Dr Stephen Bradley talks about some of the concerns of managing vulnerable patients during the COVID-19 crisis. Homeless patients, people who use drugs, asylum seekers and refugees have particular needs that are particularly challenging to meet just now.
Managing vulnerable patients during the COVID-19 crisis
Latest from Videos
Episode 229: Looking back at the BJGP Research Conference 2026
In this episode, we look back at the recent BJGP conference.
Episode 228: Skill mix and patient trust in general practice
In this episode, we talk to Dr Charlotte Paddison about the increasing multidisciplinary team in general practice.
Episode 227: What happens in general practice before an emergency lung cancer diagnosis?
In this episode, we talk to Marta Berglund about emergency lung cancer diagnoses.
Episode 226 – Designing neighbourhood urgent care: A general practice perspective
In this episode, we discuss an innovative set up for neighbourhood care in North Yorkshire.
Episode 225: Delayed, declined, or disengaged? Understanding childhood vaccination patterns
In this episode, we discuss childhood vaccinations rates in a borough of London and reasons for low vaccine uptake.
Dr Stephen Bradley’s talk on managing the needs of vulnerable patients demonstrates the challenges for this population which are multi layered. It was reassuring to hear the commitment towards this demographic who are often stigmatised. I am curious about how we are approaching the needs of sex workers during this time and what special considerations we may need to make.
I’m a colleague of Steve’s from Bevan Healthcare and I’m involved in our late clinics for women involved in prostitution. Unfortunately we have had to stop these clinics due to COVID-19 but we are taking other measures to try to ensure the health and safety of this particularly vulnerable patient group. We are acutely aware that social distancing also equates to forced social proximity for some and that victims of coercion and domestic abuse are at significantly higher risk than usual.
Firstly we have created a list of patients who are social vulnerable and are proactively contacting the individuals in this group, which includes women involved in prostitution, to check on their wellbeing, offer advice and support. This is being done by our GPs, nurses and social prescriber, we are also soon to utilise the help of medical students who would otherwise have been on their electives abroad.
We are working very closely with support workers who have formed trusted relationships with the women and they are letting us know if they have specific concerns about any of their service users. We have been providing mobile phones to the women who don’t have access to a telephone to enable us to keep in contact and consult remotely. For the patients we are most concerned about we are doing proactive outreach, obviously using PPE as appropriate.