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Coronavirus Covid-19 Vaccination SHORTCUT ivy.gs/covid-vacc

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IMPORTANT MESSAGES

1. GROUP 10: OVER 40s TO BE INVITED SHOW

Patients are booked in order of priority based on age or clinical vulnerability - please see below for information.

We are now working through group 10, all the over 40s along with any outstanding patients from previous groups. Invites will be prioritised from oldest to youngest in this cohort in line with existing policy on invitation based on age.

This is a large age band and vaccination will be subject to supplies and delivery.

There are a defined number of slots in each clinic allocated to each practice in the neighbourhood and it will therefore take several clinics to get through each eligible cohort. Please be patient whilst you wait for your turn.

Booking will only take place when a scheduled delivery of covid vaccination has taken place and when a clinic has been set up to accept patients.

Invites take the form of a text invite, along with a link to an external website to book your appointment online. Those without mobile phone numbers or those who cannot book online will be contacted by phone directly.

Please check the frequently asked questions section if you have a query.

2. AZ VACCINE AND BLOOD CLOTS INFO SHOW

UPDATE April 7, 2020: please see our FAQs below for more information on this subject.

3. DO NOT TURN UP UNANNOUNCED AT ANY CLINIC SHOW

Please do not be tempted to just turn up at a clinic without an appointment, on the off-chance that there is vaccine left available. All vaccine is pre-allocated and all appointment slots taken up prior to any clinic starting.

You will be turned away.

4. PLEASE WAIT TO BE CONTACTED SHOW

We are receiving lots of queries from patients about the vaccine. Please wait to be contacted. When you become eligible and we have vaccine available you will receive an invitation to book an appointment either from your GP practice (by phone call, letter or text), or by letter from the NHS directly.

Any letter you receive will include all the information you will need to book appointments, including your NHS number.

Please do not contact us to get an appointment until you receive an invite or letter.

Please check the frequently asked questions section if you have a query.

5. BEFORE YOU CALL US... SHOW

Please be aware that practices do not control the vaccine supply chain, do not determine the priority grouping and did not determine the change in 2nd dose provision. We have no influence whatsoever on these centrally controlled issues.

Please do not contact us about any of the above issues as we do not have any responsibility for them.

Please check the frequently asked questions section for answers to your query before you call us, as your call could block urgent calls coming in.

THE COVID VACCINATION PROGRAMME

Vaccination continues

Priority patients are based on the Government’s Joint Committee on Vaccination and Immunisation (JCVI) who identify patients based on the prevention of serious illness from COVID-19. Prioritisation is primarily based on age, as the risk of serious illness and death from COVID-19 increases with age.

This priority list is as follows (along with approximate progress of vaccinating each of our groups at Ivy Grove):

  • Group 1 Care home residents and their carers
    100%
  • Group 2 All those 80 years of age and over, and frontline health and social care workers*
    99%
    *frontline health and social care workers are vaccinated separately - see FAQs
  • Group 3 All those 75 years of age and over
    99%
  • Group 4 All those 70 years of age and over
    99%

    and clinically extremely vulnerable individuals (shielded patients)
    98%
  • Group 5 All those 65 years of age and over
    97%
  • Group 6 All those aged 16 years to 64 years with underlying health conditions which put them at higher risk of serious illness and death
    91%
  • Group 7 All those 60 years of age and over
    96%
  • Group 8 All those 55 years of age and over
    93%
  • Group 9 All those 50 years of age and over
    93%
  • Group 10 All those 40 years of age and over
    57%

    All patients in this group should wait to be contacted
  • Group 11 All those 30 years of age and over
    Please be patient and wait your turn
  • Group 12 All those 20 years of age and over
    Please be patient and wait your turn
  • For info only:
    Housebound
    100%

    All groups 1-9
    95%

    All groups 1-12
    72%

† Notes on the progress indicators above: these are provided by the surgery for information only and are to indicate approximate progress of 1st vaccinations only and not completed courses; we update these progress indicators whenever a major clinic has been run and where vaccination entries have been coded into records; there can sometimes be 48 hours delay before records are updated and accordingly there may not be daily updates; achievement will never be 100% in any cohort given that, for example, some patients will be unsuitable for a specific vaccine or may have postponed their vaccination; we invite patients based on roll-out for current cohort and this will always include any outstanding patients from previous cohorts; please wait to be contacted; data is correct as at Apr 9, 2021 after 10.5 weekend clinics (2 sessions in each clinic) and 32 weekday clinics.

More information on the vaccine is available by reading our FAQs or checking the links below.

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AM I SUITABLE FOR THE COVID VACCINATION?

