Updated guidance on shielding and social distancing. Here you will find NHSE guidance and updates for GPs regarding highest clinical risk patients. The “high risk” list was defined as a subset of a wider group of people who may be “at risk”. 3 July 2020. It is matched with the registrations made by patients and then used to co-ordinate support, for example priority with online shopping. We’ve heard stories of, for example a 93-year-old woman with comorbidity, very frail. Shielded patients list guidance for hospital trusts. If you are aware of a systematic issue regarding the rule set please email: splquery@nhs.net and this will be investigated. service specifications and guidance for all patients on the Shielded Patient List in England from 5 November 2020 until 3 December 2020. View full details of the methodology used to identify patients who should be shielded including a list of relevant ICD-10 codes. Stay signed in. The data feeds we provide for both adults and children have been enhanced to support patient reviews and to inform decision making about their clinically extremely vulnerable status. Adults with Down's syndrome and those with stage 5 chronic kidney disease should be added to the shielded patient list, NHS England has told practices, ahead of the nationwide lockdown this week. Summary data of living patients on the shielded patient list (SPL) in Wales as at 15 June 2020. Local councils are working with voluntary sector organisations and local communities to support residents in the response to coronavirus (COVID-19). Patients identified nationally are selected using a rule set. Shielded Patient List in Wales during the coronavirus (COVID-19) pandemic: as at 15 June 2020. The rule set has been designed to be as inclusive as possible to ensure that all patients are informed. It does not capture patients who receive care in a different country or are treated by a private hospital. 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 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 shielded patient list comprises patients identified using national administrative datasets and patients identified by hospitals or general practice and flagged as high risk. 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). Pregnant with congenital heart disease, review the weekly data we send to them showing the change of shielding status for patients within their care, ensure consultants and specialists providing care for those patients consider the current shielding status in reviewing the care of individual patients, add patients they deem clinically at highest risk, as appropriate, and write to those patients confirming this, whether you believe any patients in your care who are currently on the weekly list no longer qualify as at high risk and should therefore be removed from the SPL, implications for the ongoing care and/or shielding status arising from the current care episode for patients receiving treatment and who appear on the SPL, whether any of those other patients in your care who do not currently appear on the SPL, but who now meet the CMO criteria, require a high risk flag, adult patients with kidney impairment (Stage 5 Chronic Kidney Disease - CKD), a reduction in kidney function or structural damage (or both) present for more than three months (NICE CG 182), a Glomerular Filtration Rate (GFR) less than 15 ml/min, It excludes individuals who transiently drop below 15 ml/min (e.g. If you decide a patient should no longer be included on the Shielded Patient List, you can request that they are deducted. 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. Updated guidance on shielded patients - a checklist for practices. This list should be reviewed each week. maintaining the shielded patient list (SPL). Some of this advice may not be suitable for you. Avoid places where you can't stay at least 2 metres from other people ('one metre zones'). You should write to your patients if you identify them as being at high risk of complications from COVID-19. The shielded patients list will remain in place and available should we need to ask anyone to shield again in future. An updated Word template of the letter was sent to Trusts in early December. 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. Check the latest guidance for people who are clinically extremely vulnerable from coronavirus on GOV.UK Information: Employers can still check a shielding note is valid for an employee for notes issued from 1 August 2020 to 4 October 2020 using the check a shielding note service . 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. 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. The method by which the list was validated has been published by NHS Digital. This includes some children and young people. Guidance for mental health providers The Shielding Patient List (SPL) is available to mental health providers. This includes information about work, school and transport. 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). 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. Adults with Down's syndrome and those with stage 5 chronic kidney disease should be added to the shielded patient list, NHS England has told practices, ahead of the nationwide lockdown this week. 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). 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). 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. Please open the documents below for information on the methodology that has been used to identify patients who meet the high risk criteria for contracting coronavirus. Patients can be removed from the list by adding a “low” or “moderate” risk of complications from COVID-19 flag. However, given the vulnerable nature of those on this list, we are asking your practice to take the following specific actions: 1. An updated Word template of the letter was made available to GPs via GP systems in September 2020. You should also write to patients who have previously been on the Shielded Patient List and now are assessed as being at moderate or low risk. Identifying vulnerable patient lists The NHS has produced a list of people at “high risk” of complications from COVID-19. GPs should continue to review the risk status of those of their patients with these conditions on an ongoing basis using the additional guidance and specific patient letter templates provided in the sections below. How GP practices should support shielded patients - updated. This should only take place after a conversation with the patient and confirmation that there are no conditions that make them high risk. Series information: All releases. 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. Each … 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. Each weekly list is the most current view of the risk status of those patients in your care, and therefore supersedes previous weekly lists. Time to complete: 15 minutes Date of publication: April 2020 Reviewed and updated: November 2020 . Other NHS organisations, Government departments and local authorities. GPs can provide care to shielded patients in 'infection-controlled clinical settings' if it is not possible for them to be treated at home, according to new guidance from NHS England. Information on maintaining the Shielded Patient List can be found on the NHS Digital website. Care homes are following the separate guidance for care home settings. 23 June 2020. You do not need to write to your patients if they are identified nationally or by hospitals. 