Tag: Health and wellbeing

Mental health advice from Anxiety UK

The constant barrage of new developments regarding the current outbreak of COVID-19 (also known as coronavirus) can cause particular challenges for people living with anxiety, stress and/or anxiety-based depression especially those that have health anxiety and/or Obsessive Compulsive Disorder – OCD.

Whilst there’s plenty of advice on how to protect yourself and limit the risk of exposing yourself to the virus, little has been said about the effect a problem of this nature- can have on our mental health and specifically those who have pre-existing mental health issues such as anxiety disorders.

It is well established that for many that live with anxiety, a common characteristic is that of having an ability to tolerate uncertainty.  The current situation with coronavirus has clearly created a lot of uncertainty which might be difficult for those with pre-existing anxiety conditions such as health anxiety to manage.

For such individuals the whole situation may feel extra daunting and worrying and with the extensive media coverage that the subject has attracted, it’s understandable that some people may feel overwhelmed and begin to catastrophise – imagining the worst case scenario.

One thing that might be helpful for those experiencing anxiety to remember is that whilst no-one knows exactly what might happen, the good news is that most services and businesses will already have a contingency plan in place to ensure that they are able to continue operating as close to normal as possible.

Anxiety UK also has a robust business continuity plan in place which will allow us to keep supporting those that need our help.

Our services will not be disrupted and anyone who needs further assistance around any aspect of anxiety can contact us via our support email support@anxietyuk.org.uk or by calling the helpline on 03444 775 774 between the usual opening hours of 9.30am – 5.30pm.

Health anxiety can make any kind of symptom feel like the worst case scenario, however taking on board the below tips should help those experiencing health anxiety to feel in control and manage their anxiety:

Firstly, try to limit your exposure to news sources which are covering the coronavirus issue as this only serves to feed fear.

Ensure that you have some mental ‘downtime’ woven into your daily schedule.   Mindfulness practice can be incredibly helpful with apps such as the Headspace app (available to all Anxiety UK members at no additional cost) assist with keeping us in the here and now as opposed to allowing our minds to think about future scenarios which might never happen.

If you are feeling concerned or overly worried about it there are some techniques you can use to help manage your anxiety such as simple breathing or (short-term) distraction exercises and mindfulness.

A free guide is available to download here https://www.anxietyuk.org.uk/products/booklet/breathing-and-relaxation-guide/

Try practising the APPLE technique which encourages you to Acknowledge, Pause, Pull back, Let go and Explore: 

Acknowledge – Notice and acknowledge the uncertainty as it comes to mind.

Pause – Don’t react as you normally do. Don’t react at all. Just pause and breath.

Pull back – Tell yourself this is just the worry talking, and this apparent need for certainty is not helpful and not necessary. It is only a thought or feeling. Don’t believe everything you think. Thoughts are not statements or facts.

Let go – Let go of the thought or feeling. It will pass. You don’t have to respond to them. You might imagine them floating away in a bubble or cloud.

Explore – Explore the present moment, because right now, in this moment, all is well. Notice your breathing and the sensations of your breathing. Notice the ground beneath you. Look around and notice what you see, what you hear, what you can touch, what you can smell. Right now. Then shift your focus of attention to something else – on what you need to do, on what you were doing before you noticed the worry, or do something else – mindfully with your full attention.

If you feel that you need more targeted and 1:1 support for your anxiety, here at Anxiety UK we have a range of services which you might find helpful including talking therapy support services: Cognitive Behavioural Therapy (CBT), counselling and clinical hypnotherapy – all accessible at reduced rates.

For more information on health anxiety in general, you can download our fact sheet here – https://www.anxietyuk.org.uk/products/anxiety-condition/health-anxiety/health-anxiety-fact-sheet-instant-download/

Lord Provost: We’ll get through this together

Edinburgh’s Lord Provost FRANK ROSS shares a message of thanks to Council staff, NHS workers and people of Edinburgh:

“This is an extremely unsettling time for everyone. Unprecedented is often the word on all of our lips as we find ourselves facing a global health and economic crisis. I send my deepest condolences to those who have lost loved ones, and my best wishes to all who have been affected. 

I’m sure I speak on behalf of everyone in the city when I express our enormous gratitude to the staff of NHS and health workers, who are doing an incredible job in the most challenging of circumstances. Last night, Edinburgh joined communities across the country in a nationwide round of applause, paying tribute to the NHS staff working hard to treat coronavirus patients. It was a truly moving moment.

