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IDENTIFY LEARNING NEEDS BY ASKING YOURSELF: Do I know how to? |
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THESE RESOURCES OF INFORMATION, ADVICE, GUIDANCE AND LEARNING CAN HELP YOU ADDRESS YOUR LEARNING NEEDS |
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Clinical Assessment and Management | ||
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Clinically assess and manage Covid-19 in the community.
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Quick read: Red Whale GEMS -COVID-19: Standard operating procedures (SOPs) for primary care 15.4.20
Quick read: Red Whale, GEMS protocol. This is not a guideline but is informed by authoritative advice 8.4.20
Quick read: BMJ article Coronavirus disease 2019 (covid-19): a guide for UK GPs
Quick read: BMJ Visual Summary: What should I do if I suspect patient may have coronavirus disease?
Online learning: NB Medical education free on-demand webinar in three 30 minute modules
Online learning: Covid-19 Management in a Primary Care Hub - Experience from Harrow Hot Hub, 8 minute video from 6.4.20
Refer to: COVID-19 rapid guideline : managing symptoms in the community: NICE guideline [NG163]
Refer to: COVID-19 rapid guideline: managing suspected or confirmed pneumonia in adults in the community. NICE guideline [NG165] |
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Make decisions about which patients unwell with suspected Covid-19 require hospital admission. Discuss risks, benefits and options with patients, families, carers and specialist colleagues.
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Quick read:: Care at Home in Somerset - our joint approach to keeping people where they are best supported
Quick read: Visual summary- Hospital admission decision making aid for Somerset
Online learning: SGPET video tutorial - Treatment Escalation Planning Conversations
Online learning: SGPET video tutorial Assessment and decisions about place of care for those with suspected Covid-19
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Manage Covid-19 patients at the end of life in the community |
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Refer to: Somerset plans for end of life care in the community
Refer to: COVID-19 rapid guideline: managing symptoms (including at the end of life) in the community NICE guideline [NG163]
Online learning: SGPET series of video tutorials from local specialists on the Somerset Covid-19 End of Life group. Topics covered include: Overview. TEP conversations. Clinical Assessment. Managing Symptoms. Care of the Dying Person. After Death Care. Professional Wellbeing
Refer to: A guide to End of Life Care symptom control when a person is dying from COVID19 prepared by the RCGP & the Association for Palliative Medicine |
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Advise and manage patients with chronic respiratory disease during Covid-19
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Quick read: Red Whale GEMS protocol: Managing respiratory disease during COVID-19
Online learning: 30 minute module from RCGP- Managing Patients with Chronic Respiratory Problems in Primary Care During the Coronavirus Pandemic |
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Adhere to new guidance about death certification during coronavirus outbreak |
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Refer to: Somerset LMC guidance and visual summary- Covid-19 Death Certification and Cremation
Online learning: COVID-19. After death care in Somerset Downloadable slide set
Quick read: Red Whale GEMS - COVID-19: Death in the community Updated 15/4/2020.
Online learning: View RCGP 5 minute screencast summarising the latest changes in death certification, in response to COVID-19 |
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Remote Consultation and Triaging | ||
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Carry out telephone triage and telephone consultation |
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Online learning: SGPET Rapid Induction into Telephone Triage 30 minute video tutorial. Online learning: SGPET series of additional video tutorials about the five steps of telephone triage. |
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Carry out a high quality video consultation |
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Read: Quick pictorial guide Video consultation |
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Carry out a “query Covid” consultation remotely |
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Quick read: BMJ article Covid-19: a remote assessment in primary care, 25.3.20
Quick read: Covid-19: BMJ Visual summary to assessing patients by video or voice call
Online learning: RCGP Telephone Triage series of 4 podcasts 7-12 mins long which cover general points and specific Covid 19 scenarios. |
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Carry out telephone triage and consultation with translation service |
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Refer to: Somerset CCG advice on use of Language Empire translation services during Covid-19 outbreak. |
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Infection Prevention and Control | ||
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Find up to date online national guidance |
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Refer to Public Health England updated online resources COVID-19: infection prevention and control (IPC) |
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Advise patients with Covid-19 symptoms on self-isolation |
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Refer to: Public Health England Stay at home: guidance for households with possible coronavirus (COVID-19) infection. |
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Advise vulnerable patients and their families about shielding |
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Refer to: Public Health England: COVID-19: guidance on shielding and protecting people defined on medical grounds as extremely vulnerable. |
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When and how to use Personal Protective Equipment PPE |
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Refer to: Public Health England guidance COVID-19 personal protective equipment (PPE). Includes list of procedures are currently considered to be potentially infectious AGPs for COVID-19.
