Table 1.

Comparison of current Public Health England guidance and our recommended guidance

Public Health England guidanceOur recommended guidance
GuidancePCR test 48 hours prior to discharge to LTCF; results relayed to receiving organisationPatients with clinically recovering COVID-19 can be discharged to LTCF 10 days after their first positive swab or 10 days after clear symptom onset
ConsequencesPatients with a positive test may require:
  • longer hospitalisation, increasing their risk of hospital acquired infection and sarcopenia

  • isolation in LTCF, which can drain resources

Exceptions to guidance would be those who are heavily immunosuppressed (organ transplant or genetic immunodeficiencies)
  • LTCF = long-term care facilities.