Shielding vulnerable patients from COVID-19. How GP practices should support shielded patients - updated. Guidance to ensure the right patients are identified as at high risk from developing complications from coronavirus (COVID-19). The guidance updates the original shielded patients list, which was published in the early days of the pandemic. NHS Digital’s website for information about the Shielded Patient List. Stay signed in. Updated guidance with changes that apply from 6 July 2020. 1300591000000101 - Low risk category for developing complication from coronavirus disease caused by severe acute respiratory syndrome coronavirus infection (finding), 1300571000000100 - Moderate risk category for developing complication from coronavirus disease caused by severe acute respiratory syndrome coronavirus infection (finding). • Annex 2 sets out key points about local lockdown measures and how they relate to shielding and protecting people who are considered clinically extremely vulnerable. By Kirsty Campbell 2,800 people who shielded earlier in the year have told us about their health, digital abilities and physical activity during that time. When submitting patients with Stage 5 CKD, the trust data lead should submit patients under disease category 6 “Academy of Medical Royal Colleges (AoMRC) categories”, along with supporting information to identify the qualifying condition – See section on “Mapping” below. 23 June 2020. Meanwhile, NHS England’s primary care lead apologised to GPs for NHS England’s handling of the shielded patient list amid criticism over tight deadlines and delays to the checking process. Series information: All releases. When sending a list of these patients to your trust’s named COVID-19 data lead(s), please ensure that you have included each patient’s NHS number, date of birth, postcode and consultant, with a request to add these patients to the SPL. Once deducted, the patient will no longer be included on the NHS Shielded Patient List. Wherever you no longer think a patient should be considered clinically extremely vulnerable, please have a conversation with them about their personal situation and, if they agree, they should be removed from the list. The government uses the term 'clinically extremely vulnerable' (CEV) to describe people in this group. If a patient is missing a shielding letter, please check that they are clinically extremely vulnerable and then issue a letter using the relevant letter template in the “how to flag patients as high risk” section below. maintaining the shielded patient list (SPL). We expect this letter to be published on Saturday 28 November on the GOV.UK website. • Annex 3 provides details on what this guidance means in relation to children You should identify patients who are at the highest risk from coronavirus (COVID-19), and make sure they are put on the shielded patients list (SPL). ... Based on this evidence, RCPCH has published updated guidance on which paediatric patient groups they think should be defined as clinically extremely vulnerable. We will calculate their risk as moderate or low nationally and update the GP record. Identifying vulnerable patient lists The NHS has produced a list of people at “high risk” of complications from COVID-19. Other NHS organisations, Government departments and local authorities. This should enable more informed decisions where a patient has had multiple points of contact with the NHS, and as appropriate, contact can be made with other organisations prior to a decision on the patient’s ongoing COVID-19 risk status. An updated Word template of the letter was made available to GPs via GP systems in September 2020. Timeline . Each … The guidance updates the original shielded patients list, which was published in the early days of the pandemic. Revised patient additions letter templates were made available to GPs via GP system suppliers in November 2020 for the following patient groups. Password . Important information – Scam calls . While shielding advice is currently paused, if it were to restart, we need to ensure we don’t ... For many children this may be their GP who may seek advice and guidance from us as paediatricians. Severe asthmatics are those who are frequently prescribed high dose steroid tablets. NHS hospitals about their own patients on the List The “high risk” list was defined as a subset of a wider group of people who may be “at risk”. This includes some children and young people. You can submit a live referral for an individual that needs support, or an NHS service that requires volunteers providing they meet the referring criteria, to NHS Volunteer Responders. The data is also captured monthly and so, less timely. For further information on the first two groups above please see the guidance earlier on this page. You should consider: Following a review of the evidence since the start of the pandemic about which people are more likely to become very unwell as a consequence of COVID-19 infection, the UK Chief Medical Officers have instructed that two new conditions be included in the “high risk” criteria: The national methodology has now been updated to identify patients with these conditions. Children on the shielded patient list should follow the same guidance as everybody else at protection level 0 or 1. For both SPL feeds your data team receive each week (where there are both adults and children in your care on the national list), the feeds will include core information including the source of the addition, patient details, practice details, CCG details and trust consultant codes. It is updated weekly with GP data. 254264002 - Partial trisomy 21 in Down syndrome (disorder) The national rule set uses clinical codes to identify patients, as described in the methodology, including those provided in national datasets such as the Hospital Episode Statistics (HES) dataset and GP flu extract data. You should regularly review those of your patients … 733194007 - Dementia co-occurrent and due to Down syndrome (disorder). Download a letter template for patients assessed as not being at high risk. The clinical criteria were identified by the UK Chief Medical Officers. 