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Operational Guidance

Hot & Cold Site/Covid-19 Primary Care Assessment & Treament Facilities Standard Operating Procedures (SOP)

You can access the Kent and Medway Standard Operating Procedure (SOP) and guidance document (updated 13th April 2020) which has been produced in response to the COVID 19 pandemic. The document sets out the methodology that will be used to ensure that contact between patients requiring primary care with COVID-19 symptoms, (including those who reside with others that have these symptoms), and those without COVID-19 symptoms is minimized, in order to reduce cross-contaminaion and spread.

The following document from NHSE/I provides general guidance to assist practices with service delivery during the Covid-19 outbreak

Guidance for Clinicians and patients on caring for people at highest risk of contracting Covid-19

On the 21 March 2020 the CMO published a letter defining those at high risk of contracting COVID-19, which communicated a need for General Practice to identify and write to group 4 patients. NHSE has now published guidance and FAQs for clinicians and patients on caring for people at highest risk of contracting COVID-19.

Shielding patients - guidance for GPs

•            Highest clinical risk being advised to shield identification methodology
•            Shielded patient list guidance for general practice
•            Summary of support offers available to those shielding and other vulnerable groups
•            Government’s shielding guidance

Admission and Care of Residents during COVID-19 Incident in a Care Home 

This guidance is intended for care homes, local health protection teams, local authorities, clinical commissioning groups (CCGs) and registered providers of accommodation for people who need personal or nursing care. This includes registered residential care and nursing homes for people with learning disabilities, mental health and/or other disabilities.  

Remote review of Long Term Conditions

With social distancing arrangements in place and the increased number of patients with symptoms of or patients and staff possibly harbouring COVID-19, all patient contact should be via remote contact when possible. Please click HERE for the BMA advice and guidance, particularly relating to consultations for routine long term condition annual reviews

Indemnity for Clinical Negligence Incidents

Click HERE to read the Joint letter from the Department for Health and Social Care, NHS Resolution, and NHS England and NHS Improvement on clinical negligence indemnity in response to Coronavirus.

Workload Prioritisation during Covid-19 (RCGP) (23 March 2020)

The RCGP has also issued the following guidance on workload prioritisation during Covid-19 pandemic (10 April 2020).

Delivering essential services during the Covid-19 Pandemic (BMA)

BMA advice on how practices can manage delivery of essential services during the escalation of the Covid-19 pandemic.

Covid Guidance for Learning Disability Patients

Guidance from Rezina Sakel, GP Clinical Lead for Learning Disability and Autism, regarding COVID management for patients with learning disabilities and/or autism ​​​​​​​.

Updated on Wednesday, 6 May 2020, 637 views

Related guidance...

Kent LMC Coronavirus (Covid19) Letters & Updates

The LMC are producing regular bulletins with important updates for practices during the Covid crisis. To read the latest bulletins...

Kent & Medway CCG COVID-19 Updates

The LMC have the agreement of Kent and Medway CCG to publish all of the COVID-19 Updates they are sending out to GP practices. The first...

EOL, Death & Cremation Certification

NHSE Information & Guidance for Medical Practitioners - Coronavirus Act: Excess death provisions The Coronavirus Act of Parliament...

Useful Links

NHS England and NHS Improvement (NHSE/I) NHSE Updates and Guidance for General Practice: Covid-19 including Preparedness update letter...

BMA Advice & Guidance: Delivering essential services during the Covid-19 Pandemic

The BMA has published a web page ( which can be found here ) highlighting key information and links to official guidance from government...


BAME and Covid-19 Emerging data indicates that people from Black, Asian and Minority Ethnic (BAME) backgrounds are being...

PPE Guidance

Free PPE for primary care Practices are reminded that you can register and place orders for free PPE via the PPE portal, which can be...

Healthcare Services Update

Public Health Public Health have produced a one-off briefing to update on the current service levels for Commissioned Public Health...

NHSE Managing coronavirus (COVID-19) in general practice (SOP) - 19 March 2020

The following document from NHSE/I provides general guidance to assist practices with service delivery during the Covid-19...

Med 3 Issues

Guidance for Practices - requests for MED3 'Fit Note' Requests for certification of absence from the workplace relating to covid-19 may...