The Covid-19 pandemic accelerated the transition into digital healthcare. The NHS turned to remote consultations to minimise the risks to patients and staff. Practices started using telephone, video and online consultations to manage patients. This allowed primary care to practice in a new and potentially more efficient manner, but this has also presented challenges. One of the limitations of video consultations is the difficulty with examining patients, which is particularly applicable when managing patients with a sore throat.
Tonsillitis is a common presentation in primary care and patients often present with a sore throat. It is commonly caused by a virus, especially when associated with symptoms such as a cough and cold. However, in some circumstances, it can be caused by a bacterial infection, which may require antibiotics. Clinical predictors such as the FeverPAIN Score or Centor Criteria help to determine the likelihood of streptococcal infection, but they rely on examination findings.