Abstract
In March 2020, the NHS began navigating the strategic planning minefield caused by the COVID-19 pandemic. A national lockdown to help control virus transmission, involving closure of non-essential businesses and schools and a requirement for social distancing was enacted on 26th March 2020. St. George's University Hospitals NHS Foundation Trust (St. George's) is a tertiary plastic surgery unit serving a population of 3.5 million people in South West London. Locally, a number of changes were required, including more senior receiving teams due to staff redeployment, reduced theatre services to onsite local anaesthesia/WALANT lists three days per week and twice weekly offsite GA capacity.
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