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Covid-19 Primary Care Resources


Revised rules for self isolation



The self-isolation period has changed from 14 to 10 days

This information is sourced from PHEGOV UK and NHS UK:

Patients who have symptoms of Covid-19 or a positive test result:

  • If  symptoms meet the PHE case definition patients need to stay at home and book a PCR test
  • If they test positive for Covid-19/are waiting for test results/have not been tested, they should self-isolate for 10 days
  • A positive Lateral Flow Device (LFD) test result also means you must complete 10 days isolation, unless this is followed by a PCR test and the result is negative

But if patients still have ANY of these ongoing symptoms after 10 days they need to keep self-isolating until these have all resolved:

  • temperature
  • rhinorrhea or sneezing
  • nausea or vomiting
  • diarrhoea
  • loss of appetite

They also need to self isolate until 48 hours after diarrhoea or vomiting resolve

The cough/anosmia may persist for several weeks in some people and does not mean someone must continue to self-isolate for more than 10 days

Patients who have a negative Covid test (and are not a contact; see below):

  • Do not need to self-isolate
  • Are being advised to stay home whilst they feel unwell (and to wait 48 hours before going out if they have had diarrhoea or vomiting)

This information relates to contacts:

  • People who have been in contact with a person who has coronavirus need to stay at home for 10 days
  • Household contacts need to stay at home for 10 days (the incubation period)
  • If a household contact becomes unwell during their isolation period they need to stay at home for 10 days from the day that they became unwell

This information relates to patients who have been treated in hospital:

  • Discharged patients should self-isolate for at least 14 days from their first positive SARS-CoV-2 PCR test
  • If patients are febrile on discharge, they should also continue to self-isolate until their fever has resolved for 48 hours consecutively without medication to reduce their fever

People who have previously tested positive for Covid 19 and have another episode of symptoms:

  • People who have tested positive for Covid-19 have probably developed some immunity but this cannot be guaranteed
  • The new guidance advises that they now self-isolate for 10 days