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Latest Scottish Government advice to people on the Highest Risk List

The Covid Highest Risk List will end on 31 May 2022

The Highest Risk List will end on 31 May 2022. We made this decision after a careful review of all the evidence from the past two years on the impact of Covid-19 on people who are on the List. The success of the vaccination programme and new medications that are now available to treat Covid have shown that the vast majority of this group are at no greater risk from the virus than the general population.

This may not be the case for some people who are immunosuppressed and who cannot fight diseases and infections such as Covid-19 because their immune system is weakened due to a health condition or medical treatment. Find guidance for immunosuppressed people at

If you’re on the Highest Risk List, the Chief Medical Officer will send you a letter about what bringing it to an end means for you soon.

You can also read our news release about why the Highest Risk List is ending on

Read the evidence behind this decision

We’ve published a summary of the key scientific evidence behind the decisions we’ve taken throughout the pandemic relevant to people on the Highest Risk List, including the decision to end the list.

This includes strong evidence that a full course of vaccines and boosters offers a high level of protection to the vast majority of people on the Highest Risk List. It also includes evidence about how vaccines benefit immunosuppressed people, and it looks at the mortality data and research from Public Health Scotland relevant to people on the Highest Risk List.

Read our Evidence Review on

People who remain at higher risk

The NHS can still identify people who may remain at higher risk from Covid due to their health conditions or treatments. These are mostly people who are severely immunosuppressed.

People in this group aged 12 or over may have access to things like:


If you’re eligible for either of these things, the NHS will already have sent you a letter to let you know. They’ll also write to you to let you know about any new treatments, boosters or other support you’re eligible for if needed in the future.

Closing the Highest Risk List does not affect this.

More advice if you’re immunosuppressed

We’ve published more advice for immunosuppressed or immunocompromised people at

Your GP or specialist clinician is the best person to advise you about your own condition and treatments. Please speak to them if you have any questions about managing your personal Covid risk.

Distance Aware badges and lanyards

Find out about the Distance Aware badge and lanyard scheme at The scheme is for anyone who would like others to give them extra space and care, for any reason.

If you need advice on support in your area

If you need additional support your local council may be able to provide advice on where to get this. For further information you can check your local council website or contact them by phone.

Local Covid statistics

You can see the daily case rates in your area and vaccination statistics on the Public Health Scotland dashboard.

Public Health Scotland survey findings, 30 March 2022

Public Health Scotland has published findings from a new survey. The survey looked at people’s experiences of being on the Highest Risk List following the pause in shielding.

Read the findings from the COVID-19 Shielding Programme (Scotland) Impact and Experience Survey on the Public Health Scotland website.

Past research about the Highest Risk List

Read past research reports about the Highest Risk List on

How the NHS handles your personal health information

Find out how the NHS handles your personal health information on the NHS inform website.

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