Specialty guides

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

They are not proscriptive 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 speciality 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) 26 March 2020
COVID-19 testing to support retention of NHS staff 29 March 2020

Adult Critical Care

Title Date published/updated
Management of critical care patients 30 March 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
Guidance for the role and use of non-invasive respiratory support in adult patients with coronavirus (confirmed or suspected) 26 March 2020
Clinical guide to adult critical care during the coronavirus pandemic: staffing framework 28 March 2020
Management of surge during the coronavirus pandemic: rapid learning 3 April 2020

A&E

Title Date published/updated
Management of emergency department patients 17 March 2020
Managing the patient with a cough and a temperature 31 March 2020

Medicine

Title Date published/updated
Management of acute diabetes patients 19 March 2020
Management of non-coronavirus patients requiring acute treatment: general and internal medicine 20 March 2020
Clinical guide for the management of stroke patients during the coronavirus pandemic 24 March 2020
Management of rheumatology patients 19 March 2020
Management of cardiology patients 20 March 2020
Management of haemoglobinopathy patients (sickle cell disease and thalassaemia) 23 March 2020
Management of ophthalmology patients 23 March 2020
Provision of tuberculosis services 26 March 2020
Management of respiratory patients 26 March 2020
Guidance for the role and use of non-invasive respiratory support in adult patients with coronavirus (confirmed or suspected) 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
Management of general surgical patients 16 March 2020
Management of trauma and orthopaedic patients 16 March 2020
Management of neuro trauma patients 19 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
Management of paediatric patients 17 March 2020
Management of paediatric critical care patients 26 March 2020

Obs and Gynae

Title Date published/updated
PPE for care of women with known or suspected coronavirus in labour 24 March 2020
ICON Poster 27 March 2020
ICON for midwives during the coronavirus
pandemic
2 April 2020
ICON letter for midwives 2 April 2020

Radiology

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

Palliative Care

Title Date published/updated
Management of palliative care in hospital during the coronavirus pandemic 27 March 2020

Musculoskeletal

Title Date published/updated
Urgent and emergency musculoskeletal conditions requiring onward referral 23 March 2020
Management of patients with musculoskeletal and rheumatic conditions on corticosteroids 25 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