Suitability criteria

You will be suitable for the vaccination if you meet ALL of the following criteria:

  • You have not declined to have the vaccination
  • You are mobile or can be taken to the local vaccination centre, which is Church Farm Primary Care Centre (where Ivy Grove Surgery and Jessop Medical Practice are based)
  • You can commit to booking (and attending) both first and second vaccination appointment dates
  • You have not had any other vaccination in the seven days prior to the covid vaccination date
  • You have not had a positive covid test or covid symptoms in the last four weeks
  • You have never had a anaphylactic allergic reaction (e.g., angio-oedema, or reaction requiring adrenaline pen) or unexplained severe allergic reaction (i.e., unknown cause) or had an allergic reaction to covid vaccine (NB: usual expected side effects like sore arm and mild temperature/malaise post-vaccination are NOT allergic reactions - you do not have to notify us)
  • Covid vaccination and pregnancy
  • There's no evidence the COVID-19 vaccine is unsafe if you're pregnant
  • But more evidence is needed before you can be routinely offered the vaccine
  • You may be able to have the vaccine if you're pregnant and at high risk either through work or health conditions
  • You do not need to avoid pregnancy after vaccination
  • You can have the COVID-19 vaccine if you're breastfeeding.
  • Please see leaflet

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BEING PREPARED ON CLINIC DAY

Please be prepared on the day of vaccination clinic:

  • If you develop covid symptoms, you MUST NOT attend, you will need to cancel your appointment for your jab
  • Do not park on the road by the side of the surgery for safety reasons - please use the dedicated patient car park!
  • You must not arrive too early or too late for your appointment, in order to maintain social distancing and facilitate car parking
  • You must wear a face covering
  • For certain brands of jab, you will need to stay on the premises for 15 minutes after having the vaccination for safety reasons
  • You should follow the marshalls as they will direct you to where you need to go
  • You should wear suitable top clothing to give quick and easy access to your upper arm
  • Vaccination clinic is not for presenting your clinician with other medical problems whilst you are there

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FREQUENTLY ASKED QUESTIONS (FAQs)

Please note that we provide these FAQs in all good faith to answer patients' queries regarding covid vaccination, however, as you will all know, the situation with the vaccination programme is subject to rapid change and we can therefore accept no responsibility for issues arising out of use of these FAQs. If you need clarification of any points, please review official sources below

I don't want to read all this, what are the key messages?

KEY MESSAGES ABOUT COVID VACC

Please try not to worry. We have your details. Please wait to be contacted. CRUCIALLY IMPORTANT: please keep yourselves safe in the meantime.

Why can't I contact you to book my covid jab?

Clinics are scheduled according to vaccine delivery and until delivery is confirmed, we cannot book patients into clinics. Therefore we are unable to book you on demand or when you request it. We will contact you when it is your turn to have the jab.

I have been invited to book my covid vaccination through an accurx.thirdparty.nhs.uk or book.nhs.me link, is it legitimate?

accuRx is a software provider that GP surgeries are using to send out invites to patients. Please review this information from accuRx .

Why has my neighbour had their covid jab before me?

We have not forgotten you. Each practice in the neighbourhood has a defined number of slots in each clinic available to them to book their patients into. There are many more patients than slots available in each clinic, therefore it will take several clinics to get through each eligible cohort.

Remember the covid vaccination programme is not like the flu vaccination programme, it is on a much larger scale, and will run for 8-9 months minimum, not just over a few weeks like the flu programme, so everyone eligible will eventually get their turn.

How are you choosing which people to contact?

The single greatest risk factor for Covid-19 is increasing age, and this risk rises exponentially (more and more rapidly) with age. The optimal strategy for minimising future deaths is to offer vaccination to older age groups first.

Please check the priority list above for the eligible cohorts.

Why can't I have the jab now and just get back to normal?
Why can't you change my grouping?
But I have xyz condition as well as abc condition?
Dr X / Nurse Y says I need the jab right now!

Please see above. We cannot shortcut the national process for the eligible cohorts to call any patient in earlier and you cannot buy the jab privately.

We do not determine the groupings - they are set nationally based on JCVI guidance; they are specified as above and your grouping is already set based on what is in your medical record. We do not change the groupings unless your medical record is incorrect. So, for instance, even if you have mutliple medical conditions, it does not mean you are bumped up a group. If you are not a clinically extremely vulnerable patient, but have chosen to shield yourself, it does not mean you are bumped up a group.

If your hospital consultant believes that you are in a high risk group (shielding) and should have the covid vaccination earlier, then by all means they will be able to code your record from their end. We get automatic notifications of those who have been added to the shielding list centrally by the NHS.

Although we definitely want to see as many people vaccinated as possible, and we all know the whole country wants to get back to normal as soon as possible, the covid vaccination programme is a marathon, not a sprint. The programme will run for 6-8 months minimum. Even if you have the jab now, it does not mean that you or your family can abandon all the ongoing measures to keep yourselves safe. You must still socially distance, adhere to strict hygiene and follow all rules on local and national restrictions.

