Should he be ECV?

[Grittlelayrabbit]

BIL, 50, BAME, obese, dietary controlled type2 diabetes, heavy smoker.

Should he be ECV?

This lists ECV:
www.gov.uk/government/publications/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19#cev

He wouldn't make the list

I didn’t think so. He is insisting that he is, and that his GP said he was.

He doesnt have any of the conditions that would put him on the list but his combined vulnerabilitys do give him a profile of someone who would be much more likely to struggle if he caught covid, ECV doesnt really capture combined risks, it is fairly likely his GP might have highlighted this vulnerability to him.

No. The CEV list is extremely specific and actually quite small.
He might make the CV list, but even that is doubtful. If he's worried he should take extra care.

This is what I suspected. Can his GP say “you are now ECV” or can be just self appoint himself as being ECV if he wanted? He’s using this to manipulate people about what he can and can’t do...

If he hasn't got any of the listed CEV conditions, then I don't see how the GP can declare him as such. The GP might advise him to be extra careful, or suggest lifestyle changes he could make to improve his chances, but as far as I am aware the list is the list!
( My DH is CEV through blood cancer, and gets texts and letters and emails from govt and the local council telling him to "stay in and don't meet anyone". It's really specific, hard hitting and definite)
However, if your BIL feels uncomfortable doing certain things, then that's up to him. We should all only do what we are comfortable with. If he's doing it for attention, then he can do one!

He’s clinically vulnerable for sure but not extremely clinically vulnerable

No, but will get the vaccine if wishes when over 50’s do at least.

At least can reduce risk by stopping smoking and reduce weight, whereas many ECV people cannot reduce their risk due to their illnesses sadly.

A doctor can advise that a person who does not have a listed condition but should count as CEV and arrange for them to be included on the list. The conditions you list are nowhere near the level of vulnerability for CEV - perhaps he has a diagnosis of which you know nothing? It is extremely rare, though possible, for someone whose condition/s do not require consultant input to be considered at that level of vulnerability.

Once he has got his letter, then he will get further advice on the additional prudence CEV are expected to exercise.

Without being accepted into the national CEV database, he will not be re-prioritised for the vaccine, nor be eligible for council support services, not get the free vitamin D.

(People who misuse the term are deeply irritating, and that's my temperate wording on a good day!)

Oh yes nether, the misuse of the word gets right up my nose. It dilutes the seriousness of the situation for genuine CEV people, and makes it look like they're all drama llamas. Grrr...

No he isn't. The CEV list is tiny.

He's on the clinically vulnerable list, not extremely vulnerable (vaccine priority 6 rather than 4) diabetes is a listed condition for that list

He’s ridiculous. And using it as an excuse not to see his kids. But apparently he can go into work as required. What an insult to the intelligence.

No he can’t self diagnose as CEV. But he does ha Eva lot of conditions that make him CV and therefore he should be being careful and limiting contacts outside of necessary work. Hopefully he will get the vaccine soon as he will be priority group 6.

How obese are we talking? A dr can "upgrade" someone to the positively first class provisions of CEV (/s) if they have combined CV conditions. But really all that is now is maybe a month ahead of CV for the vaccine. Shielding has ended, those who were shielding are being sent back into work now. And given risk is cumulative, it could make sense to keep children home from school even if you've been sent back to work.

Portly. Not ginormous.

My husband has diabetes and is overweight ( not obese though) and has been contacted twice by his doctor and advised about what to do . Which was shield during the first lockdown . He has had a stroke in the past but that was along time ago

This virus affects everyone differently and all of us can only minimise risk not eliminate it .

@Grittlelayrabbit

But how old are the children ? If they are at school where SD is near in impossible then perhaps he is just trying to be extra careful ?

They’re all primary age