Box 2.

Recommendations for practice

  • Provide accurate and up-to-date information about symptoms of COVID-19 in healthcare settings and on relevant websites.

  • Build on campaigns designed to promote symptom awareness and importance of earlier cancer diagnosis, to specifically target sociodemographic groups less likely to recognise symptoms of colorectal cancer or less likely to be vigilant about changes in their bodies.

  • Provide better signposting to services and pathways to access these by utilising known, effective ways to communicate new bookings and consulting methods with patients, as well as keeping GP surgery websites and their phone/text communication up to date.

  • Ensure infection control measures for COVID (and wider) are overt and embedded into NHS services.

  • Provide people with active safety netting, including a timeframe for follow-up or symptoms to look out for and ensure that follow-up options (for example, patient-activated call, GP app access) are offered to all patients, who are provided with help to use it or alternative options if needed.

  • Support and build on training for primary care to address health inequalities, particularly around access and digital exclusion.