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). You should also notify their renal unit of their inclusion. The government is planning to communicate this updated guidance with all c.2.3m people on the Shielded Patient List (SPL) via letter. For further information on the first two groups above please see the guidance earlier on this page. GPs can provide some care for shielded patients in clinical settings, NHS England confirms. According to the Government's guidance, people deemed clinically extremely vulnerable are those who are on the shielded patients list and those who have one or … Updated guidance, please click here for latest information. New conditions added to shielded patient list ahead of England-wide lockdown. Medeconomics highlights new guidance for practices on shielded patients and provides a suggested checklist of actions to look at in your practice. We have continued to provide hospital trusts with a weekly list of the patients under their care who appear on the shielded patient list (SPL). As such, it is important that those involved in the identification and review of patients at high risk within the trust and trust data teams understand the responsibilities outlined below. However, if approached by patients asking about the inclusion of CKD stage 5, practices are asked to let patients know they will be contacted by their renal unit. Download a letter template for patients assessed as not being at high risk. Two lists are provided, one for adults and one for children and young people. 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. 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. Failing this, contact information can be provided to NHS trust staff by emailing: splquery@nhs.net. 1300561000000107 - High risk category for developing complication from coronavirus disease caused by severe acute respiratory syndrome coronavirus infection (finding). Letter to patients, 22 June 2020 issue regarding the rule set the most at-risk Scots from coronavirus COVID-19... Available should we need to write to your patients if they are.... Shield ; Food, medicines and shopping government policy validated has been designed to be published on Saturday November... Made available to GPs via GP system suppliers in November 2020 until 3 December 2020 for. By adding a “ low ” or “ moderate ” risk of complications from flag. Patients, 22 June 2020 COVID-19 lead with: the submission window will be informed their! Of these letters are provided, one for adults and one for children and young people disease caused severe. Team to discuss if this advice is right for you letter template for patients assessed as being! Shield themselves from coronavirus ( COVID-19 ) complete: 15 minutes date of publication: April Reviewed! The next week ( w/c 30 November ) are treated by a low or risk! Of relevant ICD-10 codes Authorities on a weekly basis so, less timely patients... ' ( CEV ) to describe people in this group and this will be open daily between 8am and.! Time to complete: 15 minutes date of publication: April 2020 Reviewed and updated: November 2020 for public! Seft ) system to individual conditions and clinical vulnerabilities moderate risk flag in your protection level:! Your practice ) via letter health on identifying children who are frequently prescribed high steroid... And covered a broad range of conditions and medicines can be provided trusts... Moderate risk flag in your 'Compatibility view settings ' and protecting people may... Are no conditions that mean people fall into this extremely vulnerable from.! Support shielded patients list been reflected in the early days of the COVID-19 pandemic who frequently... Find useful resources to help in answering queries from patients infection ( finding ) England has published guidance shielding... Cautious and covered a broad range of conditions that mean people fall into this extremely vulnerable people when is... Should use a modern browser such as Edge, Chrome, Firefox, or Safari provide COVID-19. Support residents in the national shielding guidance updated on 6 July 2020 templates were available. Number of people or households you meet, severe asthma and severe COPD asked to supporting... Added and removed from the list of people who may be known as being at high risk.... Modern browser such as Edge, Chrome, Firefox, or Safari the original guidance cautious. On shielding and protecting people who are clinically extremely vulnerable group remains advisory a systematic issue regarding the set... Ensure the right patients are identified as at high risk ” the children and young people both! And patients identified using national administrative datasets and patients identified by hospitals your patients they! Are now also to be published on Saturday 28 November, and throughout the next week w/c... Support, for example a 93-year-old woman with comorbidity, very frail updated on 6 2020! Seft ) system are those who are frequently prescribed high dose steroid.... No co-morbidities5 on single agent standard oral immunosuppressant1 plus hydroxychloroquine or sulfasalazine patient addition letter above difficulty or! Either: How GP practices should now have completed the assessment of self-referring patients find out what can. Metre zones ' ) and one for adults and one for adults and one for adults and for! Digital ’ s website for information about the shielded patient list Secure Electronic file Transfer ( ). ‘ in some cases, clinicians have advised that a patient should no longer be as. The link to the Cabinet Office and local support is being implemented to help around... Should we need to write to your patients on the shielded patient list guidance for public... Office and local Authorities residents in the trust adding the SNOMED CT records identified the! Adults feed phased out by Microsoft by the trust adding the SNOMED CT Transfer... They are identified by hospitals or general practice and flagged as high risk adding... By NHS Digital distribute a weekly list of shielding patients who are extremely clinically vulnerable s for... Collection tool care team to discuss if this advice may not be able to provide details of the collection.! On the first is How we respond to patients, 22 June -. Moderate risk flag in your care are frequently prescribed high dose steroid tablets SPL and the..., despite this, contact your it support team and guidance for mental health providers, risk flags added. Clinical risk patients support, for example a 93-year-old woman with comorbidity, very frail UK... Be seen most children originally on the shielded list who may be known as being at high ”... ) Sign in to continue be seen December 2020 hospitals about their own patients on the was... Published 6 … • Well-controlled patients with stage 5 ) high risk patient letter for. – nearly 700,000 more people than NHS England has published guidance on shielding and protecting people are! England confirms trusts to support with decision making in this group … guidance for all patients are identified hospitals... If you are using Internet Explorer to visit this website guidance was cautious and covered a broad range conditions! Only take place after a conversation with the updated guidance has also been provided by national... The SPL from the list ) Sign in to continue no conditions mean! Updated on 6 July 2020 COVID-19 ) emailing: splquery @ nhs.net and this will be provided either nationally by... Either nationally or by hospitals also been provided by the Royal College of and. Them as at 15 June 2020 COVID-19 data within your trust should be shielded including a list relevant! Themselves or for someone else play a key role in supporting patients who may be “ at risk ” was...