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"Honestly, as the wife of a man with a suspicious lump in his throat, but who has been told there's no appointments under the 2wk pathway, this concerns me. GP services are already down to the bare bones, people do still need primary care. The vaccines need doing, obviously, but they can't just stop dealing with everyday healthcare either. The Government should be looking at ways to administer that do not require GPs to stop dealing with their patients." | |||
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"My GPs surgery suspended fact to face consultations on March 23rd and they have never been brought back since. I've had a few telephone appointments in that time and the doctor pretty much gave me what I asked for over the telephone. All I had to do was go to the chemist to pick up my prescription. My fathers cancer treatments had only just started back up properly when the 2nd wave hit. This time round it seems different as they are still giving him radio therapy which he received yesterday. KJ" Tell him good luck from dash x | |||
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"Honestly, as the wife of a man with a suspicious lump in his throat, but who has been told there's no appointments under the 2wk pathway, this concerns me. GP services are already down to the bare bones, people do still need primary care. The vaccines need doing, obviously, but they can't just stop dealing with everyday healthcare either. The Government should be looking at ways to administer that do not require GPs to stop dealing with their patients." | |||
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"My GPs surgery suspended fact to face consultations on March 23rd and they have never been brought back since. I've had a few telephone appointments in that time and the doctor pretty much gave me what I asked for over the telephone. All I had to do was go to the chemist to pick up my prescription. My fathers cancer treatments had only just started back up properly when the 2nd wave hit. This time round it seems different as they are still giving him radio therapy which he received yesterday. KJ" I don't understand why it needs to come to a stop? I thought this is why they were rolling it out in stages, it's not like they need the capacity to vaccinate 65m people at once? What with pharmacies being able to administer it too. | |||
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"They seem to be banking on a high uptake but from speaking to various age groups I'm not so sure." With very limited supplies of the vaccine, there won't be any going spare, due to the millions who will have it. There are potentially going to be several vaccine choices by early 2021, so a greater proportion of the vulnerable groups targeted can gain some protection. The issues OP highlights, greater limitations on GP services, reflects what we've seen this year, how services have been pared back to the bone, leaving us with limited ability to cope with extreme events, emergencies and just deal with predictable everyday health care. | |||
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"My GPs surgery suspended fact to face consultations on March 23rd and they have never been brought back since. I've had a few telephone appointments in that time and the doctor pretty much gave me what I asked for over the telephone. All I had to do was go to the chemist to pick up my prescription. My fathers cancer treatments had only just started back up properly when the 2nd wave hit. This time round it seems different as they are still giving him radio therapy which he received yesterday. KJ I don't understand why it needs to come to a stop? I thought this is why they were rolling it out in stages, it's not like they need the capacity to vaccinate 65m people at once? What with pharmacies being able to administer it too. " I think they've targeted GPs as major deliverers of the vaccine Amber - they pushed local health departments to complete a plan for readiness from the start of December, using Doctors as core team members. The army, pharmacists and others have been discussed but I'm guessing that Hancocks plan is to focus largely on Drs. | |||
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"There are about 80,000 student doctors and nurses who could administer an IM or SC injection. Add armed forces medics to that and you've got a massive inoculation team without impacting GP services." I only saw it on Dr Rant on Facebook, but it sounds like they're just expecting the GPs to do it (with no reduction in other services, because that's possible ) | |||
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"Hmmm.... my GP practice did a large scale flu vaccination over two consecutive Saturdays. Appointments at 10 minute intervals with at least 6 staff administering. I guess they are likely to do a repeat for the virus, assuming they get the quantity of vaccine needed" Just shy of 16 million people were vaccinated in the 2019/20 flu campaign. A larger number of people have been made eligible this year for it on the NHS and uptake is high, but they've not started rolling out to that increased age range of 50-64yrs yet. In comparison, the Covid vaccination is aimed at over 30 million people. Flu vaccines are done from September all the way through the winter and last winter, covered nearly 16 million people. Somehow, we're meant to vaccinate twice that number of people. This is why the logistics are difficult, but they can't just stop other healthcare. | |||
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"Hmmm.... my GP practice did a large scale flu vaccination over two consecutive Saturdays. Appointments at 10 minute intervals with at least 6 staff administering. I guess they are likely to do a repeat for the virus, assuming they get the quantity of vaccine needed Just shy of 16 million people were vaccinated in the 2019/20 flu campaign. A larger number of people have been made eligible this year for it on the NHS and uptake is high, but they've not started rolling out to that increased age range of 50-64yrs yet. In comparison, the Covid vaccination is aimed at over 30 million people. Flu vaccines are done from September all the way through the winter and last winter, covered nearly 16 million people. Somehow, we're meant to vaccinate twice that number of people. This is why the logistics are difficult, but they can't just stop other healthcare." The logistics aren't going to be easy but they are possible. Care homes already administer injections to residents so let them do that group. The armed forces have medics - get them in alongside their logistics teams. Doctors surgeries could admibister vaccine to those patients who are coming in for other treatments. Student doctors and nurses are more than capable of injecting a vaccine - big resource there. The vaccine might also arrive in smaller batches than 30 million in one hit, which could also smooth out the surge. These are just off the top of my head and there might be other better ways of doing this but, with a bit of imagination from people 'at the top', I don't see this as being a huge problem. | |||
