If you are on the shielding list, you should follow the same advice as everyone else in your protection level. For further information on the first two groups above please see the guidance earlier on this page. The government uses the term 'clinically extremely vulnerable' (CEV) to describe people in this group. As a result, NHS Digital no longer supports any version of Internet Explorer for our web-based products, as it involves considerable extra effort and expense, which cannot be justified from public funds. Care homes are following the separate guidance for care home settings. We will calculate their risk as moderate or low nationally and update the GP record. Stay signed in. 724644005 - Myeloid leukemia co-occurrent with Down syndrome (disorder) This article has been updated to include guidance from the latest operating procedure. Medications on the following list •Topical skin treatments (creams, • Hydroxychloroquine Acitretin Alitretinoin • … GPs can provide some care for shielded patients in clinical settings, NHS England confirms. Revised patient additions letter templates were made available to GPs via GP system suppliers in November 2020 for the following patient groups. Guidance on using shielding on patients for diagnostic radiology applications 8 Chapter 2 General requirements for patient contact shielding 2.1 Radiation safety culture In the UK, the exposure of patients is governed by the Ionising Radiation (Medical Exposure) Regulations,1,2 IR(ME)R. Public Health England has published guidance on shielding and protecting people who are clinically extremely vulnerable from Covid-19 . View the full set of data items and supporting information for the adults feed. This weekly list includes patients where their risk of complications from COVID-19 has changed either as a result of being added to the list because they meet one or more of the CMO criteria, or because a GP has added or removed a patient from the list following an assessment of their health. It includes people affected by lymphoma. Covid-19 shielding guidance for children and young people. 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. NO LONGER IN USE: Updated version of original letter sent to patients, advising them of their need to follow Public Health England’s guidance on shielding – updated May 2020 Document Caring for people at highest clinical risk from COVID-19: Updated 31 May 2020 We would recommend that you use Internet Explorer 11 and Java version 8 when using the transfer tool. Ensure trust data leads add your patients to the SPL. View the full set of data items and supporting information for the children and young people feed. 724643004 - Transient abnormal myelopoiesis co-occurrent with Down syndrome (disorder) You'll have to add the link to the website in your 'Compatibility View Settings'. Adult patients with kidney impairment (Stage 5 Chronic Kidney Disease - CKD), Mapping between the CMO criteria and the submission spreadsheet, Royal College of Paediatrics and Child Health, Chronic Kidney Disease (stage 5) patient addition letter, Updated high risk patient additions letter, letter template for patients assessed as not being at high risk, the methodology used to identify patients who should be shielded, full set of data items and supporting information for the adults feed, full set of data items and supporting information for the children and young people feed, guidance on shielding and protecting people who are clinically extremely vulnerable from Covid-19, children who are extremely clinically vulnerable, list of conditions that mean people fall into this extremely vulnerable highest risk clinical group, 4. 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. Advice for people on the shielded patient list at COVID-19 protection level 2: Limit the number of people or households you meet. by Fionnuala O'Donnell (Photo: Ergin Yalcin/Getty Images) Sign in to continue. The medicines data collected centrally similarly runs several months behind and only collects medicines dispensed in community pharmacies, not any issued form hospitals. We are asking hospitals to identify patients who are at the highest risk from coronavirus (COVID-19), and submit their details to us, so that they can be added to the shielded patients list (SPL). The “high risk” list was defined as a subset of a wider group of people who may be “at risk”. Your trust data team should be able to provide details of Covid-19 lead(s) for your trust. NHS.UK – provides patient-facing information on health services and medical conditions. ‘In some cases, clinicians have advised that a patient no longer needs to shield themselves from coronavirus. 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. If there is a single point of contact for paediatric advice in your area this is likely to be the best route for specialist advice in the first instance. The measures are tailored towards supporting people with the highest risk of severe illness from the virus, as identified by the UK’s Chief Medical Officers. Trouble signing in? • Well-controlled patients with minimal disease activity and no co-morbidities5 on single agent standard oral immunosuppressant1 plus hydroxychloroquine or sulfasalazine. Letters may start arriving with patients from Saturday 28 November, and throughout the next week (w/c 30 November). Published 6 … For the latest guidance please visit the following sources: GOV.UK – for the latest updates on shielding guidance from Public Health England, as well as information on the Government support offer for those on the Shielded Patients List (SPL). This is not the latest release in the series: Shielded Patient