23.3.20 COVID 19 pathways for patients
Commissioners and clinical leads across Hampshire and Isle of Wight are currently working together to design and ensure a responsive and agile integrated pathway for patients calling in to NHS 111 with symptoms suggestive of COVID 19. At present patients will receive a clinical triage completed by PHL clinicians within the COVID Management Service following their initial call into a 111 call handler before determining the level of support that patient requires.
For patients requiring face to face consultations or home visiting going forward this is anticipated to be supported by local primary care (Practices, PCNs, and Appointments+ providers) and out of hours services in the evenings and weekends via the hot/cold site arrangements currently being discussed between practices/PCNs and the CCG. Once sites have been designated as hot sites a clinical pathway reflecting the patient journey and potential entry and exit points across the system will be commenced. This may include a potential for real time advice and guidance such as decisions for transfer, further tests, or symptom control. The components of clinical care, risk assessments and mobilisation of services need to be agreed across the respective providers and further details will be supplied on the initiation of this pathway. As the situation changes there may be adjustments to this pathway to reflect shared learning across the system with an understanding of the clinical and service pressures involved.
In the interim, patients needing to be seen following clinical assessment will be supported via PHL and ED where appropriate.