Guidance for clinically and extremely vulnerable people in Tier 4

We urge you to continue to seek support from the NHS and other health providers for your existing health conditions and any new health concerns.


This advice will apply in your area until 18 January 2021, even if your area is placed in a different tier before then. If the advice is to continue beyond that date, we will write to you again with further information.

Please remember that the NHS is open, and we urge you to continue to access all the NHS services that you need. It is safer for you to use the NHS than to try to manage alone.

If you are concerned about the impact of COVID-19 on your health, speak to your GP, hospital clinician or use NHS111. Further information on how to access help, including how to register for support, can be found in the attached guidance.

Adults who are considered to be at highest risk are expected to get priority access to vaccination against COVID-19 before the general population. You will be contacted again with more information on when and how you will be invited to get the vaccine. Your local NHS will ensure that you can receive the vaccine as safely as possible, as well as any care and support needed.

The Guidance letter to clinically vulnerable people in Tier 4 lockdown is attached below

Tier 4 shielding letter CEV 20 December

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