Coronavirus (Covid-19) - latest information and advice for patients Last updated 17/11/2021Please see below generalised Covid-19 Government guidance. We regularly update the page in response to any further announcements or developments. Contents: Shielding advice Vaccination information Latest information for patients National restrictions Travel Stress and anxiety 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 Shielding programme ends for the most vulnerable – 15/09/2021People previously considered to be clinically extremely vulnerable will not be advised to shield again. The Government have announced that the shielding programme in England is closed. The closure of the shielding programme follows a pause to shielding guidance in place since 1 April 2021. The Government has decided that centralised guidance for this group should be replaced by individualised advice from the person’s clinician.Those previously on the Shielded Patient List will have received a letter from the Government to inform them of this decision. The Government will continue to assess the situation and risks posed by Covid-19 and, based on clinical advice, will respond accordingly to keep the most vulnerable safe. For more information visit here.The guidance on shielding and protecting people who are clinically extremely vulnerable from Covid-19 can be found on the links below: England Scotland Wales Northern Ireland Please check our Vaccination information section on the COVID web page for more on Covid-19 third dose vaccinations. NKF has produced a lanyard for people to wear when out in public, to remind others to social distance. We have had lots of great feedback about the lanyard and we have sold 16,000 to date.Back by popular demand are our NKF facemasks. To order your facemask please visit here or call 01909 544999 where you can place your order and we can take payment by card. 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. 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 informationJCVI Issues Advice on Covid-19 Booster Vaccines for Those Aged 40 to 49 and Second Doses for 16 to 17 year Olds 15/11/2021JCVI has advised that, in addition to those aged over 50 years and at higher risk from Coronavirus, all adults aged 40 to 49 years should be offered an mRNA booster.The NHS provide information on the 3rd dose here for people who are immunosuppressed. * Kidney Charities Together Create New Document *Covid-19 Vaccination: Booster or Third Primary Dose 04/11/2021This information is for kidney patients to explain whether they should be getting a Covid-19 booster vaccination or a third dose, what the difference is between them, and how to get one they need. To view the document visit hereGuidance Updated to Allow Flexibility in Booster Programme for Most Vulnerable 29/10/2021Clinical guidance has been updated to allow Covid-19 boosters to be given earlier to those at highest risk where this makes operational sense.Some areas of England are offering booster jabs at walk-in centres for some groups of people. For the latest information please see your local NHS Clincial Commissioning Group website. UK Government Secures Covid-19 Antivirals - 20/10/2021The Government have secured a supply of two new antiviral treatments for Covid-19. Should the treatments be approved by the UK's reowned medicines regulator - the Medicines and Healthcare products Regulatory Agency (MHRA) - thousands of NHS patients will be able to access the treatments to prevent the infection from spreading and speed up recovery time. Boosters Programme Information 11/10/2021 Many people eligible for a Covid-19 booster will also be offered a free flu vaccination and it is important that these individuals get an appointment as soon as they are offered. The JCVI have advised that it is safe and effective to get the Covid-19 booster and flu vaccines at the same time. Where possible, the NHS will try to schedule these appointments together, however those offered appointments should take them up without delay to ensure they get the protection they need. Covid-19 booster and flu vaccinations are available at vaccination centres, GPs or community pharmacists. Those eligible will receive their booster from 6 months after their second dose of a Covid-19 vaccine and they will be contacted by the NHS when it is their turn. Those eligible for NHS influenza vaccination in 2021/22 are:all children aged two to fifteen (but not sixteen years or older) on 31 August 2021 (i.e. all children up to year 11 of secondary school) those aged six months to under 50 years in clinical risk groups chronic (long-term) respiratory disease, such as asthma (requires continuous or repeated use of inhaled or systemic steroids or with previous exacerbations requiring hospital admission), chronic obstructive pulmonary disease (COPD) or bronchitis chronic heart disease, such as heart failure chronic kidney disease at stage 3, 4 or 5 chronic liver disease chronic neurological disease, such as Parkinson’s disease or motor neurone disease learning disability diabetes splenic dysfunction or asplenia a weakened immune system due to disease (such as HIV/AIDS) or treatment (such as cancer treatment) morbidly obese (defined as BMI of 40 and above) pregnant women those aged 50 years and over those in long-stay residential care homes carers close contacts of immunocompromised individuals health and social care staff employed by: a registered residential care/ nursing home registered domiciliary care provider a voluntary managed hospice provider Direct Payment (personal budgets) and/or Personal Health Budgets, such as Personal Assistants. There will be no offer of flu vaccination to the household contacts of the shielded, as people are no longer being asked to shield. However, all household contacts of the immunocompromised will continue to be offered flu vaccination, which has been a longstanding commitment in the programme.Over 35 million people will be eligible for a flu vaccination this season. This is for England only. This includes the expansion of the programme to those aged 50 to under 65 years old and all school aged children. Is there a letter I can show my consultant, GP or other health professional which shows to invite severely immunosuppressed people for their third Covid-19 vaccination?Here is the latest communication which was released on Thursday 30th September 2021. The JCVI states within the letter: "The specialist involved should advise on whether the patient fulfils the eligibility criteria and on the timing of any third primary dose. In general, vaccines administered during periods of minimum immunosuppression (where possible) are more likely