We have now received the list of extremely vulnerable patients who should have received a shielding letter. 

 These patients fall into one of the categories listed below.  If you believe you do fall into one of the extremely vulnerable categories but you have not received a shielding letter, please contact the practice – either by ringing 01978 860625 or by emailing This email address is being protected from spambots. You need JavaScript enabled to view it. – and we will review your notes.  With regard to food parcels, you need to apply for these via your local council (contact details are given at the end of the shielding letter, but you should only do so if you have no other means of getting food (eg family, friends, local volunteer groups).

Welsh Government have put together a list of frequently asked questions and their answers.

 

Please remember that “extemely vulnerable” patients are different from “at risk” patients. A list of the at risk categories is also given below.  At risk patients will not be receiving a letter.  They DO NOT need to completely isolate for 12 weeks but should strictly adhere to the social distancing guidance, https://gov.wales/coronavirus-social-distancing-guidance 

This guidance encourages them to work from home if possible, but that will be a discussion between the individual and their employer.

 

Extremely vulnerable patients (need to following shielding advice):

  1. Solid organ transplant recipients
  2. People with specific cancers
  • People with cancer who are undergoing active chemotherapy or radical radiotherapy for lung cancer
  • 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, which 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.
  1. People with severe respiratory conditions including all cystic fibrosis, severe asthma and severe chronic obstructive pulmonary disease (COPD)
  2. People with severe single organ disease (e.g. Liver, Cardio, Renal, Neurological)
  3. People with rare diseases and inborn errors of metabolism that significantly increase the risk of infections (such as Severe Combined Immunodeficiency (SCID), homozygous sickle cell disease)
  4. People on immunosuppression therapies sufficient to significantly increase risk of infection
  5. Pregnant women with significant heart disease, congenital or acquired
  6. Children (up to the age of 18) with significant heart disease, congenital or acquired

 

At risk groups (need to follow strict social distancing advice) :

  1. aged 70 or older (regardless of medical conditions)
  2. under 70 with an underlying health condition listed below (ie anyone instructed to get a flu jab as an adult each year on medical grounds):
  3. chronic (long-term) respiratory diseases, such as asthma, chronic obstructive pulmonary disease (COPD), emphysema or bronchitis
  4. chronic heart disease, such as heart failure
  5. chronic kidney disease
  6. chronic liver disease, such as hepatitis
  7. chronic neurological conditions, such as Parkinson’s disease, motor neurone disease, multiple sclerosis (MS), a learning disability or cerebral palsy
  8. diabetes
  9. problems with the spleen – for example, sickle celldisease or if you have had your spleen removed
  10. a weakened immune system as the result of conditions such as HIV and AIDS, or medicines such as steroid tabletsor chemotherapy
  11. being seriously overweight (a BMI of 40 or above)
  12. those who are pregnant