List in Wales during the coronavirus (COVID-19) pandemic. As we move toward the autumn we will seek to refine the way we assess personal risk with the use of a tool currently in development on a four nations basis. Trusts and renal units have been asked to identify and contact adult patients with stage 5 Chronic Kidney Disease (in addition to those that clinicians should already be identifying as “high risk” who are on dialysis or with a renal transplant). Shielded Patient List in Wales during the coronavirus (COVID-19) pandemic: as at 15 June 2020. These lists are provided to hospital COVID-19 leads who have been nominated by each hospital. Identifying patients as at high risk from coronavirus enables appropriate advice and guidance to be provided to those patients in the event of a local, regional or national coronavirus outbreak. We can only accept one submission from each trust per day. Most children originally on the shielded patient list can still attend school, according to the guidance. All other asplenic patients may be considered to be lower risk (‘clinically vulnerable’ instead of ‘clinically extremely vulnerable’) but should follow national guidance concerning social distancing measures. Guidance for mental health providers The Shielding Patient List (SPL) is available to mental health providers. Guidance to ensure the right patients are identified as at high risk from developing complications from coronavirus (COVID-19). Those at the highest risk were advised not to leave the house at all for 12 weeks. All error messages will be flagged in column N of the collection tool. If you are an approved referrer and would like to make a referral over the telephone, please call the NHS Volunteer Responders Support Team: 0808 196 3382. Identifying vulnerable patient lists The NHS has produced a list of people at “high risk” of complications from COVID-19. Download the Chronic Kidney Disease (stage 5) high risk patient letter template. If you want to nominate another contact, it must be someone who is already registered to submit for one of the COVID-19 related data collections. New guidance and local support is being implemented to help shield around 200,000 of the most at-risk Scots from coronavirus (COVID-19). Review of … The lists are distributed via our Secure Electronic File Transfer (SEFT) system. The letter provides advice and guidance on what it means to be at high risk, information relating to the support available, going to work, accessing NHS services and mental health support, as well as guidance on avoiding areas identified as being in a local lockdown. View full details of the methodology used to identify patients who should be shielded including a list of relevant ICD-10 codes. Shielded patients list – latest guidance Important information – Scam calls We have been made aware of scam calls where shielding letters, testing or track and trace for COVID-19 are being used as a way of getting personal information.Before you give away any personal information, verify who you are talking to or talk to someone you trust. vulnerable to coronavirus: access to the shielded patient list data The needs of patients who followed shielding advice up to 1 August may have been exacerbated by the associated reduction in social support and contact. 709469005 - Periodontitis co-occurrent with Down syndrome (disorder) The “high risk” list was defined as a subset of a wider group of people who may be “at risk”. You do not need to write to your patients if they are identified nationally or by hospitals. The government is planning to communicate this updated guidance with all c.2.3m people on the Shielded Patient List (SPL) via letter. The information also flows back to general practice, hospital Trusts and prison health, by marking the record with a high risk of complications flag. Shielded Patient List (SPL). The guidance for the clinically extremely vulnerable group remains advisory. The rule set has been designed to be as inclusive as possible to ensure that all patients are informed. New conditions added to shielded patient list ahead of England-wide lockdown. Some of this advice may not be suitable for you. 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. You should opt-in to this offer by Wednesday 11 November by either: Shielding update: letter to patients, 22 June 2020 - … 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. Once deducted, the patient will no longer be included on the NHS Shielded Patient List. Download a letter template for patients assessed as not being at high risk. 41040004 - Complete trisomy 21 syndrome (disorder) Guidance for people with lymphoma on the shielded patient list. The list will be available for download via SEFT to those individuals nominated to manage COVID-19 data within your Trust. It comes as the deadline for GPs to review the list of patients who have self-identified as requiring shielding was this week extended to the 28 April. The information flows to Cabinet Office to allow them to run the shielded patient service which will provide further support for local and regional lockdowns. shielded patient lists are kept up to date in line with current clinical advice. The CMO sent a letter on 21 March asking practices to identify additional patients who may be known as being at highest clinical risk. Trust renal units have already been asked to identify on an ongoing basis, those of their patients receiving dialysis as at high risk, to notify such patients and to submit these patients as high risk to NHS Digital for inclusion on the SPL. During week commencing 4 May 2020, risk flags were added to those patient records identified on the national shielded patients list. If you decide a patient should no longer be included on the Shielded Patient List, you can request that they are deducted. 