Vulnerable Patients

The government recently sent out letters to those who have clinical conditions which are likely to put them at the highest risk of mortality and severe mobidity from COVID-19. This group were advised that they should undergo strict social isolation for at least 12 weeks and include the following people:

  • Solid organ transplant recipients
  • People with specific cancers
  • People with severe respiratory conditions including all cystic fibrosis, severe asthma and severe COPD
  • People with rare diseases and inborn errors of metabolism that significantly increase the risk of infection such as (SCID, homozygous sickle cell disease)
  • People on immunosuppression therapies sufficient to significantly increase risk of infection
  • People who are pregnant with significant hear disease, congential or acquired

The following who were not written to individually have also been asked to take steps to reduce their social interactions in order to reduce the transmission of Coronavirus:

  • Aged 70 or older (regardless of medical conditions)
  • Under 70 with underlying health condition e.g. anyone who is instructed to get the 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 diseases, such as heart faliure
  • Chonic kidney disease
  • Chronic liver disease, such as hepatitis
  • Chronic neurological conditions, such as Parkinson's disease, motor neurone disease, multiple sclerosis (MS), learning disability or cerebral palsy
  • Diabetes
  • Problems with your spleen - for example, sickle cell disease or if you had your spleen removed
  • Weakened immune system as the result of conditions such as HIV and AIDS or medicines such as steroid tablets or chemotherapy
  • Being seriously overweight (BMI of 40 or above)
  • Those who are pregnant

A subset of this group have clinical conditions which are also likley to put them at the highest risk of mortality and severe morbidity from COVID-19. We are starting to help the government identify these patients, but if you feel you have a medical condition that makes you vulnerable to COVID-19 then please register yourself, or ask someone to do it for you at and say whether or not you need support.

Please find below a link to the government guidance. This guidance covers the whole of the UK population and not just those who have been sent a letter.

Local support can also be accessed by phoning the Bexley Coronavirus helpline on 020 3045 5398 which is open from 8:00am to 18:00pm. Contact them if you need someone to get shopping, pick up other essentials or give you information, guidance and advice.

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