COVID-19: Devon Immunology/Allergy service guide

November 2020

Scope

This information provides guidance on the management of Immunology and Allergy patients across Devon during the COVID-19 pandemic. The information is based on national guidance from the British Society for Allergy & Clinical Immunology (BSACI) which includes regularly updated resources for patients and health care professionals.

Conditions with specific guidance

Allergy drug

Urgent referral only required in cases where the suspected drug causing an allergic reaction is needed urgently.

Routine referrals

Existing new and follow-up routine appointments have changed to telephone consultation where appropriate.

Primary Immune Deficiency (PID) Service

New routine referrals for Primary Immune Deficiency (PID) will be triaged and GP's and patient's given advice as necessary. If an appointment is necessary, this will be arranged. Ideally this appointment will be done via a telephone consultation with any blood tests being performed at the GP Surgery or via Home Park.

Allergy Service

New routine referrals are triaged by a clinician and where appropriate offered a telephone appointment.

There may be a delay between the referral being accepted and the patient being reviewed in a new patient appointment. This will be communicated to the GP and the service will also try to ensure that a management plan is sent to the GP, which can be followed in the interim.

Once face to face clinics are possible, patients will be triaged to face to face clinic for appropriate testing in their initial telephone clinic. Where the referral does not meet referral criteria or can be easily managed in the community with guidance, the GP will be given a detailed management plan that can be coordinated in the community (as per our previous practice).

Please follow this link for the Adult Allergies Clinical Referral Guidelines

​Urgent advice

For urgent advice, please send through the same portal for referrals, e-RS, which is manned by a member of the Immunology/Allergy clinical team on a regular basis (weekdays only).

In the event that you are unable to access the portal for referrals/advice into the service please email: plh-tr.eden@nhs.net

Risk factors for face-to-face review will be decided on case by case basis.

​Advice & Guidance services

Advice and Guidance services aim to maintain operation. Please send through the portal for referrals, e-RS.

In the event that you are unable to access the portal for referrals/advice into the service please email: plh-tr.eden@nhs.net

High risk

Patients will be contacted by their immunology/allergy team with advice on shielding and social distancing, based on a national risk stratification grid of medication and comorbidities.

Devon Immunology contact information

Please email: plh-tr.eden@nhs.net

Pathway Group

This guideline has been signed off on behalf of the NHS Devon Clinical Commissioning Group

Publication date: May 2020

Last updated: 25-11-2020

 

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