Question to the Department of Health and Social Care:

To ask Her Majesty's Government whether they recommend graded exercise therapy for patients with post COVID-19 symptoms.

On 18 December 2021 the National Institute for Health and Care Excellence, the Royal College of General Practitioners and the Scottish Intercollegiate Guidelines Network published a guideline on the management of the long term effects of COVID-19. A copy of COVID-19 rapid guideline: managing the long-term effects of COVID-19 is attached. In developing the guideline, an expert panel undertook an evidence review into self-pacing and graded forms of exercise.

The panel considered the careful self-pacing of exercise to be an important element of self-management. However, they concluded that in the absence of evidence relating to people with ongoing symptoms from COVID-19, it could not make specific recommendations. A copy of COVID-19 rapid guideline: managing the long-term effects of COVID-19 (NG188). Evidence review 5: interventions is attached. COVID-19 is a new disease and therefore it is not yet clear what the physical, psychological and rehabilitation needs will be for those experiencing long term effects of the virus.