Specialty guides

These Guides are aimed at specialists working in hospitals in England during the pandemic.

They are not prescriptive and can be adapted to local service provision and geography. They should help departments continue essential care for patients within their speciality whilst supporting the wider hospital and community in providing care for patients with coronavirus. Remember, good specialty based outpatient support will aid in reducing the strain on Emergency Departments and GP practices.

In addition to the specialty guidance on this website, further guidance on the active management of patients with suspected and confirmed COVID-19, and patients without COVID-19 can be found on the NICE website and should also be followed.

Coronavirus treatment

Title Date published/updated
Management of persons admitted to hospital with suspected COVID-19 infection 19 March 2020
Guidance for the role and use of non-invasive respiratory support in adult patients with coronavirus (confirmed or suspected) 6 April 2020

Adult critical care

Title Date published/updated
Clinical guide for renal replacement therapy options in critical care during the coronavirus
pandemic (amended version)
15 April 2020
Clinical guide for extra corporeal membrane oxygenation (ECMO) for respiratory failure in
adults during the coronavirus pandemic
25 June 2020
Clinical guide for the optimal use of oxygen therapy during the coronavirus pandemic 9 April 2020
Management of critical care patients 9 April 2020
Clinical guide for the management of surge during the coronavirus pandemic: critical care rapid learning 16 May 2020

A&E

Title Date published/updated
Management of emergency department patients 17 March 2020
Reference guide for emergency medicine
22 April 2020

Medicine

Title Date published/updated
Clinical guide for acute kidney injury in hospitalised patients with COVID-19 outside the intensive care unit during the coronavirus pandemic 22 April 2020

Cancer

Title Date published/updated
Clinical guide for triaging patients with lower gastrointestinal symptoms
16 June 2020

Surgery

Title Date published/updated
Clinical guide to surgical prioritisation during the coronavirus pandemic (link to The Royal College of Surgeons of England website) 10 June 2020

Children

Title Date published/updated
Management of paediatric critical care patients 26 March 2020
Coronavirus: Parent information for newborn babies
8 April 2020

Obs and Gynae

Title Date published/updated
Delivering midwifery intrapartum care where local COVID-19 escalation protocols are required to be enacted 20 July 2020
ICON for midwives during the coronavirus pandemic 2 April 2020
ICON letter for midwives
ICON poster 2 April 2020

Palliative care

Title Date published/updated
Management of palliative care in hospital during the coronavirus pandemic 22 April 2020

Other

Title Date published/updated
Management of patients with a learning disability, autism or both 24 March 2020
Management of patients with a learning disability, autism or both: Easy read 1 April 2020
Clinical guide for the management of remote consultations and remote working in secondary care during the coronavirus pandemic 27 March 2020
Clinical guide for the management of patients requiring transfer for specialist rehabilitation during the coronavirus pandemic
6 April 2020
Clinical guide for the management of people with alcohol dependence during the coronavirus pandemic 8 April 2020
Clinical guidance for healthcare professionals on maintaining immunisation programmes during COVID-19 29 June 2020