Clinically Extremely Vulnerable

Government guidance has been updated to support the clinically extremely vulnerable in protecting themselves from exposure to coronavirus (COVID-19) and replaces previous guidance on shielding

Get support if you’re clinically extremely vulnerable to coronavirus

Use this service if you have a medical condition which means you’re classed as being clinically extremely vulnerable to coronavirus.

You can use this service to:

  • request access to a priority supermarket delivery slot (if you have already got priority supermarket deliveries, you will keep them)
  • tell your council if you need support to follow this guidance, especially if you are unable to arrange this yourself or with the help of friends, family or other support networks
  • make sure your details, such as your address, are up to date

You can register or on behalf of someone else NOW here https://www.gov.uk/coronavirus-shielding-support  and will be asked for your NHS number. You can find it on any letter the NHS has sent you, or on a prescription. It is helpful if you register even if you do not have any support needs at this time. You can log in and update your needs if circumstances change at any time.

If you’ve already got priority supermarket deliveries from wave 1, you’ll keep them.

Definition of clinically extremely vulnerable groups

People who are defined as clinically extremely vulnerable are at very high risk of severe illness from coronavirus. There are 2 ways you may be identified as clinically extremely vulnerable:

1. You have one or more of conditions listed below, or

2. Your clinician or GP has added you to the Shielded Patient List because, based on their clinical judgement, they   deem you to be at higher risk of serious illness if you catch the virus

 

If you do not fall into any of these categories, and have not been contacted to inform you that you are on the Shielded Patient List, follow the general staying alert and safe guidance for the rest of the population.

If you think there are good clinical reasons why you should be added to the Shielded Patient List, discuss your concerns with your GP or hospital clinician.

People with the following conditions are automatically deemed clinically extremely vulnerable:

  • solid organ transplant recipients
  • people with specific cancers:
    • people with cancer who are undergoing active chemotherapy
    • people with lung cancer who are undergoing radical radiotherapy
    • people with cancers of the blood or bone marrow such as leukaemia, lymphoma or myeloma who are at any stage of treatment
    • people having immunotherapy or other continuing antibody treatments for cancer
    • people having other targeted cancer treatments that can affect the immune system, such as protein kinase inhibitors or PARP inhibitors
  • people who have had bone marrow or stem cell transplants in the last 6 months or who are still taking immunosuppression drugs
  • people with severe respiratory conditions including all cystic fibrosis, severe asthma and severe chronic obstructive pulmonary disease (COPD)
  • people with rare diseases that significantly increase the risk of infections (such as severe combined immunodeficiency (SCID), homozygous sickle cell disease)
  • people on immunosuppression therapies sufficient to significantly increase risk of infection
  • women who are pregnant with significant heart disease, congenital or acquired
  • other people who have also been classed as clinically extremely vulnerable, based on clinical judgement and an assessment of their needs. GPs and hospital clinicians have been provided with guidance to support these decisions.

For Guidance on shielding and protecting people who are clinically extremely vulnerable from COVID-19 :- https://www.gov.uk/government/publications/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19#register

For more information:-  https://www.gov.uk/guidance/new-national-restrictions-from-5-november#protecting-people-more-at-risk-from-coronavirus

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