Coronavirus (COVID-19): advice for people on the Highest Risk List

Advice to help people on the Highest Risk List make informed decisions and access support services.

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The COVID-19 Highest Risk List ended on 31 May 2022

The Highest Risk List in Scotland ended on 31 May 2022. The success of the vaccination programme and the availability of new medicines to treat COVID-19 mean that the majority of people on the List are at no greater risk from Covid than the general population. We have strong clinical evidence to support this which our specialist medical advisers agree means we can end the List.

We will still be able to contact the people we need to if there’s any need for any different advice in the future.

If you’re on the Highest Risk List, the Chief Medical Officer will have written to you soon with further details about the end of the list.

For more information:

Advice for immunosuppressed people

People who are immunosuppressed might not develop the same level of immunity from the vaccination as others. This means that some people who are immunosuppressed will still be at higher risk from COVID-19, although many do get some protection from the vaccine.

Advice for immunosuppressed or immunocompromised people is available.

Staying safe at work

Visit our safer workplaces page for guidance on going or returning to work, and staying safe in the workplace.


Spring/Summer Booster

People in Scotland who are eligible for the Spring/Summer booster jab are urged to come forward and be vaccinated before the end of this month.

These additional vaccinations have been offered to people aged 75 or over and those aged over 12 who are immunosuppressed, with clinics operating since early March until 30 June.

If you are in any of these groups and not yet come forward, you can book online or call the national vaccination helpline 0800 030 8013 seven days a week to make an appointment that suits you.

Some health boards are also operating drop in clinics and you can find details on their websites or links via NHS Inform.

It is important that as many people as possible in these vulnerable groups are fully protected, particularly as protection wanes over time and as we plan for further doses during Autumn and Winter.

More information on the spring booster and how to book online is available at NHS Inform.

Vaccination is still the most important way to protect yourself and other people. You and your friends and family should get all the vaccinations we offer you as soon as you can. Talk to your GP or specialist clinician if you are not sure about vaccinations.

Find information about vaccinations on NHS inform. This includes information for people with underlying health conditions.

Prioritising vaccinations and new treatments

We have not been using the Highest Risk List to prioritise people for vaccination for some time now or to identify people who meet the criteria for new treatments such as antivirals. Ending the Highest Risk List does not have an impact on identifying those who are eligible for additional vaccinations or new COVID-19 treatments.

Support to get back to the things you used to do

Many people on the Highest Risk List have told us about the impact on their mental health and wellbeing. We have published advice if you are more worried, or isolated, or struggling to reconnect with people and things you were doing before the pandemic.

Distance Aware Scheme

If you want to, you can wear a badge or lanyard with a blue and yellow shield when you’re out in public places to show other people you would like some extra space and care taken around you, for any reason. Read more about the Distance Aware badge and lanyard scheme.

Support from your local council

If you need additional support, your local council may be able to provide advice on where to get this. This might include local third sector organisations or projects. For further information, you can contact your local council.

Letters to people on the Highest Risk List

We publish letters that have gone out to people on the Highest Risk List. Translations or alternative formats of the letters are uploaded on request.

Future communication

Public Health Scotland will take on the role of identifying people at highest risk with the help of NHS. Public Health Scotland can also inform people of new treatments or vaccinations.

If needed, we could again write to people at highest risk and reopen the text messaging service used before.

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