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Health

Post-Infection Conditions in Primary Care (PICS-in-PC)

Post-infection conditions (PICs) are characterised by persistent, episodic or recurrent multi-system symptoms following acute infection. Examples include, but are not limited to, Long COVID and post-viral fatigue syndromes. Despite increasing recognition, there is limited evidence about how PICs are assessed and managed in primary care.

The PICs-in-PC project is examining how health and care for PICs is sought and received in primary care, while exploring broader impacts including economic and employment consequences.

Findings will inform future funding applications, which will build on our evidenced-based LISTEN model of personalised support. These are aligned with NIHR Work and Health priorities (economic inactivity, long-term sickness, supporting working-age populations).

Aims

We aim to improve access to personalised PIC support in primary care by adapting the evidence-based LISTEN model – a practical, scalable approach deliverable online or by telephone, enhancing care without unsustainable costs.

Our authentic community engagement activities across three regions in England and Wales will give us a deeper understanding of views of marginalised populations living with PICs and the broader impacts from their perspectives. Our survey activities will help us understand health professionals' approaches to assessing and managing people with PICs and our reviewing of the relevant literature will ensure that we are well placed to accelerate the research in the field.

Methods

Through community engagement events across areas of high social deprivation in London, the Midlands and Cardiff, the project will capture diverse patient and public perspectives.

A scoping review will identify evidence gaps in PIC self-management support and highlight economic impacts, whilst surveys with primary care health providers will help us understand perspectives of primary care professionals on consultations, assessment practices, management approaches, and perceived challenges relating to PICs in routine primary care.

Project status: Ongoing

Principal Investigator

Investigators

Funding

Funding Body: Better Health & Care Hub

Amount: £19,889

Period: April 2026 - March 2027

Keywords

POST-INFECTION CONDITIONLONG COVIDPRIMARY CARECO-DESIGNINCLUSIONHEALTH SERVICESSELF-MANAGEMENT SUPPORT