Shielding for Clinically Extremely Vulnerable patients

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

  • solid organ transplant recipients
  • those 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
  • those with severe respiratory conditions including all cystic fibrosis, severe asthma and severe chronic obstructive pulmonary disease (COPD)
  • those with rare diseases that significantly increase the risk of infections (such as severe combined immunodeficiency (SCID), homozygous sickle cell disease)
  • those on immunosuppression therapies sufficient to significantly increase risk of infection
  • adults with Down’s syndrome
  • adults on dialysis or with chronic kidney disease (stage 5)
  • women who are pregnant with significant heart disease, congenital or acquired

This updated status does not apply to everyone who may have been on the original shielding list. If you are eligible you will be contacted directly by the NHS with details of what you should do and the support available. You DO NOT need to contact the practice to discuss this. If you cannot work from home you will be entitled to SSP and your letter will be suffice for your employer. The practice WILL NOT be issuing fit notes for shielding patients. Please do not pressure the staff into booking triage appointments with a GP to discuss this – these appointments are limited in number and for patients in need of medical help.