We know you are all doing everything you can to keep yourselves, your families and your patients safe from Covid-19. We will try to signpost you to the latest important information and guidance including:
- Clinical guide for the management of cancer patients during the coronavirus pandemic
- Radiotherapy and COVID-19 - Advice from the Royal College of Radiologists
- Macmillan traffic light system
- Primary care pathways
- The Royal College of Physicians are hosting a very useful webpage on Coronavirus in general
NSAIDS vs Paracetamol during Covid-19. NHSE advice is that patients who take anti-inflammatory medications should not stop them as there is no evidence of increased risk in contracting COVID-19. Patients with confirmed COVID-19 should take paracetamol in preference to NSAIDs
Repositories of Covid-19 studies
Managing Clinical trials during Coronavirus Pandemic. The Medicines and Healthcare Products Regulatory Agency (MHRA) is adopting as flexible and pragmatic an approach as possible with regard to regulatory requirements for clinical trials during this time. They have recognised that clinical trial resource may be absent or redeployed from research activities and regulatory affairs towards front-line care. Their first priority is the safety of trial participants. This guidance will be updated as the situation changes over time and contains information on pausing clinical trials..
- The Roy Castle Lung Cancer Foundation provide advice for patients about Covid-19
- A poster has been designed for patients to display in their windows to highlight that someone who is immunocompromised lives on the premises and includes instruction on what to do with deliveries.
It is important that we continue to support and educate patients starting treatment to manage their side effects and to report symptoms appropriately to acute oncology services. Pre-treatment consultations can be conducted by telephone or via video link. UKONS have produced a film to support patients and explain the contents of the CRUK ‘Your Cancer Treatment Record to accompany these consultations.
Shared documents on palliative care and Covid-19
- Association for Pallative Medicine - COVID-19 and Palliative, End of Life and Bereavement Care in Secondary Care
- End of life care leaflet for relatives
- NICE have released some guidance on critical care including an algorithm on pre- critical care decision-making
- Hospice UK COVID provide details of specific resources https://www.hospiceuk.org/what-we-offer/clinical-and-care-support/coronavirus-guidance
- The Helix Centre (working with Central North West London NHS Trust) - End of life toolkits for patients at home
- Centre to Advance Palliative Care, Icahn School of Medicine at Mount Sinai in New York City, USA. - Covid-19 resources (please bear in mind that medications recommended will vary from UK practice).
- European Association for Palliative Care - including Italian resources which have developed information based on their direct experience (please bear in mind that medications recommended will vary from UK practice).