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"There are about 80,000 student doctors and nurses who could administer an IM or SC injection. Add armed forces medics to that and you've got a massive inoculation team without impacting GP services. I only saw it on Dr Rant on Facebook, but it sounds like they're just expecting the GPs to do it (with no reduction in other services, because that's possible )" GP practice manager here, yes, we are expected to deliver the vaccine with no reduction in services...there is also talk of mass vaccination sites, but the details of it all change on a daily basis.We are being asked to deliver it on a network basis from one site, not at every surgery. | |||
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"As a manager in a gp surgery we have been instructed to he ready by the beginning of December but it is likely that we will not start vaccinating until mid to end December ! Each group of practices need to work together to deliver 1000 vaccines per week, depending on how efficient surgeries are this could be done on a Saturday and maybe one day in the week so impact on surgeries will be minimal but each surgery is different !any questions on it message me" Do surgeries currently have the ability to store the vaccine at the required temp? Reported at -80, or are new machines needed or was this false news? Sorry if this is going off topic | |||
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"As a manager in a gp surgery we have been instructed to he ready by the beginning of December but it is likely that we will not start vaccinating until mid to end December ! Each group of practices need to work together to deliver 1000 vaccines per week, depending on how efficient surgeries are this could be done on a Saturday and maybe one day in the week so impact on surgeries will be minimal but each surgery is different !any questions on it message me Do surgeries currently have the ability to store the vaccine at the required temp? Reported at -80, or are new machines needed or was this false news? Sorry if this is going off topic " No, we don't, current guidelines are for it to be stored in the usual manner, shelf life at recommended temperature is 5 days, so all 975 doses will need to be given in that time period. | |||
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"As a manager in a gp surgery we have been instructed to he ready by the beginning of December but it is likely that we will not start vaccinating until mid to end December ! Each group of practices need to work together to deliver 1000 vaccines per week, depending on how efficient surgeries are this could be done on a Saturday and maybe one day in the week so impact on surgeries will be minimal but each surgery is different !any questions on it message me Do surgeries currently have the ability to store the vaccine at the required temp? Reported at -80, or are new machines needed or was this false news? Sorry if this is going off topic " -80 is easily achieved with dry ice and a polystyrene box. It only needs to be at that temp for storage, it can be in a normal vaccine fridge for a few days whilst they administer them. | |||
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"As a manager in a gp surgery we have been instructed to he ready by the beginning of December but it is likely that we will not start vaccinating until mid to end December ! Each group of practices need to work together to deliver 1000 vaccines per week, depending on how efficient surgeries are this could be done on a Saturday and maybe one day in the week so impact on surgeries will be minimal but each surgery is different !any questions on it message me Do surgeries currently have the ability to store the vaccine at the required temp? Reported at -80, or are new machines needed or was this false news? Sorry if this is going off topic No, we don't, current guidelines are for it to be stored in the usual manner, shelf life at recommended temperature is 5 days, so all 975 doses will need to be given in that time period." Ah thx I wondered how it would work | |||
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"Not sure I support thus to be honest. No long term testing on the vaccine and only tested as 90% effective. As we know covid will mutate into a different strain and they what .. the vaccine will not be effective. For me there’s lots to think about " 90% is actually pretty good, and the more people are immunised, the less infections and thus less chances for the virus to mutate. | |||
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"I really think efforts for mass vacination should be directed away from GP surgeries and health centres as much as possible. Winter is a dangerous time every year and GP's surgeries should be left free to tackle their normal winter work flow. If not I'm concerned about the incresed death toll of Covid-19's hidden victims. Leave vaccination to pop up vaccination centre's and the military." How will the over 85s get to a vaccination centre if they don’t drive? It needs to be given out by GP surgeries. | |||
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" How will the over 85s get to a vaccination centre if they don’t drive? It needs to be given out by GP surgeries. " So you think every over 85 year old walks to their GP? My parents had their flu jab in the village hall which is a few miles closer than their GP surgery. | |||
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"I really think efforts for mass vacination should be directed away from GP surgeries and health centres as much as possible. Winter is a dangerous time every year and GP's surgeries should be left free to tackle their normal winter work flow. If not I'm concerned about the incresed death toll of Covid-19's hidden victims. Leave vaccination to pop up vaccination centre's and the military. How will the over 85s get to a vaccination centre if they don’t drive? It needs to be given out by GP surgeries. " That would be something for the authorities to sort out. Not just for the over 85 but for anyone who can't travel. Why do all vaccination centres have to be only accessible by car? Why would there not be pop up vaccination centres in the community or provision to provide vaccination at home to those who really can't get out or in remote areas? | |||
