COVID-19: Treatment for older people in the community

Good practice guide
i
Good practices guides focus on providing information on a clinical topic.
Authors:
British Geriatrics Society
Topics:
Primary and Community Care, Prescribing and medication management, COVID-19
Date Published:
21 January 2021
Last updated: 
26 January 2021

This page brings together guidance and practical advice for the management of older adults with COVID-19 in the community, including drug treatment and examples of standard operating procedures (SOPs).

Consensus statement: Drug Treatment in Community Settings for COVID-19 patients

A consensus statement written by a Task and Finish Group convened by Dr Adrian Hayter, National Clinical Director for Older People and Integrated Person Centred Care, NHS England and NHS Improvement. (Shared with permission of Dr Hayter pending official release by NHS England).

Click here to read the consensus statement on Drug Treatment in Community Settings for COVID-19 patients

Standard Operating Procedures (SOPs)

This SOP sets out the Kent and Medway position on community treatments for COVID-19 in adults, written by Dr Shelagh O'Riordan. It is intended to reflect the growing national consensus on the evidence, and outlines the principles that should inform the clinical decision to initiate and monitor a treatment pathway, as well as guidance on prescribing and identifying indicators that a treatment should be stopped. This document includes considerations of the risks and benefits of these pathways and the potential ethical issues related to the rapid introduction of these treatments.  

Kent and Medway Standard Operating Policy for Out of Hospital Treatment Pathways for COVID-19
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3.68 MB
Practical tips for active treatment in care homes (Kent and Medway)
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17.64 KB

Proposed pathways

Out of hospital treatment pathway examples for adult patients with COVID-19, kindly shared by Dr Shelagh O'Riordan and Kent and Medway Clinical Commissioning Group (CCG).

Pathway of COVID-19 treatment options in care home setting (Kent and Medway)
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518.84 KB
Pathway of COVID-19 treatment options in community hospital setting (Kent and Medway)
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362.77 KB

Improving discharge patient flow from acute settings

This letter from Matthew Winn (Director of Community Health at NHS England and NHS Improvement) sets out three schemes that systems in England can immediately implement for discharging people home from hospital, including use of hotel accommodation; use of independent sector providers for hospital at home services; and time limited indemnity cover to the small number of designated care home facilities that need this support.
 

Clinical advice on supporting people with COVID-19 related illness in the community setting 

This document has been produced by the Scottish Government to support the GP-led clinical management, (including appropriate use of oxygen), of people with COVID-19 related symptoms in the community setting during usual practice hours and out of hours.

Clinical advice on supporting people with COVID-19 related illness in the community setting 
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612.4 KB

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