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</html>";s:4:"text";s:7573:"<p>     The RAPID-C19 initiative is a multi-agency approach that aims to get treatments for COVID-19 to NHS patients quickly and safely. </p> <p>It is for adults, young people and children in hospitals and diagnostic settings. </p> <p>The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. NICE has published its first 3 rapid guidelines on the care of people with suspected and confirmed COVID-19, and in patients without COVID-19.      Local commissioners and providers of healthcare have a responsibility to enable the guideline to be applied when individual professionals and people using services wish to use it. I was however asked to brief Matt Hancock’s office 10 days ago on Post/Long-Covid and the relationship to Post-Covid fatigue syndromes and Post-Covid ME/CFS.     NICE </p> <p>We've developed 22 rapid guidelines with NHS England and NHS Improvement (NHSE&I) and a cross-speciality clinical group, supported by the specialist societies and royal colleges. </p> <p>The purpose of this Guidelines summary is to maximise the safety of patients with cystic fibrosis and make the best use of NHS resources, while protecting staff from infection. Scenario: Suspected coronavirus infection, Scenario: Management of other medical conditions. These include people with expertise and experience of treating patients for the specific health conditions covered by the guidance during the current COVID-19 pandemic. 3 Starting, reviewing and stopping critical care treatment, 4 Clinical decision making and management, prescribing briefing on dexamethasone and hydrocortisone, interim process and methods for developing rapid guidelines on COVID-19, interim process and methods for guidelines developed in response to health and social care emergencies, assess and reduce the environmental impact of implementing NICE recommendations, health and care staff involved in planning and delivering services, existing national and international guidance and policies. We've added some information about COVID-19, which is largely based on guidance from Public Health England. </p> <p>advice from specialists working in the NHS from across the UK. It will also enable services to match the capacity for cancer treatment to patient needs if services become limited because of the COVID-19 … </p> <p>Dr Charles Shepherd, Hon. We're supporting the health and social care system as it continues to respond to the pandemic.                     Last updated: </p> <p>You can also register for updates. These guidelines were developed quickly using a different approach to normal and we’re keeping them under review. Many of our resources could help the health and social care system return to more normal levels of non-COVID services and act on lessons learned during the first peak. Professor Martin Marshall, Chair of the Royal College of GPs, said: “Treating or managing any new virus or condition is a challenge for healthcare professionals whose priority is always trying to deliver the best possible care for their patients. NICE and the Scottish Intercollegiate Guidelines Network (SIGN) have today (5 October 2020) announced they will work with the Royal College of General Practitioners (RCGP) to develop a guideline on persistent effects of Covid-19 (Long Covid) on patients. </p> <p>Free Leaflet: Post/Long-Covid and ME/CFS! </p> <p>                             resources to help local partnerships tackle their priorities, Suspected cancer: recognition and referral guideline - NG12, Immunisations: reducing differences in uptake in under 19s - PH21, Flu vaccination: increasing uptake - NG103, Care and support of people growing older with learning disabilities - NG96, Children and young people’s mental health - local partnership resource, Improving transfer of care - local partnership resource, Transforming maternity services - local partnership resource, Mental health problems in people with learning disabilities: prevention, assessment and management - NG54, Cardiovascular disease risk assessment and treatment - local partnership resource, Detecting and treating hypertension - local partnership resource, Preventing, detecting and managing diabetes - local partnership resource, Adult common mental health problems - local partnership resource, Respiratory conditions: reducing pressure on emergency hospital services - local partnership resource, Digital therapies for common mental health conditions, CFHealthHub for managing cystic fibrosis during the COVID-19 pandemic - MIB219, myCOPD for self-management of chronic obstructive pulmonary disease - MIB214, Antibiotics for pneumonia in adults in hospital - NG173, Managing suspected or confirmed pneumonia in adults in the community - NG165, Managing symptoms (including at the end of life) in the community - NG163, Children and young people who are immunocompromised - NG174, Community-based care of patients with chronic obstructive pulmonary disease (COPD) - NG168, Dermatological conditions treated with drugs affecting the immune response - NG169, Gastrointestinal and liver conditions treated with drugs affecting the immune response - NG172, Rheumatological autoimmune, inflammatory and metabolic bone disorders - NG167, Arranging planned care in hospitals and diagnostic services - NG179, Delivery of systemic anticancer treatments - NG161, Haematopoietic stem cell transplantation - NG164, Acute use of non-steroidal anti-inflammatory drugs (NSAIDs) for people with or at risk of COVID-19 - ES23, Anakinra for COVID-19 associated secondary haemophagocytic lymphohistiocytosis - ES26, Angiotensin-converting enzyme inhibitors (ACEIs) or angiotensin receptor blockers (ARBs) in people with or at risk of COVID-19 - ES24, Long-term use of non-steroidal anti-inflammatory drugs (NSAIDs) for people with or at risk of COVID-19 - ES25, Remdesivir for treating hospitalised patients with suspected or confirmed COVID-19 - ES27, Cytokine adsorption devices for treating respiratory failure in people with COVID-19 - MIB217, FebriDx for C-reactive protein and myxovirus resistance protein A testing - MIB224, Lifelight First for monitoring vital signs - MIB213, concise, accessible summaries of current evidence, A risk-stratified approach to planned cancer care during the COVID-19 pandemic: the Royal Marsden experience, Developing and implementing guidance for staff delegating clinical tasks to informal carers and relatives during the COVID-19 pandemic, Maintaining a cancer service in the midst of the COVID-19 pandemic: A single centre experience, Using wider sources of data and evidence in our work, Support for developers of medicinal products. </p> <p>                 We developed this guideline using the interim process and methods for developing rapid guidelines on COVID-19 in response to the rapidly evolving situation. Follow the usual professional guidelines, standards and laws (including those on equalities, safeguarding, communication and mental capacity), as described in making decisions using NICE guidelines. The commonest symptoms are fever, cough and shortness of breath. </p> <p>For advice specific to your area, contact your local NICE field team. </p> <p>These guidelines were developed quickly using a different approach to normal and we’re keeping them under review. 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