Edinburgh is now feeling the effects of the pandemic, but I believe if we take the right actions now, we will slow the spread, reduce the impact and save lives. I’d like to thank everyone who has followed the rules and stayed at home.

I’m aware that we all have serious concerns about the impacts of coronavirus and what it will mean for your family, your health, your job and your family finances.

I want to reassure you that the Council is completely focussed on preparing for what lies ahead over the next days, weeks and months. We’re doing everything we can to keep vital services running and keep residents informed and supported.

I would like to thank all local authority workers for their ongoing commitment and hard work at this difficult time. The attitude and willingness to adapt to make sure key services are delivered for the people of Edinburgh is humbling and won’t be forgotten.

As key workers and service providers across the city work to keep Edinburgh moving and help those who need it most – there are some important things that we can all do to make a big difference in our communities.

I implore you to listen to and act on the advice to stay at home, as far as possible. We must follow the advice from the experts. It helps us to protect those most vulnerable to the virus and those essential workers who continue to support the city. We must do everything possible to reduce the amount of people becoming ill and dying, or we risk our NHS being overwhelmed and unable to cope.

If you do go outside please practice social distancing, go on your own or with one or two others in a small family group. Parks and beaches should not be busy. And of course, if you believe you have any of the symptoms (high temperature or fever, cough, shortness of breath) please abide by the isolation guidance and stay indoors. I’m not exaggerating when I say, lives depend on it.

It’s important that we look out for our family, friends and neighbours, in particular, the elderly and the isolated. These are troubling times and a friendly word or help with a chore can go a long way. It has been fantastic to see some the great work of local people and projects rallying together in communities.

Misinformation is also a concern of mine – we often receive and share pieces of advice that we’ve heard from a friend of a friend who is in the know and I urge you to practice good information hygiene as well as personal hygiene.

Before sharing what you’ve heard, ask for a source of the information as this could easily be false or taken out of context. Get your information from recognised sources and the updates provided by NHS and Scottish Government.

This is undoubtedly the biggest challenge we’ve faced in a very long time as a nation, but we will get through this together.

There is a lot of information and support available to help you. Please visit our information pages and follow @Edinburgh_CC for up to date information.

Stay safe and stay connected.”

Marie Curie in Scotland caring on the frontline

The charity Marie Curie is geared up to care for hundreds of additional dying patients requiring end of life care, in order to relieve the unprecedented pressure on the NHS during the Coronavirus crisis.

Marie Curie in Scotland needs to raise over a quarter of a million pounds a week (£2.5 million UK-wide) to continue to run its essential frontline services, at a time when its ability to generate this money has been seriously compromised.

Given the choice, people overwhelmingly say they would prefer to die in their own home, or in a hospice, rather than a hospital. 

People who are dying are able to leave hospital quickly, if the right package of care is in place and it is safe to do so. Marie Curie are experts in providing that care.

Now more than ever, dying people who do not want to be in hospital need to be moved to a more appropriate setting, as precious beds in critical care units are urgently required for patients who need lifesaving treatment for Coronavirus.

Marie Curie can help, but only if it continues to raise the donations it needs to fund its vital work. 

Marie Curie Head of Community Fundraising in Scotland Debbie Mooney said, “This is a stark warning that Marie Curie desperately needs more donations if it is to continue caring for dying people and help the NHS cope with the Coronavirus crisis.  

“The people of Scotland are known for our generosity and kindness, which we’ve seen in abundance over the last few difficult weeks. We need the public to rally around our hospices and nurses now and give whatever they can. It has never been more critical.”

Marie Curie’s Chief Executive Matthew Reed said: “At this time of national emergency, Marie Curie Nurses and frontline staff are needed more than ever as the NHS is put under ever greater strain. We’re ready and geared up to help, with hospice beds and nurses on standby.    

“Sadly, some people’s lives will be shortened by Coronavirus, so the need for end of life care will be greater. Marie Curie can meet this need, and in doing so will help free up intensive care beds needed for Coronavirus patients.

“But just as we want to help, our income has been decimated.  We need donations urgently to keep our Nurses and Hospice staff on the frontline.

“Unlike other healthcare providers, Marie Curie is reliant on donations from the public to survive. Every week the charity needs to raise £2.5million to care for the tens of thousands of people who require nursing and hospice care.  

