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 use of anaesthetic machines to provide continuous invasive ventilatory support for adult patients during the coronavirus pandemic 29 April 2020
Clinical guide for the management of stroke patients during the coronavirus pandemic 16 April 2020
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
10 April 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
Critical care and anaesthesia service reorganisation 17 March 2020
Principles for increasing the nursing workforce in response to exceptional increased demand in adult critical care 25 March 2020
Clinical guide to adult critical care during the coronavirus pandemic: staffing framework 1 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
Management of acute diabetes patients 19 March 2020
Management of non-coronavirus patients requiring acute treatment: general and internal medicine 20 March 2020
Management of rheumatology patients 14 April 2020
Management of cardiology patients 20 March 2020
Management of ophthalmology patients 23 March 2020
Provision of tuberculosis services 26 March 2020
Management of respiratory patients 26 March 2020

Cancer

Title Date published/updated
Management of non-coronavirus cancer patients 23 March 2020
Management of proton beam referrals 3 April 2020

Surgery

Title Date published/updated
Clinical guide for the management of urgent and emergency spinal surgical patients during the coronavirus pandemic
15 April 2020
Management of trauma and orthopaedic patients 14 April 2020
Management of neuro trauma patients 14 April 2020
Clinical guide to surgical prioritisation during the coronavirus pandemic 11 April 2020
Management of general surgical patients 16 March 2020
Management of cardiothoracic surgery patients 20 March 2020
Management of patients requiring plastics surgery treatment 20 March 2020
Management of vascular surgery patients 20 March 2020
Management of patients requiring spinal surgery 20 March 2020
Management of patients requiring oral and maxillofacial surgery 23 March 2020
Perioperative care of people with fragility fractures 26 March 2020
Management of major trauma patients 27 March 2020
Management of acute burns patients 17 March 2020
Clinical guide for open fetal surgery to treat fetuses with open spina bifida during the coronavirus pandemic 1 April 2020

Children

Title Date published/updated
Clinical guidelines for children and young people with palliative care needs in all care settings during the COVID19 pandemic 24 April 2020
Management of paediatric patients 17 March 2020
Management of paediatric critical care patients 26 March 2020
Coronavirus: Parent information for newborn babies
8 April 2020
Illness in newborn babies 8 April 2020

Obs and Gynae

Title Date published/updated
Clinical guide for the temporary reorganisation of intrapartum maternity care during the coronavirus pandemic
9 April 2020
ICON for midwives during the coronavirus
pandemic
2 April 2020
ICON letter for midwives 2 April 2020
ICON Poster 27 March 2020

Radiology

Title Date published/updated
Management of Radiology patients 20 March 2020

Palliative care

Title Date published/updated
Clinical guide for supporting compassionate visiting arrangements for those receiving care at the end of life
11 May 2020
Management of palliative care in hospital during the coronavirus pandemic 22 April 2020

Musculoskeletal

Title Date published/updated
Urgent and emergency musculoskeletal conditions in children (under 16) requiring onward referral
14 April 2020
Management of patients with musculoskeletal and rheumatic conditions on corticosteroids 25 March 2020
Urgent and emergency musculoskeletal conditions requiring onward referral 23 March 2020

Other

Title Date published/updated
Principles for increasing the nursing workforce in response to exceptional increased demand in adult critical care 25 March 2020
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
Management of patients requiring immunoglobulin treatment 31 March 2020
Clinical guide for the management of anticoagulant services during the coronavirus pandemic 1 April 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 patients requiring endoscopy during the coronavirus pandemic
6 April 2020
Clinical guide for the management of people with alcohol dependence during the coronavirus pandemic 8 April 2020
NHS e-Referral Service – guidance to help providers manage referrals during the coronavirus pandemic 4 May 2020