Volunteer Health Checklist for COVID-19

The Voluntary & Community Development Service is moving into a recovery phase as we look to bring volunteers back into services where it is safe to do so. In order to do this, we are asking you to complete this short checklist. Your response is confidential. We will contact you after receiving your checklist to discuss the outcome and whether there is a suitable volunteer role available.

However, if you are over 70 and have a long term health condition, or if you are of any age and have been in receipt of a shielding letter, we are strongly advising you not to volunteer with Sussex Community NHS Foundation Trust at this time.

Please note, there may be some opportunities to volunteer from home, but these are limited.

Individual Health Assessment

Do you fall into any of the groups below?

Shielding and/or extremely vulnerable

Volunteers who have received a letter from NHSE advising shielding and fall into the extremely vulnerable group as described by PHE should inform their Volunteer manager and discuss their individual alternative volunteering arrangements.

Shielding and/or extremely vulnerable (as per above) *
 
 

Higher risk groups

Individuals with other underlying medical conditions such as:

  • Chronic heart disease
  • Chronic kidney disease
  • Chronic liver disease
  • Chronic neurological disease
  • Diabetes mellitus
  • Have required regular medical treatment for their asthma within the past three years
Higher risk groups (as per above) *
 
 
People aged 60 years and older *
 
 
Male of any age *
 
 
Pregnant women - please refer to appendix one *
 
 

Black, Asian, & Minority Ethnic (BAME) individuals

Black, Asian, & Minority Ethnic (BAME) individual
 
and Aged over 50; and/or
 
 
and With other underlying medical conditions (list below):
 
 

Underlying medical conditions

  • Type 2 diabetes mellitus and metabolic syndrome
  • Hypertension
  • Previous stroke or myocardial infarction
  • Visceral obesity
  • Chronic lung disease
  • Ischaemic heart disease
  • Anyone instructed to get a flu jab as an adult each year on medical grounds

Occupational exposures in patient areas

Does your usual volunteer role involve regular work in patient areas/regular patient contact? *
 
 
Is there anything else you think might impact on your return to volunteering? *
 
 

Thank you for completing and returning this checklist. Your Voluntary Services manager will be in touch soon to discuss the outcome and whether or not there is an appropriate role available.