The Spinney Surgery

Ramsey Road, St. Ives, Cambridgeshire, PE27 3TP

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Important Update Regarding the COVID-19 Vaccination

Posted on November 9th, 2020

 

Headlines in the UK last week have reported on a “COVID-19 vaccine by Christmas from GPs”.  To avoid confusion and panic, we want to address these reports and give you the information available to GP surgeries at present. We ask that you please bear with us as, like the public, we have received limited information about the vaccination scheme at this time.

 

What does this mean for me?

Whilst we certainly would want to be involved in any vaccination campaign, we don’t have any information ourselves yet and contrary to media reports, no ‘deals’ have yet been done but we expect more information soon.

 

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-19 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.

 

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-19 vaccine compared with the flu jab?

These new vaccines are not yet ready and we don’t know when they will be. From what we know, they work completely differently to the flu jab. COVID-19 vaccines need to be stored frozen in special dry ice, colder than a home freezer (about -70°C) which aren’t available in most GP surgeries. This means the vaccine will be delivered to us whilst they are defrosting for use. In addition to this, the vaccine can only be stored in a fridge for a few days before expiring.

The vaccine doesn’t come in their own little syringes which means clinicians 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 practice with these preparations to minimise error).

Once the patient has received their COVID-19 vaccination, they must wait for 15 minutes to ensure no serious reaction. It is important to remember 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-19 vaccination 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. From what we know, 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?

The 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 that this process as a whole is going to be very difficult and it’s imperative that we make sure there is a safe system and a safe vaccine first. Even when it comes, the vaccine won’t prevent COVID-19 – it will only make its effects milder.

 

 

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