Visiting guidance

Restrictions remain in place and inside all of our hospitals you still need to wear a mask. Please see information for visitors > before you plan on visiting.

Long Covid-19 recovery

ImpACT+ is providing support for people who are experiencing ongoing symptoms as a result of Covid-19.

In particular, we have expertise in helping people with ongoing breathing difficulties.

Recovering from Covid-19 can take some time. Usually recovery occurs naturally, and no specialist input is needed. Sometimes, recovery is delayed. 

People with delayed recovery and ongoing symptoms are sometimes said to have "Long Covid". This is more likely to occur after a severe Covid-19 illness, but can also occur after a more mild Covid-19 illness. 

Common "Long Covid" symptoms include:

  • extreme tiredness (fatigue)
  • shortness of breath
  • chest pain or tightness
  • problems with memory and concentration ("brain fog")
  • difficulty sleeping (insomnia)
  • heart palpitations
  • dizziness
  • pins and needles
  • joint pain
  • depression and anxiety
  • tinnitus, earaches
  • feeling sick, diarrhoea, stomach aches, loss of appetite
  • a high temperature, cough, headaches, sore throat, changes to sense of smell or taste
  • rashes


We provide support for people who have ongoing shortness of breathing and other breathing difficulties after Covid-19. Breathing problems in "Long Covid" are often due to deconditioning or weakness of the respiratory muscles, or due to an altered breathing pattern (called "disordered breathing").

We support people with "Long Covid" in 3 specific ways

  1. Long Covid-19 reconditioning programme

    The aim is to maximise fitness with a particular emphasis on increasing respiratory strength and endurance. People join a 6 week course with a personalised exercise programme. It involves a weekly face to face socially-distanced group exercise and online education meetings. It requires a commitment to regular exercise at home. A modern computer or tablet device is needed for online access.
  2. Disordered breathing support group

    The aim is to optimise breathing patterns. It is quite common for people to develop a different breathing pattern after Covid-19. People can get stuck in inefficient breathing patterns and this can prevent full recovery. People are booked into a small group workshop, where they learn information about disordered breathing with demonstration of techniques to optimise breathing.  Each person then practices the techniques for a few weeks, and they are then seen individually for personalised support.
  3. Covid-19 recovery weekly online singing group: ‘Phoenix Rising’

    The aim is to improve breath control by using specific singing exercises which relax the upper airway and improve breath control, whilst also having fun singing a variety of songs. This is an online group, and it is free. No singing ability is needed.  Participants have their microphones on mute so that no-one else can hear them singing. The group meets weekly online on Fridays at 2pm-3pm. Regular attendance is encouraged but there is no commitment to attend each week. A modern computer or tablet device is needed for online access.

    *The Covid-19 recovery singing group is open to anyone who has had Covid-19 and is experiencing difficulty fully recovering. You don’t need to be referred by a health professional. Find out how to join in by downloading the information below.

    Download information about "Phoenix Rising" post Covid-19 singing group [pdf] (opens in new window) 529KB


Would these services be useful to you?

Referrals for these services must come through the Derbyshire Post (Long) Covid Syndrome Assessment Service. If you think you might benefit from one of these services contact your GP (you could show your GP this website).