Clinically Vulnerable Families ๐Ÿ’™๐Ÿ’œ๐Ÿ’— Profile picture
Oct 8 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

Oct 6
๐ŸšจCOVID INQUIRY ROUND UP (Wk 4)
Due to sickness, this week of evidence ended early.

CMO ๐Ÿด๓ ง๓ ข๓ ท๓ ฌ๓ ณ๓ ฟ
Impact witnesses:
Ambulance, GPs, Intensive Care
Former medical director of WHSCT
National Ambulance Adviser NHS England
Intensive Care Experts and witnesses

1/
๐Ÿด๓ ง๓ ข๓ ท๓ ฌ๓ ณ๓ ฟ The Welsh CMO, Sir Frank Atherton, spoke about "broadly accepting" advice from the now highly contentious 'IPC cell' led by Dr Lisa Ritchie.

2/
The term "precautionary principle" has now been redefined within the inquiry multiple times to suit different people's purposes.

This is CMO ๐Ÿด๓ ง๓ ข๓ ท๓ ฌ๓ ณ๓ ฟ's interpretation.

3/
Read 11 tweets
Sep 29
๐ŸšจCOVID INQUIRY ROUND UP (Wk 3)
โš ๏ธThis week was bookended with heavy testimony.

We heard from:
Expert GP Prof Edwards
College of Paramedics, Tracy Nicholls
Dr Mulholland
CMOs โ˜˜๏ธ ๐Ÿด๓ ง๓ ข๓ ณ๓ ฃ๓ ด๓ ฟ ๐Ÿด๓ ง๓ ข๓ ฅ๓ ฎ๓ ง๓ ฟ
and Prof Kevin Fong

๐Ÿšซ Shielding expert Prof Snooks

For more โฌ‡๏ธ
1/
Please click through to read subthreads if you missed them. ๐Ÿ™

Prof @adriangkedwards

2/
โš ๏ธ Hard hitting evidence shared by @tracyniks OBE. The forgotten frontline of paramedics, who were woefully underprotected.

3/
Read 14 tweets
Sep 26
๐ŸšจProf Chris Whitty - #CleanAir๐Ÿ’จ

"It's a very important point [.] we should have taken ventilation in public buildings much more seriously."

He was concerned about the cold. We will just need to make sure that warm air is used when needed!

1/ ๐Ÿ‘ CVF's barrister @AdamWagner1
Whitty was far less good on masks.

He seems to think that "more research is needed"?

Yet....

2/
He would wear FFP3 for multi-drug resistant TB.

Or an aerosol generating procedure.

Why not a surgical mask?
Since there is 'weakness' evidence...

3/
Read 8 tweets
Sep 23
๐ŸšจAMBULANCE SERVICE๐Ÿšจ
Tracey Nicholls OBE, @tracyniks, shared the pressures on the ambulance service and the increased risks faced in confined spaces without appropriate masks or ventilation against the airborne infection.

1/
Ambulance staff then had to attend poorly ventilated, virus laden households. Multiple family members were frequently present, as many broke lockdown measures to be with their loved ones.

2/
Asymptomatic patients, or unusual symptoms and the lack of testing made it very difficult for ambulance staff to manage risks.

The sheer volume of profoundly unwell patients was not something they had ever experienced before. ๐Ÿ’”

3/
Read 12 tweets
Sep 22
๐ŸšจCOVID INQUIRY ROUND UP (Wk 2)
This week started with key witness:

Dr Lisa Richie, Infection prevention & control decision-making 'IPC cell'

It also featured:
Prof Susan Hopkins, CMA - UKHSA
UK Chief Nursing Officers
IPC Medical Expert Witnesses
TUC
1/
Dr Richie has a "admission risk
assessment and pre-emptive patient cohorting" for MRSA.

NB/ She is a nurse, not a medical doctor. Nurses run IPC in UK hospitals and IPC throughout the NHS.

Many of her views were deeply entrenched.

2/
Bizarrely, there was an element of picking and choosing.

Outdated views on droplet sizes (1997) were considered more credible than evidence from expert physical scientists.

Yet, more recent SARS evidence appeared to have been partly dismissed for being from "10 years ago".

3/
Read 18 tweets
Sep 17
๐Ÿšจ MASKS๐Ÿšจ
Stick with this one... 4 tweets of content.

CTI "What about staff who wanted an FFP3 mask for their own peace of mind. In those circumstances, would you have expected them to have been provided with an FFP3 mask?"

NB/ Many of whom will have come from CV families.
1/
CTI "Did you agree with the decision of the UK IPC cell?"

CNO England "Yes"

Hallett "Even though you said you were concerned about having belt and braces?"

CNO "Yes, because I [.]'
2/
Everyone is to blame and nobody is to blame.

Who stepped up to explain the need for better masks?
3/
Read 4 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!

:(