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Shielding, Isolating and Social Distancing

Shielding.


For extremely vulnerable patients.


These individuals should stay at home and should NOT be invited into a GP practice.


1.     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 which 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


3.     People with severe respiratory conditions including all cystic fibrosis, severe asthma and severe COPD.


4.     People with rare diseases and inborn errors of metabolism that significantly increase the risk of infections (such as SCID, homozygous sickle cell).


5.     People on immunosuppression therapies sufficient to significantly increase risk of infection.


6.     Women who are pregnant with significant heart disease, congenital or acquired.


If unwell and require face to face assessment, they can be assessed by their own GP doing a home visit in PPE, or if they have nursing needs, they will be visited by community nursing teams.


 





Isolated.


For patients with covid-19, suspected covid-19, or for those who are in a covid-19 household.


These individuals shoudl stay at home and should not be invited into a GP practice.


If unwell and require face to face assessment, they can be assessed by the CCHUB team, or for urgent nursing needs, community nursing teams will attend the patient’s house.


 



 


Social distancing.


For the rest of us, including those with chronic illness who do not fall into the extremely vulnerable group.


These patients can attend GP practices where this is deemed clinically neccessary.

These are not classified as housebound patients therefore do not fall under community nursing caseloads.