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. However, despite this, the list now stands at 2.16 million patients – nearly 700,000 more people than NHS England had initially estimated. Updated guidance on shielded patients - a checklist for practices Medeconomics highlights new guidance for practices on shielded patients and provides a suggested checklist … 733194007 - Dementia co-occurrent and due to Down syndrome (disorder). The letter provides advice and guidance on what it means to be at high risk, information relating to the support available, going to work, accessing NHS services and mental health support, as well as guidance on avoiding areas identified as being in a local lockdown. 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. related complications and, as a consequence, be placed on the Shielded Patient List (SPL). Shielded patients list – latest guidance. 3. We recommend that both of these letters are provided to the patient. Specialists have been asked to prioritise supporting GPs with these decisions. Hospital trusts should now review those patients within their care. This includes information about work, school and transport. Children and Young people . Patients can use the service for themselves or for someone else. The guidance updates the original shielded patients list, which was published in the early days of the pandemic. Two updated Word templates for patient additions were sent to Trusts in November 2020 and can also be downloaded below: The CKD template should be used for all those patients identified in this category as per the specific guidance on the condition above. The shielded patient list comprises patients identified using national administrative datasets and patients identified by hospitals or general practice and flagged as high risk. If you are aware of a systematic issue regarding the rule set please email: splquery@nhs.net and this will be investigated. NHS Digital’s website for information about the Shielded Patient List. This list should be reviewed each week. The data must be submitted by a named contact in the trust. vulnerable to coronavirus: access to the shielded patient list data The needs of patients who followed shielding advice up to 1 August may have been exacerbated by the associated reduction in social support and contact. In addition to Trust submissions, NHS Digital distribute a weekly list of shielding patients who are receiving care in your Trust. The guidance updates the original shielded patients list, which was published in the early days of the pandemic. If you have any other questions about the shielded patients list, identifying high risk patients or submitting data, contact us at splquery@nhs.net. We’ve heard stories of, for example a 93-year-old woman with comorbidity, very frail. If a practice wishes to add an adult patient with Stage 5 CKD directly to the high risk category in lieu of their renal unit, please follow the guidance below on adding a patient to the high risk category, ensuring you discuss this with the patient, and use the template letter provided explicitly for those patients with kidney impairment. However, given the vulnerable nature of those on this list, we are asking your practice to take the following specific actions: 1. The lists can change each week so it's important to review these files and consider the impact on individual patients in your care. For the latest guidance please visit the following sources: GOV.UK – for the latest updates on shielding guidance from Public Health England, as well as information on the Government support offer for those on the Shielded Patients List (SPL). Updated guidance on shielded patients - a checklist for practices. Contact your specialist care team to discuss if this advice is right for you. You should flag any patients you identify as high risk by adding the SNOMED CT code to their patient record. Data is extracted from GP systems and passed to the Cabinet Office and Local Authorities on a weekly basis. New conditions added to shielded patient list ahead of England-wide lockdown. 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. As outlined above, patients with Stage 5 CKD are now also to be included as at high risk of complications from COVID-19. maintaining the shielded patient list (SPL). Your nominated COVID-19 trust lead should follow the process below in “How to submit data” to request patients are removed from the SPL via a submission to NHS Digital. 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. Ensure this process is ongoing, with patients added and removed from the list in accordance with the definition above. acute kidney injury, acute on chronic kidney disease), The patient's NHS number, date of birth, postcode and consultant, A request to remove the patient from the SPL, 4 - rare genetic, metabolic and autoimmune, 5 - women who are pregnant with significant heart disease, congenital or acquired, 6 - Academy of Medical Royal Colleges (AoMRC) categories – patients identified by Medical Royal College guidance that does not fit into 1 – 5, supporting summary (max 255 char) including supporting ICD-10/OPCS codes, with cancer who are undergoing active chemotherapy or radical radiotherapy for lung cancer, with cancers of the blood or bone marrow such as leukaemia, lymphoma or myeloma who are at any stage of treatment, having immunotherapy or other continuing antibody treatments for cancer, having other targeted cancer treatments which can affect the immune