Last updated 1 April 2021
Adults with specified conditions that make them “clinically extremely vulnerable” are Priority Group 4 - let us know if you have not received your invitation for COVID-19 vaccination
About the Clinically Extremely Vulnerable priority group
Adults who are "clinically extremely vulnerable" are in priority group 4 in the national priority groups for COVID-19 vaccination from the UK's independent Joint Committee on Vaccination and Immunisation.
In line with national guidance this category include:
- 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).
- People on immunosuppression therapies sufficient to significantly increase risk of infection.
- Adults with Down’s syndrome.
- Pregnant women with significant heart disease, congenital or acquired*
*Please note that the current vaccines are not recommended for use by pregnant women or children under 16
More detailed information about how people are identified as “clinically extremely vulnerable” is available from the NHS Wales Informatics Service website.
People who are clinically extremely vulnerable will have received a letter earlier this year from Welsh Government with information about how to stay safe as all of Wales is in Coronavirus Alert Level 4.
First Dose Appointments
Invitations to people who are “clinically extremely vulnerable” have been issued, so if you have one of the conditions listed above and your doctor has added you to the "clinically extremely vulnerable" list then you should have received your invitation by now (you will have received a "shielding" letter earlier this year from Welsh Government if you are in the "clinically extremely vulnerable category").
- If you have received a "clinically extremely vulnerable" letter from Welsh Government but you have not yet been contacted about an appointment then please complete the form below so that we can invite you.
- If you did not receive this letter, then you may have other underlying health conditions but not to the extent that makes you "clinically extremely vulnerable". Other adults with underlying health conditions are in Priority Group 6.
- If you did not receive this letter from Welsh Government but have received a "clinically extremely vulnerable" letter from your hospital consultant in England then please contact your GP to ask them to add you to the "clinically extremely vulnerable" list for Wales, and to request your COVID-19 vaccination.
Second Dose Appointments
Information about second dose appointments is available from our second dose appointments page.
More information about COVID-19 vaccination in Powys is available from our COVID-19 vaccination page.
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