Update to sats monitoring July 2022

As Covid cases rise again we have had a surge in patients referred into our CO@OH service, thank you for all your hard work in managing this list.  We have sent the attached document to surgeries as a reminder of the referral criteria into the service to ensure the appropriate at-risk group, presenting with amber symptoms, are being monitored.

Can you all have a look at the pathway to ensure when you are speaking to a patient on triage or reviewing them, it is those meeting this criteria who are added to the list please.

By ensuring the patients entering the monitoring service are appropriate, there is likely to be a lower number who can be discharged from active monitoring early.  However please familiarise yourself with the criteria for discharge from the service.
We would also like to implement a cut off point for delivery of sats monitors to patients. We will again be asking practices to try and identify patients they are concerned about earlier in the day so we have time to facillitate delivery of a monitor through our courier and a follow up call.  The cut off time is 4pm, any patient who you feel requires delivery of a monitor beyond this time please discuss with the member of the management team who is on-call that day.  If there are a significant number of calls beyond this time we will of course review this.  The decision has been made based on the consideration of which patients would raise sufficient clinical concern, in whom a sats reading on that evening, could impact the management plan.  We felt clinically these patients are more likely to fall into the red triage category and require more immediate action.
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