Coronavirus

[Mr K]

Originally Posted by nomadking

It needs specialist storage and transportation. Everything connected with it will have to increase dramatically, unless they already have a surplus or planned increase in capacity. The temptation will be "we have x doses, let's plan to inject X people".
Even the AstraZeneca vaccine requires 2 doses, 28 days apart.


Looking at the BMA advice to GPs, there's no specific mention of this planning matter.

The weak link will be Joe Public turning up for their second dose, assuming they remember the first. Asking people to remember 2 dates is a big ask.

[jfman]

Originally Posted by Paul

Yes.

I’m unconvinced that the difference in reporting method is statistically significant to the feelings of many individuals or Government decision making.

---------- Post added at 19:54 ---------- Previous post was at 19:52 ----------

Originally Posted by nomadking

It needs specialist storage and transportation. Everything connected with it will have to increase dramatically, unless they already have a surplus or planned increase in capacity. The temptation will be "we have x doses, let's plan to inject X people".
Even the AstraZeneca vaccine requires 2 doses, 28 days apart.


Looking at the BMA advice to GPs, there's no specific mention of this planning matter.

I’m quite sure nobody is planning to distribute the vaccine against the way the manufacturers intended for it to be issued. Well, except Oxford University maybe.

[Pierre]

Originally Posted by Mr K

The weak link will be Joe Public turning up for their second dose, assuming they remember the first. Asking people to remember 2 dates is a big ask.

I know, your last girlfriend told me

[Mad Max]

Originally Posted by Pierre

I know, your last girlfriend told me

[nomadking]

Originally Posted by jfman

I’m unconvinced that the difference in reporting method is statistically significant to the feelings of many individuals or Government decision making.

---------- Post added at 19:54 ---------- Previous post was at 19:52 ----------



I’m quite sure nobody is planning to distribute the vaccine against the way the manufacturers intended for it to be issued. Well, except Oxford University maybe.

I was thinking about the capacity issue. How many doses can be stored or transported at any one time within those specific requirements?

[jfman]

Originally Posted by nomadking

I was thinking about the capacity issue. How many doses can be stored or transported at any one time within those specific requirements?

Given that we aren't getting that many of the Pfizer vaccine in the near future I don't see it being that much of an issue. The limitation is far more likely at the supply side than in the delivery chains. If, for example, we were getting too many to deliver to care homes etc. they'd just vaccinate NHS staff in hospitals that already have the equipment.

[joglynne]

My GP operates with only a single partner and a couple of locums plus a practice nurse. No way will they be able to deal with these vaccinations without it have a massive detrimental impact on his already stretched services.

Dozens of GP practices in England opt out of Covid vaccine rollout

Exclusive: more than 100,000 patients will have to get jab elsewhere as GPs say they lack capacity to take part

https://www.theguardian.com/society/...accine-rollout

snippet .... GP Covid vaccination sites will need to administer 975 doses in just 3.5 days

GP practices administering the first Covid vaccine must administer batches of 975 doses within 3.5 days, rather than the previously-suggested five days.

This is due to MHRA regulatory requirements for handling the Pfizer BioNTech vaccine, the BMA has explained.

https://www.pulsetoday.co.uk/news/cl...just-3-5-days/

[GrimUpNorth]

Originally Posted by joglynne

My GP operates with only a single partner and a couple of locums plus a practice nurse. No way will they be able to deal with these vaccinations without it have a massive detrimental impact on his already stretched services.




https://www.theguardian.com/society/...accine-rollout



https://www.pulsetoday.co.uk/news/cl...just-3-5-days/

We went for flu jabs today and ours is large practice, I was booked at in 12:30 and my wife at 12:31. They had a one way system, checking symptoms and temperatures on the way in and maybe 5 nurses working so hopefully they will be able to rattle through a good couple of 975 packs or more a day when they start the Covid vaccinations. My arm did leak quite a bit though - hope my t-shirt comes clean!

[nomadking]

Originally Posted by GrimUpNorth

We went for flu jabs today and ours is large practice, I was booked at in 12:30 and my wife at 12:31. They had a one way system, checking symptoms and temperatures on the way in and maybe 5 nurses working so hopefully they will be able to rattle through a good couple of 975 packs or more a day when they start the Covid vaccinations. My arm did leak quite a bit though - hope my t-shirt comes clean!

Bear in mind that you can't have a covid jab within 7 days of a flu jab.

Originally Posted by nomadking

Bear in mind that you can't have a covid jab within 7 days of a flu jab.

Most people will have had their flu jab long before they get any covid jab.

I had mine [flu] last Monday, and our doctors had a quick 'production line' system going.
I was in, jabbed, and out in about 2 minutes, most of that was checking my name, dob and address.

[GrimUpNorth]

Originally Posted by nomadking

Bear in mind that you can't have a covid jab within 7 days of a flu jab.

I'm in group 9 on the official gov list while my wife is the wrong side of 50 to make the top 10 so it'll be months until we get our invite for the vaccine.

[joglynne]

Originally Posted by GrimUpNorth

We went for flu jabs today and ours is large practice, I was booked at in 12:30 and my wife at 12:31. They had a one way system, checking symptoms and temperatures on the way in and maybe 5 nurses working so hopefully they will be able to rattle through a good couple of 975 packs or more a day when they start the Covid vaccinations. My arm did leak quite a bit though - hope my t-shirt comes clean!

I think the problem will be

Following two case reports of anaphylactoid reactions associated with administration of the Pfizer BioNTech COVID-19 vaccine, MHRA has produced urgent precautionary advice for healthcare professionals. This includes the need for vaccine recipients to be monitored for 15 minutes after vaccination, with a longer observation period when indicated after clinical assessment.

This new requirement will have an impact on primary care plans for the clinics. If this raises issues relating to premise capacity and patient flow, practice groups should discuss this with their CCG.

As I can no longer gain access to The Pulse article here is a link to the BMA advice and support for GPs
https://www.bma.org.uk/advice-and-su...tion-programme

Originally Posted by joglynne

I think the problem will be

Ohhh, that's new ....

[denphone]

Originally Posted by Paul

Most people will have had their flu jab long before they get any covid jab.

I had mine [flu] last Monday, and our doctors had a quick 'production line' system going.
I was in, jabbed, and out in about 2 minutes, most of that was checking my name, dob and address.

l had my flu jab done in mid October.

[joglynne]

I suspect that only large practices will have anywhere near the space to accommodate every person who is given the vaccine being able wait in a socially distanced holding area.

I also fear that the same will apply to the Pharmacies that the NHS were hoping to rope into the Vaccination process.