Long COVID

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Welcome to NHS Borders Long Covid and Energy Limiting Conditions Support RefHelp homepage.

The NHS Borders Long COVID Pathway offers a therapy-led, multidisciplinary, and patient-centred pathway for adults experiencing ongoing symptoms following COVID-19. The pathway is designed to deliver quality, personalised care with a focus on timely access to support recovery and enhance quality of life.
Clinical oversight remains with the referring GP, who continues to manage the patient’s overall medical care. As needed, referrals are made to members of the extended multidisciplinary team (MDT) in accordance with the pathway.
We are committed to ensuring equity of access across the Borders region, addressing the unique challenges of delivering care in rural settings.

Who to refer; who not to refer; how to refer

Adults (18+) with symptoms persisting 12 weeks or more following confirmed or suspected COVID-19.
Patients experiencing multi-system symptoms such as:
- Fatigue
- Breathlessness
- Cognitive difficulties (“brain fog”)
- Sleep disturbance

Individuals whose symptoms are impacting daily functioning, work, or quality of life.
Patients who have had basic investigations to rule out other causes. - please see GP GUIDELINE prior to referral to rule out Red Flag symptoms.

Patients with symptoms lasting less than 12 weeks post-COVID.
Individuals whose symptoms are fully explained by another diagnosis.
Patients requiring urgent medical investigation or intervention (e.g. red flag symptoms).
Children and young people (under 18) – currently not included in the adult pathway.

Referrals should be made by the patient’s GP, who retains clinical oversight.
Use the attached referral form.
Summary of symptoms and duration
Relevant investigations and results
Impact on function and daily life
Any previous interventions or support
Patients will be contacted for initial assessment and completion of PROMs.
NSS GP Guideline for Long Covid