The Daily Telegraph

Shielding letters face Christmas post delay

- By Laura Donnelly Health editor

EVERYONE over 70 is being told to take “extra care” in Tier 4 areas – but letters setting out shielding advice may be held up in the Christmas post, health officials have said.

Guidance for those classed as “clinically extremely vulnerable” was issued yesterday, aimed at people in areas under the heaviest restrictio­ns.

It says those in Tier 4 must not go to work, even if they cannot work from home. It also sets out ways to access government support and help from volunteers if neighbours or family are unable to deliver groceries and medicines.

The guidance on shielding for Tier 4 areas covers those at very high risk of severe illness from Covid-19 – including those undergoing treatment for some cancers, those who are immunosupp­ressed, or suffering from conditions such as cystic fibrosis.

Those in the category are being told only to leave their homes for health appointmen­ts or daily exercise, avoiding going into shops or pharmacies.

It also says a wider category, of over70s and those with underlying health problems, should take particular care to adhere to Tier 4 “stay home” advice.

“Those with more general underlying health conditions or people aged 70 or over may still be more vulnerable to Covid-19 than the general population, so are also advised to stay at home as much as possible, to carefully follow the rules and minimise contact with others,” the guidance states.

The advice on shielding follows the same rules in place last month during the second lockdown in England.

‘Those with underlying health conditions or people aged 70 or over may still be more vulnerable’

The Government said those who were clinically extremely vulnerable but living in Tiers 1 to 3 should follow existing guidance, and that there was no formal shielding advice in place in areas outside of Tier 4.

The Department of Health and Social Care said: “Anyone in Tier 4 areas who received the shielding letter in November and whose condition hasn’t changed should follow the advice immediatel­y until they receive the [new] letter.” Health officials also intend to issue letters by email where possible.

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