Please be aware that everyone is working extremely hard behind the scenes to deliver this programme as quickly, effectively and efficiently as possible, so even if you do not hear straight away, you can be assured that strenous efforts are underway and you will get your turn.

The quickest way to get the jab is to patiently wait your turn and accept and attend any appointment for the jab that you will be offered - everyone who is eligible will get their jab eventually.

Contacting us repeatedly about covid vaccination risks delaying care to other patients and risks blocking our phone lines for urgent calls.

For queries regarding group 6 eligibilty and medical conditions, please see our specific information.

What if I live in a care home or I'm housebound and can't get to a clinic?

Please be assured that there are processes to ensure that all residents (and health care staff) in care homes and those patients who are housebound will be vaccinated in a separate process. You will not be left out. Please wait to be contacted.

Please note, if you are offered the vaccine, and are able to get to a clinic (for example, with help from a relative or friend), we do encourage you to attend the clinic if possible. If you cannot attend a clinic, you may have to wait for the above process to get round to you.

What if I am a frontline health or social care worker?

If you work for an NHS trust, or hospital, then your human resources or occupational health department will arrange for you to get the covid jab.

If you work in a care home, you should be able to get your covid jab when the residents in your workplace get theirs.

For all other health and social care workers, please wait to be contacted by your employing organisation in due course.

The latest guidance indicates that by mid-January, all NHS Trusts should have been established as 'hospital hubs' and the default provider of covid vaccinations for all healthcare and social care workers.

What if I am a carer?

The definition of a carer for the purposes of eligiblity for group 6 vaccination is an adult person who provides regular and ongoing care for an elderly or disabled person, and the wellbeing of the person being cared for would be put at risk should the carer become ill.

I've received a letter or invite from the NHS about going to another vaccination centre elsewhere - what do I do?

It is your choice if you wish to travel away from the area to an external vaccination centres, or you can wait until you get an invite to the local clinic in Ripley.

If you have received such a letter and wish to book at another vaccination centre, please visit NHS.UK . PLEASE NOTE: You can only use this service if you have received a letter inviting you to book your vaccination appointment.

If you would rather have your jab at the local clinic, simply ignore the letter and wait to be invited locally. There is no need to contact us.

If you do choose to book and go elsewhere for your jab, there is no need to let us know, as we automatically get records of vaccinatons carried out elsewhere.

Can I pick which brand of covid jab I get?

No you can't. Current guidance is that once you have started a course with one brand of vaccine, you must complete the course with the same brand and not switch over to a different brand, however studies are underway and this might change the guidance.

Can I socialise with others once I've had the jab?

The answer to this is a most definite 'no'. You will still need to follow all local and national restrictions in force.

Do not assume just because you have been vaccinated that all the problems around you will suddenly go away. There is still a high level of coronavirus infection in the community with most people not yet vaccinated.

Remember as well, the vaccine can take up to a few weeks to start working and offering immunity, so protection from vaccines is never immediate in any case, and also it does not necessarily prevent you from catching coronavirus, but should help to stop it becoming a more severe disease should you catch it. Also it is not yet known whether the vaccine stops you from transmitting the virus if you are do get infected.

Therefore please still follow the rules, even if you (or your family and friends) have had the covid jab.

I've got/had covid, when can I get the jab?

If you've recently tested positive for coronavirus – even if you have no symptoms – you should wait until 4 weeks after the date you were tested before getting the vaccine. This applies to any patient, including those in care homes who have recently developed covid.

What's this I'm hearing about blood clots and the AstraZeneca vaccine?

UPDATE April 7, 2020: there is a likely (but not yet proven) link between AZ and blood clots. In the UK there have been 79 cases reported after a first dose of AZ amongst 20 million doses given, equating to a risk of approximately 4 per million. There is as yet, no proven link with age, gender or pre-existing medical conditions.

The benefits of vaccination still massively outweighs the risk. 4 per million equates to a 0.0004% risk of developing a blood clot. To put this into perspective, if you catch COVID-19. your risk of:

  • Developing a blood clot on the lung is 7.8%
  • Developing a deep vein thrombosis (blood clot on the leg) is 11.2%
  • Being admitted to intensive care with clots is 23%
  • Having a stroke is 1.6%
  • Developing low platelets is 30%

However, the risks potentially outweigh benefits for under 30s where there is low risk of exposure to COVID-19 (with current circulating levels of COVID-19 we are just below medium).

