Portcullis Surgery

Portcullis Lane, Ludlow, SY8 1GT

Telephone: 01584 872 939


We are closed. Call 111 for urgent advice out of hours.

Priority groups for Covid Vaccination Program

The current priority groups for Covid Vaccination is as follows:









Phase 1

Cohort 1. Residents in a care home for older adults and their carers.

Cohort 2. All those 80 years of age and over and frontline health and social care workers. (please see more detail below)

Cohort 3. All those 75 years of age and over.

Cohort 4. All those 70 years of age and over and clinically extremely vulnerable individuals. (please see detail below)


Phase 2

Cohort 5. All those 65 years of age and over.

Cohort 6. All individuals aged 16 years to 64 years with underlying health conditions which put them at higher risk of serious disease and mortality. (please see detail below)

Cohort 7. All those 60 years of age and over.

Cohort 8. All those 55 years of age and over.

Cohort 9. All those 50 years of age and over.

It is estimated that taken together, these groups represent around 99% of preventable mortality from COVID-19.


Phase 3

The Government has set out who will be next to receive coronavirus vaccines once all the over-50s and most vulnerable have had their jabs. This will be based on age only and not occupation.

Cohort 10. All those 40-49 years of age

Cohort 11. All those 30-39 years of age

Cohort 12. All those 18-29 years of age


Detail of specific groups in cohorts

Cohort 2: Frontline  health and social care workers

JCVI has confirmed more detail about professions that are considered priority for the Covid vaccine in a letter dated 7th January.

Priority One : Care Home workers including porters, cleaners etc

Priority Two:

-Care Workers in community and care agencies.

-Front line health or social care worker

This includes but is not limited to:

• staff working on the vaccination programme

• staff in hospitals, GP practices, community nursing, mental health, urgent and emergency care and community settings including physiotherapists, occupational therapists, speech and language therapists, dieticians etc

• those working in independent, voluntary and non-standard healthcare settings such as hospices, and community-based mental health or addiction services

• laboratory, pathology and mortuary staff and funeral directors

• those working for a sub-contracted provider of facilities services such as portering or cleaning within healthcare settings

• temporary, locum or ‘bank’ staff, including those working in the COVID-19 vaccination programme, students, trainees and volunteers who are working with patients

• frontline social care workers directly working with vulnerable people who need care and support irrespective of where they work (for example in hospital, people’s own homes, day centres, or supported housing); or who they are employed by (for example local government, NHS, independent sector or third sector). Independent (private) practitioners and independent (private) providers including general practice (including locum staff), community pharmacy, dentistry, optometry, physiotherapists and hospices

Do you work in any of these professions?


We need you to ask your employer for a short letter of proof of employment with you name, DOB, brief detail of your job and your employers details and send it by email or post it to us ASAP.

If you are self-employed send us a headed letter with your details so we can make a few checks to confirm your profession.

If your employer has several of our registered patients they can send us ONE letter with a full list of their workers to reduce their admin work.

Please email your letter of proof of employment to portcullis.dutymanager@nhs.net or post it to the practice for the attention of Rachel Shields.



Cohort 4: Clinically vulnerable people (shielding list or high risk for Covid-19) with the exception of under 18 year olds as the Covid vaccine is not currently recommended for this age group and also with the exception of pregnant women as it is not currently recommended for pregnant women.

  1. Solid organ transplant recipients
  2. People with specific cancers
  • People with cancer who are undergoing active chemotherapy or radical radiotherapy for lung cancer
  • 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
  1. People with severe respiratory conditions including all cystic fibrosis, severe asthma and severe COPD
  2. People with rare diseases and inborn errors of metabolism that significantly increase the risk of infections (such as SCID, homozygous sickle cell)
  3. People on immunosuppression therapies sufficient to significantly increase risk of infection
  4. People who are pregnant with significant heart disease, congenital or acquired (*not currently recommended for covid vaccine)
  5. People who have had a splenectomy
  6. People who have Downs Syndrome
  7. People who have severe renal failure that requires them to be on dialysis

Update 19.2.2021 to cohort 4

  • The government have added the following group of patients to group 4
  • Severe obesity (BMI of 40 or above) (if you feel this criteria applies to you and you have not had an invite for the covid vaccine under priority group 4 please fill in the form below confidentially and we will get back to you)

Cohort 6. All individuals aged 16 years to 64 years with underlying health conditions which put them at higher risk of serious disease and mortality.

All individuals who are normally offered the flu jab under the age of 65 with the exception of pregnant women and children under the age of 16 as the Covid Vaccine is not currently recommended for these groups.

