Patient presents with Respiratory or Temperature symptoms

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Any patient with possible URTI/LRTI/ Temp or SOBIf COVID suspected then ref to HOT clinicNo age limits for referral to the clinic

111

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Triage by 111 would would have access to the early appointments and be able to book into through the nightTriage by 111 would be double triaged into later slots and ALWAYS double triaged into the hot clinic

Patient telephoned

GP Practice

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Any of the Five PCN practices triageAdvise patients of central clinic and given instruction on how to attendPatients wait in car park until clinician is finished15 min slots with 5 min cleaning Patient advised ONE problem only and all complex cases that are not Temp/ URTI/LRTI related should be seen in the patients own practice.HOT clinic run by GP for possible COVID positive patients or known COVID Positive patients.

Booked into clinic via the IT hub

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Stort Valley and villages has an existing Shared IT hub

patients seen and discharged

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with safety netting advice

Patient seen by ANP/Registrar PA/Paramedic with GP Consultant oversight

patient referred to hospital

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If unwellLow SatsSepticother concernsVia Med reg and or COVID pathwaydepending on provision

patient admitted to virtual ward

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virtual ward.Patients are given home pulse oximetersThey are contacted on a daily basis Any deterioration and they are ref to A&E via covid pathwayIf improved Sats monitor is returned and patient discharged from the ward

discharged

protocol for admission to hospital followed

A&E

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Depending on demand and PAH this would be added in in phase 2Again early appointments would be offered to PAH to be able to book into through the night if appropriateCan go back to triage list at individual GPs if in hours.

Practices informed possibly via email patients seen overnight. Reception to book in and confirm with patient