Practices we anticipate keeping post-COVID-19 and a blueprint for how our system would adapt to further pandemics
| Anticipated practice post-COVID-19 | Blueprint for further pandemics |
| Consultant/fellow front of house for all acute referrals | Switch back to team-based rota with resilience for absences |
| One-stop-shop model of care | Prioritise only urgent and time critical elective work |
| Procedure room for minor cases under WALANT | Complete segregation of elective and trauma services |
| Seven day service | Remote access trauma meetings |
| Consultant-led ward round and efficient patient discharge | Remote appointments where possible |
| Video/telephone consultations alternating with face to face | Use procedure room where possible |
| Senior clinician-led service planning | Daily strategy meetings and appraisal of resources |
| Absorbable skin sutures, more pt involvement in postop care | More senior nurse input as junior doctors redeployed |
| Senior trauma nurse training to assist in minor cases | Minimal use of general anaesthetic |
| Early diagnosis pathways—for example, MRI for suspected scaphoid | See patients directly after triage to offload emergency department |
| Permanent utilisation of face masks particularly in vulnerable patients | |
| Offload emergency department where possible—especially in winter |
WALANT, wide awake local anaesthesia no tourniquet .