Coronavirus Update “underlying medical conditions”. 17 March 2020

“I have been told that I have an underlying medical condition and I must leave work and self-isolate for 12 weeks.”

“What do they mean by self-isolation?”

  • Those who are vulnerable* should stay off work for 12 weeks (not in self isolation but to avoid risk of infection)
  • Self-isolation means staying indoors and not even shopping for food or essentials. Further details are here: https://www.gov.uk/government/publications/covid-19-stay-at-home-guidance
  • All unnecessary social contact and travel should be avoided by everyone, including pubs, restaurants, theatres etc.

 “What do they mean by underlying conditions?”

https://www.gov.uk/government/publications/covid-19-guidance-on-social-distancing-and-for-vulnerable-people/guidance-on-social-distancing-for-everyone-in-the-uk-and-protecting-older-people-and-vulnerable-adults

  • aged 70 or older (regardless of medical conditions)
  • under 70 with an underlying health condition listed below (i.e. anyone instructed to get a flu jab as an adult each year on medical grounds):
  • chronic (long-term) 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 Parkinson’s disease, motor neurone disease, multiple sclerosis (MS), a learning disability or cerebral palsy
  • diabetes
  • problems with your spleen – for example, sickle cell disease or if you have had your spleen removed
  • 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 (a body mass index (BMI) of 40 or above)
  • those who are pregnant

Some clinical conditions put people at even higher risk of severe illness from COVID-19. If you are in this category, next week the NHS in England will directly contact you with advice the more stringent measures you should take in order to keep yourself and others safe. For now, you should rigorously follow the social distancing advice in full, outlined below.

People falling into this group are those who may be at particular risk due to complex health problems such as:

  • people who have received an organ transplant and remain on ongoing immunosuppression medication
  • people with cancer who are undergoing active chemotherapy or radiotherapy
  • people with cancers of the blood or bone marrow such as leukaemia who are at any stage of treatment
  • people with severe chest conditions such as cystic fibrosis or severe asthma (requiring hospital admissions or courses of steroid tablets)
  • people with severe diseases of body systems, such as severe kidney disease (dialysis)

Barnet UNISON advice:

If you have any of the above conditions please contact your employer. Barnet Council have confirmed that all of their staff and agency workers who are at risk and will need to self-isolate will receive full pay. If you have any problems please contact the Barnet UNISON office at

contactus@barnetunison.org.uk