QI 146 Creating a Long COVID Pathway Through Integrated Working

Abstract

Aim: To establish a Long COVID pathway across UHCW & CWPT. The project sought to establish an integrated pathway across 2 health trusts which use separate staffing teams, IT, operational, & clinical systems. This was achieved through collaborative working across both trusts to establish: • Referral pathway and GP training • Community rehab arm inc. Vocational rehab • Review of MDT attendance Joint Trust MDT meeting, DPAs and DPIAs completed for data sharing • Psychology rehab criteria • Assessment paperwork, • Cross ICB recovery group-face to face and virtual offer Tools Used: Driver Diagram - https://aqua.nhs.uk/wp-content/uploads/2023/07/qsir-driver-diagrams.pdf; SPC Charts - https://aqua.nhs.uk/wp-content/uploads/2023/07/qsir-statistical-process-control.pdf; PDSA Cycle - https://aqua.nhs.uk/wp-content/uploads/2023/07/qsir-pdsa-cycles-model-for-improvement.pdf. Project Impact: This project has increased networking across local Trusts, as well as regional and national bodies. It is continuously contributing to evidence base for this new disease through practise-based research. It has been presented and discussed nationally at events such as RCOT, Adapt Framework, Listen Project and FFT thematic analysis. It has also garnered continuous positive patient feedback which helps shape the continued Long COVID Service. Next steps are; 1. Pro-active case finding work; including a Long COVID workshop. 2. Co-production to develop the cross ICB psychology offer; including rehabilitation intervention. 3. Increase capacity of psychology offer (through group development & recruitment). 4. Develop a recovery group to help patients convalesce. 5. Scope peer support groups in collaboration with the voluntary sector.