Developing services for long Covid: lessons from a study of wounded healers

Ladds, E.; Rushforth, A.; Wieringsa, S.; Taylor, S.; Rayner, C.; Husain, L.; Greenhalgh, T.

Persistent symptoms lasting longer than 3 weeks are thought to affect 10-20% of patients following Covid 19 infection. No formal guidelines exist in the United Kingdom for treating long Covid patients and services are sporadic and variable, although additional funding is promised for their development. In this study narrative interviews and focus groups are used to explore the lived experience of 43 healthcare professionals with long Covid. These individuals see the healthcare system from both professional and patient perspectives thus represent an important wealth of expertise to inform service design. We present a set of co-designed quality standards highlighting equity and ease of access, minimal patient care burden, clinical responsibility, a multidisciplinary and evidence-based approach, and patient involvement and apply these to propose a potential care pathway model that could be adapted and translated to improve care of long Covid patients.