Learning from long COVID: integrated care for multiple long-term conditions 2023 van der Feltz-Cornelis et al

Andy

Andy

Retired committee member
Long COVID is a multisystem condition requiring a range of medical, therapeutic, and psychological inputs. Given the complexity of the illness affecting multiple organ systems, often impacting physical and mental health, individuals can be heavy healthcare users across primary, secondary, and emergency services.

The long COVID clinics commissioned in England1 have provided an opportunity to innovate within a complex care pathway, bringing multiple providers together to meet needs broader than has been historically possible for many other complex conditions. Designing these new services from a blank page has enabled teams to co-create services with patient groups and work more effectively in an integrated way. Significant benefits have been seen, including skills transference between professions.

Open access, https://bjgp.org/content/73/730/196
 
The LC clinics are still widely known to be a complete joke, useless for the most part, ignorant and harmful at worst.

And they're freaking praising themselves over it. What a complete joke this profession can be at times. Just completely detached from reality.

And they're even showing in this... paper? I guess?... that they haven't actually learned a damn thing. Not a single thing. And they're singing their own praise here. What a freaking nightmare.
 
From our experiences caring for those with long COVID, we recommend implementing the following three changes as a priority to begin the journey towards truly integrated care for all:

  1. A national clinical lead for multiple long- term conditions and integrated care with physical and mental health expertise should be appointed to lead the change within the NHS.

  2. Every region (integrated care system, health board, or cluster) should identify a ‘multiple long-term condition’ lead with physical and mental health expertise to enable our regional system leaders to understand the need to put the whole person at the heart of their healthcare pathway.

  3. ...
Click to expand...

Realistically, I can't imagine there are too many sub-specialty physicians, surgeons, anaesthetists etc who would claim adequate mental health expertise. Psychiatrists do train in and maintain competency in physical medicine, though presumably to varying degrees.

Surely this set of recommendations could only be satisfied by mental health specialists in charge at all levels: national through regional?
 
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