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The government and NHS England have extended shielding nationally until the 31st march 2021.

The following information is from the UK government.

As we learn more about covid-19, so too does our definition of who is clinically vulnerable evolve. With over 1 million more patients being sent shielding letters for the first time.

The clinically extremely vulnerable will get priority access to vaccination against covid-19 before the general population and in line with the priority ordering set by the Joint Committee on Vaccination and Immunisation (JCVI). Patients will be contacted again by NHS England with more information on when and how you will be invited to get the vaccine. You do not need to call your GP.

Patients are strongly advised to work from home. If you cannot work from home, then you should not attend work.

If you cannot make alternative arrangements, your employer may be able to furlough you under the Coronavirus Job Retention Scheme, which has been extended until the end of April 2021. You should have a conversation with your employer about whether this is possible.

People who are defined as clinically extremely vulnerable are thought to be at very high risk of serious illness from coronavirus. There are 3 ways you may be identified as clinically extremely vulnerable:

1.You have one or more of the conditions listed below.*

2.You have been identified through the COVID-19 Population Risk Assessment as potentially being at high risk of serious illness if you catch the virus.

3.Your clinician or GP has added you to the Shielded Patient List because, based on their clinical judgement, they deem you to be at high risk of serious illness if you catch the virus.

Even if clinically extremely vulnerable patients have had both doses of the vaccine, they are still recommended to follow this shielding advice until vaccine effectiveness has been formally assessed.

individuals on the SPL will receive updated advice by letter before 31 March.

 *List of conditions

•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
•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

For more information, please visit.


Shielding advice has been extended nationally until 31st march !


shielding advice has been extended nationally until 31st march !
the following info is from the recent nhse letter dated 16.02.2021
there is guidance and support available for individuals at high risk here to help them take extra precautions. 
the govt advice and support to shield is being extended nationally until 31 March
even if CEV individuals have had both doses of the vaccine, they are still recommended to follow this shielding advice until vaccine effectiveness has been formally assessed. 
individuals on the SPL will receive updated advice by letter before 31 March.
for more details:

Helping advice for shielding patients.

The Government has reintroduced shielding advice for Clinically Extremely Vulnerable (CEV) people across all areas of England from 5 January. Shielding advice is expected to be identical to that which was in place nationally from 5 November to 2 December, and which was already in place in areas under Tier 4 restrictions.

this advice does not alter if an individual has received the COVID-19 vaccination.


the Government will be writing to all CEV individuals in England to inform them of the advice and support available (including individuals already advised to shield as part of Tier 4 restrictions).

This letter will emphasise the importance of CEV individuals continuing to engage with the NHS, and confirm that they will be prioritised for the COVID-19 vaccination in advance of the general population (as per current JCVI guidance).

it is expected that government will also be sending text messages and emails to affected patients where the nhs holds the relevant contact information

for more details:

January 2021

If you have a health issue that isn’t urgent, advice is available on the NHS website or NHS app or you can speak to your local pharmacist. You can also use e-consult which is available through our practice website If you aren’t sure what to do, please contact the practice who can advise you on how to get the help you need.


Please continue to attend tests, vaccinations and screening when invited. is also available 24/7 for urgent health advice or by calling 111, and 999 is for emergencies.”   ‘

Covid Update December 2020 – Please click here for more information.

During December 2020, Covid infections have risen sharply in London and this has led to increased demand for hospital care.

  • Please be aware the 111 service is currently under extreme pressure in our area.
  • GP surgeries are open, except on weekends and bank holidays.
  • If you need non-covid medical help this weekend, please call us and you will be advised of the extended hours GP service for your area.
  • If you have COVID symptoms, please go to  or call 111In a medical emergency, you should dial 999 as usualThank you for supporting the NHS

Stay well this Winter

People are being urged to keep an extra special eye on themselves and the people they care for over the winter period so minor illnesses don’t become more serious.

People who are older or have long term conditions may be particularly vulnerable to winter bugs which could become serious and require hospital treatment. Getting help earlier may prevent this from happening.

To make sure winter bugs don’t become more serious:

  • Have your flu jab
  • If you start to feel ill, get help from your pharmacy straight away
  • Keep your home warm, at least 18 degrees
  • Make sure you take any medicines as directed
  • Get any repeat prescriptions filled in advance as many surgeries and pharmacies close over Christmas
  • Keep a supply of cold and flu remedies in the house so you don’t need to go out if the weather is bad
  • If you are prescribed antibiotics finish the course
  • Don’t go to A&E or call 999 unless it’s an emergency. If you are in any doubt, NHS 111 can help you get the right treatment

Further Information