RT Journal Article SR Electronic T1 Identifying rheumatic disease patients at high risk and requiring shielding during the COVID-19 pandemic JF Clinical Medicine JO Clin Med FD Royal College of Physicians SP 256 OP 261 DO 10.7861/clinmed.2020-0149 VO 20 IS 3 A1 Elizabeth Price A1 Elizabeth MacPhie A1 Lesley Kay A1 Peter Lanyon A1 Bridget Griffiths A1 Christopher Holroyd A1 Abhishek Abhishek A1 Taryn Youngstein A1 Kathryn Bailey A1 Jacqui Clinch A1 Muddassir Shaikh A1 Ali Rivett YR 2020 UL http://www.rcpjournals.org/content/20/3/256.abstract AB Rheumatology teams care for patients with diverse, systemic autoimmune diseases who are often immunosuppressed and at high risk of infections. The current COVID-19 pandemic has presented particular challenges in caring for and managing this patient group. The office of the chief medical officer (CMO) for England contacted the rheumatology community to provide expert advice on the identification of extremely vulnerable patients at very high risk during the COVID-19 pandemic who should be ‘shielded’. This involves the patients being asked to strictly self-isolate for at least 12 weeks with additional funded support provided for them to remain at home. A group of rheumatologists (the authors) have devised a pragmatic guide to identifying the very highest risk group using a rapidly developed scoring system which went live simultaneous with the Government announcement on shielding and was cascaded to all rheumatologists working in England.