Shielding and Protecting Extremely Clinically Vulnerable People
Updated government advice regarding shielding and protecting those who are Clinically Extremely Vulnerable (CEV) was published on 7.1.21 and the full guidance can be found here:
The guidance applies to everyone in England who has been identified as CEV. There are two ways that you are identified as being CEV. Either a clinician/GP has added you to the Shielded Patient List (SPL) based on their clinical judgment because they deem you to be at high risk of serious illness if you catch the virus or if you have one of the following conditions which means you are automatically classed as CEV:
- 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
- problems with your spleen, for example splenectomy (having your spleen removed)
- 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
As someone identified as CEV, you will get priority access to vaccination against COVID-19 before the general population. However, even when you have received both doses of the vaccine, you should continue to shield until further notice.
CEV children and young people should not attend school or other educational settings because the risk of exposure to the virus in the community is now very high. Instead, your school or college will make appropriate arrangements for you to be able to continue your education at home.
As part of the national lockdown, all children and young people are required to learn remotely until February half term, except children classed as vulnerable eg. those with an EHC plan and the children of critical workers, who may still attend school.
Commissioners are working with local providers to continue the delivery of services, taking all guidelines and local needs into consideration.
As you may appreciate, this means that there are potentially changes on a regular basis and so we would suggest that for the most up to date information on the individual service offers and how to access services then to refer to the following websites.