Coronavirus (Covid-19) - latest information and advice for patients Contents: Shielding advice Vaccination information Latest information for patients National restrictions Travel Research Diet Stress and anxiety Exercise for shielding patients Research from NHS Blood and Transplant Latest NHS information and advice Support for the extremely vulnerable Further general advice CORONAVIRUS - SHIELDING/UNSHIELDING - LATEST INFORMATION AND ADVICE FOR PATIENTS The guidance on shielding and protecting people who are clinically extremely vulnerable from Covid-19 in the United Kingdom can be found at the links below: England Scotland Wales Northern Ireland NKF has produced a lanyard for people to wear when out in public, to remind other to social distance. We have had lots of great feedback about the lanyard and we have sold 16,000 to date.The NKF has worked with a coalition of over 20 charities in the #SafeAtWork coalition and this letter can be downloaded here and shared with employers to help discussions about a safe return to the workplace. Due to the resent restrictions easing on July 19th, what's next for kidney patients ? Find some top tips from kidney patient and professional groups here UK Kidney Association statement on the care of adult clinically extremely vulnerable kidney patients after easing of COVID-19 restrictions on 19th July Summary of key messages COVID-19 vaccination offers the best available protection to clinically extremely vulnerable (CEV) kidney patients and should be recommended to all kidney patients. Some kidney patients may not have achieved full protection from vaccination with 2 doses of an MHRA approved COVID-19 vaccine. We recommend that all CEV kidney patients (those at Chronic Kidney Disease (CKD) Stage 5, on dialysis, with a kidney transplant or who are on significant immunosuppression for autoimmune kidney disease) continue to follow enhanced precautions, following the lifting of wider restrictions on 19 July. Healthcare facilities should maintain full protective environments in kidney dialysis units and kidney outpatient areas and should continue to provide COVID-19 protected “green” pathways for kidney dialysis patients, transplant recipients and patients who are on or have recently received significant immunosuppression for autoimmune kidney disease. This should include the provision of COVID-19 safe hospital transport for CEV kidney patients. The full document is available on the COVID-19 pages of the UKKA website. Please call our freephone helpline if you would like to chat to one of our advisers about your concerns - 0800 169 09 36 We know patients are very concerned about coronavirus (Covid-19). The NKF are working with the National Renal Guidance Group for Covid-19. This is a group of specialist clinicians, partners and patient charities, who are providing the latest clinical and patient guidance during these very worrying times. The NKF have written to all NHS Trust chief executives, to highlight the importance of in-centre dialysis patients wearing appropriate face masks. These are for use when travelling to and from dialysis, throughout the prescribed dialysis treatment, and in waiting and assessment areas being used both before and after treatment. Vaccination information Following a request from the Department of Health and Social Care (DHSC) for advice on a possible extension of the COVID-19 vaccination programme, the JCVI has looked at the available evidence around vaccinating children and young people under the age of 18. From 16 August - If you’re fully vaccinated or under 18, you will not need to self-isolate following close contact with someone who has COVID-19. You’ll still need to take a PCR test and self-isolate if it’s positive. Public Health England have released results of a vaccination study for people who are in at-risk groups. Within these clinical risk groups, there will be people with more severe forms of illness – particularly in the immunosuppressed group – who may not respond as well to the vaccines, and they recommend they seek advice from their specialists. England People aged 18 and over in England are being invited to receive the Covid-19 vaccination. NHS England has released the locations of vaccination centres throughout the country. Scotland Anyone aged over 18 in Scotland is being offered the Covid-19 vaccine. Public Health Scotland has created a resource centre where you can find information about the Covid-19 vaccination, including where they'll be administered. Wales Everyone over the age of 18 in Wales is now being vaccinated. The Welsh government has revealed the locations of vaccination centres across the country. Northern Ireland The Northern Ireland vaccination programme has been opened to all people aged 18 and over. The JCVI has recommended that anyone under the age of 40 should receive an alternative to the AstraZeneca vaccine. A recent Oxford study showed a 65% fall in Covid-19 infections after the first dose of the AstraZeneca or Pfizer-BioNTech vaccines. The JCVI has issued its final guidance on phase 2 of the Covid-19 vaccination programme. The first dose of the Moderna vaccine was administered in Wales on Wednesday 7th April. The Medicines & Healthcare products Regulatory Agency has produced an information leaflet on the Moderna vaccination. The NKF is pleased to announce that it is partnering with Kidney Research UK to fund a study to discover how well Covid-19 vaccinations work in people who go to hospital for dialysis. The NKF, along with other kidney charities, has released a Covid-19 vaccination information for patients guide, which includes some common questions people have asked, with answers from kidney specialists. NHS Blood and Transplant has issued frequently asked questions and answers on the Covid-19 vaccination for organ and islet transplant recipients, patients on the transplant