💥Clinically Vulnerable Families 💥

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.
📥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/
💕 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

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Clinically Vulnerable Families 💙💜💗

Clinically Vulnerable Families 💙💜💗 Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @cv_cev

Dec 8
🥳 This is a HUGE win for CVF!

- Safe access to public buildings is a right!

As a consequence of our advocacy, national voting guidance has been updated to:
✅ Improve ventilation
✅ Add air filters
✅ “See a mask, wear a mask”

* VERY IMPORTANT THREAD *
PLEASE SHARE!
1/ Support for clinically vulnerable electors - alongside increasing ventilation of the room either through opening windows or doors or using HEPA filters where windows or doors cannot be kept open, you can ensure face masks are provided for polling station staff to use (using see a mask, wear a mask as a basis) and promote the use of social distancing when interacting with clinically vulnerable voters. Your staff training should cover how you can offer to conduct photographic ID checks for mask wearers, including whether checks could be conducted outside for these voters if photographic ID is...
6 years since Covid emerged, we are finally making important changes... thanks to your help!

The new guidance not only recognises our needs - due to heightened health risks - but also the risks posed by mask removal.

2/ polling station staff not having awareness of health risks when asking a clinically vulnerable voter to remove a face mask in order to check photographic ID  The Electoral Commission
Why is this so important?

- It is the first national guidance to address our issues directly.... and it sets an important precedent that we plan to build on!

3/ Read more:
clinicallyvulnerable.org/post/how-clini…
Read 7 tweets
Dec 3
A letter just landed on Baroness Hallett’s desk from CATA (Covid Airborne Transmission Alliance).

If you are a patient, an NHS worker, or Clinically Vulnerable... or you want to see safety measures updated - you need to see this!

1/
The Covid Inquiry is there to help us to learn lessons and change how we plan for pandemics.

But, NHS England quietly published a strategy (July '24) that says:

it will not be possible to halt the spread of a new pandemic virus, and it would be a waste... to attempt to do so
2/ See Appendix 5  https://www.england.nhs.uk/long-read/framework-for-managing-the-response-to-pandemic-diseases/#appendix-5-planning-assumptions
That clashes with Hallett’s recommendation:

"risk assessment that moves away... reasonable worst-case scenarios towards... a wider range of scenarios"

But their plan assumes mass infection is inevitable and acceptable.

For some, it isn’t survivable!
3/
Read 11 tweets
Nov 8
🧵 This autumn the UKHSA is rightly worried, as 'flu is a real risk...

TLDR:
Clinically Vulnerable people ALL need 'flu vaccines + antivirals this year (if symptomatic or exposed) + confused infection control guidance.

If you are Clinically Vulnerable, please read on...

1/ Graph showing the early rise of flu in the UK.
This year's strains aren't looking good:

The infections have started earlier.
A(H3N2) strains are dominant - and linked to worse outcomes.
A shifted strain (slightly different to vaccines) is also doing the rounds.

2/ Summary:  Influenza is now circulating in the community with earlier than usual onset of activity in the 2025 to 2026 season, and with an A(H3N2) drifted strain (K, also known as J.2.4.1) predominating  A(H3N2) predominance is associated with higher morbidity and mortality, particularly in the elderly, than when A(H1N1) predominates  All eligible groups should be encouraged to get vaccinated with the 2025 to 2026 seasonal influenza vaccine as soon as possible  Prompt antiviral post exposure prophylaxis and treatment for seasonal influenza should be offered to eligible groups  Antivirals gui...
If you have been invited for a vaccine, or live with a Clinically Vulnerable person (but don't qualify) please consider getting a vaccine - they can be as cheap as £9.95.

Everyone benefits from 'flu vaccines and children (up to 16) are offered them for free in school.

3/ Image of a banner outside a shop. A pharmacist is on the picture. She is has black straight hair, brown eyes, a big smile and is wearing a cream suit jacket with a staff badge.  Superdrug  *REMINDER!!!  IT'S FLU VACCINATION SEASON  Flu Jab Service provided by our healthcare professionals  Noyne Pharmacist  MEMBER PRICE £9.95  NORMAL PRICE £19.95  MEMBERS SAVE MORE  Service available here  Help protect yourself against several strains of the flu this season with one simple visit in-store. وو
Read 10 tweets
Oct 23
CVF💙💜💗's Closing Statement

⚠️SAFE
- Schools must be made safe.

👩‍🏫SUPPORT
- Children must be given appropriate support to continue their education at home.

🛡️STATUS
- Clinical Vulnerability must be recognised as a distinct group in the Equality Act.

1/ @AdamWagner1 KC
⚠️SAFETY
"There is good evidence that many schools can be made safer for Clinically Vulnerable children and those in Clinically Vulnerable families."

Ventilation is uncontroversial!

2/
Ventilation works!

"There is sufficient evidence and consensus now for the Inquiry to recommend that clear air is prioritised in schools"

3/
Read 7 tweets
Oct 21
🚨Boris Johnson - Children & Young People

Message to Gavin : 6/7/20
GW "need to push on the push compulsary attendance, and the message of normality"

AW "[You] encouraged him to continue the job.

Would you agree this was months before the vaccine...?"
BJ "Yes"
1/ @AdamWagner1
AW "Do you think in that race to return to normality [summer 2020] Clinically Vulnerable families may have been left behind?"

BJ "Getting back to school... would have been the best for all C&YP, CV or not."

2/
Johnson knew it would endanger our lives!!!

AW "It was sometimes not safe"

BJ "There was always going to be an argument... from that position... you were going to create a situation in which Vulnerable parents would be exposed to the virus picked up by kids in schools."

3/
Read 14 tweets
Oct 20
🚨Whitty is on the stand today... follow this thread.

CTI "What about children who lived with parents who were still at risk...?"

Whitty "The risk to shielding adult... will be increased somewhat, but the risk to the child... scarring their life chances indefinitely."

1/
CW "Risk-benefit taking a child-centred approach, was to prioritise the needs of the children.

I don't think [there is] convincing evidence, that was with the benefits of hindsight, an incorrect judgement."

- Don't the needs of the children include not killing their parents?
2/
CTI "But looking at if from the perspective of a child who might be a very difficult position... to be in."

CW "The need to have a conversation with the doctor [or nurse] their family know."
___

How would these conversation reduce risks?
Wouldn't it waste the time of HCWs?
3/
Read 23 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us!

:(