Richmond Long Covid Service

Service information

Long Covid.jpegWe are an NHS service for adults living in the borough of Richmond who have been adversely affected by Covid-19 for at least 4 weeks after their diagnosis.

We support people who struggle to carry out everyday activities because of the after-effects of Covid-19.

Long Covid-19 symptoms are wide ranging and fluctuating, and include severe fatigue, breathlessness, headaches, muscle aches, brain fog, and heart rate changes.

Therapy is delivered in the most appropriate place, either as an outpatient at Richmond Rehab Unit, as an online video call appointment, as a telephone consultation, or at home.

The team consists of an occupational therapist (OT) and an occupational therapy assistant.

We have close links with GPs, Community Respiratory Care, Richmond Wellbeing Services, Kingston Post Covid Assessment Service, and West Middlesex University Hospital.

Post-viral fatigue - A guide to management

This guide provides information about how to manage fatigue / activity levels from the time of initial infection (or relapse) and beyond. 

What we offer

A period of support and guidance to help manage symptoms and daily life, including:

  • fatigue management
  • cognitive strategies
  • breathlessness management
  • optimising rest and recovery
  • advice on self-care, eg, sleep, diet, mood
  • guidance about work, exercise, or other activities

Patients will receive an initial assessment and create a personalised self-management plan with the team to address their main concerns and goals.

This plan will be reviewed and updated as appropriate. Treatment may be one to one or within a closed group.

Useful information


Physiotherapy for breathing pattern disorders resources for physiotherapists ( 

Has great leaflets and videos on how to re-train your breathing pattern which is sometimes altered post Covid. This has been very useful for many patients.

ENO Breathe | English National Opera

Richmond Long Covid Service is affiliated with ENO Breath programme (referral criteria apply, please discuss with your clinician) 

Voices of Hope ( 

6-week course of singing based exercises held virtually and can help with ongoing breathlessness and altered breathing pattern that lasts more than 12 weeks after Covid-19, as well as some low-level anxiety.


How to conserve your energy - RCOT 

Post-Viral Fatigue - A Guide to Management 

This guide by the British Association of Clinicians in ME/ CFS (Myalgic Encephalomyelitis/ Chronic Fatigue Syndrome) is very relevant to many people with acute Covid-19/ Long Covid. It provides guidance on how to manage fatigue/ activity levels from time of initial infection (or relapse) and beyond. 

Fatigue and Post-Exertional Symptom Exacerbation

Many people with Long Covid experience crashes or symptom exacerbation after activity; ‘pushing through’ makes things worse rather than aiding recovery. Read more about post-exertional malaise and discuss with your clinician if this sounds relevant to you. 


Richmond Wellbeing Service

Psychological therapies including a specific Long Covid Group. Self-refer by phone/ website. 

Peer Support

COVID-19 Survivors Group UK - Self Help UK 

Self Help UK is a chance to talk to others who have survived COVID-19 and had similar experiences

Smell/ Taste retraining

Smell training techniques to do at home

Smell training - Fifth Sense 

General information about Long Covid

You may find some of these resources helpful in better understanding Long Covid and finding strategies to manage your symptoms. We will be adding more resources as they become available. 

Virtual support sessions

We have created a series of Long Covid virtual support sessions with information and tips for recovery and staying well. You can watch the sessions below or download the presentation slides.

Introduction to Long Covid

Approaches to self-management and recovery

Fatigue management

Wellbeing and optimising rest

Breathlessness, pain management and exercise precautions


People with a Richmond GP who are experiencing ongoing symptoms for 4 weeks or more after a Covid-19 diagnosis can be referred by a GP or other health professional.

Investigations to rule out other causes of symptoms should be completed by GPs before referral.

Referrals should be sent to

Patients can also self-refer to the service.

Please see below for more details.

Referral criteria

  • Richmond GP
  • Ongoing symptoms 4+ weeks after acute COVID-19 (or suspected infection)- other possible causes ruled out with relevant investigations
  • Refer via SPA

Required information

  • Dates of Covid-19 infection/suspected infection (if testing was not available)
  • Co-morbidities
  • Current medication
  • Evidence of investigations relevant to presenting symptoms if clinically indicated e.g.:
    • Full blood count, kidney and liver function tests, C‑reactive protein, ferritin, B‑type natriuretic peptide (BNP), HbA1c and thyroid function tests (NICE, 2021, p. 55)
    • Chest X-Ray
    • ECG

Discuss a referral or case

Roisin Hyde, Clinical Lead/ Occupational Therapist

Telephone: 020 8614 7380







Contact us by email or phone to request a self-referral for long Covid.

So that we can access your health records, please provide:

  • Full name
  • Date of birth
  • Home address
  • NHS number

We will contact you by phone to discuss your symptoms and ask about:

  • COVID infection date/ history
  • Any medical investigations to date
  • Medical history
  • Current symptoms/ impact

We will contact your GP to confirm medical history and to request any other tests if needed.

With the agreement of your GP, we will then contact you to arrange a face-to-face appointment.