Current recommendations are:

  • If you have had the first dose of AZ, you should receive the 2nd dose as planned
  • All over 30s who have AZ vaccine bookings to continue as planned
  • It is preferred* that healthly individuals aged 18-30 have an alternative vaccine e.g. Pfizer and Moderna
  • If you have a history of major blood clots occurring against a background of low platelets then you cannot have AZ vaccine and will be identified at the point of vaccination
  • Over 30s who do not want AZ vaccine will not be offered an alternative

*NB: the term is preferred, that is, it is not a strict rule, so under 30s can still accept the AZ vaccine after discussion of risk/benefits with their vaccinator.

This is still a rapidly evolving issue, we will update this page as and when we receive new information.

GOV.UK leaflet on COVID-19 vaccination and blood clotting

What if I don't want the jab?

We strongly encourage all eligible patients to have the covid jab, in line with national guidance to protect not only yourselves but also those around you. However if you are certain that you do not want the jab, please ring us and let us know and we will exclude you from any invites for the jab.

I have another query - please can I call you?

We would kindly ask that you review the extensive FAQs document from Joined Up Care Derbyshire and check the very useful leaflets below before you give us a call - we remain as busy as ever dealing with ongoing clinical work during this pandemic and calling us about this will block urgent calls coming in.

Do you have anything I can print off and read at my leisure?

Please see leaflets below.

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MEDICAL CONDITIONS AND GROUP 6 SHORTCUT ivy.gs/group6

FEBRUARY 15, 2021: Guidance has been received over the weekend regarding eligibility of patients in group 6.

Despite all proclamations on national media promoting this latest initiative, unfortunately at nearly a year into the pandemic, there are no nationally recognised lists of codes repressenting all the medical conditions eligible that would make the process of identifying eligible patients efficient, definitive and therefore without uncertainty. Therefore, local searches have to be built to find the relevant patients.

You will all be used to the usual flu eligible medical conditions, but the main differences from flu vaccination that we can see so far are with regard to the following areas:

Asthmatics

  • Asthmatics on no regular asthma treatment at all - NOT ELIGIBLE (not eligible for flu vaccination usually)
  • Asthmatics on only reliever blue inhalers (e.g., salbutamol) - NOT ELIGIBLE (not eligible for flu vaccination usually)
  • Asthmatics on only regular preventer brown/red/purple inhalers (with or without reliever blue inhalers) (e.g., clenil, fostair) - NOT ELIGIBLE (eligible for flu vaccination normally)
  • Asthmatics classed as severe asthma as below - ELIGIBLE if any of the following:
    • taking regular daily oral steroids for asthma
    • had 3 or more courses of oral steroids for asthma in the last year (according to NHS England, technically it is 3 courses in 3 consecutive individual months, however this would not be easily searched for in GP records)
    • had any hospital admissions for asthma
    • ever been in intensive care or been ventilated for asthma

Learning disability

  • Learning disability classed as severe or profound - ELIGIBLE
  • Learning disability of other degrees (mild, moderate)- NOT ELIGIBLE (eligible for flu vaccination normally)
    UPDATE: we have been advised that although JCVI priority remains unchanged for those with mild or moderate learning disability, GPs are to invite all patients with regardless of severity

Resolved congenital heart disease as a child

  • Those patients who had congenital heart disease as a baby, e.g.. atrial septal defect, that was repaired and left with no ongoing cardiac issues - NOT ELIGIBLE

Narrower range of conditions than flu jab eligibility

KEY MESSAGES

Please do not assume that you will be in group 6, especially if you have any of the above medical conditions. Those not in group 6 will need to wait for their age group to become eligible. But please try not to worry and please wait to be contacted. We have your details and we will get in touch one way or another.

IMPORTANT: Please remember, we do not determine the priority of patients, the groupings or decide on the medical conditions that make patients eligible. Given that we have no influence on these matters, we kindly ask that patients do not contact us regarding these issues.

General observations

We will strive to ensure that all relevant searches are accurate, but in the absence of a formal code list, all GP surgeries all round the country will have to be doing their best to make sure no-one is missed out. Please bear with us whilst we do this essential piece of work and check our searches. We kindly ask that patients allow us some breathing space whilst we work things out. Repeated queries regarding your eligibility will impair our ability to work effectively.

Group 6 is likely to be the largest eligible group by far and even if you are eligible and you do not get your invite immediately, please be patient! We kindly ask, please do not contact us to check up on the status of your invite. It will take multiple clinics over the course of some weeks before all patients will be invited. We will update our progress indicators above on a regular basis.

If you end up not being in group 6, unfortunately, you will have to wait until your age group becomes eligible for a covid vaccination. We understand all adult patients (with or without medical conditions) will eventually be vaccinated before autumn this year - we do not expect the whole country to be back to any sort of normality until at least that happens, so please be patient and please keep yourselves safe whilst you wait for your covid jab.

You will know that Ivy Grove will always strive to keep our patients informed and accordingly, we will update this page as and when we have any more information.

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