There are some considerations you may wish to make when it comes to administering the COVID-19 vaccination for those who are CEV in Tier 4 and have been advised by the Government to shield. CEV patients should be encouraged to come to your vaccination site with assurances of a safe and secure environment. Family and carers of those who are CEV should be allowed to come along to sites but may be asked to wait outside (if possible). You may want to consider clustering appointments for CEV patients in the same session or day. If patients are unable to attend the site (for example if they are unable to drive/be driven or not able to use public transport due to shielding guidance), their COVID-19 vaccination will need to be organised later in the programme.