waiting list and living donors. The Medicines and Healthcare products Regulatory Agency (MHRA) has approved three Covid-19 vaccinations. The first vaccine to be approved has been developed by Pfizer-BioNTech and is currently being rolled out to elderly people in care homes and care home staff. The second vaccine has been developed by Oxford-AstraZeneca and roll-out started in the UK on Monday 4th January. Dialysis patient Brian Pinker was the first person to receive the vaccination. The third vaccine has been produced by Moderna. The first dose was administered in Wales on 7th April. The renal community has provided key messages about the Covid-19 vaccination for people with CKD. The renal community has released a joint-statement regarding the Covid-19 vaccination for adult patients with kidney disease. Vaccination webinar 29th June 2021 NKF partnered with Kidney Care UK, Kidney Research UK, Polycystic Kidney Disease Charity and UK Kidney Association to deliver a webinar regarding the developments in our knowledge about the Covid vaccines and how people with suppressed immune systems are responding, as well as a discussion about how to return to normal activities and cope with anxiety as restrictions ease. We were joined by four kidney doctors, Dr Rebecca Suckling from Epsom and St Helier NHS Trust, Dr Andrew Frankel, Dr Steve McAdoo, and Dr Michelle Willicombe from Imperial College Healthcare NHS Trust. You can view the webinar here: Latest information for patients We are working with our colleagues to ensure the latest and most up to date information is available to patients. KQuIP COVID HD Ensuring Patient Safety - Coronavirus test information for kidney patients can be found here Read information about how you can reduce your risk of contracting Covid-19. This information is also available in Plain English. The Kidney Quality Improvement Partnership (KQuIP) has produced an animated video about receiving haemodialysis during the pandemic. National restrictions throughout the UK England from 19th July - England has moved to Step 4 of the roadmap. Everyone should be cautious while managing the risks as cases of COVID-19 remain high. Restrictions in England can be found here Wales from 17th July - Wales moves to alert level 1. Up to 6 people can meet indoors. Organised indoor events can take place for up to 1,000 people seated or 200 standing. There are no limits on the numbers of people who can gather outdoors. Up to 30 children from organisations can go to residential centres over the summer holidays. Regulations in Wales can be found here Scotland from 19th July - All of Scotland has moved to Level 0. Up to 8 people from 4 households can meet in your home. Up to 15 people from up to 15 households can meet outside. Protection levels for Scotland can be found here Northern Ireland - Up to 6 people from 2 households can socialise indoors, including for overnight stays. Up to 15 people from up to 3 households can meet in a private garden. Regulations for Northern Ireland can be found here Travel England - Travel information for people in England. Scotland - Quarantine rules and information on the process for people entering Scotland. Wales - Travel information for people in Wales. Northern Ireland - Travel advice for people in Northern Ireland. Dialysis Away From Base (DAFB) - A joint statement from professional and patient societies can be read here Research and studies on coronavirus Guidance on eating and drinking during dialysis The Renal Nutrition Group have worked with the National Kidney Federation, the British Renal Society, Renal Association and Kidney Care UK to provide some guidance on eating and drinking during dialysis. Click here to view the guidance The Renal Nutrition Group have also been working on ensuring food parcels are suitable for people living with CKD. This includes producing a list of foods that are suitable for food parcels for renal patients, and also speaking with the DEFRA (Department of Environment Food and Rural Affair). Information here Dietary Information Some patients may have to reduce their dialysis sessions and need to watch their food and fluid intake more than ever, it's important you follow the right dietary information. The nation is cooking at home, and coming up with mouth-watering dishes for the family it not always easy. If you are a kidney patient it can be more difficult due to dietary restrictions, but here at the NKF we have a new cook book that is not only kidney friendly but healthy and flavoursome for everyone. Our cookbook is available through our online shop. Stress and Anxiety We have put together some information to help you cope with stress and anxiety during these uncertain times. Exercise for those who are shielding A booklet jointly prepared by Public Health England, Sheffield Hallam University (SHU) and the Medicine (NCSEM) has been developed to support older people and those who are shielded to be active and healthy at home. has been developed to support older people and those who are shielded to be active and healthy at home.You can download this booklet if you click here Research updates from NHS Blood and Transplant News about the work they are doing to reduce the impact of coronavirus The latest NHS information and advice about coronavirus (Covid-19) here Support for the extremely vulnerable Get coronavirus support as an extremely vulnerable person - Register if you have a medical condition that makes you extremely vulnerable to coronavirus. For example, you’ll be able to ask for help getting deliveries of essential supplies like food In England In Scotland In Wales In Northern Ireland Further general advice If you think you have coronavirus symptoms you can use the NHS 111 assessment. Further general information and daily updates can be found on the GOV.UK. Information and guidance for renal professionals.