Guidance on coronavirus for people who have lymphoma: England; Guidance on coronavirus for people who have lymphoma: Northern Ireland, Scotland and Wales; COVID-19 vaccine information; Changes to … Guidance for people with lymphoma on the shielded patient list. 205616004 - Trisomy 21- mitotic nondisjunction mosaicism (disorder) We’ve heard stories of, for example a 93-year-old woman with comorbidity, very frail. The shielded patient list comprises patients identified using national administrative datasets and patients identified by hospitals or general practice and flagged as high risk. You should also write to adult patients with Down’s syndrome if you have identified them as at high risk of complications from coronavirus (COVID-19). 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. This includes some children and young people. 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. This may include providers who also provide Improving Access to Psychological Therapies (IAPT) services, only where they are the same organisation that provides secondary mental health … 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. This list should be reviewed each week. You should write to your patients if you identify them as being at high risk of complications from COVID-19. Internet Explorer is now being phased out by Microsoft. 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. 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. Updates from the shielded patient list to GP systems also occur weekly. Download the Chronic Kidney Disease (stage 5) high risk patient letter template. 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. You will not be able to submit the file until all errors are resolved. Identify adults (18+) with CKD 5 (or G5 A1-3) not on renal replacement therapy (dialysis and renal transplantation), defined as: 2. The lists can change each week so it's important to review these files and consider the impact on individual patients in your care. 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. Published 6 … ‘In some cases, clinicians have advised that a patient no longer needs to shield themselves from coronavirus. During week commencing 4 May 2020, risk flags were added to those patient records identified on the national shielded patients list. related complications and, as a consequence, be placed on the Shielded Patient List (SPL). Most children originally on the shielded patient list can still attend school, according to the guidance. Revised patient additions letter templates were made available to GPs via GP system suppliers in November 2020 for the following patient groups. The data must be submitted by a named contact in the trust. 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. Both the adults’ and children’s data feeds include information on all other direct care interactions that each patient has had with other NHS organisations, providing a complete picture of a patient’s direct care journey. An updated Word template of the letter was made available to GPs via GP systems in September 2020. Patients can be removed from the list by adding a “low” or “moderate” risk of complications from COVID-19 flag. 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. Each … 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. People with severe respiratory conditions including all cystic fibrosis, severe asthma and severe COPD. The guidance for the clinically extremely vulnerable group remains advisory. 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. 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. This list is referred to as the Shielded Patient List (SPL). 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. If the task to review children and young people in your care has not yet been completed in your trust, please continue to review and if appropriate, remove patients from the SPL, by submitting a deduction to NHS Digital and discussing the change with each patient as per the guidance below. Send adult patients affected the Chronic Kidney Disease (stage 5) patient addition letter, informing them that they have been identified as clinically extremely vulnerable. It is matched with the registrations made by patients and then used to co-ordinate support, for example priority with online shopping. 1300561000000107 - High risk category for developing complication from coronavirus disease caused by severe acute respiratory syndrome coronavirus infection (finding). Shielded patient list physical activity survey 15th December 2020. Health at home provides patients with an overview of NHS services that are available, such as how to order repeat prescriptions online and get them delivered. 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