Rehabilitation of adults who are hospitalised due to acute Covid-19 or long Covid: physiotherapy service delivery

These standards cover rehabilitation for adults of 18 years and over who are admitted to hospital with Covid-19. This encompasses people with acute Covid-19 or long Covid.

The standards apply to rehabilitation for any episode of care in a hospital setting. This includes people who were not admitted to hospital during the acute stage of Covid-19 infection and readmission of people who were hospitalised due to acute Covid-19. The standards do not apply to end of life rehabilitation care pathways.

Updates to version 2

These standards have been updated to bring them into alignment with CSP Standards RS2 and RS3. They also take into account updated guidance and emerging evidence including people’s lived experiences regarding:

  • recovery trajectories and sequelae of Covid-19 including long Covid
  • assessment and screening tools
  • personalised symptom management
  • monitoring response to rehabilitation and individualising timing, intensity and frequency of rehabilitation
  • supported self-management and self-monitoring, including principles of pacing and energy management 
  • rehabilitation models including Covid clinics
  • impact of inequalities and disparities in outcome.

In these standards the term Covid-19 encompasses acute Covid-19 and long Covid.

There are six quality standards:

  1. needs assessment, rehabilitation planning and review
  2. personalised rehabilitation and symptom management
  3. communication and information sharing with people with Covid-19
  4. coordinated rehabilitation and models of care
  5. evaluation, audit and research
  6. Personal Protective Equipment (PPE) and infection control


The CSP wishes to acknowledge the expert peer reviewers for their contribution to the development of these standards.

Expert peer reviewers

  • Association for Chartered Physiotherapists in Respiratory Care (ACPRC) (version 1 and 2)
  • Darren Brown – specialist physiotherapist HIV and oncology, person living with long Covid (version 2)
  • Stephanie Mansell – consultant respiratory physiotherapist, consultant physiotherapy group co-chair (version 1)
  • David McWilliams – consultant physiotherapist critical care (version 1)
  • Lucy Silvester – major trauma service lead (version 1 and 2)