I am unable to offer a face-to-face appointment to you at this time if:
you are self-isolating - until your isolation period is over and you have no symptoms
you have COVID-19 symptoms (whether diagnosed by test or not)
you are living with someone with COVID -19 symptoms (whether diagnosed by test or not)
you have been in contact with anyone with suspected or confirmed COVID -19 and have been asked to self-isolate for 14 days.
I am unable to offer a face-to-face appointment at this time to anyone in the vulnerable “High Risk” groups defined by the NHS below:
Solid organ transplant recipients.
People with severe respiratory conditions including cystic fibrosis, severe asthma and severe chronic obstructive pulmonary (COPD).
People with rare diseases and inborn errors of metabolism 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.
Also 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 immunosuppressant drugs.
If you are in the “Moderate Risk” group as defined by the NHS below, I can offer you a face to face appointment if it is safe to do so:
- Over 70
- Have a long-term health condition/ Underlying Medical Conditions as listed below:
Chronic (long-term) respiratory diseases, such as asthma, chronic obstructive pulmonary disease, emphysema or bronchitis.
Chronic heart disease, such as heart failure.
Chronic kidney disease.
Chronic liver disease, such as hepatitis.
Chronic neurological conditions, such as Parkinson’s disease, motor neurone disease, multiple sclerosis, a learning disability or cerebral palsy.
Problems with the spleen, such as sickle cell disease or removal of the spleen.
A weakened immune system as the result of conditions such as HIV and AIDS, or medicines such as steroid tablets or chemotherapy.
Being seriously overweight, with a body mass index of 40 or above.
If I am unable to offer you a face-to-face appointment, I am happy to work with you via email, phone or Zoom on any aspect of health or wellbeing, so please do ask. There are things that you can do that I may be able to advise on, for example the use of heat or cold, applying pressure to trigger points or acupressure points, exercises, joint mobilisations and stretches, depending on what the problem is. I can also advise on stress reduction strategies, such as breathing exercises and meditation practices, to promote physical and mental wellbeing.