I understand that most children will have spent three months or more away from school by the time they come back which may make returning seem like a frightening prospect. It is still a very critical time in the pandemic as lockdown restrictions ease whilst the COVID alert system is still at level 4 and therefore high, there are hundreds of new daily confirmed cases still being reported, R is below 1 but only just and the test and trace system is not yet established. Due to this continuing concern about the virus, many families are still going to be worried about the risks associated with coming to school especially if they fall into certain groups. There is Government guidance specific to certain groups of people as follows:
1. Those Who Are Clinically Extremely Vulnerable
Clinically extremely vulnerable people may include:
solid organ transplant recipients
people with specific cancers:
people with cancer who are undergoing active chemotherapy
people with lung cancer who are undergoing radical radiotherapy
people with cancers of the blood or bone marrow such as leukaemia, lymphoma or myeloma who are at any stage of treatment
people having immunotherapy or other continuing antibody treatments for cancer
people having other targeted cancer treatments which can affect the immune system, such as protein kinase inhibitors or PARP inhibitors
people who have had bone marrow or stem cell transplants in the last 6 months, or who are still taking immunosuppression drugs
people with severe respiratory conditions including all cystic fibrosis, severe asthma and severe chronic obstructive pulmonary disease (COPD)
people with rare diseases that significantly increase the risk of infections (such as severe combined immunodeficiency (SCID), homozygous sickle cell)
people on immunosuppression therapies sufficient to significantly increase risk of infection
women who are pregnant with significant heart disease, congenital or acquired
other people have also been classed as clinically extremely vulnerable, based on clinical judgement and an assessment of their needs. GPs and hospital clinicians have been provided with guidance to support these decisions
Children who have been classed as clinically extremely vulnerable due to pre-existing medical conditions have been advised to shield. We do not expect children in this category to be attending school and they will continue to be supported to learn at home as much as possible.
If a child lives in a household with someone who is extremely clinically vulnerable, as set out in the guidance on shielding, it is advised they only attend school if stringent social distancing can be adhered to and in the case of children, if they are able to understand and follow those instructions. This may not be possible for very young children and older children without the capacity to adhere to the instructions on social distancing. If stringent social distancing cannot be adhered to, we do not expect those individuals to attend. They should be supported to learn at home.
2. Those Who Are Clinically Vulnerable
Clinically vulnerable people are those who are:
aged 70 or older (regardless of medical conditions)
under 70 with an underlying health condition listed below (that is, anyone instructed to get a flu jab each year on medical grounds):
chronic (long-term) mild to moderate respiratory diseases, such as asthma, chronic obstructive pulmonary disease (COPD), emphysema or bronchitis
chronic heart disease, such as heart failure
chronic kidney disease
chronic liver disease, such as hepatitis
chronic neurological conditions, such as Parkinsonโs disease, motor neurone disease, multiple sclerosis (MS), or cerebral palsy
diabetes
a weakened immune system as the result of certain conditions or medicines they are taking (such as steroid tablets)
being seriously overweight (a body mass index (BMI) of 40 or above)
pregnant women
Clinically vulnerable (but not clinically extremely vulnerable) people are those considered to be at a higher risk of severe illness from coronavirus (COVID-19). Few if any children will fall into this category but parents should follow medical advice if their child is in this category.
A child who lives with someone who is clinically vulnerable (but not clinically extremely vulnerable), including those who are pregnant, can attend school.
3. Those Who Are Affected By Symptoms, Testing, Test and Trace
Children should not attend school if they have symptoms of coronavirus or are self-isolating due to symptoms in their household.