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My wife is a GP, now doing medical research. Went through 2 duplicate sign up processes to Covid volunteer in March, but wasn't used. In November, her temporary re-registration was removed as it was not being used.
Why is Scotland not vaccinating quickly enough? Here's why:1/8
Why is Scotland not vaccinating quickly enough? Here's why:1/8
England is delivering vaccines through an "Enhanced Service" procedure which means the vaccine rollout is GP-led. They were told in November to self-organise into vaccine delivery units, generally aligned to Primary Care Networks.BMA info 2/8 https://www.bma.org.uk/advice-and-support/covid-19/vaccines/covid-19-vaccination-programme
You can find the enhanced service definition for England here, first published on 1 December. It leverages GP resources and knowledge to deliver all aspects, with central support, not just central command https://www.england.nhs.uk/coronavirus/publication/ess-vaccination-programme/ 3/8
By contrast,in Scotland,rather than delegate and resource GPs, we are maintaining a centralised system, which seems to add delay.GPs are not able to directly manage, predict and administer the programme. It is not GP-led.
The Scottish rollout plan was published on 14 Jan 4/8
The Scottish rollout plan was published on 14 Jan 4/8
The Scottish vaccine deployment plan, published on 14th January
https://www.gov.scot/binaries/content/documents/govscot/publications/strategy-plan/2020/12/coronavirus-covid-19-vaccine-deployment-plan-2021/documents/coronavirus-covid-19-vaccine-deployment-plan-2021/coronavirus-covid-19-vaccine-deployment-plan-2021/govscot%3Adocument/COVID-19%2Bvaccine%2Bdeployment%2Bplan%2B14%2BJanuary%2B2021.pdf
Clause 3 relates to supply, and has 2 extra layers compared to English system. GPs in England are leading local roll-out, and making decisions.Our GPs are at the end of the decision chain 5/8
https://www.gov.scot/binaries/content/documents/govscot/publications/strategy-plan/2020/12/coronavirus-covid-19-vaccine-deployment-plan-2021/documents/coronavirus-covid-19-vaccine-deployment-plan-2021/coronavirus-covid-19-vaccine-deployment-plan-2021/govscot%3Adocument/COVID-19%2Bvaccine%2Bdeployment%2Bplan%2B14%2BJanuary%2B2021.pdf
Clause 3 relates to supply, and has 2 extra layers compared to English system. GPs in England are leading local roll-out, and making decisions.Our GPs are at the end of the decision chain 5/8
Clearly a good thing if the vaccine gets rolled out as quickly as possible to those who want it. Too many are still being hospitalised and worse. People, business, care workers, kids making huge sacrifices,even if it is affecting their lives and livelihoods 6/8
Vaccine number published showed 490,000 doses in Scotland before 4th January. GPs are not getting supplies, qualified (or not)volunteers are not being used, resources are not being deployed, and the problem is clearly systemic, based on choices made. A centralised bottleneck.7/8
That is the issue, and needs fixed asap. We need to be as effective as a comprehensive GP-led distributed system of rollout, and instead seem to have a centralised bottleneck. If we are in this together, everyone needs to perform. Tell me where I'm wrong @jasonleitch ? 8/8
