Media headlines last week spoke of “Covid vaccine by Xmas from GPs”. What does this mean for me?
Whilst we certainly would want to be involved in any vaccination campaign, we don’t have much information ourselves yet and contrary to media reports no ‘deals’ have yet been done, but we expect more information soon.
But isn’t it just like a flu jab?
No, not by a long stretch.
Flu jabs are delivered in their own little syringes, and kept refrigerated. They can safely last in a vaccine fridge for several months. We can keep them and use them, either in dedicated flu clinics or opportunistically if we see you for something else. We can run the clinics a bit like a conveyor belt, as I’m sure many of you will have experienced. We can get a large number of people vaccinated in a very short period of time. People then leave the practice immediately. Once a year, job done.
So what’s different about a new Covid vaccine compared with the flu jab?
These new vaccines are not yet ready, and we don’t know when they will be. They are completely different. They need to be stored frozen in special dry ice, colder than a home freezer (about -70°C). Surgeries don’t have those freezers. So they will be delivered whilst they are defrosting for use. However they can inky be stored in a vaccine fridge for a few days before expiring. They don’t come in their own little syringes. We will have to carefully draw them up from a main vial, dilute and mix them for each individual which will probably take from start to finish about 20 minutes, needing two members of staff (one to draw up, one to check - this is established safe practise with these preparations to minimise error). Once the patient has received their Covid-jab they must wait for 15 minutes to ensure no serious reaction -these vaccines are brand new, and whilst there is a huge regulatory framework to ensure their safety, we will have to take extra care. This in itself will be difficult as we have to maintain social distancing and we don’t know how quickly these clinics will take place. It will be nowhere near as quick as a flu clinic.
Will this be at my local GP surgery?
To begin with, NHS England thinks that areas will have one central Covid-jab centre. This might be in a local practice. It might be yours, it might not. You may have to travel. How the chosen centre will continue to look after its patients ongoing and urgent health needs, we don’t yet know. No details of those plans have been shared yet.
Is it just one jab?
No. You will need two. They will be 3-4 weeks apart but you must not have had any other vaccinations in the previous week.
How many patients will get it the vaccine when it’s ready?
Government says it wants 40 million people vaccinated (that’s 80 million appointments). Putting that into context, every year there are 40 million A&E attendances and 360 million GP appointments. This is going to take a long time. There are no spare GPs or practice nurses. We don’t yet know how we are going to plan for this on top of what we are doing now - managing hundreds of acute and chronic patients every day: on the phone, over video and being brought into the surgery by invitation.
Will it be available by Christmas?
No one knows. But if it is, there will be a very small number of doses and we think the Government might suggest protecting Care Home residents first.
Whatever you read in the paper or online, don’t forget - this is going to be very difficult. We need to make sure there is a safe system and a safe vaccine first.
Will you be getting paid to vaccinate us?
GPs hold a contract with the NHS to provide certain services. The money from that contract pays for the building, the heating and electricity, the nurses, receptionists and staff, clinical equipment and a variety of other expenses that go with providing services to patients.
If the government wants GPs to do something new, (e.g. deliver a new vaccine) it will buy that service from the GP to pay for the extra staff, clinics and hours to cover expenses. It is very unlikely that GPs will make a profit out of the Covid vaccine. Based on current information they may make a loss, but recognise that it is the right thing to do for their patients and communities.
But what we don’t know, if what we might have to consider stop doing, to free up time to provide this vaccination service, given that we are working at 150% compared with this time last year, according to our LMC’s survey.
Flu clinics 2020 please click here for further information
New Wellbeing Phone Support Service
Care Network’s new Wellbeing Service provides support to people aged 18 and over suffering with low mood, mild depression and anxiety, by a trained member of staff or a volunteer.The Wellbeing Service is for anyone in Cambs area, who would like a Wellbeing call, or a Check and Chat call from a trained volunteer. The service is for people aged over 18 who are lonely, isolated, anxious, depressed or have mild mental health issues.
Patients can access the service by calling 0330 094 5750, Monday to Friday from 09:00 to 17:00
Cervical Smear text scam (18th May 2020)
We have been advised by Public Health England of reports of a possible scam. Some women are being contacted by text message, with the sender claiming to be from the call and recall service to advise they are overdue for screening. The message asks them to call a mobile number and provide personal details. These messages are not from the NHS Cervical Screening Programme. Please let us know if you receive such a text.
The Action Fraud line has been contacted.
The practice may text you to remind you your smear is due and ask you to make an appointment, but we would never ask you to reveal personal information or telephone us on a telephone number that isn't the main practice number.
We are trialling a new appointment system
Please click here for more information on our system changes and how you can tell us what you think
New Minor eye condition service
Please click here for further information