Clinically Vulnerable Families πŸ’™πŸ’œπŸ’— Profile picture
Oct 8, 2024 β€’ 34 tweets β€’ 11 min read β€’ Read on X
πŸ’₯Clinically Vulnerable Families πŸ’₯

Quite a moment as Dr Catherine Finnis take the stand as volunteer deputy leader of CVF.

1/ FOLLOW THIS THREAD Dr Catherine Finnis swears in
A brief introduction to CVF

We were founded due to the risks in schools, but the inquiry is focused on the risks in healthcare in this module.

2/
One of the benefits of the shielding programme:

"was that you had a passport through that shielding letter to enable you to work from home."

3/
"Being put on the shielded list could then take weeks."

4/
CVF are concerned that the former UK government didn't act fast enough to protect Clinically Vulnerable people.

5/
Risks to Clinically Vulnerable frontline worker, including teachers, who were simply told to wash our hands to "Happy Birthday".

The group who were most able to shield informally the most were those who were "older people who were retired".

6/
It was "disempowering" and "highly problematic" for our group to have to ask other people to get us important medicine from pharmacies.

7/
On the Clinically Vulnerable, there was no support system in place. People had to ask friends, family and neighbours to support them to access essential life-giving medication.

Often, they were diminished
"Oh you're only Clinically Vulnerable, you are not CEV, or shielded".
8/
Routes of transmission

CVF has been there "filling that gap" to inform our members about transmission routes, since August 2020, to reduce risk and protect lives.

9/
#MasksInHealthcare

CVF members who wore good quality (FFP2/ FFP3) masks were told to remove them by staff who may have been poorly informed.

10/
The removal of masks in healthcare has has a direct impact on the health of Clinically Vulnerable people who have increasingly had to delay or cancel their appointments due to high Covid risks.

11/
Removing mitigations from healthcare settings has a disproportionate impact on those who carry the greatest risk, although all within healthcare will have higher risks as they are generally a more vulnerable population.

12/
Yet not all of CVFs members have the ability to delay or cancel appointments due to their serious health conditions.

Or they can delay some things to avoid Covid peaks, but not others.

13/ (Q47) Quote from CVF Member  "I feel healthcare is no longer safe, now that masking has been removed, I find every visit stressful. I spend a week before and after feeling very anxious and worried. I can't cancel appointments, I need my treatments, I still need facial surgery for my skin cancer, but I have delayed having a minor surgery to have my port removed. It seemed safer in 2020 because everyone as masked, there were more virtual appointments available, and the hospitals were much quieter."  Juliet, aged 59
Current guidance for immune suppressed people is to:

↔️Ask visitors to keep their distance.
πŸ“₯Take a lateral flow test
😷Ask them to wear a face covering
😷You may want to wear a face covering yourself

Cathy flags the juxtaposition of this advice with risks in healthcare.
14/
There is no testing in healthcare.

This is a problem for Clinically Vulnerable people who are "high users of healthcare".

CVF advocates for #MasksInHealthcare.

15/
CVFs "wishlist"

None of this is happening currently, although patients sometimes ask for staff to mask

*See a mask, wear a mask*

would be much simpler than self-advocacy.

16/
Wishlist in written form:

17/ 145. Interim measures, as reasonable adjustments for Clinically Vulnerable People:  a) Allow people to wear their own FFP3/FFP2.  b) Enable people at higher risk a way to easily request staff to wear masks (before their appointment).  c) Allow higher risk patients to wait in a different setting, e.g., in the car or in another room.  d) Monitor CO2 as a proxy for rebreathed air and respiratory virus risk in all healthcare settings. Make CO2 readings readily available to patients and their families.  e) Improve the waiting rooms-consider mechanical or natural ventilation and where not possibl...
The growth of #MaskAbuse has been hugely problematic for CVF members and those who choose to continue to mask.

There was a time when being coughed on or spat on was considered assault, however, now it is a common experience for CV people.

18/
CTI "Something went wrong with the messaging... there may be good reason why CV and CEV people are still wearing masks."

Dr CF "Unless you are a part of Clinically Vulnerable Families... it has been minimised in all quarters of life, even in healthcare."

19/
Pausing shielding left people exposed.
No advice or practical support.

20/
When shielding was paused in 2020, nobody had been vaccinated. Our risks hadn't changed.

Taking "personal responsibility" has left those with the greatest risk shouldering the greatest burden of responsibility, without the knowledge to reduce risks and stay safe.

21/
CVF offers support to all Clinically Vulnerable people, including those who were formerly identified as CEV.

