Covid-19 Treatment Eligibility

Treatment Criteria and Eligibility

At the moment regulated professions like Osteopaths, and Chiropractors are able to work with specific patient groups.

The rules are changing rapidly so the best place to view the advice we’re being given is on our professional bodies sites like the Institute of Osteopathy (iO), or the British Chiropractic Association.

In short treatment eligibility really comes down to a couple of things:

1) Clinical judgement – by your practitioner, and
2) Shared decision making by you and your practitoner with informed consent.

By that I mean the clinician needs to be clear about the risks and understand the benefits that you’ll gain from attending, and then be able to communicate this to you so together you can come to a reasonable decision about whether face to face treatment is appropriate.

Currently we manage this in a 3 part process:

We call you the day before;

1) this is to triage you for symptoms (in case you’ve started to show the signs you have CV-19),
2) so a health assessment considering the risk you’re at should you get infected, and
3) consider other individuals you may be in contact with who could be socially shielding.

This gives us the information we need to help come to a clinical conclusion about the possible risk you face (not by being at our clinic, but how you’ll get to us, who you might meet, just being outside etc.) against the possible benefit you would get from treatment for example reduction in pain, improvement in quality of life, ability to function more normally.

Your Risk Level:

The health assessment helps guide us as to the potential risk you face should you become infected and according to the NHS site this is divided into 3 main categories: 

High Risk (Clinically Extremely Vulnerable)

If you’re in this category you would normally have received a text, and a letter from the NHS telling you to go into social shielding.

People at high risk from coronavirus include people who:

  • have had an organ transplant
  • are having chemotherapy or antibody treatment for cancer, including immunotherapy
  • are having an intense course of radiotherapy (radical radiotherapy) for lung cancer
  • are having targeted cancer treatments that can affect the immune system (such as protein kinase inhibitors or PARP inhibitors)
  • have blood or bone marrow cancer (such as leukaemia, lymphoma or myeloma)
  • have had a bone marrow or stem cell transplant in the past 6 months, or are still taking immunosuppressant medicine
  • have been told by a doctor they you have a severe lung condition (such as cystic fibrosis, severe asthma or severe COPD)
  • have a condition that means they have a very high risk of getting infections (such as SCID or sickle cell)
  • are taking medicine that makes them much more likely to get infections (such as high doses of steroids or immunosuppressant medicine)
  • have a serious heart condition and are pregnant

Source: NHS website, 30.05.20 (https://www.nhs.uk/conditions/coronavirus-covid-19/people-at-higher-risk-from-coronavirus/whos-at-higher-risk-from-coronavirus/)

Moderate Risk (Clinically Vulnerable)

People at moderate risk from coronavirus include people who:

  • are 70 or older
  • are pregnant
  • have a lung condition that’s not severe (such as asthma, COPD, emphysema or bronchitis)
  • have heart disease (such as heart failure)
  • have diabetes
  • have chronic kidney disease
  • have liver disease (such as hepatitis)
  • have a condition affecting the brain or nerves (such as Parkinson’s disease, motor neurone disease, multiple sclerosis or cerebral palsy)
  • have a condition that means they have a high risk of getting infections
  • are taking medicine that can affect the immune system (such as low doses of steroids)
  • are very obese (a BMI of 40 or above)
Everybody Else (Normal Clinical Risk)

This is all the rest of the population. We need to becareful, and we could still become very ill, but it’s significantly less likely. You’re asked to follow the rules that apply to everyone at the moment with regard work, social distancing, exercise and so on.

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