NHS issues updated guidance to streamline long COVID assessment amid rising referrals
The NHS has issued updated guidance aimed at improving diagnosis pathways for people reporting persistent symptoms after COVID-19, as health services report a recent increase in referrals to long COVID clinics. The guidance clarifies referral criteria, encourages structured assessment, and recommends a multidisciplinary approach to reduce delays in care.
Clearer referral criteria to reduce waiting times
The updated advice emphasises standardised referral forms and thresholds for specialist assessment to help primary care clinicians decide when to refer patients to multidisciplinary long COVID services. It advises assessing co-morbid conditions and ruling out alternative diagnoses before referral, while providing interim management strategies for symptoms such as breathlessness, fatigue and cognitive difficulties.
Multidisciplinary assessment and personalised rehabilitation
The guidance advocates for multidisciplinary teams that include rehabilitation specialists, respiratory physicians, cardiologists where appropriate, mental health professionals and allied health professionals. It highlights the role of personalised rehabilitation plans, graded exercise where clinically appropriate, and cognitive support for people experiencing concentration and memory problems.
Support for primary care and community services
Primary care is advised to coordinate initial assessment, symptom management and safety-netting, with clear communication to patients about expected timeframes and follow-up. The guidance recommends using validated assessment tools and local pathways to ensure patients receive rapid access to diagnostics such as chest imaging and blood tests where indicated.
Health leaders say the changes aim to reduce unnecessary referrals, speed up diagnosis for those with severe or progressive illness, and ensure equitable access to services across regions. The NHS underlines the importance of monitoring outcomes and adjusting pathways as evidence evolves.
For further information, see the NHS long COVID resources and clinical guidance as they are updated by national bodies.
