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

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
Mar 1
🚨COVID INQUIRY ROUND UP (Wk2)

This week saw CVF's evidence & organisations representing: disability, domestic abuse, faith, migrants, homeless, prisons, local government.

Expert evidence focused on: later life, LGBTQ+, race and gender inequalities (Dr Clare Wenham, below)

1/
EXPERT RACIAL INEQUALITIES

Prof Laia BΓ©cares discussed the risks in multigenerational households where there were keyworkers and children in schools.

2/
EXPERT LATER LIFE
Prof @JamesNazroo

CVF were concerned that many older people, who were at high risk, were not supported to shield - which included advice on how to stay safe, as well as food deliveries and community outreach.

3/
Read 15 tweets
Feb 26
🚨 NEW DfE GUIDANCE
- VENTILATION & AIR QUALITY -

Clean air matters - especially for #ClinicallyVulnerable children, staff and families. This is an important recognition that airborne transmission is preventable.

1/ Image
But the proposed COβ‚‚ thresholds are too high. 800ppm should be the upper limit - not 1500ppm. By 1500ppm, air is already significantly rebreathed. That’s not a precautionary standard for children, let alone those at higher risk.



2/gov.uk/government/pub…
If we’ve learned anything from the pandemic, it’s that minimum compliance is not the same as safety. #ClinicallyVulnerable pupils cannot β€œchoose” lower exposure if the baseline standard is poor.

3/
Read 8 tweets
Feb 25
🚨FINAL CVF EVIDENCE

We would encourage you to watch @lara_wong 's inquiry evidence in full.

However, out amazing team have clipped these extracts for you!

1/
CVF's Survey

In the summer of 2025, CVF gathered in depth survey evidence about the impacts of the pandemic on CV households - which has now been shared multiple times to inquiry experts and others.

2/
People were commonly told that

"They should hurry up and die so that they could get their lives back."

3/
Read 31 tweets

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