COVID-19: Clinical Guidance

Information, Government policy and clinical guidance to manage the current public health crisis continues to evolve. We will update guidance in line with this advice – and in conjunction with best practice – for regulated healthcare professionals working in the private healthcare sector.

As has been the case throughout this crisis, definitive answers to some questions may not always be available.


Advice & Guidance


‘Opening-out’ of osteopathic practices – Management of face to face consultations:

Guidance on how to determine and manage face to face consultations.

Update 12 June: This guidance is now applicable to all counties within the United Kingdom and the Channel Islands. 

Update 28 May:  For use by osteopaths operating in Scotland

Published 19 May 2020: For use by osteopaths operating in England


Current categories of clinically extremely vulnerable (high-risk/shielding) and clinically vulnerable (moderate risk) patient groups – published by NHS

IMPORTANT: Presently, iO guidance states that you should not see a patient either in your clinic or in their home if they have symptoms of COVID-19 or have been in contact with someone with symptoms in the last 14 days.







NCOR: Guide to self-management and care for those with symptoms of COVID-19 – published 30 March 2020

Also check updated information on the symptoms of Coronavirus and actions that should be taken if you suspect a case of COVID-19.






Flowchart to identify urgent and emergency cases – This is now only relevant for those operating in Scotland, Wales and Northern Ireland. 21 May 2020







Evidence: Osteopathy and COVID-19 – published 14 April 2020
The National Council of Osteopathic Research conducted a quick review of current evidence on osteopathy and COVID-19. Their full review can be found on their website by clicking here.




In addition, the European Federation and Forum of Osteopathy issued a statement on behalf of all its member countries. Read the full statement by clicking here.



iO Member Resources

iO – Key Worker Status Letter
For those that require confirmation of osteopaths’ status as key workers, for example: for use with schools and childcare, the iO has produced a letter which cites the relevant legislation, to use as required.

Useful Links

Frequently Asked Questions

Have a question? Here you will find answers to some of the most commonly asked questions relating to osteopathic practice during the COVID-19 pandemic.

Visit the FAQs here.


IMPORTANT NOTE: Safety of the public and our members is of paramount importance, and the iO is following the UK Government advice on a daily basis. Any content provided on this page is current as of the date of publishing, although such content may change quickly at short notice. The situation is unprecedented, the advice is changing rapidly and in some cases, there may not yet be definitive answers available. However, we will do our utmost to support our members and the profession throughout the period.


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