Not everyone with PSC is clinically extremely vulnerable.

As most people with PSC also have inflammatory bowel disease (IBD), both your liver and bowel should be considered when deciding whether you are vulnerable or extremely vulnerable. Any other conditions you have should also be considered, including autoimmune hepatitis (AIH) if you have it.

The definition of people who are 'clinically extremely vulnerable' includes people who:

• have had a liver transplant
• are on the waiting list for a liver transplant
• are taking certain medicines for IBD
• are taking immunosuppressants
• have severe bowel disease
• have decompensated cirrhosis or ascites, hepatic encephalopathy, liver cancer, variceal bleed or synthetic liver dysfunction (now or in the last 12 months)

Professional advice about people with liver disease can be found here.

Decisions about IBD are quite complicated but there is excellent guidance here.

Note: You may have other conditions that mean you are extremely clinically vulnerable. Always check the relevant guidance for each condition.