COVID-19

Guidance on COVID-19

This page signposts guidance for clinicians from all CPOC's partner organisations and details guidance for patients
 

Information, guidance and resources for Coronavirus (COVID-19)

Please be aware that this is a fast-evolving situation and clinical and public advice may change. Information here will be updated and changed as appropriate so please check for the latest version.

Symptoms include
  • a high temperature – this means you feel hot to touch on your chest or back (you do not need to measure your temperature)
  • a new, continuous cough – this means coughing a lot for more than an hour, or 3 or more coughing episodes in 24 hours (if you usually have a cough, it may be worse than usual)
  • a loss or change to your sense of smell or taste – this means you've noticed you cannot smell or taste anything, or things smell or taste different to normal

Most people with coronavirus have at least 1 of these symptoms.

NHS Guidance

NHS guidance on symptoms, test and trace, self-isolation, people at higher risk and long COVID can be found here.

Government Guidance 

Government guidance on COVID-19 can be found here.

Vaccination Guidance

Vaccination guidance can be found here

Please read the full statement released by the UK Surgical Royal Colleges in January 2021 pertaining to the endorsement of the vaccination programme. 

COVID-19 and Timing of Elective Surgery 

Adults

A multidisciplinary consensus statement on behalf of the Association of Anaesthetists, the Centre for Perioperative Care, the Federation of Surgical Specialty Associations, the Royal College of Anaesthetists and the Royal College of Surgeons of England has been published.

Children

As stated in RCPCH national guidance, ‘Elective surgery in children should be deferred for 14 days following the onset of symptoms or diagnosis with mild or asymptomatic COVID-19 infection’.

Clinical Guidance 

 

The Faculty of Intensive Care Medicine, Intensive Care Society, Association of Anaesthetists and Royal College of Anaesthetists

Please access the The Faculty of Intensive Care Medicine, Intensive Care Society, Association of Anaesthetists and Royal College of Anaesthetists joint hub here.

Royal College of Surgeons of England

Please access the RCSEng guidance hub here.

Royal College of Paediatrics and Child Health

All RCPCH resources are available to access here

Royal College of General Practitioners

Guidance, resources and information from RCGP can be accessed here.

Royal College of Physicians

Information from the Royal College of Physicians is available here.

Association of Anaesthetists

Information from the Association can be accessed here

Royal College of Nursing

The Royal College of Nursing guidance and informed can be accessed here.

Faculty of Public Health

Please access all FPM guidance and information here.

General Guidance for Patients

In the midst of a global pandemic, CPOC is calling for the public to prepare themselves for the possibility they will contract COVID-19, in the same way they should prepare for an operation.  We encourage the public to exercise and stop smoking during this time to increase their ability to cope if they contract the virus. 

People are more likely to be admitted to intensive care or to die if they smoke, have medical conditions or are unfit. In China they found less fit people with medical conditions were five times more likely to have a worse outcome from COVID-19 and smokers three times more likely to have this result. The public, particularly adults in a ‘vulnerable high-risk group’ should be getting some exercise, so that if they catch the virus, they are less likely to need intensive care and we hope also less likely to die.

Families need to support each other. People who feel they are doing something also often feel more empowered and in control.  People who exercise have better mental health.

Key messages

  • stop smoking. The craving only lasts three minutes.
  • do exercise unless you are unwell with the virus: Ideally brisk walking, cycling, electric-bike or jogging. Over-70s ARE allowed out – keep 2 metres from others and don’t touch anything. If indoors, try moving in a different way, eg dancing or using a video programme. Every minute is worth it. 
  • do strengthening exercise and balance: walk up and down the stairs, do squats and practice sit-to-stand.
  • nutrition: It takes 20 minutes to register that you are full, so try smaller portion sizes. Sugary snacks and carbohydrates make hunger return quicker, so plan ahead. People with obesity fare worse with lung infection
  • mental health: Sleep well, allow each other space, don’t do or say the first thing that comes into your head. Breathe.
  • alcohol: Have alcohol-free days. Alternate alcohol with a soft drink. Try to break the spell.
  • Set up good habits. Fix it in a schedule, for example 20 minutes of daily aerobic exercise. There are lots of videos online.
  • Masks are mandatory in shops and supermarkets as of the 24 July 2020.

As well as saving serious illness and NHS capacity now, we are also asking the public to prevent the ill-health they are building up, in an attempt to guard against more diabetes, hip fractures, mental ill-health and need for social care when the current crisis eventually ends. This includes those patients waiting for their cancelled elective surgeries, who are asked to do something every day to be ready for when the NHS is ready. 

We recommend our resources on ‘FitterBetterSooner’ which are used by patients preparing for an operation, to reduce the severity of COVID-19 for themselves and their families.  

 

The public, particularly adults in a ‘vulnerable high-risk group’ should be getting some exercise, so that if they catch the virus, they are less likely to need intensive care and we hope also less likely to die. 22% of the UK population has a disability and 14% are over 70 so this is about families working together.

Mrs Scarlett McNally
Deputy Director, Centre for Perioperative Care

Would you like to see more guidance on COVID-19?
Please visit the joint FICM, ICS, AoA and RCoA website for the latest guidance and developments.