© North Bristol NHS Trust. This edition published August 2023. Review due August 2026. NBT003488

© North Bristol NHS Trust. This edition published August 2023. Review due August 2026. NBT003489

Resources for people who may be struggling with work because of Long Covid

These resources may help you and your employers if you are struggling with work because of Long Covid. We have chosen ones that contain a wide range of information for various challenges you may have. You might choose to share some of these with your employer.

Covid 19 return to work guide for managers

The "Covid 19 return to work guide for managers" by the Society for Occupational Medicine contains detailed advice on a phased return to work, which can be a very important for people with long Covid symptoms and may be a new concept for employers. It contains a comprehensive overview of work-related issues faced by employers and employees. 
https://www.som.org.uk/COVID-19_return_to_work_guide_for_managers.pdf

C19 return to work guide for recovering workers

The “C19 return to work guide for recovering workers” (2021) by the Society for Occupational Medicine provides a comprehensive overview of managerial and employee duties and expectations.
https://www.som.org.uk/COVID-19_return_to_work_guide_for_recovering_workers.pdf 

Webinars "Returning to work with on-going COVID-19 symptoms: Guidance for employees and managers

The webinars "Returning to work with on-going COVID-19 symptoms: Guidance for employees and managers" (2021) by University Hospitals of Derby and Burton NHS Foundation Trust provide information for managers and employees and covers practical steps.
https://www.youtube.com/playlist?list=PLfPD5ilcfEbit6R2OgezYD9YeNvnniSyb 

"Long Covid FAQs" on the Chartered Institute of Personnel and Development website

The page "Long Covid FAQs" on the Chartered Institute of Personnel and Development website is directed at employers, and contains some useful facts and statistics, and some information on legal rights.
https://www.cipd.co.uk/knowledge/coronavirus/faqs/long-covid 

Faculty of Occupational Medicine Guidance for managers & employers

The "Guidance for managers & employers on facilitating return to work of employees with post-COVID syndrome" (2021) by the Faculty of Occupational Medicine provides employers with general advice on returning to work, and some useful examples of reasonable adjustments.
https://www.fom.ac.uk/wp-content/uploads/FOM-Guidance-post-COVID_employers-managers.pdf 

Access to Work

Access to Work can provide practical and financial support if you have a disability or long-term condition. This can be useful whether you have a job, are looking for work, are on supported internship or traineeship or want to become or are self-employed. 
https://www.gov.uk/government/publications/access-to-work-factsheet

This video was delivered as a webinar and provides an overview of Long Covid and the impact on people’s working lives and presents key strategies and principles that can support people to return to work and to stay in work. 

Contributors:  

Dr Tim Robinson provides an overview of the symptoms and management of Long Covid. Dr Robinson works in the Community Long COVID Single Point of Access assessment clinic which covers Bristol, North Somerset and South Gloucestershire (known as BNSSG). 

 Fiona Mckechnie shares approaches and adjustments that have been used to support people with fatigue syndromes in the workplace. Fiona is an Occupational Therapist in the Bristol M.E. Service, North Bristol NHS Trust. 

If you have Long Covid and would like to have support, please contact your GP to request a referral to your nearest Long Covid clinic. 

TIA is a medical emergency - anyone suffering a suspected TIA should see a doctor immediately.

You may be referred to the TIA clinic because you had symptoms suggesting you’ve had a transient ischaemic attack (TIA), or a minor stroke. A TIA is sometimes called a mini stroke.

Why is an urgent appointment with a stroke specialist so important?

About one in ten people who have a TIA develop a stroke within the next week, but we can greatly reduce this with the right treatment.

The right medication can reduce your chance of a stroke, as can changes to your diet and exercise. Rarely an operation may be useful. We will discuss all this when you see us in clinic.

What happens now?

The clinician who initially diagnosed you may give you medication to take. You need to take this each day until you are seen in our clinic. They will also make a referral to the TIA Service.

TIA clinics run daily, including weekends. Every day, the stroke specialist on duty will review all new referrals. If we decide that we need to see you urgently over the weekend or at a bank holiday, the co-ordinator of the TIA Service will phone you on the day tell you what time to come to the unit.

Otherwise, the TIA co-ordinator will be in touch on the next working day to arrange an appointment for you to come in. In some cases, the appointment will be a telephone consultation only. The appointment will usually be on the same day. If you have not heard from us within two working days, please ring the TIA co-ordinator on 0117 342 4800.

Where are the TIA clinics?

Across the Bristol, North Somerset and South Gloucestershire (BNSSG) region, TIA clinics are operated centrally by University Hospitals Bristol and Weston (UHBW) NHS Trust.

There are clinics at Bristol Royal Infirmary and Weston General Hospital and weekend clinics at Southmead Hospital. If you are told to attend a TIA clinic, the TIA co-ordinator will tell you which clinic to attend.

Bristol Royal Infirmary

On week days days, the TIA clinic co-ordinator will tell you where you need to go. This will generally be the TIA Outpatient clinic A403 (Zone A, Level 4). Sometimes they will ask you to go straight to the radiology department to have a brain scan (Location A217, Zone A, Level 2) or to the vascular sciences department for a carotid doppler scan (Location A225, Zone A, Level 2).

Weston General Hospital

On week days, the TIA clinic co-ordinator will tell you where you need to go. This will generally be the TIA Outpatient Clinic within The Main Outpatients area of Weston General Hospital. The Main Outpatients is located at the front of the hospital.

Southmead Hospital

At weekends, clinics will be delivered at Southmead Hospital by the stroke/neurology service (Location Gate 36).

What can I expect to happen at my appointment?

A stroke specialist clinician will ask you to tell them about the symptoms, your past medical history, and what medicines you are currently taking. This will be followed by a physical examination. The clinician will discuss your diagnosis with you. You may be given new medications or a prescription. If you currently pay for your prescriptions, please ensure that you have a means of payment with you

What may we need to do? (Each case is different – you may not need all these investigations)

•  
  • A blood pressure check
  • A heart recording (ECG)
  • A scan of the arteries in your neck
  • A brain scan
  • A blood test
  • A consultation with a stroke specialist - this may be a consultant, registrar or an advanced nurse practitioner for stroke

You can expect to be at the clinic for at least 3-4 hours and the appointment may take most of the day

What do I need to bring?

Please bring a list of all the prescribed tablets you take – this is very important. If there are other tablets you buy over the counter, please tell us about these. Please also bring any medications you will require throughout the day. If possible, it will be helpful for the person who witnessed you having your symptoms to come to the appointment as well.

There are cafes and shops all locations where you can purchase refreshments. Alternatively, you may want to bring your own provisions.

What about driving?

It is not safe or legal for you to drive until you have been seen in clinic. We will discuss any possible further driving restrictions related to your diagnosis with you in the clinic.

What if I have further symptoms before the specialist appointment?

If you think you are having a stroke, don’t wait – call 999!

What do I need to do?

Please bear these points in mind: 

•  
  • DO NOT DRIVE until you are assessed at the clinic
  • it would be helpful if anyone who witnessed your symptoms could accompany you to the appointment
  • bring any medications that you are taking, or your repeat prescription order form
  • eat and drink as normal
  • your appointment may take several hours.
  • If you have any recurrence of symptoms before your clinic appointment and they resolve within 5 minutes please call NHS 111, if they do not resolve within 5 minutes call 999.