Three-part plan to let YOU know when you’re in line for the Covid vaccine

THE coronavirus vaccine is set to arrive in the UK by this afternoon, officials have said.

But before millions of Britons are jabbed, there is a huge logistical challenge to deploy the doses across the four nations.


Three-part plan to let YOU know when you’re in line for the Covid vaccine

NHS boss Sir Simon Stevens has said the service is “ten out of ten” ready to roll out the vaccine from drug giant Pfizer, approved on December 2.

He said it will be the “biggest vaccination campaign” in British history, and there are huge challenged to getting it deployed to the right places quickly.

The Government has set out a priority list so that those who are most vulnerable to the disease are protected first.

How will do you know when it’s your turn to be jabbed?

There are three phases:

  • Hospitals will contact patients with appointments

First the vaccine is being taken to 53 hospitals in England. Staff there will inform you about whether you’ll be getting the jab during an existing appointment in the next few weeks.

Sir Simon said: “Typically they may be people who were already down to come into hospital next week for an outpatient appointment.

“If you are going to be one of those people next or in the weeks that follow, the hospital will get in touch with you.

“You don’t need to do anything about it yourself.”

  • GPs will contact at-risk patients on their list

In the next phase of the plan, vaccines will go to GP surgeries who will know their most at-risk patients.

Sir Simon said: “[Hospitals] will be followed in the subsequent weeks by GP practices coming together in each area to operate local vaccination centres.

“GPs will be in touch with their at-risk patients, inviting people to come forward for vaccination.”

Sir Simon reiterated the NHS would get in contact with you.

  • Large vaccination centres will immunise the rest of the population

When more doses become available, large vaccination centres and pharmacies will offer the jab.

More details of this will be announced when this part of the process is ready to be rolled out.

People in Scotland will start getting vaccinated from Tuesday, with the same prioritisation plan as England.

Only those over 18 will be offered the jab, despite the authorisation being for anyone over 16.

HOW MANY JABS ARE THERE?

Health Secretary Matt Hancock has said the first wave will include 800,000 doses, which will arrive within “hours, not days”, England’s deputy chief medical officer Jonathan Van-Tam said this morning.

This would cover 400,000 people because the jabs need to be given in two doses, 21 days apart.

“Several million” more will follow by the end of this year, but Mr Hancock refused to put a number on how many.

The BioNTech chief commercial officer Sean Marett confirmed the UK is likely to receive at least five million doses by the end of the year.

This is half of its initial 2020 order due to a production scaleback.

In total the UK has secured 40 million doses, which will cover 20 million people. There are about 66 million adults in the UK.

The majority of vaccination will happen in the new year until around April time, health chiefs say.

Ben Osborn, Country Manager, Pfizer UK, said: “We are on track to deliver up to 50 million does globally in 2020, and up to 1.3billion in 2021.”


Three-part plan to let YOU know when you’re in line for the Covid vaccine

Three-part plan to let YOU know when you’re in line for the Covid vaccine

50 HOSPITAL HUBS

In total 53 NHS trusts are standing by to roll out the Pfizer Covid vaccine from next week, as early as Monday.

They have been chosen because they have super-cold freezers that are able to store the vaccines at -70C.

The trusts will act as “hubs” which will offer the jabs to people in their area in order of priority, as well helping with co-ordinating distribution.


Three-part plan to let YOU know when you’re in line for the Covid vaccine
The vaccines have to be kept in -70C conditions. Pictured is a refrigerator room in Niguarda Hospital, Milan, Italy, that may be used to store vials there

A London hospital is expected to be the first to give out a Covid-19 vaccine at 7am on Monday morning, The Telegraph reported.

The unnamed hospital is one of seven in the capital to receive batches of the Pfizer jab over the weekend, after it was approved by regulators yesterday.

It could be Croydon University Hospital, Guy’s & St Thomas’ NHS Trust, Kings College, Princess Royal University Hospital, Royal Free, St George’s University Hospitals or University College Hospitals.

CARE HOMES MIGHT HAVE TO WAIT

Care home residents, and their carers, were supposed to be prioritised for the vaccine. But because of the way the vaccine is distributed it makes delivery a logistical nightmare.

The vaccines, once taken out of the freezer, can only be thawed in batches of 1,000. But each care home looks after a maximum of several hundred residents, sometimes below 100.

Officials have to work out how to split the huge batch and how to transport them so none of the vials go to waste.

And once they are thawed, it they can only be stored at fridge temperatures for five days.

There is not yet approval from the MHRA to split the vaccine boxes, meaning it would be wasted if sent to individual residential homes.

Only when regulators approve the “splitting” of the packs will it be distributed to care homes, Sir Simon admitted. He said the approval was expected but did not give a timeline.

Number 10 said the NHS is working closely with the regulator to find a way to administer the Pfizer vaccine in care homes.

The Prime Minister’s official spokesman confirmed the first doses given through hospital hubs may include elderly care home residents.

“The over-80s include those due to come into hospital for routine treatment, so it is obviously possible that that might include some care home residents,” the spokesman said.

