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UK neurology response to the COVID-19 crisis

Catherine J Mummery and Christopher M Kipps
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DOI: https://doi.org/10.7861/clinmed.2020-0159
Clin Med May 2020
Catherine J Mummery
ANational Hospital for Neurology and Neurosurgery, University College London Hospital NHS Foundation Trust and University College London, London, UK
Roles: consultant neurologist and honorary associate professor
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  • For correspondence: cath.mummery@nhs.net
Christopher M Kipps
BUniversity Hospital Southampton NHS Foundation Trust and University of Southampton, Southampton, UK
Roles: consultant neurologist and honorary senior clinical lecturer
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    Fig 1.

    RAG rating framework for service provision. 2WW = two week wait pathway; MDT = multidisciplinary team meeting.

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    Box 1.

    Staffing change examples

    • All consultants with predominantly DGH sessions released from roles in neurosciences centres

    • Accordingly, stroke and neurology on-call rota revised – stroke and daytime neurology services staffed by neuroscience centre internally

    • Individual sub-specialties provide core and urgent services with, for example, daily multiple sclerosis consultant service to deal with any issues as they arise. Home delivery for immunotherapies where possible

    • Combined stroke and neurology wards, run by neurology to release stroke team; beds used flexibly

    • Increased community support to speed up discharge in stroke and rehabilitation

    • Roving physician colleagues to provide help and support to neurologists in general medicine roles

    • Daily consultant-led clinic focusing jointly on transient ischemic attack and hot neurology, including emergency department in-reach, inpatient referrals and urgent GP calls

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    Box 2.

    Online resources from the Association of British Neurologists

    Resources supporting practice change and risk profiling
    • Emergency triage tool

    • Advice on conducting phone and video consultations and digital care provision

    • Definition of high-risk groups in neurological conditions

    • Multiple sclerosis: DMT drug guidance

    • Advice and guidance information sheets

    • Reporting tool for suspected neurological complications of COVID (RADAR)

    Resources to support ethical decision-making and staff wellbeing
    • Links to ethical guidance

    • Links to personal protection (national, appreciating local variation)

    • Wellbeing support links

    • Advice forum (blog)

    • These resources are available on the ABN website (www.theabn.org).

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UK neurology response to the COVID-19 crisis
Catherine J Mummery, Christopher M Kipps
Clinical Medicine May 2020, 20 (3) 266-269; DOI: 10.7861/clinmed.2020-0159

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UK neurology response to the COVID-19 crisis
Catherine J Mummery, Christopher M Kipps
Clinical Medicine May 2020, 20 (3) 266-269; DOI: 10.7861/clinmed.2020-0159
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  • Article
    • ABSTRACT
    • Key points
    • Introduction
    • Rapid reorganisation of neurology services
    • Structured escalation of response
    • Minimum levels of service need definition
    • Workforce deployment
    • Enhanced and accelerated communication
    • With new ways of working, support for practice is needed
    • New ways of working – support for wellbeing
    • The end of the crisis – returning and reflecting
    • Acknowledgements
    • Reference
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