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1/9 Just to give a sense of how the 50 hospital hubs are actually managing their covid-19 vaccination campaigns, here's an anonymised plan from one trust we have been talking to today. Gives good picture of complexities, inter-dependencies and huge effort at pace involved.
2/9 Their local CCG and GPs are providing the hospital with a list of over 80s who are able to attend the hospital site. The hospital's appointment bookers will then ring those people to book them into a timed 15 minute slot. Number of people per slot will obviously vary by trust
3/9 Vaccination will take place in a separate dedicated clinic building. This is deliberately sited next to a car park to allow easy access by car for over 80s. This is obviously, and importantly, separate from main clinical space where there may be covid-19 patients.
4/9 At the same time hospital is dedicating a number of afternoon slots to care home workers. It will be contacting local care homes to identify which workers will be attending in which slot. Their existing strong relationships with the care homes will obviously be very helpful.
5/9 When the person to be vaccinated attends the centre they will be automatically be registered on the hospital's electronic patient record system. This links to the electronic prescribing system which will electronically prescribe the vaccine.
6/9 The electronic prescribing system will cleverly automatically book the patient for their three week later second dose appointment. It will also, equally cleverly, automatically send a letter to the patient and their GP with details of that appointment and first dose.
7/9 There'll be an appropriately staffed recovery area should anyone need it. To ensure no vaccines are wasted, at end of day, high risk staff from hospital will use up any left over spare doses. Overall, very good way to deliver blended approach across JCVI target groups.
8/9 So here's my (incomplete list of people involved): GPs, CCG staff, appointment bookers, IT system developers, estates staff to configure new centre correctly, vaccinators, medically trained recovery area staff, receptionists to greet and direct patients.....
9/9 ...Pharmacy staff to store & transport doses to centre and car park staff to provide assistance if needed. This is a huge NHS team effort. And it's all being stood up in less than a week. Staff working with incredible effort. This is our wonderful NHS in full action. Hurrah!
