London Middlesex Primary Care COVID-19 Update
November 12, 2020
COVID-19 Resources

New/Updated Guidelines for COVID-19
Impact of COVID on Primary Care

Please see attached Suggested In-Person Primary Care Services memo recommended by the Ontario Health West Primary Care Council.
Community Nursing Clinics in South West LHIN

The Quality, Patient Safety and Home and Community Care teams at the South West LHIN have been working at updating Community Nursing Clinic resources to promote a ‘clinic first’ approach. This aims to provide care to patients who can be appropriately supported in the clinic setting and provide care at home to those people who need it there most. Please see resources below:

  1. Stakeholder Memo - Can be shared with community partners
  2. Home & Community Care Brochure – Patient handout for South West LHIN Home & Community Care Services
  3. Community Nursing Clinics Resource – Patient Resource that informs patients of Community Nursing Clinics, locations and benefits.

If you have any questions, you can send these directly to sw.patientsafety@lhins.on.ca.
Fecal immunochemical test (FIT) Kit Update

Primary care providers can expand screening with the fecal immunochemical test (FIT) to all eligible people at average risk for colorectal cancer.  

As of October 20, 2020, primary care providers can expand screening with the fecal immunochemical test (FIT) to all eligible people at average risk for colorectal cancer. Please see communications from Ontario Health.
 
Due to ongoing COVID-19 safety precautions and potential delays in FIT kit mailing, people may experience delays in receiving a FIT kit. To avoid longer wait times, we ask that primary care providers do not batch fax requisitions.  Ongoing fluctuations in COVID-19 cases and local variation in COVID-19 trends are expected. Primary care providers are encouraged to consider local trends in COVID-19 transmission and local capacity for diagnostic services (e.g., colonoscopy) prior to initiating colorectal cancer screening.
 
Primary care providers should remember the following when sending in requisitions:
  • Include a valid OHIP number with an updated version code
  • Ensure the completeness and accuracy of your patient’s mailing address information (including an alternative mailing address for the FIT kit, if applicable)
  • LifeLabs will continue to process all FIT requisitions received as fast as possible. If you have recently sent a FIT requisition for your patient, please do not send a repeat order unless at least 4 to 6 weeks have passed and your patient has not already received a FIT kit, as there remains the potential for mailing delays resulting from COVID-19. Sending a duplicate requisition could cause further delays.

Reminder regarding breast cancer and cervical screening
Ontario Health (Cancer Care Ontario) is recommending that routine breast and cervical screening tests be resumed in a gradual manner. As a reminder, primary care providers are encouraged to consider initiating cervical screening at age 25, which is aligned to best evidence.
Public Health Ontario Check List

Infection Prevention and Control Assessment for Primary Care, Specialty and Walk-in Clinics during COVID-19 Check List
COVID-19 Decision Tool for Parents / Caregivers

Please use this document from Southwestern Public Health, Thames Valley District School Board, London District Catholic School Board, and Middlesex-London Health Unit for decision making.
GUIDANCE for HEALTH CARE PROVIDERS on CHILD/YOUTH with COVID-19

Please see attached a standardized regional understanding, guidance, and response to COVID-19 for Child/Youth. The development of a clinical integrated pathway is intended to inform paediatric healthcare providers
on the care of the Child/Youth with suspected or confirmed COVID-19. This is intended to inform parents/caregivers on the steps required when a child fails COVID-19 Screen.
Employing Digital Health Tools During COVID-19 – and Beyond

In recognition of Digital Health Week 2020, (November 16-20th) the eHealth Centre of Excellence will provide a comprehensive overview of how our suite of digital health tools can be leveraged during COVID-19 and beyond.

Register Here! for the session on Monday November 16th at 12:00 pm
COVID-19 Community of Practice for Ontario Family Physicians


The COVID-19 Community of Practice is a space for family physicians across Ontario to connect and learn from each other during this challenging time.

Register here for the upcoming session (Friday November 13th 8:00 am): Supporting patients with COVID-19, evolving guidance, fatigue and more.
If there are non-hospital COVID-19 related issues/solutions in your region, please escalate them to your
Regional Pandemic Clinical Lead
(tasked by Ontario Health West to facilitate, coordinate, and engage with stakeholders for the pandemic response within the SW LHIN area RE: primary care/vulnerable populations)...structure HERE.
Dr. Gordon Schacter
London-Middlesex
Co-Chair, SW Prim Care/Vulnerable Pop'n Response