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Identifying people with ongoing symptomatic COVID-19 or post-COVID-19 syndrome
For full details then see NICE guideline [NG188]
Give people who have had suspected or confirmed acute COVID-19 (and their families or carers, as appropriate) advice and written information on:
Common symptoms of ongoing symptomatic COVID-19 and post-COVID-19 syndrome
Ear, nose and throat symptoms
Suspect previous COVID-19 illness as a possible underlying cause of new or ongoing symptoms in people after acute COVID-19 as follows:
For people who are concerned about new or ongoing symptoms 4 weeks or more after acute COVID-19, offer an initial consultation and use shared decision making to discuss and agree with the person whether it should be by video, phone or in person.
Consider using a screening questionnaire as part of the initial consultation to help capture all of the person's symptoms. These should only be used in conjunction with clinical assessment.
Be aware that some people (including children and older people) may not have the most commonly reported new or ongoing symptoms after acute COVID-19.
Based on the initial consultation, use shared decision making to discuss and agree with the person whether they need a further assessment and whether this should be by phone, video or in person. Take into account whether they may have symptoms that need investigating in person or require urgent referral to an appropriate service
Support access to assessment and care for people with new or ongoing symptoms after acute COVID-19, particularly for those in underserved or vulnerable groups who may have difficulty accessing services, for example by:
Consider follow-up by primary care or community services for people in vulnerable or high-risk groups who have self-managed in the community after suspected or confirmed acute COVID-19.
A healthcare professional in secondary care should offer a video or phone follow-up consultation at 6 weeks after discharge to people who have been in hospital with acute COVID-19 to check for new or ongoing symptoms or complications