Clinically Extremely Vulnerable


Dear patient

The NHS wrote to you in February to you to make you aware that new evidence showed that you may be at high risk of becoming seriously unwell if you catch COVID-19. You had been identified using an initial precautionary approach to make sure we did not leave anybody out who was at higher risk. It was mentioned in the letter you received that there was a chance your actual risk level is lower than the model estimated.

We have now been able to review your likely risks locally, and are able to confirm that we do not believe you are at high risk. We have therefore requested that you are removed from the list of people considered to be at high risk.

Given your risk level is not considered to be high you should continue to follow the public health rules and guidance for the general population, for as long as they are in place, rather than the advice for high risk people. You can find the guidance here:  

If you have already booked a vaccination appointment, then you should still attend it. If not, the NHS will be in touch with more information about how to book a COVID-19 vaccine when it is your turn to receive it.

What should I do if I have symptoms of coronavirus?

If you have any of the symptoms of coronavirus (a new continuous cough, a high temperature, or a loss of, or change in, your sense of taste or smell), you must self-isolate at home and arrange to have a test to see if you have coronavirus. Go to the NHS website to arrange a test or contact NHS 119 via telephone if you do not have internet access. 

Accessing NHS services

We urge you to continue to access the NHS services that you need, and you should contact the NHS if you have an urgent or emergency care need.  You can quickly and easily access a range of NHS services from home, including ordering repeat prescriptions or contacting your health professional through an online consultation. To find out more visit, or download the NHS App at

You do not need to contact us about this letter unless you have any questions about why you are not being advised to shield.

Yours sincerely

Appletree Medical Practice