorpe, J Killingbeck (28 May 2020)
• We promoted the use of templates within two GP systems at the onset of the COVID-19 outbreak to help clinicians deal with COVID-19 patients. Avinash H Pillai, Satpal Shekhawat (21 May 2020)
• We set up an in-house End-of-Life Care Team following the restructure of community palliative care teams as a result of COVID-19. Joanna Simpson, Domini James, Katie Barnett (21 May 2020)
• A range of free-to-use digital resources have been developed for SystmOne and EMIS to support the COVID-19 response. Gareth Forbes, Jody Nichols, Billie Moyle (18 May 2020)
• We created an ‘IT ambassador programme’ to train GP registrars to help roll out the various technology solutions for COVID-19. Abdur-Rauff Mahroof, Avinash H Pillai (14 May 2020)
• We promoted the use of Summary Care Record Additional Information (SCR-AI) uptake at the onset of the COVID-19 outbreak. Abdur-Rauff Mahroof, Avinash H Pillai (12 May 2020)
• A PCN HOT site was established to treat patients with COVID-19 symptoms. We produced videos for patients and doctors to show them how to use this and the Sats monitoring service. Sian Stanley (7 May 2020)

• We setup a monthly B12 injection drive-through clinic. Linzi Lumsden, Tracey Thom, Gillian Mitchell (7 May 2020)
• We delivered a simulation workshop to primary care practitioners to provide an opportunity to practise resuscitation in a cardiac arrest scenario, with appropriate COVID-19 adaptations. Emma Clare Hughes, Peter Michael Kilgour (6 May 2020)
• We have established a volunteer-led pilot scheme to provide contact tracing for COVID-19 cases. Andy Jackson, Bing Jones, Jack Czauderna, Jeremy Wight, Joan Miller, Mike Tomson, Paul Redgrave, Tom Heller (5 May 2020)
• We have created video user guides on how to deploy various forms of technology solutions and uploaded these on to our CCG YouTube channel. Avinash H Pillai, Satpal S Shekhawat (5 May 2020)
• We developed a Nepali video with English subtitles describing social distancing and how to access the practice, targeted at our Nepali populations. Lesley Rosling, Nitu Gurung, Charlotte Joines (5 May 2020)
• We have launched virtual reality pulmonary rehabilitation service for residents of North Lincolnshire. North Lincolnshire CCG and all 19 primary care practices (4 May 2020)
• We have developed two city wide triage hubs for our practices in York and Hull, staffed by GPs and primary care practitioners.  Laura Castle, Thomas Patel-Campbell, Michael Holmes; Haxby Group (24 Apr 2020)
• We developed a remote monitoring web-browser application to provide a means to remotely record the patient’s status and to produce a configurable dashboard. John Havard, Simon Eyre (24 Apr 2020)
• We ran a survey and then delivered what patients wanted through different media channels. Tal Mahmud, Saira Juma, and the entire staff team at Firstcare Practice (HIYOS), Blenheim Centre (22 Apr 2020)
• We installed Siilo Connect for our local interdisciplinary organization, to foster networking through better communication. Bert Leysen (21 Apr 2020)
• Expanded the psychological support NHS Practitioner Health provides to doctors. Clare Gerada, Lucy Warner, Zaid Al-Najjar (15 Apr 2020)
• I developed an infographic handout designed for patients/the public to help prepare them for advance care planning. Amy Tan (15 Apr 2020)

In response to the COVID-19 crisis we have created a rapid communications platform

Practices often develop innovative new ideas that could help others. This format enables you to share these ideas rapidly. ‘COVID-19 Clinical Solutions’ is a platform for you to share best practice, ideas you’ve developed, new processes, or innovations in clinical practice. This initiative sits outside the usual BJGP framework for research and has been created as a rapid access format for sharing information. As always, please submit research to BJGP or BJGP Open, and comments, opinion, and views to BJGP Life.

Please complete the COVID-19 Clinical Solution form and email it to: journal@rcgp.org.uk.
The form asks the following questions: 

What did you do? Please describe in one sentence what you did (50 words max)

Who are you? Please list the names of those who did the work (3 max) and the address of your practice/health centre, etc 

What was the problem? Please describe the nature of the problem you needed to address (50 words max)

What was the solution? Please describe how you addressed the problem and, as far as possible, give some indication of the success or failure. (Improvement of process, numbers of consultations, patients, etc; 250 words max)

Where can we find out more? Please add practice email and a URL if relevant

Once you have downloaded the above form and completed it, please email it to: journal@rcgp.org.uk 
We will post all accepted clinical solutions here on the COVID-19 Clinical Solutions page.

Example of a COVID-19 Clinical Solution

GP Dave Triska has his own design for 3D printed face visors. Visit BJGP Life for details.