Guidance for clinically extremely vulnerable

This guidance is for everyone in England who has been identified as Clinically Extremely Vulnerable (CEV). If you are in this group, you will previously have received a letter from the NHS or from your GP telling you this. You may have been advised to shield in the past.

On 23 November, the Prime Minister announced that the Government will be reintroducing the system of local Tiers from 2 December. At each Tier there will be a set of rules that everyone in your area must follow.

Unlike the guidance that has been in place since 5 November, we are no longer advising you to stay away from work or school. However, you should continue to keep the number of social interactions that you have low and try to reduce the amount of time you spend in settings where you are unable to maintain social distancing. This might include gatherings with large numbers of people, especially indoors, because it significantly increases your risk.

The full guidance can be found online at and you can find out what Tier your local area is in here:

If you are advised to shield in the future, the Government will write to you setting out the guidance and additional support that will be available if you need it.

Find out more about the guidance on protecting people who are clinically extremely vulnerable from COVID-19.


Priority supermarket delivery slots from seven major supermarkets are available for people who are CEV.

Register for a priority delivery slot.

NHS Volunteer Responders are also available to help with things like collecting shopping, medication or other essential supplies and with transport to medical appointments. They can also provide a regular, friendly phone call which can be provided by different volunteers each time or by someone who was previously advised to shield and will stay in contact for several weeks. More information is available at or you can call 0808 196 3646 between 8am and 8pm.

Emergency help and support

If you are struggling and need extra help or know someone who does, you can call a number of services directly. 

Financial support

If you are struggling due to COVID-19, you may be able to receive some financial support 


Wellbeing support

 This is a difficult time, so it’s more important than ever that you look after your physical and mental wellbeing.


General support

The Brent Mutual Aid network is made up of 20 Mutual Aid independent groups run by neighbours that connect, listen and support other neighbours.

Groups covering all of Brent have been working to provide practical support such as delivering food, medicine and other supplies to people who need to stay at home, as well as providing emotional support.

To speak to someone or get help, please contact your local Mutual Aid group using the details below:

Other Mutual Aid groups near you

  • Alperton Community Support, 07464 982524 (Trupti Sangani)