to generate better immune responses. The third primary dose should ideally be given at least 8 weeks after the second dose, with special attention paid to current or planned immunosuppressive therapies guided by the following principles: where possible, the third primary dose should be delayed until 2 weeks after the period of immunosuppression, in addition to the time period for clearance of the therapeutic agent if not possible, consideration should be given to vaccination during a treatment ‘holiday’ or at a nadir of immunosuppression between doses of treatment”. SEE HERE FOR A GUIDE BY THE KIDNEY CHARITIES TOGETHER GROUP, DETAILING HOW THE COVID-19 VACCINE HELPS TO PROTECT, AND WHY YOU SHOULDN’T INTERPRET THE RESULTS OF AN ANTIBODY TEST AS AN INDICATION OF PROTECTION FROM INFECTION ANTIBODYPDF.PDF – 15/09/2021 FIRST DOSE VACCINATIONS FOR YOUNG PEOPLE ENGLAND Young people aged 12 to 15 will be offered a first dose of a COVID-19 vaccine.16 and 17 year olds can now get their first dose of a COVID-19 vaccine. If you will turn 18 within 3 months, you can also get a 2nd dose.Find out who can get the COVID-19 vaccine here VACCINATIONS FOR PEOPLE AGED 18 AND OVERYou can get your 1st and 2nd dose a Covid-19 vaccine if you're aged 18 or over (or will turn 18 within 3 months).Find out who can get the COVID-19 vaccine here VACCINATIONS FOR YOUNG PEOPLE SCOTLANDNHS Scotland are now offering the Coronavirus vaccine to everyone aged 12 and over.Find out who can get the COVID-19 vaccine here VACCINATIONS FOR YOUNG PEOPLE WALESAll children and young people aged 12 - 17 are eligible to receive the COVID-19 vaccination. This includes children and young people aged 12 - 15 years being offered their first dose of Pfizer vaccine. It is anticipated a second dose will be offered later to increase the level of protection and contribute towards longer term protection.Young people aged 16 and 17 should also be offered their first dose of Pfizer vaccine. It is anticipated a second dose will be offered later to increase the level of protection and contribute towards longer term protection.Find out who can get the vaccine in Wales here VACCINATIONS FOR YOUNG PEOPLE NORTHERN IRELAND 12 - 15 year olds are being offered the first dose of the Pfizer Covid-19 vaccine. Find out more here 16 year olds and over can now get their first dose of a COVID-19 vaccine. Find out if you’re eligible and how to book on nidirect. England Some young people and children at high risk of Covid-19 aged 12 to 17 are being offered 2 doses of the vaccine. Visit here for more information.All children aged 12 to 15 will be offered a 1st dose of a COVID-19 vaccine (including children who turn 12 on the date of the vaccination. Visit here for more about the COVID-19 vaccine for children aged 12 to 15.The NHS is offering a 1st dose of a COVID vaccine to people aged 16 and 17. If you will turn 18 within 3 months, you can also get a 2nd dose. You can book your appointment at a larger vaccination centre or pharmacy now, or wait to be invited to go to a local NHS service. NHS England has released the locations of vaccination centres throughout the country. Scotland Anyone aged 12 and over 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 All adults aged 16 and over have now been offered the vaccine in Wales, including some 12-15 year olds with a severe condition that puts them at increased risk from Covid-19. 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 12 and over.Anyone aged 18 or over, can receive the COVID-19 vaccination at mobile walk-in vaccination clinics or community pharmacies across Northern Ireland. Those under 18 years of age can receive a vaccine at a mobile clinic. Children aged 12 to 15 years will be offered the vaccine at school. Find out more on who can get a COVID-19 vaccine here. The NKF have partnered 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, released a Covid-19 vaccination information for patients guide, which includes some common questions people have asked, with answers from kidney specialists. 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 has been 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 2021. 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 2021. The renal community provided key messages about the Covid-19 vaccination for people with CKD. The renal community 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 patientsNEW PATIENT INFORMATION A Covid-19 Perspective on Home Dialysis Read here - 28/10/2021 NHS Blood and Transplant have recently had some queries about whether having – or not having – the Covid vaccination affects a person’s ability to donate or receive a transplant. You can donate or receive a transplant whether you’ve had the Covid-19 vaccination or not, as long as you’re eligible. – 14/10/2021KQuIP 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 AUTUMN AND WINTER PLAN 2021 ENGLAND The government has set out its COVID-19 autumn and winter plan. Guidance in England has been provided on how to stay safe and help prevent the spread of Coronavirus here Wales from 7 August - Wales moved to alert level 0 on 7th August 2021. There are no legal limits on the number of people who can meet, including in private homes, public places or at events. In addition all businesses and premises may be open. Regulations in Wales can be found here Scotland - There are no limits on the number of people or households you can meet at home and in public places, and you no longer need to stay 2 metres apart from others. Scotland’s guidance can be found here Northern Ireland - No more than 30 people can meet in a private home and stay overnight. Regulations remain in place that prevent gatherings/ parties of 30 people or more in domestic settings. The coronavirus regulations also prohibit the playing of amplified music at night, in a house gathering of 30 people or more, which is likely to cause serious distress to neighbours. To determine the maximum number of people permitted to attend an outdoor gathering, in a non-domestic setting, the organiser or operator must carry out a risk assessment. Outdoor gatherings of 30 people or fewer do not need a risk assessment. 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 Stress and Anxiety We have put together some information to help you cope with stress and anxiety during these uncertain times. 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 adviceLong Covid and the Covid Recovery Service The online service NHS Your Covid Recovery is for those who have had Covid and want to understand what has happened and what you might expect as part of your recovery. 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.