The coronavirus vaccines

Coronavirus continues to cause concern, with infection rates rising across Stoke and Staffordshire. We remain mainly below the England national average, but those areas bordering the Birmingham conurbation are seeing much higher rises than areas such as the Moorlands.  This would suggest that the new variants are spreading rapidly, and the combination of lockdown measures and Test and Trace are more important than ever.

The key focus this week is on accelerating the vaccination programme.  Stoke and Staffordshire are making good progress with the Pfizer vaccine. We have vaccinated 50,900 (of 128,700) of the first four cohorts identified by the Government – over 80’s, care home residents, health and care staff and clinically vulnerable. There’s another 17,000 planned for next week.  There are some areas of excellent practice such as the Stafford Primary Care Network (PCN) setting up its vaccination operation at the County Showground, where we previously ran a food distribution operation and training for iCount volunteers. They are using the large hall and the car parks to allow for a bigger service than would be expected using one of its practices. Consequently, they have vaccinated 4,180 people since the start of the programme, which is a great achievement.

We must, however, plan beyond the current challenges with the Pfizer vaccine, owing to its numbers and complex handling, and focus on full delivery of the Oxford AZ vaccine (and now we can add the Moderna vaccine to that list in the UK). We will need to see a rise from around 1,500 vaccinations per day to well over 10,000 if we are to meet the Government’s targets.  Three factors run in our favour: the Oxford AZ vaccine is more plentiful, The Medicines and Healthcare products Regulatory Agency (MHRA) have been able to reduce the Quality Assurance (QA) process from around 20 days to fpur; and its handling requirements are the same as existing vaccines, such as flu, which means we can expand existing supply chains before creating new ones.

The key to success is for the National level of the NHS to focus on getting the vaccine into the supply chain, and to leave local delivery to those who do it as a matter of course.  We have volunteered the services of Staffordshire County Council, so, all being well, we will be asking colleagues to take part in this vitally important national effort. I’ll keep you updated as we know more.

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