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Who is clinically extremely vulnerable?
Expert doctors in England have identified specific medical conditions that, based on what we know about the virus so far, place someone at greatest risk of severe illness from COVID-19.
Clinically extremely vulnerable people may include the following people. Disease severity, history or treatment levels will also affect who is in the group.
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 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
People with severe respiratory conditions including all cystic fibrosis, severe asthma and severe chronic obstructive pulmonary (COPD).
People with rare diseases that significantly increase the risk of infections (such as SCID, homozygous sickle cell).
People on immunosuppression therapies sufficient to significantly increase risk of infection.
Women who are pregnant with significant heart disease, congenital or acquired
Clinically extremely vulnerable are to rigorously follow shielding measures in order to keep themselves safe and should not attend work.
Those living with clinically extremely vulnerable people should work from home where possible.
Where home working is not possible and following risk-assessment, they should be offered the safest available on-site roles, staying two metres away from others wherever possible, although the individual may choose to take on a role that does not allow for this distance if they prefer to do so.
If they have to spend time within 2 metres of other people, settings must carefully assess and discuss with them whether this involves an acceptable level of risk.
From 6 July, those identified as clinically extremely vulnerable (CEV) may wish to spend time outdoors in a group of up to 6 people they do not live with, while maintaining social distancing. They will no longer need to observe social distancing with other members of their household and may also create a ‘support bubble’ with one other household, following the same rules that apply to the public now. This includes being able to bubble with another shielding household where one is a single adult.
And from 1 August, the guidance given to the CEV group will be in line with the advice currently given to the clinically vulnerable group. This means is that the CEV group will no longer be advised to shield.
Once people are no longer advised to shield, the national support offer will also come to an end (on 31 July).
The Government expects employers to be understanding during the transition for their Clinically Extremely Vulnerable employees. The Department for Education will be reviewing its guidance, so it is clear what these changes mean for school staff and pupils.
For anyone concerned about returning to work once the guidance has eased, we recommend they speak with their employer and understand their specific policies around health and safety and workplace attendance, especially in relation to COVID-19. Risk Assessments should be modified to take into account the additional risks and measure to address this.
If you feel your employer is not taking any steps to manage your return safely, then please contact our duty officer on 01332 372337.
Who is clinically vulnerable?
If you have any of the following health conditions, you are clinically vulnerable, meaning you are at higher risk of severe illness from coronavirus. You should take particular care to minimise contact with others outside your household.
Clinically vulnerable people are those who are:
- aged 70 or older (regardless of medical conditions)
- under 70 with an underlying health condition listed below (that is, anyone instructed to get a flu jab as an adult each year on medical grounds):
- chronic (long-term) mild to moderate respiratory diseases, such as asthma, chronic obstructive pulmonary disease (COPD), emphysema or bronchitis
- chronic heart disease, such as heart failure
- chronic kidney disease
- chronic liver disease, such as hepatitis
- chronic neurological conditions, such as Parkinson’s disease, motor neurone disease, multiple sclerosis (MS), or cerebral palsy
- a weakened immune system as the result of conditions such as HIV and AIDS, or medicines such as steroid tablets
- being seriously overweight (a body mass index (BMI) of 40 or above)
- pregnant women
Where possible clinically vulnerable people should work from home.
If individuals cannot work from home, following an individual risk- assessment, they should be offered the safest available on-site roles, which ensures they will remain two metres away from others wherever possible, although the individual may choose to take on a role that does not allow for this distance if they prefer to do so.
If they have to spend time within two metres of other people, settings must carefully assess and discuss with them whether this involves an acceptable level of risk. A risk assessment should be completed.
Those living with clinically vulnerable people are expected to attend school are normal.
For so many reasons, we are living through a very difficult time. Voice cares deeply about your health and wellbeing and this includes your mental health. If you think you require any help and support, then please access help from one of the services below - they are all free to access.
- Call 116 123 to talk to Samaritans, or email: email@example.com for a reply within 24 hours
- Text "SHOUT" to 85258 to contact the Shout Crisis Text Line, or text "YM" if you're under 19
- St Johns Ambulance Wellbeing Self-Assessment Tool
- Education Support
- NHS Helplines
- Mind Voice
- Information Sheet on Work Related Stress (members only)
- A discussion about guarding mental health can be found here
Symptoms of Covid-19
Do not leave home if you or someone you live with has any of the following:
- a high temperature (37.8ºC or higher)
- a new, continuous cough
- a loss of, or change to, your sense of smell or taste
Where symptoms develop:
- if you live alone and you have symptoms of coronavirus illness (COVID-19), however mild, stay at home for 7 days from when your symptoms started.
- if you live with others and you or one of them have symptoms of coronavirus, then all household members must stay at home and not leave the house for 14 days. The 14-day period starts from the day when the first person in the house became ill.
Government advice is changing frequently. Please check the advice on what to do by clicking here.
If you have to self-isolate, inform your employer immediately.
If you then develop symptoms, ensure that your employer knows this and book a time to be tested. If you test positive, you will be notified by text, email or phone and asked to log on to the NHS Test and Trace website. You will then be asked for some personal information to assist in the tracing of people you may have come into contact with.
Where self-isolation means buying deliveries (takeaway food, online deliveries, etc.) it is important that wherever possible you avoid direct contact with the person making the delivery – arrange for deliveries to be left on doorsteps or outside the room.
What if I am contacted by the Tracers?
If you are considered to be at risk of infection, you will be told to stay home for 14 days. This will still apply, even if you have no symptoms so that you don’t unwittingly spread the virus. The people you live with will not have to isolate with you unless they develop symptoms.
Will I still be paid if I am not required to work?
You should still be paid as per your contract and absence policy. This will be different across the wider workforce so please check your contract. If your contract has a temporary termination clause, this could be enacted. You may also be asked to work reduced hours and may only be paid for the hours you work.
The government has said that if you are asked to self-isolate, without symptoms, by the NHS Track and Trace team, you are, as a minimum, eligible for Statutory Sick Pay (SSP) at £95.85 per week. In a televised interview on Thursday 28 May, the Health Secretary, Matt Hancock, said "If you are instructed by the NHS, for public health reasons, to stay at home then that is the equivalent in employment law to being ill and it is very important that employers are flexible about this." If you have any questions, then please call our membership line on 01332 378 008.