Assessing the impact of the disruption to normal care during the pandemic should provide insight into something that the NHS has been slow to recognise and accept the extent of overdiagnosis and overtreatment. There should also be important lessons to take from the very sharp contrast, especially for people with multiple conditions, between previous patterns of service, where frequent attendance for appointments at different clinics on different pathways created a well researched extra ‘burden of treatment’, and the new situation where people have had to take total control of self management. What is the comparative impact on people’s stress, anxiety, pain and fatigue?.
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