205616004 - Trisomy 21- mitotic nondisjunction mosaicism (disorder) Updated: College advises many children can come off shielded patient list By Jack Serle 2020-06-10T16:19:00 Many children on the shielded patient list can be told they no longer need to be isolated, according to new guidance for clinicians issued by the Royal College of Paediatric and Child Health. Published 6 … For the new condition “Adult patients with kidney impairment (Stage 5 Chronic Kidney Disease (CKD))”, patients should be mapped to category 6 “Any other AoMRC grouping” at this time, along with appropriate supporting summary information and codes to identify them as CKD stage 5: People who have had an organ transplant who remain on long term immune suppression therapy. New conditions added to shielded patient list ahead of England-wide lockdown. We have also provided details of our methodology so that the mapping to individual conditions and medicines can be seen. The SPL is used to provide current information, advice, guidance and to offer support across health and care to those who are at the highest risk. However, given the vulnerable nature of those on this list, we are asking your practice to take the following specific actions: 1. If unsure, please request advice from a specialist on whether the patient should be considered clinically extremely vulnerable, using an ‘advice and guidance’ approach where appropriate. You should notify your nominated COVID-19 trust lead who will follow the process below in 'How to submit data' to request relevant patients are added to the SPL with a high risk flag via a submission to NHS Digital. Send adult patients affected the Chronic Kidney Disease (stage 5) patient addition letter, informing them that they have been identified as clinically extremely vulnerable. Shielding vulnerable patients from COVID-19. See the list of conditions that mean people fall into this extremely vulnerable highest risk clinical group. related complications and, as a consequence, be placed on the Shielded Patient List (SPL). Guidance on coronavirus for people who have lymphoma: England; Guidance on coronavirus for people who have lymphoma: Northern Ireland, Scotland and Wales; COVID-19 vaccine information; Changes to … You should use a modern browser such as Edge, Chrome, Firefox, or Safari. We would recommend that you use Internet Explorer 11 and Java version 8 when using the transfer tool. The government uses the term 'clinically extremely vulnerable' (CEV) to describe people in this group. Shielded patient list physical activity survey 15th December 2020. Information on maintaining the Shielded Patient List can be found on the NHS Digital website. Specific advice applies to these groups, currently this Avoid places where you can't stay at least 2 metres from other people ('one metre zones'). Shielding is a public health measure announced at the start of the COVID-19 pandemic. This means that all pharmacies and dispensing doctors in England will again be required to ensure patients on the Shielded Patient List receive their medicines at home. Trusts should continue to identify any of those patients in their care who meet the criteria below, however the majority will now be captured nationally each week. Shielded patients list: guidance for General Practice Guidance to ensure the right patients are identified as at high risk from developing complications from coronavirus (COVID-19). You should identify patients who are at the highest risk from coronavirus (COVID-19), and make sure they are put on the shielded patients list (SPL). The NHS Shielded Patient List is provided directly to local authorities at county (Tier 1) and district (Tier 2) level as defined and agreed with the Ministry of Housing, Communities and Local Government (MHCLG) and associated Letter of Release. Your trust data team should be able to provide details of Covid-19 lead(s) for your trust. Guidance for people with lymphoma on the shielded patient list Some people are considered to be at high risk of severe illness from coronavirus (COVID-19). Some features on this site will not work. 1300561000000107 - High risk category for developing complication from coronavirus disease caused by severe acute respiratory syndrome coronavirus infection (finding). Your clinician or GP has added you to the Shielded Patient List because, based on their clinical judgement, they deem to you be at higher risk of serious illness if you catch the virus. This includes information about work, school and transport. It does not capture patients who receive care in a different country or are treated by a private hospital. 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