“But it is logistically complicated, which is why the NHS are working closely with the MHRA.”


Three-part plan to let YOU know when you’re in line for the Covid vaccine
The Pfizer Covid vaccine is being sent to Britain in thermal shipping boxes

Three-part plan to let YOU know when you’re in line for the Covid vaccine
A truck leaves Pfizer Manufacturing in Puurs, Belgium, on Wednesday, December 2
Three-part plan to let YOU know when you’re in line for the Covid vaccine
An employee, wearing a protective face mask, checks boxes at Pfizer Manufacturing plant in Puurs, Belgium, December 3

Liam Smeeth, a non-executive director of the MHRA, told BBC Radio 4’s Today programme that splitting the boxes was “being considered” by the regulator but “whatever they do, they will stick to keeping it safe and effective”.

The Welsh Government admitted care homes would not yet be able to get their hands on the jab.

Dr Frank Atherton, the chief medical officer for Wales, told a press conference on December 2 the Welsh Government is “currently exploring ways” to get the Pfizer vaccine to care home residents as there are “particular challenges” due to its storage requirements.

Prof Van-Tam said it would not be viable to get individual doses to elderly people unable to leave their homes, either.

He suggested they may need to wait for the Oxford/AstraZeneca vaccine, which he is hoping will be approved by Christmas.

The Pfizer jabs must be packaged with dry ice and placed in a special transport box provided by Pfizer. It’s the size of a suitcase and can hold 5,000 doses.

The vaccines can stay in these boxes for 30 days, but only if the dry ice is topped up.

Pfizer and BioNTech have said the jab can be sent to care homes as long as it travels for no more than six hours after it leaves cold storage and is then put in a normal fridge at 2C to 8C.

Professor Ugur Sahin, co-founder of BioNTech, agreed that the rollout of the vaccine was a “challenge”.

GPS AND PHARMACIES

Both Sir Simon and Mr Hancock said yesterday the vaccines will be deployed through local community services like GP and pharmacies in the coming weeks.

Because of the challenges with cold chain supplies and the packs of 1,000 vials, they cannot just be delivered to GPs and pharmacists through usual distribution channels, Sir Simon said.

Sir Simon Stevens, chief executive of NHS England, said pharmacies could be able to start vaccinating in January.

Only a limited number of pharmacies will be able to participate in immunising Britons.

NHS England and NHS Improvement (NHSE&I) will oly commission those that can administer at least 1,000 doses per week, are fully staffed and are open seven days a week, Chemist and Druggist reported.

MASS VACCINATION CENTRES

Mr Hancock said the third phase of roll-out, after the hospital hubs and through local services, will be mass vaccination centres.

He told the Commons on December 2: “We’ll stand up vaccination centres in conference centres and sports venues, for example, to vaccinate large numbers of people as more vaccines come on stream.”

It is expected these centres will be “switched on” in the new year, as more doses arrive.

They will focus on people who are lower down in the priority list, while doctors in surgeries and hospitals will be targeting the most at-risk patients.

Thousands of people are expected to receive their jab at each centre per week, it is understood.

It is not clear how these people will be invited, whether by letter, phone-call or email. But Sir Simon has stressed people must wait until they are contacted by the NHS.

The Army has conducted trial runs of how the mass vaccination sites will work due to the sheer level or organisation required, MailOnline reported.

Code-named Exercise Panacea, the drill was held at Ashton Gate football and rugby stadium in Bristol –  one of seven regional mass testing hubs.


Three-part plan to let YOU know when you’re in line for the Covid vaccine
The Army has conducted trial runs of how the mass vaccination sites will work. Code-named Exercise Panacea, the drill was held at Ashton Gate football and rugby stadium in Bristol

Some 20 to 30 staff and volunteers looped through the building acting as different patients.

They are reported to have trialled scenarios including a patient suffering an adverse reaction before vaccinations are delivered at the stadium for up to 12 hours a day, seven days a week.

SO WHO WILL GET IT FIRST?

The government’s Joint Committee on Vaccination and Immunisation (JCVI) gave its list of who should be first in line to receive the vaccination.

It’s based on who is most at risk of death (the older generations) or spreading the virus (healthcare workers).


Three-part plan to let YOU know when you’re in line for the Covid vaccine

Elderly care home residents and their carers are the top because they are most at risk of catching and spreading the virus.

They are followed in priority by anyone else over the age of 80 and frontline health and social care workers.

However, due to the logistical problems with getting the batches to care homes, it’s more likely NHS staff will get immunised first.

The JCVI list slides down the age bands.

Those deemed clinically extremely vulnerable, who were shielding due to the coronavirus, come after those over 70 years of age.

There are some people who cannot get the vaccine at all because there is not enough safety data.

It doesn’t necessarily mean the jab would not be safe for them, just that it hasn’t been studied yet.

Professor Van-Tam said on BBC this morning that for now the vaccine should not be given to pregnant women, echoing a report from the JCVI which advised against it.

The vaccine will only be offered to people over the age of 16. The trials did include children from the age of 12 upwards, but it appears there was not enough data for authorisation to be given to those under 16.

 


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