Clinically Vulnerable Families ๐Ÿ’™๐Ÿ’œ๐Ÿ’— Profile picture
Oct 8, 2024 โ€ข 34 tweets โ€ข 11 min read โ€ข Read on X
๐Ÿ’ฅClinically Vulnerable Families ๐Ÿ’ฅ

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:

โ†”๏ธAsk visitors to keep their distance.
๐Ÿ“ฅTake a lateral flow test
๐Ÿ˜ทAsk them to wear a face covering
๐Ÿ˜ทYou 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/
๐Ÿ’• 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

โ€ข โ€ข โ€ข

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

Keep Current with Clinically Vulnerable Families ๐Ÿ’™๐Ÿ’œ๐Ÿ’—

Clinically Vulnerable Families ๐Ÿ’™๐Ÿ’œ๐Ÿ’— 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

Jun 11
The final preliminary hearing for the Children & Young Peopleโ€™s module was today, CVF, again, made the case for safety.

Children's deaths *would* have been higher if many Clinically Vulnerable families had not kept their children away from schools.

โš ๏ธLong thread
1/
๐Ÿ’” 88 children died (2020 - October 2022)

In the first year of the pandemic:

๐Ÿฅ6,338 paediatric Covid admissions
โค๏ธโ€๐Ÿฉน259 needed intensive care

2/
Schools were 'closed' due to the balance of risks:

โš–๏ธRisk of to children when not in school
โš–๏ธRisk of to everyone from Covid-19 transmission

3/
Read 26 tweets
Mar 17
Today @BBCMoreOrLess discussed pandemic impacts on Children & Young People:

"It turned out that they would be spared from the worst impacts of the disease."

The specific impacts on CV children, those in CV families or struggling with Long Covid were barely considered.

1/๐Ÿงต
Dr Munroe dismissed risks to children:

"Covid itself had a relatively small clinical impact on young people."

In reality, CEV children were told to shield due to their risks. Over 200 children have died, and with a different response those deaths may have been preventable.
2/
This was the only section in which @TimHarford did point to the direct harms:

"For a few young people, Covid WAS a very serious disease. Long Covid has also been a problem for some. And young people did die."

Unfortunately, it was immediately followed up with...

3/
Read 21 tweets
Feb 25
This 3yr anniversary that won't be in the news!

When the UK government rolled out the "Living with Covid" policy it simply scrapped protections and shifted to personal responsibility. For most, it meant "back to normal." For Clinically Vulnerable people, life became harder.
1/๐Ÿงต Image
The plan was based on a single assumption: that vaccines alone would be enough... vaccines due to be withdrawn this Autumn.

But for millions who are Clinically Vulnerable, vaccines werenโ€™t a magic bullet. Protection wasnโ€™t universal and some were left with little to none.

2/
๐Ÿ˜€Mask mandates ended
๐Ÿ“ฅFree tests were phased out
๐Ÿ‘ฉโ€๐Ÿ‘ฉโ€๐Ÿ‘งโ€๐Ÿ‘ฆSelf-isolation was no longer required

Covid was treated as a personal problem, not a public health issue. If you got sick, you were on your own.

3/
Read 11 tweets
Feb 18
๐Ÿ˜…CVF are relieved to announce that we will be representing you in the final section of the UK Covid-19 Inquiry looking at the ๐—œ๐—บ๐—ฝ๐—ฎ๐—ฐ๐˜ ๐—ผ๐—ป ๐—ฆ๐—ผ๐—ฐ๐—ถ๐—ฒ๐˜๐˜†.

It will consider the effects on keyworkers, vulnerable populations, bereaved, & mental health.

1/12 *Stick with this*
Protective measures were often described as "restrictions" and the lifting of measures described as the return of "freedom".

2/
๐Ÿš— Seatbelts were once seen as a "restriction" by some, but today with evidence & awareness, they are now considered essential for safety.

๐Ÿ’จ๐Ÿ˜ท The Covid pandemic was a missed opportunity to normalise airborne protections that protect health and save lives.

3/
Read 12 tweets
Jan 31
๐ŸšจClinically Vulnerable Families ๐Ÿ’™๐Ÿ’œ๐Ÿ’—

Our oral closing statement highlights 5 key concerns - however, further details will be explored in depth in our later written submissions.

1: Therapeutics programme - wasn't good enough!

1/
The immunosuppressed were left behind.

2/
What could we have done better?

Dame Kate Bingham is an independent and trusted voice. She has no reasons to defend decisions on therapeutics that weren't the right ones.

3/
Read 26 tweets
Jan 29
๐ŸšจProf Sir Pirmohamed

"Would you support the development of a more diverse portfolio of vaccine formats and antivirals, both as part of future pandemic preparedness plans and during [.] 'peace time' to ensure that Clinically Vulnerable groups are adequately protected?"

1/
"Absolutely, I think it is really important to make sure that we have good therapeutics and vaccines for the whole population."

2/
Q - Why is it important to have that breadth of formats?

...not many [immunosuppressed] were involved in the initial trials.

We now know [.] that booster doses help in terms of vaccine efficacy.

2/
Read 5 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!

:(