Clinically at risk groups for Covid are as follows:

  • All those aged 65 years or over (including those who become 65 by 31 March 2021)
  • Pregnant women (including those who become pregnant during the flu season) (*not currently recommended for covid vaccine)
    • JCVI has advised that vaccination in pregnancy should be considered, however, where the risk of exposure to SARS-CoV-2 infection is high and cannot be avoided, or where the woman has underlying conditions that put them at very high risk of serious complications of COVID-19. In these circumstances, a consultant should discuss the risks and benefits of vaccination with the woman, who should be told about the absence of safety data for the vaccine in pregnancy.
  • All children aged 2 & 3 (not at school) (*not currently recommended for covid vaccine)
  • all children aged 3 years to 10 (but not 11 years or older) on 31 August 2020 (*not currently recommended for covid vaccine)
  • All those aged 6 months and over (for covid jab its 16 years and over) who have one of the following medical conditions:
    1. Chronic respiratory disease (Individuals with a severe lung condition, including those with asthma that requires continuous or repeated use of systemic steroids or with previous exacerbations requiring hospital admission, and chronic obstructive pulmonary disease (COPD) including chronic bronchitis and emphysema; bronchiectasis, cystic fibrosis, interstitial lung fibrosis, pneumoconiosis and bronchopulmonary dysplasia (BPD).
    2. Chronic heart disease (Congenital heart disease, hypertension with cardiac complications, chronic heart failure, individuals requiring regular medication and/or follow-up for ischaemic heart disease. This includes individuals with atrial fibrillation, peripheral vascular disease or a history of venous thromboembolism.)
    3. Chronic kidney disease (Chronic kidney disease at stage 3, 4 or 5, chronic kidney failure, nephrotic syndrome, kidney transplantation.)
    4. Chronic liver disease (Cirrhosis, biliary atresia, chronic hepatitis.)
    5. Chronic neurological condition (Stroke, transient ischaemic attack (TIA). Conditions in which respiratory function may be compromised due to neurological disease (e.g. polio syndrome sufferers). This includes individuals with cerebral palsy, severe or profound learning disabilities, Down’s Syndrome, multiple sclerosis, epilepsy, dementia, Parkinson’s disease, motor neurone disease and related or similar conditions; or hereditary and degenerative disease of the nervous system or muscles; or severe neurological disability.)
    6. Diabetes (Any diabetes, including diet-controlled diabetes)
    7. Severe obesity (BMI of 40 or above) (if you feel this criteria applies to you and you have not had an invite for the covid vaccine under priority group 6 please fill in the form below confidentially and we will get back to you)
    8. A weakened immune system, either due to a condition or treatment (and those living in the same household) Most of the more severely immunosuppressed individuals in this group
      should already be flagged as CEV. Individuals who are not yet on the CEV list but who are about to receive highly immunosuppressive interventions or those whose level of immunosuppression is about to increase may be  therefore be offered vaccine alongside the CEV group, if therapy can be safely delayed or there is sufficient time (ideally two weeks) before therapy commences.
    9. Severe mental illness Individuals with schizophrenia or bipolar disorder, or any mental illness that causes severe functional impairment. Usually includes all patients on lithium.
    10. Children in institional sessions with severe neurodisabilities >12 years. Given the very high risk of exposure to infection and outbreaks in institutional settings, vaccination may be considered for children with severe neuro-disabilities who tend to get recurrent respiratory tract infections and who frequently spend time in specialised residential care settings for children with complex needs. The use of the current vaccines below the age of the authorisation in
      these children at high risk (12-16) , in line with the advice of JCVI, would be compatible with “offlicense” use as outlined in the Regulation 174 conditions and would need to be recommended by a consultant. 
  • those in long-stay residential care homes (already given covid vaccine in group 1)
  • Carers. If you are the main carer for an elderly or disabled person, you are eligible for a free flu jab, according to government policy. You are also eligible if you’re receiving Carer’s Allowance.Those who are eligible for a carer’s allowance, or those who are the sole or primary carer of an elderly or disabled person who is at increased risk of COVID-19 mortality and therefore clinically vulnerable.   Those clinically vulnerable to COVID include children with severe neuro-disabilities, those who are designated Clinically Extremely vulnerable (CEV), adults who have underlying health conditions, and those who need care because of advanced age. Eligible carers should be vaccinated in priority group 6. We are waiting for further guidance to be published. Please fill in the form below if you feel this criteria applies to you. 
  • any household member or close contacts of shielded (COVID-19 patients)  and immunocompromised individuals (awaiting criteria for cohort 6)
  • health and social care staff employed by a registered residential care/nursing home, registered domiciliary care provider or a voluntary managed hospice provider (already offered covid vaccine under group 2)

Note about breast feeding women who are clinically vulnerable

The JCVI advice published on 30 December 2020 says there is no known risk in giving available COVID-19 vaccines to breastfeeding women.

Breastfeeding women will now be offered vaccination if they are otherwise eligible, for example if they are in a clinically extremely vulnerable group or a frontline health or social care worker, including a carer in a residential home. Women should be advised that there is lack of safety data for these specific vaccinations in breastfeeding.

Are you an informal (i.e; unpaid) carer?

Are you morbidly obese with a BMI >40?

Portcullis Standby list for Critical workers under the age of 50

We agree with the JCVI recommendation and support it.

At the same time though, there are occasions at the end of a vaccine session where a vial has been opened and we need to use the spare doses of vaccine urgently or else they will go to waste. We would like to prioritise critical workers for any such spare doses at the vaccine and need your mobile phone in order to call you urgently.

Below are the categories of critical workers that we will consider for inclusion in our standby list.

Please follow the link below to be included in the standby list. The practice reserves the right to remove a person from the list if we have reason to believe that there information is incorrect.

Standby list for critical workers in the under 50s group (Phase 2)

[1] https://www.nhs.uk/conditions/coronavirus-covid-19/

[2] https://www.gov.uk/coronavirus

3. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/961287/Greenbook_chapter_14a_v7_12Feb2021.pdf


Opening Times

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