“At the moment, our ability to fundraise is seriously compromised. Events are being cancelled, and we’ve had to close our Shops.  That is why we have launched an emergency appeal to make up the shortfall, and ensure the charity can care for more dying patients, support the NHS and ultimately save lives in the weeks and months ahead.”

Matthew added: “We are all in this crisis together and already we are seeing how the public in this country is rising to support each other and the most vulnerable.  Please donate now.”

  • Text NURSE to 70633 to help us reach the families who need us. Texts cost £5 plus 1 standard rate message. 98% is received by Marie Curie. To unsub text OUT to 78866. Thank you.

If you, or someone you know, is affected by a terminal illness and concerned about Coronavirus, our Support Line team are ready to help with the information you need when you need it. Call free 0800 090 2309*.

Due to increased demand, Marie Curie has extended its service to 7 days a week: Monday to Friday 8am to 6pm, Saturday and Sunday 11am to 5pm. Your calls may be recorded for training and monitoring purposes.

You can also find more information on our website: mariecurie.org.uk/coronavirus  

Hospital workers check in to city hotel

FRONTLINE workers leading the response to the COVID-19 pandemic in Edinburgh are booking in to the city’s largest independent hotel after it committed to offering free rooms and meals.

Since opening its doors on Friday evening to help clinical and medical staff at the capital’s hospitals, Ten Hill Place witnessed more than 232 room nights booked over the weekend into Wednesday, accommodating guests over the coming weeks.

The hotel, owned by The Royal College of Surgeons of Edinburgh (RCSEd) and operated by Surgeons Quarter, is located less than a mile from the Royal Hospital for Sick Children and three miles from the Royal Infirmary of Edinburgh.

It is now calling on even more workers to make use of its 129 bedrooms – and as well as offering a continental packed breakfast it is also now including a free evening meal courtesy of its award-winning catering team.

The huge effort has drawn praise from the RCSEd President, Professor Michael Griffin, regarded as one of the UK’s leading surgeons. He said: “COVID-19 is unlike anything we’ve seen in our lifetimes – and I know the strain it is putting across all aspects of our wonderful health service.

“The team at Ten Hill Place are giving tired workers vital respite to allow them to focus on caring for the country.

“The decision by Scott Mitchell, supported very strongly by myself and our team, to open the Hotel up to healthcare workers who are finding it difficult to get in on public transport was a brave but generous one.  We are helping them to help us, our families and our friends as they fall ill from any condition, not just COVID-19.

“We simply can’t put a value on this. The work Surgeons Quarter has been doing is truly outstanding and admirable – everyone at the College is extremely proud.”

Scott Mitchell, Managing Director at Surgeons Quarter, said: “This is a really challenging time for everyone in the world.

“We are happy to be able to play a small part in helping to make the lives of our heroic Medical and Clinical workforce at the frontline of Scotland’s response to COVID-19 that little bit easier.

“We have been taken aback by the positive response to opening the hotel to NHS staff and the wider Medical and Clinical workforce and want to encourage those who are able to take advantage of our city centre location to get in touch.

“Ten Hill Place has 129 hotel rooms which are available to a variety of key workers carrying a valid hospital photographic identity card or similar.  Please contact the hotel on 0131 662 2080 or by email at reservations@tenhillplace.com to make your booking.

“We look forward to continuing to welcome and looking after our NHS staff and wider Clinical and Medical workforce over the next few weeks.”

As well as the commitment to hospital staff, the RCSEd has engaged with the Chief Medical Officer to declare its willingness to temporarily convert the hotel, should hospitals overflow.

Surgeons Quarter has also pledged to pay all 76 salaried and contracted staff over at least the next three months, while adding discretionary sick pay at full levels.

Surgeons Quarter promotes, sells and manages all commercial activities held within the RCSEd campus. All profits support the charitable aims of the College which are education, assessment and advancement in surgical standards worldwide.

Ten Hill Place Hotel can be contacted on 0131 662 2080 or reservations@tenhillplace.com

Demand for Childline increases as Scottish schools close

  • Hundreds of children across the UK counselled over impact of Coronavirus outbreak
  • Almost 20 per cent of these counselling sessions delivered in the Aberdeen and Glasgow Childline bases

Childline has experienced an unprecedented demand for its services as the Coronavirus (COVID-19) pandemic starts to affect children’s lives.

