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Risk Categories


Below is a list of conditions which are considered to put patients at very high risk:

  1.     Organ transplant patients
  2.     People with specific cancers
  • People undergoing active chemotherapy or radical radiotherapy for lung cancer
  • leukaemia, lymphoma or myeloma
  • People having immunotherapy or other targeted cancer treatments which can affect the immune system
  • People who have had bone marrow or stem cell transplants in the last 6 months, or who are still taking immunosuppression drugs.
  • 3.    People with severe lung conditions including all cystic fibrosis, severe asthma and severe COPD
  • 4.    People with rare diseases affecting metabolism & blood (such as SCID, homozygous sickle cell disease)
  • 5.    People on certain drugs which suppress their immune system
  • 6.    People who are pregnant with significant heart disease, congenital or acquired

Those in this group should receive a letter from the government with advice about self isolation. This letter will act as evidence for your employer, you do not need a Fit Note as well. However, if you feel you meet this category but haven’t received this letter please email:


Please provide your name, your health condition causing you concern and your occupation. We will respond via email. If you have complex health needs which do not fall into the above boxes, please contact us via the above email.


  • aged 70 or older (regardless of medical conditions)
  • under 70 with an underlying health condition listed below (i.e. anyone instructed to get a flu jab as an adult each year on medical grounds):
  • chronic (long-term) respiratory diseases, such as asthma, chronic obstructive pulmonary disease (COPD), emphysema or bronchitis
  • chronic heart disease, such as heart failure
  • chronic kidney disease
  • chronic liver disease, such as hepatitis
  • chronic neurological conditions, such as Parkinson’s disease, motor neurone disease, multiple sclerosis (MS), a learning disability or cerebral palsy
  • diabetes
  • problems with your spleen – for example, sickle cell disease or if you have had your spleen removed
  • a weakened immune system as the result of conditions such as HIV and AIDS, or medicines such as steroid tablets or chemotherapy
  • being seriously overweight (a BMI of 40 or above)
  • those who are pregnant

These groups are advised to observe stringent self-isolation. (Click Here For Details)  Employees from defined vulnerable groups should be strongly advised and supported to stay at home and work from there if possible   If you feel you fall into this category and require support regarding your employment please email: basccg.riversidehealthcentre@nhs.net Please provide your name, your health condition causing you concern and your occupation. We will respond via email.

Get an isolation Note Here

Please use the link above to get an isolation note and see picture below for isolation timeline example.

Isolation Timeline Example

isoaltion picture                              

Isolating yourself within your home:

  • If at all possible ask other members of the household to isolate with you. Remember that it can take 14 days for an infected person to show symptoms so even if those living with you begin isolation, you will need to limited contact for 14 days.
  • Minimise time in shared spaces e.g. kitchen, sitting room, bathroom
  • Keep 2m away from other people at all times
  • Keep your home well ventilated, e.g. open windows where possible
  • Use separate towels & bathrooms if possible
  • Sleep in separate beds/bedrooms if possible
  • Eat meals alone e.g. in your room, ensure all utensils are cleaned thoroughly