Advice for Clinically Extremely Vulnerable (CEV) people

This page contains advice and support for those who have been identified as Clinically Extremely Vulnerable to Coronavirus

Shielding advice was paused on 1 April 2021. If you require additional care and support to help you stay safe and well, there is further advice below.

As restrictions have been eased following the move to Step 4 of the roadmap, we are advising clinically extremely vulnerable people, as a minimum, to follow the same guidance as everyone else. It is important that everyone adheres to this guidance.

However, as someone who is at a higher risk of becoming seriously ill if you were to catch COVID-19, you may wish to think particularly carefully about additional precautions you might wish to continue to take. Individuals may choose to limit the close contact they have with those they do not usually meet with in order to reduce the risk of catching or spreading COVID-19, particularly if they are clinically extremely vulnerable and if COVID-19 disease levels in the general community are high. It is important to respect and be considerate of those who may wish to take a more cautious approach as restrictions are lifted.

Clinically Extremely Vulnerable Guidance FAQ's 


Who is Clinically Extremely Vulnerable?

Anybody who is defined as 'clinically extremely vulnerable' and at very high risk of severe illness from coronavirus. There are 2 ways you may be identified as clinically extremely vulnerable:

  1. You have one or more of conditions listed below, or
  2. Your clinician or GP has added you to the Shielded Patient List because you may be at higher risk of serious illness if you catch the virus.

If you do not fall into any of these categories and have not been contacted to inform you that you are on the Shielded Patient List, follow the national restriction guidance for the rest of the population.

If you think there are good clinical reasons why you should be added to the Shielded Patient List, discuss your concerns with your GP or hospital clinician. People with the following conditions are automatically deemed clinically extremely vulnerable:

  • 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 the 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

What is the current guidance for clinically extremely vulnerable people?

The Government is advising that Clinically Extremely Vulnerable people no longer need to shield.

The Government has outlined its roadmap out of the lockdown, with a gradual easing of restrictions over the next few months that will apply to everyone. In addition, the vaccination programme continues to be rolled out to everyone, with prioritisations based on the advice from the Joint Committee on Vaccination and Immunisation (JCVI). This will help pave the way for restrictions to be safely lifted.

Although the advice to shield has ended, clinically extremely vulnerable people should follow the guidance that is place for everyone.

The Government are also advising clinically extremely vulnerable people to continue to take extra precautions to protect themselves. You are advised to follow the practical steps described below to minimise your risk of exposure to the virus.

You can read advice for clinically extremely vulnerable people on the government's website.

Can I still access NHS service / social care services?

Yes. You will continue to receive the care and support you need to ensure you stay safe and well. You can continue to seek support from the NHS for any health conditions. You can access a range of NHS services from home, including ordering repeat prescriptions or contacting your health professional through an online consultation. Any carers or visitors who support you with your everyday needs can continue to visit. They should follow social distancing guidance where close or personal contact is not required.

When will I get my vaccination against COVID-19?

Clinically extremely vulnerable adults will get priority access to vaccination against COVID-19, in line with the priority ordering set by the Joint Committee on Vaccination and Immunisation (JCVI). You will be contacted again by the NHS with more information on when and how you will be invited to get the vaccine. Your local NHS will ensure that you can receive the vaccine as safely as possible, as well as any care and support needed. 

Further information, advice and FAQ's regarding the Covid-19 Vaccination can be found via the Doncaster CCG Website .

Clinically Extremely Vulnerable Helpline:

Alongside our partners, we’re committed to supporting all of the residents of Doncaster, particularly those identified as clinically extremely vulnerable to ensure no-one is disadvantaged through the pandemic. 

We know these are difficult times, so if you feel like you need a little extra support but have no one around to help then please get in touch with us! 

You can call our helpline Monday to Friday between 8.30am – 5pm on 01302 430300 

Outside of these hours there will be a limited service for emergency situations only. 


NHS Volunteer Responders (National):

NHS Volunteer Responders are able to help anyone who lives in England and needs to self-isolate, for example those that are clinically vulnerable or those who have been contacted by Test and Trace. They can also help people who choose to stay at home as much as possible because they are cautious about going out during the coronavirus outbreak.

NHS Volunteer Responders services include:

  • Community Response Volunteers to help with shopping for food, essential items, and to collect and deliver prescriptions from the pharmacy.
  • Check In and Chat Volunteers available for regular talks over the phone, where you can have a chat with a friendly voice.
  • Check In and Chat Plus Volunteers is a phone service provided by volunteers who are self-isolating, offering a friendly voice to those who are also self-isolating.
  • Patient Transport is available but will need to be requested by a professional referrer such as your GP or other medical practitioner.

To arrange support for yourself or someone you know call 0808 196 3646 (8am to 8pm, 7 days a week).

Social Isolation and Loneliness Alliance Helpline:

The Social Isolation and Loneliness Alliance (SIA) is a collaboration of partners from the public, voluntary, community and faith sectors who are committed to reducing social isolation and loneliness in Doncaster. 

Through our range of partners, the SIA can offer access to:

  • Support packages to combat poor mental and physical health and well-being.

  • Be-friending sessions online and face to face.

  • Substance misuse advice and rehabilitation programmes.

  • Social welfare advice, and support.

  • A range of engaging physical activity, social, recreational, cultural, and creative programmes.

  • Local foodbanks to tackle food poverty.

  • Social prescribing programmes.

  • Community-led and peer support programmes.

  • Volunteering opportunities.

  • Access to other agencies to support complex needs. 

Anyone who needs help or advice or has no other support can ring the SIA Helpline seven days a week Monday to Friday from 8am to 8pm and Saturday and Sunday 8am to 6pm. 

HELPLINE NUMBER: 01302 430322

Five Ways to Wellbeing

It’s really important that during these challenging times caused by the coronavirus that we pay close attention to our own wellbeing, and the wellbeing of those around us. The Five Ways to Wellbeing page is full of helpful ideas and links to resources that can support you to look after yourself and your loved ones. 

Citizens Advice Bureau:

The Citizens Advice Bureau has lots of advice and an advice line that can be rung for aid with financial support.

National Advice and Helpline: 0800 144 8848

CAB Doncaster Borough: 01709 572 400, Adviceline 0344 499 4137

If you are looking for further community support you can find it via our Local Support page.

Further general advice for those identified as Clinically Extremely Vulnerable can be found on the Government's website - Guidance on shielding and protecting people who are Clinically Extremely Vulnerable 


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Last updated: 20 July 2021 10:41:03