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COVID-19 Clinical Risk Assessment Tool
This online tool is powered by QCovid® and helps clinicians better understand how at-risk a person may be of catching coronavirus and being admitted to hospital or catching coronavirus and dying.
What the tool is for
The COVID-19 Clinical Risk Assessment Tool is a tool for clinicians that has been designed for use during a consultation with a patient or as an aid to support direct care. It may also be used by clinicians to review patients added to the Shielded Patient List (SPL) as a result of the COVID-19 Population Risk Assessment. It is based on the QCovid® model.
The tool gives an estimation of the likelihood of an outcome occurring but does not guarantee any outcome.
Before using the tool
Before you can use the tool, you should:
- make sure the device or computer you plan to use is connected to the Health and Social Care Network (HSCN)
- make sure your organisation has a Data Protection Impact Assessment (DPIA) and privacy notice in place that covers your use of the tool - a template DPIA and privacy notice are provided below
- review the full clinical guidance (available through the tool)
Access the tool
If you are not connected to the Health and Social Care Network (HSCN) you will be presented with instructions on how to get access. We will process your request as soon as possible, usually within 24 hours between Monday and Friday.
What you will need to do
To get a risk assessment result you will need to enter information about your patient, including their:
- sex registered at birth
- living arrangements - living in own home, in a care home or homeless
- postcode - to identify a Townsend deprivation score, a well-known way of measuring deprivation based on data from the 2011 census
- height and weight - to calculate Body Mass Index (BMI)
- medical history - for example heart or liver conditions, or whether they have had cancer treatment
We do not store or share this information. It is only used to generate a risk assessment result.
Current limitations of the tool
The tool is based on data collected during the first peak of the pandemic. This means the tool cannot give an accurate result for people who:
- are under 19 or over 100 years
- are intersex or trans
- are pregnant
You can use the tool to estimate risk for people who were advised to shield during the first wave of the pandemic, or who have a condition that qualified a person for shielding during that time, as it may inform useful discussions with patients.
However, risk may be underestimated in this group because, when the research was being carried out, these people may have been advised to shield. This means they may have been protected from catching coronavirus and therefore severe outcomes such as hospitalisation and death.
Data Protection Impact Assessment (DPIA) template
By using the tool, your organisation is classed as a data controller under the UK General Data Protection Regulation (GDPR) and Data Protection Act 2018 for the patient data you process using the tool and the results you record on health records. You will need to ensure that your organisation has a DPIA in place that covers your use of the tool for this purpose. We have produced a template DPIA that you can use to develop your own DPIA.
Privacy notice template
Your organisation will need to have a privacy notice in place that covers your use of the tool. This can be shared with patients who may wish to know more about the service and the results recorded in their health record. We have produced a template privacy notice to help you meet your obligations under the General Data Protection Regulation and Data Protection Act 2018.
How the tool has been tested and validated
The tool has been registered by NHS Digital as a Class 1 medical device with the Medicines and Healthcare products Regulatory Agency (MHRA).
The tool is also CE marked, which shows it meets relevant health, safety, and environmental protection standards.