This website uses cookies to function correctly.
You may delete cookies at any time but doing so may result in some parts of the site not working correctly.

Information if you think you are vulnerable/high risk to COVID-19

Coronavirus can make anyone seriously ill. But some people are at a higher risk and need to take extra steps to avoid becoming unwell.

People at risk

  • Over 70 years
  • You are pregnant
  • You have certain health conditions:
  1. People who have had an organ transplant who remain on long term immune suppression therapy
  2. People with specific cancers - people:
    • 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
  3. People with severe respiratory conditions including all cystic fibrosis, severe asthma and severe COPD. Severe asthmatics are those who are frequently prescribed high dose steroid tablets.
  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. People who are pregnant with significant congenital heart disease

Patients most at risk are called 'shielded' people

This includes people who:

  • have had an organ transplant
  • are having certain types of cancer treatment
  • have blood or bone marrow cancer, such as leukaemia
  • have a severe lung condition, such as cystic fibrosis or severe asthma
  • have a condition or are taking medicine that makes them much more likely to get infections
  • are pregnant and have a serious heart condition

Shielding is a measure to protect people who are clinically extremely vulnerable by minimising all interaction between those who are extremely vulnerable and others. We are strongly advising people with serious underlying health conditions  which put them at very high risk of severe illness from coronavirus (COVID-19), to rigorously follow shielding measures in order to keep themselves safe. Click HERE for advice on shielding.


If you are in a very high risk catagory then you will receive a letter from NHS Business Services or from your hospital specialist department advising that you need to take action (shield).

You may believe that your are in a high risk group and have not received notification that you need to take shielding precautions.  We appreciate how worrying this is for you and that you are concerned about the impact on your employment and are requesting notification from your GP. 

Unfortunately, we are still waiting for further notification from central government about who should shield. In the meantime we cannot provide a note. If an employer is requesting an expert opinion on your fitness to work in light of Covid-19, they would be advised to seek professional occupational health advice on the matter.

Self isolation advice is available HERE

You can get a self-certification note for seven days from HERE

You can obtain an isolation note from HERE

DWP are currently not requiring fit notes.

Call 111 when you need medical help fast but it’s not a 999 emergencyNHS ChoicesThis site is brought to you by My Surgery Website