There have been over 900 counselling sessions with children and young people about Coronavirus so far, nearly two thirds of which (597) took place last week (16-22 March), as parents started working from home and school closures were announced.

Almost 20 per cent (167) of these counselling sessions were delivered from the Aberdeen and Glasgow Childline bases.

Support for children worried about Coronavirus hit a peak on Wednesday 18 March – the day the Prime Minister confirmed UK schools would shut – with Childline delivering 121 counselling sessions on the issue in just one day.

Over half of young people who spoke to Childline last week about Coronavirus were counselled for their mental and emotional health as they struggled to cope with issues like isolation, arguments at home and the removal of professional support from schools and the NHS.

One teenage girl told a counsellor: “I feel really anxious, upset and lonely. The news has made my mental health worse but my CAMHS appointment has been cancelled and school has closed. I’m stuck at home having a horrible time because my sisters are bullying me because I’m autistic.” 

NSPCC Scotland are in discussions with the Scottish Government and local authorities to give Childline staff key worker status as they battle to keep the vital service running, and continue to support children through this public health emergency.

While the service has reduced slightly since some volunteer counsellors have been told to self-isolate, it continues to be a lifeline for some of the most vulnerable children.

Last week Childline delivered over 50 counselling sessions with children who were having suicidal thoughts, exacerbated by Coronavirus as they felt trapped and isolated.

Other issues raised have included school work and family relationships, as children sense the seriousness of the situation through their parent’s reactions.

One girl told Childline: “My mum is being very distant with me and I am usually very close to her, it’s really upsetting me. My mum and I have a good relationship but she’s really obsessed with the news and she won’t hug me or get very close to me. It scares me to think this will go on for months. She constantly talks about the Coronavirus and my anxiety is getting worse.” 

Most of the young people Childline has been supporting on the impact of Coronavirus are 12-15-year-old girls.

Dame Esther Rantzen, Founder of Childline, said: “Our dedicated volunteers are on the frontline supporting children through this public health emergency, and we couldn’t do it without them.

“Sometimes young people find it difficult to share their anxieties with their parents, for fear of worrying them further. So, it is important that families talk about their feelings, together.

“We are hearing from children who have been cut off from vital support networks such as school, and friends, and that has increased their feelings of loneliness and vulnerability. They may have pre-existing mental health issues which are exacerbated by the current crisis.

“Childline needs your help to let children and young people know that we are still here for them, and if they need someone to turn to, they can contact Childline via our website or on the phone.”

Peter Wanless, CEO of NSPCC, said: “The 24/7 news cycle about Coronavirus is causing huge worry and anxiety in young people – particularly those who are already coping with many other issues in their lives.

“Childline provides an essential service to vulnerable children, some of whom may be in a life-threatening situation, which is why our staff and volunteers are working tirelessly to keep Childline running.

“While we are all facing events unprecedented in modern time keeping children safe and providing them with a space to talk about their concerns is our number one priority.”

As well as calling Childline’s free confidential helpline on 0800 11 11, young people can also send emails to trained counsellors or receive support online via one-to-one chat by visiting childline.org.uk or by downloading the For Me app.

‘Women’s post-natal physical and mental health is a right, not a privilege’

In light of the current social distancing strategies and recent announcement of UK school closures, the founder of online post-natal fitness company ‘Healthy Post-natal Body’ has decided to suspend all monthly subscription fees for the next three months.

The act of kindness will be open to both existing customers as well as all mothers who have not yet used the service and would like to have something new and positive for themselves, to focus on over the coming weeks. There are no terms and conditions, fixed contracts or hidden clauses.

Peter Lap, founder of Health Post-natal Body, said: “This isn’t a gimmick or a promotion. We all have to look after one another right now and I’m a big believer in making sure I contribute to society rather than just take. Women’s post-natal physical and mental health is a right, not a privilege.”

Peter’s decision to lift all subscription fees follows the governments recommendations to minimalise social contact for at least the next 12 whole weeks, meaning many women won’t be able to see their personal trainer as often. Added to this, many families will now be facing financial hardship as a result of the sudden economic downturn.

Peter continues: “We are all facing a tremendous amount of uncertainty, stress and worry right now and it’s important that we look after our mental health and wellbeing.

“Prolonged social distancing is going to put a lot of pressure on families and my short routines have been designed so that they can fit easily into hectic schedules. Consistency is key and all you need is a short window of time to do some key exercises.”

