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Clinically Extremely Vulnerable - shielding guidance

Coronavirus (COVID-19) information

Clinically Extremely Vulnerable (CEV) people must stay at home and only go out for medical appointments and to exercise where it is safe to do so.

If you cannot work from home then you must not attend work. A letter from the Government will be issued to all CEV people in England shortly.

To access support please make sure that you have registered on the National Shielding Support Service website (you will need your NHS number which will be included on your letter from the Government). You will be able to check that your details are up-to-date. You can also use this service to access priority supermarket delivery slots, and to request a support call from the Council.

You can still receive informal care at home from friends and family from your support bubble.

Support and advice can also be found on Live Well Cheshire West.

If you are currently receiving care from medical professionals or social care, this can continue.

Those shielding are also advised to avoid pharmacies. If there is nobody who can pick up prescriptions for you, contact your pharmacy to inform them that you are clinically extremely vulnerable and need your medicines delivered, and they will arrange this free of charge.

The Government's letter can be used as evidence with employers to show that a person cannot work outside their home from the period of 5 January 2021 until the end of lockdown is announced, including for statutory sick pay (SSP) purposes. You may also be eligible for the Coronavirus Job Retention Scheme (furlough).

There is support available for disability-related extra costs for working at home, which an employer may not be able to provide. You can apply for Access to Work to support adjustments to help with homeworking.

The latest advice is that shielding will apply until 21 February 2021.

You are automatically deemed Clinically Extremely Vulnerable if you fall into the following:

  • 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 six 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
  • 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.

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, but think there are good clinical reasons why you should be added to the Shielded Patient List, please contact your GP or hospital clinician in the first instance.

If you have difficulty registering please contact our helpline:

0300 123 7031

  • Monday to Friday: 8am until 7pm
  • Saturday: 9am until 12.30pm

You can also email us:

Email: enquiries@cheshirewestandchester.gov.uk

The NHS Cheshire CCG website has information about the COVID-19 vaccination programme:

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