This site is intended for health professionals only

At the heart of general practice since 1960

pul jul aug2020 cover 80x101px
Read the latest issue online

Independents' Day

GPs should evaluate illness in children 'in the normal way', says NHS England

NHS England says it has noticed an 'increase in delayed presentations' of children who have 'life threatening illness' since the start of the coronavirus (Covid-19) crisis.

It has urged GPs to continue to assess symptoms in children 'in the normal way' despite the ongoing pandemic.

It said this comes as Covid-19 tends to be mild and self-limiting in children. It said the 'threshold' for face-to-face consultations should not have changed as a result of the current situation.

In a bulletin to practices, NHS England said: 'Over the last week we have noticed an increase in delayed presentations of children with life threatening illness.

'The threshold for face-to-face consultation, with appropriate infection control measures, in general practice and the referral to secondary care should not change during the Covid-19 pandemic.

'Covid-19 tends to be a mild self-limiting respiratory illness in children. Therefore prolonged illness and/or other symptoms should not be attributed to COVID-19 and should be evaluated in the normal way.'

 

Readers' comments (8)

  • Furthr advice coming from the least trutd source of direction for doctors and nurses; NHS England!

    Unsuitable or offensive? Report this comment

  • Normal way? Is it normal now or am I missing something?

    Unsuitable or offensive? Report this comment

  • Ah yes. Because the 'normal' was a trivial time-wasting sniffle in an actually well child playing with your toys, and jumping on your scales. Bring them all back. Parents, leave your responsibility. No need to manage 'it', we will. Also, when will someone be brave enough to say a cough for 2-3 weeks when your pretty well is peanuts whilst you're out boozing, gyming, drugging and netflixing until 1am?

    Unsuitable or offensive? Report this comment

  • Perhaps the nameless people behind this advice would be prepared to demonstrate how being coughed on by assorted coughing children is entirely harmless.

    Unsuitable or offensive? Report this comment

  • "Covid-19 tends to be a mild self-limiting respiratory illness in children."

    Yes, it's just the adults assessing them that potentially die.

    Unsuitable or offensive? Report this comment

  • Define delayed and who by exactly. Is it also those children, who would normally present to A&E but are not attending for fear of picking up covid in hospital and at high risk. Or delay in getting an ambulance. Can we see the actual data please.

    Unsuitable or offensive? Report this comment

  • Yes, all doctors - no, only GPs - now are instructed to ignore prior advice not to examine the oropharynx, not to perform any examination which would expose you to aerosols, not to examine any possible Covid patient without the full PPE you do not have... all of that was, oh, a few days ago, and doesn't matter at all. And of course children are at no risk of being asymptomatic spreaders of Coronavirus

    Unsuitable or offensive? Report this comment

  • David Banner

    This advice will kill GPs.
    Isn’t that obvious?
    Children with minor symptoms spraying CV all over older doctors during a totally unnecessary examination is playing Russian Roulette with our lives.
    Cheers.

    Unsuitable or offensive? Report this comment

Have your say