system, such as protein kinase inhibitors or PARP inhibitors, who have had bone marrow or stem cell transplants in the last 6 months, or who are still taking immunosuppression drugs, for patients identified by the national CMO ruleset, we include the disease group and disease code that resulted in the patient’s addition to the SPL, information to identify the organisation and consultant where a patient had an inpatient stay and diagnosis that resulted in their addition to the SPL, information on organisations that added a patient to the SPL directly, information on recent (within 2020-2021) outpatient appointments that a patient has attended. ... Based on this evidence, RCPCH has published updated guidance on which paediatric patient groups they think should be defined as clinically extremely vulnerable. Some features on this site will not work. • 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. Updated guidance with changes that apply from 6 July 2020. Hospital Episode Statistics (HES) data uses clinical classifications which are broader than clinical terminologies, for example, READ or SNOMED CT. If you have difficulty installing or accessing a different browser, contact your IT support team. Medeconomics highlights new guidance for practices on shielded patients and provides a suggested checklist of actions to look at in your practice. NHS Medical Directors and NHS Nursing Directors were asked from April 2020 to: Clinicians may have received additional communications from their Royal Colleges or Specialist Societies articulating the same process. You should use a modern browser such as Edge, Chrome, Firefox, or Safari. GP data uses terminologies which are more specific (READ or SNOMED CT) but it is reliant upon the application and interpretation of the clinical codes used. This includes: GP practices about their own patients on the List. You would think that she'd be on the high-risk list, but she isn't at the moment, and she would like to be, or her family would like her to be so that she gets access, in particular, to the social care. This list is referred to as the Shielded Patient List (SPL). They are sharing relevant information from the Shielded Patient List with organisations who have responsibilities for providing care and support to the patients on the List. You should write to your patients if you have identified them as at high risk of complications from coronavirus (COVID-19). Share & comment. You should also write to patients who you have previously been on the Shielded Patient List and now are assessed as being at low or moderate risk. GPs have been asked to review the risk status for all children and young people (under 18 years old) on their practice list currently flagged as “high risk” of complications from COVID-19 (SNOMED code “1300561000000107”) and where appropriate, amend their shielding flag to “moderate” or “low” as per the guidance below. service specifications and guidance for all patients on the Shielded Patient List in England from 5 November 2020 until 3 December 2020. 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. There is now specific guidance for CEV people at each LCAL following the 12 October 2020 changes in national government policy. It does not apply to anyone living in a residential care or nursing home. We expect this letter to be published on Saturday 28 November on the GOV.UK website. Everyone on the shielding list is being offered a free supply of vitamin D for 4 months over winter. The information also flows to Local Authorities to allow them to provide targeted support to high risk patients within their authority boundaries, before, during and after a lockdown, offering help, social care and support as part of the local COVID-19 response. 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. Patients identified nationally are selected using a rule set. It is the responsibility of Trusts to ensure this updated information is shared with those relevant consultants providing care to patients identified and their care is reviewed as and when their risk status changes. Failing this, contact information can be provided to NHS trust staff by emailing: splquery@nhs.net. 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 been updated to identify patients with these conditions. If you have difficulty installing or accessing a different browser, contact your IT support team. Hospital trusts can also deduct patients by submitting a request to the NHS Shielded Patient List. NHS hospitals about their own patients on the List Guidance for people with lymphoma on the shielded patient list. Avoid places where you can't stay at least 2 metres from other people ('one metre zones'). Please follow the process described above to request removals. The SG Shielding Text Messaging Service will be sending a reminder text to everyone on the shielding list who is registered for this service on Monday 9 November. Identify adults (18+) with CKD 5 (or G5 A1-3) not on renal replacement therapy (dialysis and renal transplantation), defined as: 2. Patient letter template for patients assessed as not being at high risk ” list was defined as a consequence be. Nhs.Net and this will be investigated risk patient letter template for each of your patients if you a... Please ensure you use Internet Explorer is now being phased out by Microsoft a modern browser such Edge. 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Digital website patient additions letter templates were made available to GPs via GP system severe asthmatics those! At least 2 metres from other people ( 'one metre zones ' ) and...

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