"It is really hard as a Clinically Vulnerable person to judge your own risk, the route of transmission, and how to mitigate against it."

22/
CVF have arranged discounts on essential products like masks and air filters for our members to hopefully reduce their financial burden whilst staying safe.

23/
To clarify, @lara_wong negotiated not for a small air filtration unit but a discount for our members.

The costs also include changing filters.

24/
@lara_wong CVF have identified an increase in use of private healthcare, by those who can afford, it due to the lack of protection within the NHS.

25/
Concerns around blanket use of DNACPRs.

Some people, who otherwise didn't expect it, were called out of the blue to ask about DNACPRs.

"There are examples of relatively young people.. who have been either asked that question or have found it on their discharge letters."

26/
How to protect vulnerable people in future pandemics...

Identify
Inform
- modes of transmission
- how to reduce transmission (masks)
Passporting to work from home
Empower people

26/
Deep concern from CVF regarding "discriminatory and inappropriate use of [DNACPR] orders".

Dr CF "CV people... would be very worried about that still being left on people's records"

"Are you worried about excluding CV people from other life-saving treatments?"
Dr CF "Yes"
27/
Should there have been a staged reduction in shielding?

Transitional support
Psychological support
Supermarket food delivery
Delivery of pharmacy prescriptions

28/
On the lack of public messaging following the end of protections.

CVF has been left trying to advocate for ourselves; in schools, in workplaces, and healthcare.

29/
"There are still no obvious measures in Infection Prevention and Control in hospitals, or any part of healthcare."

30/
Just a final message of support and solidarity from Baroness Hallett as we concluded our evidence for today.

She recognised the rise in #MaskAbuse and the risks posed by children transmitting Infections.

We need #SafeSchools!

31/
πŸ’• Many thanks to Dr @cathy_finnis for her stellar work representing us all today.

Also, thanks are due to our legal team led by @Kim_LHarrison, our lead barrister @AdamWagner1 and @ShaneSmith_Law.

32/
CVF will be back on the witness stand tomorrow morning when Lesley Moore shares her family's story.

Please also show her your support!

Finally, do SIGN UP for our legal team meeting on 15th October.

33/ 15 OCT  Legal team meeting  Clinically Vulnerable Families members are invited to our Covid-19 Inquiry update at 6pm on 15th October.  SIGN UP NOW!  Slater Gordon Lawyers  Doughty Street Chambers

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More from @cv_cev

Apr 30
πŸ”Š Calling all UK COβ‚‚ monitor owners
AND any helpful UK voters

PLEASE REPOST ♻️ ❀️ and tag others!

πŸ™ Can you *please* help us at the local elections next Thursday?
- Even if you don't own one, we still need your help!

1/🧡
<Read our new article - next post> HELP AUDIT  VENTILATION  FOR OUR ACCESSIBILITY SURVEY OF  THE LOCAL ELECTIONS  YOUR VOICE.  CLEAN AIR.  BETTER SPACES.  CO  SPOT IT.  Use a COβ‚‚ monitor to check air quality.  RECORD IT.  Share what you find.  Help make public spaces healthier for everyone.  COβ‚‚  1113  PPM  21  TOGETHER,  WE CAN BREATHE BETTER!  Clinically Vulnerable Families
Last year, your evidence helped us change the Electoral Commission guidance for assisting Clinically Vulnerable voters - which has improved safety for everyone.

This year, we NEED YOUR HELP - to audit whether the guidance has worked. πŸ™

2/
Read more πŸ‘‡
clinicallyvulnerable.org/post/2026-loca…
1. 🌬️ BRING YOUR COβ‚‚ MONITOR
- if you have one!

Take the indoor reading of COβ‚‚ (in ppm) ideally at head height, 50cm away from people, leaving over 30 seconds to settle.

Remember the number... you need it later!

3/ #MyMaskMyVote Image of a CO2 monitor. Signage for polling station visible behind.  However, this was taken *outside* of a polling station immediately after being inside. This is not how to measure CO2! It is for illustrative purposes only.
Read 7 tweets
Apr 10
Let this sink in...

πŸš‘ HEALTHY adults vaccinated against Covid Sept - Dec 2025 reduced their likelihood of emergency and urgent care visits by 50%.

🏨 Hospitalisations were reduced by 55%

(compared with those not vaccinated)
1/🧡 Image
The UK has not shared data from 2025. But for CV people it is much worse:

2024 JCVI data showed that vaccines reduced hospitalisations for Clinically Vulnerable people by 45%.

They published it!
...then removed millions with health conditions from eligibility!

