Advice for clinically extremely vulnerable people
Page updated: Thursday 1 April 2021
Some people with cancer are more at risk of becoming seriously ill from coronavirus. The Government has produced guidance for these 'clinically extremely vulnerable' people. It is also for their family, friends and carers.
Clinically extremely vulnerable people include:
- people with cancer who are having chemotherapy
- people who are having radical radiotherapy for lung cancer. This includes people with bowel cancer whose cancer has spread to the lung
- people receiving immunotherapy treatments
- people receiving other targeted treatments which can affect their immune system
- other people who have also been classed as clinically extremely vulnerable, based on clinical judgement and an assessment of their needs by their doctors. Your GP or hospital healthcare team will tell you if they think you have a high risk of becoming seriously unwell from coronavirus
- people in England who have been identified by the latest risk assessment tool. Information about the latest research is below under advice for people in England.
Shielded Patient List
If you are clinically extremely vulnerable, you'll be added to the Shielded Patient List. This means that you're advised to take extra precautions to protect yourself and that you're prioritised to receive the COVID-19 vaccine.
If you aren't on the Shielded Patient List, but think there are good clinical reasons why you should be or if you're not sure, speak to your GP or healthcare team.
The Government continues to maintain the Shielded Patient List and will write to you separately to let you know when there are changes to government guidance. If you're clinically extremely vulnerable and don't have an appointment to receive the vaccine, you can book an appointment over the phone or online. Details on how to book an appointment can be found on the NHS website. Find more information about the coronavirus vaccine on our website.
For full guidance, please refer to the government website.
If you develop symptoms of coronavirus
If you think you have developed symptoms of COVID-19 such as a new, continuous cough or fever, seek clinical advice using the NHS 111 online coronavirus service or call NHS 111. Do this as soon as you get symptoms.
If you experience sweats, coughing or shivering and you're receiving cancer treatment you should first contact:
- your chemotherapy care line. If the chemotherapy care line is not available in your area, speak to your clinical team about who you should call in this situation
- the Acute Oncology Service at your hospital.
In an emergency, call 999 if you're seriously ill. Do this as soon as you get symptoms.
Do not visit the GP, pharmacy, urgent care centre or a hospital.
Prepare a single hospital bag. This will help the NHS provide you with the best care if you need to go to hospital as a result of catching coronavirus. Your bag should include:
- your emergency contact
- a list of the medications you take (including dose and frequency)
- any information on your planned care appointments
- things you would need for an overnight stay (for example, medication, pyjamas, toothbrush and snacks)
your advanced care plan (only if you have one)
Government guidance for clinically extremely vulnerable people
We understand that the restrictions imposed are difficult, both for you and for your family members and/or carers. This is the safest thing to do to protect you from illness or complications of COVID-19. However, this is guidance and whether you follow the guidance or not is a personal decision for you to make. You may decide, having weighed up the risks and the implications of shielding, that you don't want to follow the guidance.
You may also choose to remain in your own home at all times if you don't feel comfortable with any form of contact with others.
Before deciding, you may find it helpful to speak to your GP or hospital specialist and those who may provide care for you. This may be particularly relevant for patients who are receiving end of life care. Please do talk to somebody before you decide what to do.
If you're unsure of your risk and what measures you should be taking, you should speak with your hospital specialist. If this isn't possible, you should contact your GP.
There is separate guidance for people in England, Scotland, Wales and Northern Ireland. This guidance is subject to change. Please check the government websites in the first instance. We've reviewed government advice and put together the information pages below.
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