Mummery Catherine J, Kipps Christopher M
National Hospital for Neurology and Neurosurgery, University College London Hospital NHS Foundation Trust and University College London, London, UK
University Hospital Southampton NHS Foundation Trust and University of Southampton, Southampton, UK.
Clin Med (Lond). 2020 May 15;20(3):266-269. doi: 10.7861/clinmed.2020-0159.
COVID-19 has led to seismic changes in neurological practice in a matter of weeks. The Association of British Neurologists has supported neurology specialists and patients during this rapid reorganisation and its attendant challenges. We have written guidance on structured service transformation, considering the need to sustain long term care while responding to acute developments; we have recognised that staff experience differs and that this, as well as individual risk factors should be considered when redeployment occurs. Appreciating that there may be understandable anxiety when facing a working routine outside normal practice, we have signposted ethical and psychological support for individuals. We have also focused on our patients: we have facilitated a national alert system to register all neurological COVID cases, coordinating research efforts on this new disease; finally we have defined how to identify the most vulnerable patients under our care. When this initial wave of the pandemic subsides, we will have planned for return to the new 'norm', ready to embrace innovation where appropriate, aiming to minimise fall-out in our chronic disease population, and potentially having enhanced and modernised our services.
在短短几周内，新冠疫情已给神经科医疗实践带来了翻天覆地的变化。在这一迅速重组及其带来的诸多挑战期间，英国神经科医师协会一直为神经科专家和患者提供支持。我们撰写了有关结构化服务转型的指南，既考虑到在应对突发情况时维持长期护理的必要性，也认识到员工的经历各不相同，在进行人员调配时应考虑到这一点以及个体风险因素。鉴于面对常规工作之外的工作安排时，人们可能会产生焦虑情绪，我们已为个人提供了伦理和心理支持的指引。我们还关注了患者：我们推动建立了一个全国警报系统，以登记所有新冠神经病例，协调针对这种新疾病的研究工作；最后，我们明确了如何识别我们所护理的最脆弱患者。当这一波疫情初期消退后，我们将已规划好回归新“常态”，准备在适当的时候接受创新，旨在尽量减少对慢性病患者群体的影响，并有可能提升我们的服务并使其现代化。