2/ Image
45% may sound lower.
But if your baseline is 2-12x more likely to be hospitalised from Covid, a 45% reduction in risk prevents 2-12x more hospitalisations per dose.

The JCVI removed high-risk groups on cost-effectiveness grounds.
But the cost-effectiveness case is stronger!

3/
Read 12 tweets
Mar 29
The government just published its Pandemic Preparedness Strategy.

TLDR: Some welcome commitments inc. on ventilation. But Clinically Vulnerable people are still not clearly defined or automatically protected, and the prioritisation framework won't arrive until 2027.

1/🧡 Department of Health & Social Care  Pandemic Preparedness Strategy: building our capabilities  Published 25 March 2026
What's new?

Published 25 March 2026, this is the UK's first major pandemic strategy since Covid.

It covers all 4 nations, sets out 12 principles and detailed action plans to 2030, backed by around Β£1 billion of investment.

But what about the detail...?

2/
They know another pandemic is coming... and epidemics are also a risk.

The question is:
Will Clinically Vulnerable families be protected when it does?

- This document raises the question more than it answers it.

3/ While pandemics of this scale are rare, major epidemics are far more common and milder  pandemics still cause significant damage. A future pandemic is a certainty - we just don’t  know when it will happen or what will cause it. It would most likely be caused by a virus,  though it could also be caused by bacteria or fungi. It could be spread by one or more of  the routes of infection transmission, with the 5 main transmission routes being: β€’ respiratory β€’ oral β€’ blood or sexual β€’ touch 1 Scientific Advisory Group for Emergencies and DHSC’s DHSC and ONS: direct and indirect health impacts  o...
Read 20 tweets
Mar 25
πŸ“‰ Kent MenB outbreak

⚠️East Kent Trust failed to report their first case for 2 days⚠️

Here's what you need to know.
TLDR: Peaked 13th March. No new cases since - with reporting delays, but that's even better news than it sounds.
1/🧡 πŸ‘‡ @laurabundock @SkyNews
THE OUTBREAK IS DECLINING but understates how well that's going. πŸ“‰

The earliest case became unwell on 9th March, with the latest on 16th March, and the peak was 13th March.

2/
Cases take time to be confirmed and reported.

The fact that nothing new has surfaced in the data as of 23rd March - despite the reporting lag - means the real-world situation is almost certainly better than the numbers show.

3/ Image of bar chart  Figure 2. Cases of invasive meningococcal disease in Kent outbreak, by case category, outbreak bacterial subtype: serotype P1.12-1,16-183, attendance at Club Chemistry, and date of onset (data as of 23 March 2026)  6  5-  4  Number of cases  3  2  1-  0  07 Mar  09 Mar  11 Mar  13 Mar  15 Mar  17 Mar  19 Mar  21 Mar  23 Mar  Date of onset  Confirmed outbreak strain  Confirmed  Probable  Attended Club Chemistry  Includes 17 Confirmed - outbreak strain and 3 Confirmed and 2 Probable case(s). Excludes 1 Probable case with missing date information.
Read 15 tweets
Mar 18
Meningitis
* Important thread for those who prefer balanced and factual information *

In order to understand risk we need to break down a few things....

🦠Risk from the bacteria
πŸ’™πŸ’œπŸ’— Individual risk
πŸŽ“ Environmental risks
1/
The Kent outbreak is predominantly MenB (Group B). This is a serious infection - and potentially an adapted strain - investigations are ongoing...

Bacterial meningitis is rare but more severe than viral, and up to 1 in 10 cases of bacterial meningitis in the UK is fatal.

2/
MenB isn't new. There are around 300 cases of MenB per year in the UK, even with vaccination programmes.

What's unusual is the cluster - multiple cases linked to a single location in a short window. It has now spread to a student at a second university in Canterbury, Kent.
3/
Read 9 tweets
Mar 5
UK COVID INQUIRY - CVFπŸ’™πŸ’œπŸ’—
@AdamWagner1 Closing Submissions

The Covid Inquiry has good ventilation protocols (as advised by CVF at the start of the Inquiry) including HEPA filters.

Under 1000ppm is therefore the safe threshold ( but without it would be under 800ppm).

1/
We need to understand airborne transmission in order to make all indoor environments safer for everyone, and especially for Clinically Vulnerable people.

2/
The need for Clinically Vulnerable people to have:

Safety
Support
& Status

3/
Read 14 tweets

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