Four things we learnt about coronavirus from people like you

We recently organised a survey to find out how coronavirus is affecting people with lung conditions. Here’s what we learnt.

Andrew Cumella

Senior Policy Analyst

29 April 2020

We know that if you live with asthma, coronavirus may have had a real impact on your life. And so far, we’ve been here to help through our Helpline, and our frequently updated online health advice.

But we know it’s also important to keep listening, so we asked you to help us understand how people with asthma are coping, and how your care is being affected.

The results of the survey told us that most people living with asthma and other lung conditions prepared well for the lockdown, and if you live with one of these conditions, you’re highly likely to have taken the management of your health very seriously. But our survey results also told us there are a few hidden impacts of the coronavirus and lockdown. Here are four things we learnt.

1. People are feeling anxious (obviously)

When we asked people to rate their anxiety levels on a scale of 1-10, over two thirds of people said they were at 8, 9 or 10 on the scale. If you’re finding the current situation tough, know that you’re not alone. We know that it’s hard, especially if you have to shield from loved ones. And if you need a hand, we have advice on how to look after your mental health if you live with asthma.

2. Shielding letters save lives

People with severe lung conditions, including some with severe asthma, have been advised to shield by the government.

The good news is that in our survey, we found that 98% of those that received a letter advising them to shield are following this guidance. The bad news is that there have been some concerning delays in people getting their letter or text telling them to shield.

Over half (51.8%) of you told us you were shielding even without receiving their letter or text at the time of the survey in early April. Everyone who should receive a shielding letter should have received it by now – if you are still unsure, please get in touch with your GP.

3. Routine care shouldn’t just stop

The NHS is under massive strain from coronavirus. You’ve probably heard that health care professionals have had to cancel routine care or make appointments online or over the phone.

Regular care for people with respiratory conditions, such as annual asthma reviews and pulmonary rehabilitation have often been cancelled.

Nearly 31% of you told us you’d already had a GP appointment conducted remotely. But almost 10% said that care for their condition in primary care had been cancelled. That seems to match recent guidance that tells GPs not to continue with routine care.

If you have your asthma managed at the hospital, you’ll have also been impacted. We know that routine appointments – things like reviews and support for self-management – are really important in keeping people healthy and out of hospital.

If care for people with asthma is disrupted for a long time, the results could be disastrous. And the NHS will be hit harder this coming winter. We’re asking GPs to prioritise digital asthma reviews now, to prevent problems in the future.

Our data is a snapshot in time from the start of the lockdown. For all we know, these trends could have worsened, and that could have a terrible long-term impact on the health of people with all lung conditions.

Technology might help people stay in contact with their health care professionals and provide some aspects of routine care. However, it’s vital to remember that if you live with asthma, you should still access emergency care if you need it.

4. Not everyone with a lung condition is taken seriously by their employer

Most people – just over 64% – said that their workplace had been ‘very supportive’ or ‘supportive’ during coronavirus. That’s encouraging. However, the picture is different for those who can work from home compared to those who can’t.

For those who can’t work from home, the proportion of people feeling supported dropped to 51.5%. That’s a big difference with people who can work from home – 81% of that group said they were supported.

The group unable to work from home will include key workers, whose efforts during the lockdown period have been remarkable. People with asthma who can’t work from home must be supported.

They need to be able to perform their work safely, and employers shouldn’t pressure them to work in high-risk areas. This lack of support from some workplaces makes existing health inequalities worse. The worst off are being worst affected, with lower income groups less likely to be able to work from home.