Existing subscribers will have the next three months of their subscription charges frozen and those new to the service will be able to redeem this offer up to the 30th of April using the code ‘3months’.

Healthy Post Natal Body is a subscription service (normally charged at £8pcm) that focuses on the physical health and wellbeing of women who have given birth.  The online forum is packed with useful advice and weekly routines, focuses on the physical health and wellbeing of women who have given birth.

For more information visit https://www.healthypostnatalbody.com/

Coronavirus: Scotland forms new expert group

A new expert group providing additional scientific analysis of the impact of COVID-19 in Scotland has been announced by the First Minister.

As the number of cases increases, it is important that we have the fullest possible understanding of exactly how COVID-19 is spreading in Scotland.

Professor Andrew Morris, Professor of Medicine at the University of Edinburgh and Director of Health Data Research UK, will chair the Scottish Government COVID-19 Advisory Group.

He will be supported by vice chair, Professor David Crossman, Dean of Medicine at the University of St Andrews and Chief Scientific Advisor for Health at the Scottish Government.

The group will supplement the advice coming to the four nations from the Scientific Advisory Group on Emergencies (SAGE) to further strengthen Scottish Government modelling work informing national and local decisions in Scotland during the pandemic.

Chief Medical Officer Dr Catherine Calderwood (above) said: “We are facing an unprecedented situation and it’s crucial we not only follow the latest scientific advice coming from SAGE, but establish what that means here in Scotland on a local level.

“It’s vital that we are well equipped to deal with all possibilities as this outbreak grows globally and this advisory group will play a key role in developing our understanding of the virus and its impact on Scotland.

“We will continue to work closely with the UK Government, Welsh Government and the Northern Ireland Executive as part of a coordinated response to this virus.”

Read the COVID-19 Guidance for Non-Healthcare Settings.

The latest numbers of test results are published at 2pm each day on the Scottish Government website.

Updates on public health advice for coronavirus can be found on the NHS Inform website, and a free helpline has been set up for those who do not have symptoms but are looking for general health advice: 0800 028 2816.

Common symptoms of coronavirus include:
• fever or a temperature of above 37.8°C
• persistent cough

US, TAE! – Scots want to help, too

Thousands of Scots stand ready to help an NHS volunteering scheme, and the SNP government should waste no time in setting one up, the Scottish Conservatives have said.

Yesterday, UK health secretary Matt Hancock announced an initiative which allows members of the public to help out hospitals and patients with a range of tasks.

However, the plan which will ease pressure on the NHS amid the coronavirus pandemic is only on offer in England.

Holyrood’s shadow health secretary Miles Briggs has called on the Scottish Government to create a similar scheme north of the border.

The project means ordinary people – so long as they’re showing no signs of Covid-19 – can help with tasks like transporting medicine and equipment, and helping with deliveries for those who are self-isolating.

More than 250,000 people have signed up in a single day to volunteer with the NHS after the ecruitment drive was launched.

Scottish Conservative shadow health secretary Miles Briggs said: “So far, both the Scottish and UK governments have worked really well together as we face this unprecedented crisis.

“Now this volunteering scheme has been set up for England, this would be another good way for both to collaborate.

“Thousands of Scots would have seen this announcement and immediately looked into it, only to find it was just those living south of the border who could get involved.

“Hopefully now the Scottish Government will follow suit and harness the amazing goodwill that is out there.

“Ordinary people are desperate to help out our amazing NHS at this crucial time.

“Scots help out fellow Scots when they are facing tough times. That’s just how Scotland works and that’s exactly what we are all going to have to do.”

Dedicated team to co-ordinate city’s homeless support

• Hotels, self-contained flats and halls of residence could be used
• Care packages including food to be delivered

Plans have been put in place to protect people facing homelessness during the coronavirus outbreak in Edinburgh, thanks to the combined efforts of city council, public health, private and third sector workers.

As part of urgent measures to support those most at risk in the Capital, we’ve set up a dedicated team to co-ordinate support and take steps to increase the number of safe places for homeless people to stay, for the purposes of self-isolation.

Featuring officers from our homelessness, health and social care and procurement services, the new Additional Accommodation Needs Team will be responsible for co-ordinating crucial activity to step up the self-contained temporary accommodation we have available for those without a home.

This team is being supported by daily advice from colleagues within Public Health Scotland, which is greatly assisting with day-to-day decision making.

