Shielding Letter

Patients who are deemed to be Extremely Vulnerable are entitled to a Shielding Letter.

These patients should have received their letter from the Welsh Government. If you think that you meet one of the criteria below, then please contact the surgery to arrange a shielding letter to be sent to you by post.

If you don’t meet one of the criteria below, we wont be able to arrange for you to receive a shielding letter. This criteria has been set by the Welsh Government.

Shielding letters are only for affected individuals, and not for household contacts or family members.


Criteria for Shielding Letter

– Solid organ transplant recipients

– People with specific cancers

  • People with cancer who are undergoing active chemotherapy or radical radiotherapy for lung cancer
  • People with cancers of the blood or bone marrow such as leukaemia, lymphoma or myeloma who are at any stage of treatment
  • People having immunotherapy or other continuing antibody treatments for cancer
  • People having other targeted cancer treatments, which can affect the immune system, such as protein kinase inhibitors or PARP inhibitors.
  • People who have had bone marrow or stem cell transplants in the last 6 months, or who are still taking immunosuppression drugs.

– People with severe respiratory conditions including all cystic fibrosis, severe asthma* and severe chronic obstructive pulmonary disease (COPD)

– People with severe single organ disease (e.g. Liver, Cardio, Renal, Neurological)

– People with rare diseases and inborn errors of metabolism that significantly increase the risk of infections (such as Severe Combined Immunodeficiency (SCID), homozygous sickle cell disease)

– People on immunosuppression therapies** sufficient to significantly increase risk of infection

– Pregnant women with significant heart disease, congenital or acquired

– Children (up to the age of 18) with significant heart disease, congenital or acquired


*Sever Asthma is Either

  • Previous Intensive Care Admission due to Asthma, or
  • Hospital Admission due to Asthma in the last 12 months, or
  • On 2 types of preventative asthma medication and using regular Oral Steroids (Regular = daily, or 4 or more courses of oral steroids in the last 6 months).

** Rheumatology Patient can check their risk HERE – if you score 3 or more, please contact the surgery