By Michelle Roberts
Health editor, BBC News online
When lockdown began, certain people were advised to take extra steps – or shield – to avoid contracting Covid-19, because they were considered more at risk of needing hospital treatment.
Shielding has now been paused everywhere in the UK.
Why did shielding end?
Infection levels in the community reduced over the summer, meaning the risk of exposure became significantly less than in the spring.
This allowed some restrictions, including shielding, to be relaxed.
Although rates of new Covid cases have been going up in most parts of the UK during the autumn,
government guidelines in England say there is still no need to recommend people stay at home and shield, although they are advised to take particular care when outside, and to maintain strict social distancing.
That’s because, unlike in March, there are other protective measures in place – such as the rule of six and the wearing of face coverings in shops – to help reduce the spread.
Some parts of the UK with ongoing outbreaks may, in exceptional circumstances, recommend high-risk residents start shielding again. These people would be sent a letter explaining the advice.
Do I have to stop shielding?
Shielding was never compulsory and it is still your choice to decide what you are comfortable about doing – you may still want to spend a lot of time at home, for example.
If possible, take things at your own pace and talk through any worries you have.
Experts strongly advise people with serious underlying health conditions to follow social distancing recommendations – keep 2m away from other people outside your home and, whenever possible, limit the number of people you meet, shops you visit, and non-essential journeys.
The guidance offers tips on how people can protect themselves in their everyday lives while retaining as much normality as possible.
The advice is targeted according to the local Covid alert level the person lives in, using the new three-tier system.
Should I go back to work?
You should only go back to your workplace if it is Covid-safe, which means that your employer has taken the necessary steps and risk assessments to reduce the risk of infection for employees.
It may be possible to work from home. You can discuss this with your employer.
Could shielding come back again?
Your individual health risk, should you catch coronavirus, has not changed, despite shielding being paused.
People on the shielding list may be advised to shield again if coronavirus starts to rise again across the UK.
Likewise, regions experiencing higher levels of coronavirus may recommend high-risk people living in those areas shield.
Who is on the shielding list?
People in high risk categories, who include:
- Solid organ transplant recipients
- Some people with cancer who are undergoing treatments such as chemotherapy and radiotherapy
- People on immunosuppression drugs
- Women who are pregnant and have heart disease
- People with severe respiratory conditions – cystic fibrosis, severe asthma and COPD
- Some people with rare diseases such as severe combined immunodeficiency
The list does not include all elderly people, although they are strongly advised to do social distancing.
What about children?
Guidance from the Royal College of Paediatrics and Child Health says that most youngsters with conditions such as asthma, diabetes, epilepsy, and kidney disease do not need to continue to shield and could be removed from the shielding list held by the NHS.
About 90,000 people shielding are under 18. Children will only be removed from the shielding list by their GP or specialist doctor after discussions with the child and their family.
If you have been told that your child no longer needs to shield, they can go to school, college or nursery.
What about my medicine and food?
From 1 August, people will no longer receive food boxes and medicine deliveries provided by the National Shielding Service.
People will retain their priority for supermarket delivery slots, and still be able to access help with shopping, medication, phone calls and transport to medical appointments when shielding is eased.
The NHS Volunteer Responder Scheme will continue to offer support after shielding is paused. They can support you with:
- collecting shopping, medication and other essential supplies
- a regular, friendly phone call, which can be provided by different volunteers each time, or by someone who is also shielding and will stay in contact for several weeks
- transport to medical appointments
What should I do if I get a cough or fever?
These are symptoms of coronavirus, as are loss of smell or taste. It does not mean that you definitely have it, but you should contact the NHS 111 online coronavirus service, or call NHS 111 or your doctor. Do this as soon as you get symptoms. Do not visit the GP, pharmacy, urgent care centre or hospital.
In an emergency, call 999 if you are seriously ill.
Other tips to stay safe and well
- Good hygiene can stop the virus spreading
- Keep physically active
- Look after your mental wellbeing – stay in touch with friends on the phone, by post or online
You could prepare a hospital bag just in case. This should include your emergency contact, a list of medicines you take and any information on your planned care appointments, as well as things you would need for an overnight stay, such as a toothbrush and pyjamas.
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