The continued delivery of care packages including food, alongside the use of bed spaces in vacant hotels, self-contained flats and University halls of residence, are among the measures being actively and urgently explored. This is alongside ongoing support for rough sleepers who we consider to be very vulnerable to the virus.

The team will build on work which has already been underway in Edinburgh to move families in shared temporary accommodation like B&Bs into self-contained places to live, and to keep Edinburgh’s homeless shelters and street-based outreach services open for as long as possible.

Council Leader Adam McVey said: “We are committed to doing all that we can during this crisis and we stand ready to support everyone who is or becomes homeless, in any way possible.

“We’ve put a plan in place that will help us ensure the safety of people experiencing homeless in the city, thanks to the incredible efforts of our housing officers and third sector partners who have been working nonstop to explore options for how we continue to care for those who need it most.

“We’ll be exploring all options to make sure our most vulnerable families and residents can still get the help they need while following the Scottish Government’s clear instructions.

“This is clearly a very challenging time for our teams and our city so I’m pleased we’ve had a very positive response from the private sector to our appeal for extra accommodation.

“I’m grateful too for the incredible sacrifice and dedication of Edinburgh’s key workers who continue to do their jobs, day and night, to keep our essential homelessness and health services running and our people protected, as far as they can.”

Depute Leader Cammy Day said: “The new team we’ve set up has an incredible responsibility and challenge ahead of them. They will constantly be checking the numbers of rooms we might need, working in the face of a national lockdown to prioritise our city’s most vulnerable people.

“They need to do this while factoring in the additional support needs many individuals who experience homeless will have.

“It’s not going to be easy but we are all in this together. Hotels and other organisations are already responding to our call and we’re urgently looking at how we join forces as a city at this very difficult time.”

Coronavirus: Tailored support for those at highest risk

New guidance and local support is being implemented to help shield around 200,000 of the most at-risk Scots from coronavirus (COVID-19).

The measures are tailored towards supporting people with the highest risk of severe illness from the virus, as identified by the UK’s Chief Medical Officers. Scotland’s CMO Dr Catherine Calderwood will also be writing to those identified as being at greatest risk in the coming days to provide further information and bespoke guidance on how to best protect themselves from infection.

The new support being offered will help people self-isolate – thereby making it less likely that they will contract the virus – and protect them from the detrimental effects of self-isolation, including disruption of crucial health and social care, and social isolation and loneliness.

Deputy First Minister John Swinney has ordered the establishment of Humanitarian Assistance Centres across the country as soon as possible.

Mr Swinney said: “Responding to the coronavirus pandemic is the biggest challenge of our lifetimes, and we must do all we can to slow it down and save lives.

“That’s why we are asking people at the highest clinical risk to self-isolate for a long period, and our local services must prioritise them. This will help protect them, minimise the loss of life from Covid-19, and reduce the burden on the NHS in responding to patients who are likely to become severely unwell.

“I have every confidence in the capability of Scotland’s resilience community to effectively lead what will be the biggest response effort ever undertaken in peacetime. We know that it won’t be easy, but by working together everyone can play their part in keeping people safe.”

The new support will be made available through GPs and local resilience partnerships, and will include help with medical conditions, access to medicine and services, and also access to food and supplies.

The Deputy First Minister has written to Local Resilience Partnerships around the country asking them to set up Humanitarian Assistance Centres (HAC) or an equivalent arrangement.

The Scottish Government is engaging with suppliers to put in place a national framework to ensure supplies can be secured at a local level.

The six categories of risk – as agreed by the UK’s Chief Medical Officers – are:

1. Solid organ transplant recipients

2. People with specific cancers:
a. People with cancer who are undergoing active chemotherapy or radical radiotherapy for lung cancer
b. People with cancers of the blood or bone marrow such as leukaemia, lymphoma or myeloma who are at any stage of treatment
c. People having immunotherapy or other continuing antibody treatments for cancer
d. People having other targeted cancer treatments which can affect the immune system, such as protein kinase inhibitors or PARP inhibitors
e. 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 respiratory conditions including all cystic fibrosis, severe asthma and severe COPD

4. People with rare diseases and inborn errors of metabolism that significantly increase the risk of infections (such as SCID, homozygous sickle cell)

5. People on immunosuppression therapies sufficient to significantly increase risk of infection

6. People who are pregnant with significant congenital heart disease

The first port of call for anyone looking for information is the NHS Inform website.