To ask the Scottish Government whether it will provide urgent clarification on the shielding procedures for people who are deemed vulnerable to COVID-19 but not classified as "at risk".
The term shielding is applied to those who fall in to the highest clinical risk group. The Scottish Government has published an explanation of who is in the highest clinical risk group here.
Following the shielding advice involves strict social isolation with no contact from the outside world beyond that absolutely necessary, for a period of at least 12 weeks; a move which will significantly impact quality of life, increase social isolation, and would not be without its own attendant physical and mental health risks. For this reason, the four Chief Medical Officers in the UK have advised that it is only those at the highest clinical risk who should undertake shielding. Details of these measures are available on NHS Inform .
Letters have been issued to all those who have been identified because of their underlying health condition through central NHS databases, prescribing data or through GP and hospital clinicians. These individuals have been issued with a letter from the Chief Medical Officer recommending that they strictly follow shielding measures. This is an ongoing identification process as people are newly diagnosed. The Chief Medical Officer has written to GPs and hospital clinicians explaining the process in more detail and asking for their help to ensure the right people receive a letter.
GPs and hospital clinicians are also being asked to identify individuals they feel should be in the highest clinical risk group but do not have one of the conditions identified. These individuals will then receive a letter with shielding advice and access to support services. It is important that the decision to add someone to the highest risk group is led by the clinicians who know the individual’s medical history.
If someone thinks they are in the highest risk group but have not received a letter then they should firstly check the information on NHS Inform about the conditions that require shielding, and if they think they do have one of these conditions, then they should contact their GP or clinician to discuss this.
Following the physical distancing guidance is the best course of action for the vast majority of people, including those who are at increased risk because of underlying health conditions.
People considered at increased risk are people over 70 years old, people who are pregnant and those with underlying conditions listed below (ie anyone instructed to get a flu jab as an adult each year on medical grounds):
- chronic (long-term) 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), a learning disability or cerebral palsy
- diabetes
- problems with your spleen – for example, sickle cell disease
- a weakened immune system as the result of conditions such as HIV and AIDS, or medicines such as steroid tablets or chemotherapy
- being seriously overweight (a BMI of 40 or above)
The Scottish Government has published a range of guidance documents aimed at many in this group. These documents provide advice on how to manage their conditions and keep themselves healthy while following social distancing measures. This guidance can be found here .
A new national helpline has now been set up to provide essential assistance to those who do not have a network of support but who are in the ‘ increased risk’ group.
The service offers help to those who do not have family or existing community support and cannot get online and who are over 70, disabled, require the support of mental health services, are pregnant or receive a flu jab for health reasons.
The helpline – 0800 111 4000 – will initially operate during core working hours of 09:00 to 17:00 while plans are developed and implemented to extend it to operate for a longer period each day.
Callers will be automatically connected to their local authority who will support them to access the service they need, such as:
• essential food and medication
• links to local social work services for vulnerable children or adults
• emotional support
• contact with local volunteer groups.
This service is in addition to localised support already available for people who have received letters advising them to shield themselves.
NHS Inform and the Scottish Government website will be updated with information on the support available.