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The survey was open on a web-based platform and covered topics including safety measures for patients, protective equipment for healthcare staff and protocols for the use of flexible nasendoscopy in the clinic.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The survey was completed by 117 participants covering 66 NHS Trusts across the UK. There was a significant reduction in face-to-face Otolaryngology, Maxillofacial and Speech and Language clinic patients when compared to pre-pandemic numbers (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001). Risk assessments for flexible nasendoscopy were done for 69% of clinics and 58% had an established protocol. Room downtime after flexible nasendoscopy ranged from 0 to 6\u00a0h and there was a significant increase in allocated downtime after a patient had coughed\/sneezed (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Natural ventilation existed in 36% of clinics and the majority of responders didn\u2019t know the Air Change Per Hour (ACPH) of the clinic room (77%). Where ACPH was known, it often did not match the allocated room downtime.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>There is a wide variation in outpatient activity across the United Kingdom, but adaptations are being made to try and maintain staff and patient safety. However, more can still be done by liaising with allied teams to clarify outpatient protocols.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00405-020-06458-x","type":"journal-article","created":{"date-parts":[[2020,11,6]],"date-time":"2020-11-06T20:02:40Z","timestamp":1604692960000},"page":"2641-2648","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["COVID-19 and the return to head and neck outpatient activity in the United Kingdom: what is the new normal?"],"prefix":"10.1007","volume":"278","author":[{"given":"Sumrit","family":"Bola","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dominic","family":"Jaikaransingh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stuart C","family":"Winter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,11,6]]},"reference":[{"key":"6458_CR1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.12839","author":"W Wiersinga","year":"2020","unstructured":"Wiersinga W, Rhodes A, Cheng A et al (2020) Pathophysiology, transmission, diagnosis, and treatment of coronavirus disease 2019 (COVID-19). 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