Quick read: Public Health England visual summary Recommended PPE for primary, outpatient, community and social care by setting, NHS and independent sector
Quick read: Public Health England Visual Summary Putting on personal protective equipment (PPE) for non-aerosol generating procedures (AGPs)
Quick read: Public Health England Visual Summary Taking off personal protective equipment (PPE) for non-aerosol generating procedures (AGPs)
Online learning: Public Health England video- Putting on and Taking off PPE, a guide for health and social care settings |
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Professional Wellbeing during the pandemic | ||
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Follow some simple ways of looking after myself
Get local advice and help
Get national advice and help
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Quick Read: Top Tips for Own Health by Dr Andrew Tresidder
Online learning: Looking after Your Professional Heath, Parts 1&2. Video presentations and slide sets
Online learning: Use Wellbeing Apps now free to use for all NHS staff:
Online learning: NHS Practitioner Health has links to useful short videos on Doctors’ Emotional Wellbeing to help you understand range of reactions we can all have to Covid-19.
Quick read: Visual summary from NHS Education Scotland with information on Stress, Coping and Resilience in this pandemic..
Refer to: Somerset Local Medical Committee Pastoral support services and Somerset GP Safe House website
Refer to: NHS Practitioner Health, NHSPH, Covid-19 Workforce Wellbeing pages for help and support including Wellbeing Resources, Support Service & Access to therapy, Events, Videos, Webinars & Podcasts, Wellbeing Apps. Text: NHSPH to 8528 for 24/7 support in a crisis
Refer to: BMA guidance -Your wellbeing during the COVID-19 pandemic |
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Use an ethical framework to help me make challenging decisions |
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Refer to: RCGP Ethical Guidance on COVID-19 and Primary Care which, provides a summary of the guiding principles of the Government’s 2017 framework informing the strategic aspects of decision making during a pandemic and is also consistent with the relevant BMA COVID-19 ethics guidance. |
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Keeping Up to date about Covid-19 | ||
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Use online resources to keep informed and up to date |
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NHSE/I coronavirus webpages for primary care professionals
Refer to: Coronavirus (Covid-19) online programme created by Health Education England e-Learning for Healthcare (HEE e-LfH). . Refer to:RCGP Covid-19 Resource Hub
Refer to: BMJ's Coronavirus (covid-19) Hub
Online learning: SGPET Covid-19 online learning resources
Online learning: NB Medical education - regular Covid-19 Information podcasts |
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Managing other patient risks, conditions and problems safely and appropriately | ||
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Prioritise workload to maintain essential patient health while safely deferring or altering other work |
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Refer to: RCGP Guidance on workload prioritisation during COVID-19
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Avoid problems that any acute illness can cause to patients with some long term conditions and on certain mediations |
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Quick read: Red Whale GEMS - Drug/disease pitfalls to avoid during any acute illness during COVID-19 epidemic |
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Give safe and effective telephone advice about contraception and abortion during Covid-19 |
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Refer to: FSRH Position: Essential Sexual and Reproductive Healthcare Services during COVID-19
Quick read: Red Whale GEMS- Remote consultations: COVID-19, contraception and abortion |
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Continue to ensure effective safeguarding of children and adults during Covid-19
Update my knowledge and skills in Safeguarding Children
Update my knowledge and skills in Safeguarding Adults
Update my knowledge and skills about Mental Capacity |
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Quick read: Somerset CCG Safeguarding Covid Support Newsletter 27 March 2020 detailing
Refer to: Somerset CCG webpages- Safeguarding children, Safeguarding Adults and Children Looked After Team
Online learning: Health Education England e-Learning for Healthcare, e-LfH - Safeguarding Children Level 3 for maintaining and updating competences
Online learning: Health Education England e-Learning for Healthcare, e-LfH - Safeguarding Adults Level 1
Online learning: Health Education England e-Learning for Healthcare, e-LfH - Mental Capacity |
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Update my skills in adult resuscitation. |
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Online learning: Resuscitation Adult Level 2 - session meets the statutory and mandatory training requirements and learning outcomes for Resuscitation Adult Level 2 in the UK Core Skills Training Framework (UK CSTF). |
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Assess and manage common and important non-Covid patient problems and conditions |
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RCGP Essential Knowledge Update online learning programme is now freely available to all GPs until 30 June 2020.
Red Whale - Lifelong Learning for Primary Care are now giving 3 months access free to all clinicians. If you are not currently a GPCPD member, follow the link and enter the activation code RWGIFT
Fourteen Fish Covid 19 Hub gives free access to whole GP library for all returning GPs. GPs returning under national scheme will automatically receive emails about this offer. Those returning via local scheme can obtain access via Somerset Training Hubs lmc.sgpet@nhs.net |