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Review of children and young people
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.
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. Specialists have been asked to prioritise supporting GPs with these decisions. 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.
You should flag any adult patients you identify with Down’s syndrome as “high risk” by following the guidance below for adding a patient.
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).
An Easy Read letter template has been provided for those with Down’s syndrome in the “How to flag patients as high risk” section below.
You should write to your patients if you have identified them as at high risk of complications from coronavirus (COVID-19). 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 current restrictions.
Revised patient additions letter templates were made available to GPs via GP system suppliers in January 2021. They can also be downloaded here:
- Updated High risk patient additions letter template for all patients identified as clinically extremely vulnerable (reflecting updated policy)
- Easy Read Down’s syndrome additions template for provision in addition to the above for adult patients with Down’s syndrome
For further information on identification of patient’s with Down’s syndrome please see the guidance earlier on this page.
You do not need to write to your patients if they are identified nationally or by hospitals. Correspondence will be provided either nationally or by the Trust adding the patient to the Shielded Patient List respectively.
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.
An updated Word template of the letter was made available to GPs via GP systems in September 2020. Download a letter template for patients assessed as not being at high risk.
In addition to this, an Easy Read version of the letter was also made available in December 2020. Download an Easy Read letter template for patients assessed as not being at high risk. The Easy Read template should be used in addition to the former where it is appropriate to do so.
Hospital trusts can also deduct patients by submitting a request to the NHS Shielded Patient List. These patients are identified by a low or moderate risk flag in your GP system.