Impact of Covid19 on Inpatient Parkinson's liaison service

By Dr Sumara Aziz, ST7, Huddersfield Royal Infirmary



  • To assess the impact of Covid 19 on the inpatient liaison service during the second lockdown
  • To determine if patients were identified for specialist input
  • If patients were identified for specialist input, to determine how referrals were made and if they were timely


  • Some patients who could have benefited from specialised input were not identified
  • For those who were identified, there was considerable variation in how they were referred
  • There was considerable variation in the time it took to make referrals

Key findings

A review of the electronic patient records of people with PD who were admitted to the acute medical floor or the elderly medicine wards between 15 October 2020 and 4 December 2020 found:

  • In 18 of the 26 admissions, referral to the PD team was warranted or requested
  • The referral was made in nine cases
  • Time to referral ranged from zero to four days
  • The majority of referrals were made to the PD specialist nurse over the phone
  • PD specialist input was useful in 14 of the 18 cases identified for referral


  • Place posters on acute floor and medical wards to help identify people with PD who may need specialist input
  • Develop criteria to prompt appropriate referral of PD patients upon admission
  • Agree on a standard method of referral, ideally EPR
  • Train junior staff on the referral process

More Parkinson's Academy COVID-19 Projects

Loneliness and Social Isolation in people with Parkinson’s Disease during COVID-19 restrictions
By Dr Somaditya Bandyopadhyay, Staff Grade Physician (Geriatrics), Surrey and Sussex Healthcare NHS Trust
How has covid 19 affected community services for patients with Parkinson’s disease in the Wakefield area?
By Dr Rebecca Burns, Consultant Care of the Elderly, Mid Yorkshire Hospitals NHS Trust
'The things you can't get from the books'

Parkinson's Academy, our original and longest running Academy, houses 20 years of inspirational projects, resources, and evidence for improving outcomes for people with Parkinson's. Led by co-founder and educational director Dr Peter Fletcher, the Academy has a truly collegiate feel and prides itself on delivering 'the things you can't get from books' - a practical learning model which inspires all Neurology Academy courses.