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"I really think efforts for mass vacination should be directed away from GP surgeries and health centres as much as possible. Winter is a dangerous time every year and GP's surgeries should be left free to tackle their normal winter work flow. If not I'm concerned about the incresed death toll of Covid-19's hidden victims. Leave vaccination to pop up vaccination centre's and the military. How will the over 85s get to a vaccination centre if they don’t drive? It needs to be given out by GP surgeries. " Family drive them or district nurse home visit for the ones that are ‘truly’ housebound | |||
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" Why do all vaccination centres have to be only accessible by car? Why would there not be pop up vaccination centres in the community " My flu vaccination centre was in the church hall on the same road as my GP. Easily accessible by bus. | |||
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"I have just seen a message from my doctors sugery saying that they will be reducing the services they offer sometime in December as they will be preparing to vaccinate as many people as possible against covid, so will be concentrating their surgery hours on that. They didn't have any dates but just wish to let people know they are preparing distributors many vaccines as possible from sometime in December. It is really looking like it is full steam ahead with the vaccine." Great that surgeries are making preparations, but at my local surgery it's all but impossible to get an appointment now so it'll be interesting to see how they can reduce the normal level of service. | |||
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"I have just seen a message from my doctors sugery saying that they will be reducing the services they offer sometime in December as they will be preparing to vaccinate as many people as possible against covid, so will be concentrating their surgery hours on that. They didn't have any dates but just wish to let people know they are preparing distributors many vaccines as possible from sometime in December. It is really looking like it is full steam ahead with the vaccine." Good news in one way but bad bad news in another | |||
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" How will the over 85s get to a vaccination centre if they don’t drive? It needs to be given out by GP surgeries. So you think every over 85 year old walks to their GP? My parents had their flu jab in the village hall which is a few miles closer than their GP surgery. " No idea but one has to be in the geographic area of the surgery to be able to be a patient. My GP surgery had clinics at the weekends at 10 minute appointments, takes less than that to inject the vaccine but due to Covid had to allow 10 minutes per patient. | |||
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"I have just seen a message from my doctors sugery saying that they will be reducing the services they offer sometime in December as they will be preparing to vaccinate as many people as possible against covid, so will be concentrating their surgery hours on that. They didn't have any dates but just wish to let people know they are preparing distributors many vaccines as possible from sometime in December. It is really looking like it is full steam ahead with the vaccine. Great that surgeries are making preparations, but at my local surgery it's all but impossible to get an appointment now so it'll be interesting to see how they can reduce the normal level of service." That's not good to hear, we have been given 150 million of ring fenced funding to ensure we still offer the same levels of service, my staff are booked solid every day, only the GPS are still telephone trialing and booking their own face to face appointments, of which there are many. We are planning on delivering the vaccine from our network site, on a rota basis, so won't impact our individual surgeries | |||
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"Hubby here, I was due for bloods just before lockdown in march. High blood pressure and Cholesterol through the roof, haven't ever had those bloods taken, can't get an appointment. " Had a couple of appointments in carrick no problem. | |||
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"Instead of testing all the students before they come home for Christmas, why not innoculate them ? " Vaccine still needs MHRA approval for clinical safety... | |||
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" Vaccine still needs MHRA approval for clinical safety..." | |||
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"FYI many armed forces medics also do routine work - eg are GPs for the units (inc families) they’re assigned to or actually spend some or all of their time working in the NHS. All reserve medics are NHS or private practitioners. Assuming this needs some specialist skills (unlike mass testing which can seemingly be more easily trained), then the pool of extra people isn’t that big. " The vaccine is intramuscular (not into a vein) so pharmacists and physiotherapists (maybe vets ) should be able to give the shot. | |||
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"Instead of testing all the students before they come home for Christmas, why not innoculate them ? " Being vaccinated wont stop an individual spreading when virus It can be spread by milk bottles. | |||
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" Being vaccinated wont stop an individual spreading when virus It can be spread by milk bottles." So what is the point of the vaccine ? | |||
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"Instead of testing all the students before they come home for Christmas, why not innoculate them ? Being vaccinated wont stop an individual spreading when virus It can be spread by milk bottles." The probability of contracting covid from surfaces is judged to be low. My understanding of the vaccine is it will enable your immune system to attack the virus, surely this should stop someone from becoming contagious and spreading it. | |||
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" Being vaccinated wont stop an individual spreading when virus It can be spread by milk bottles. So what is the point of the vaccine ?" I assume it stops people from catching it. | |||
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" The vaccine is intramuscular (not into a vein) so pharmacists and physiotherapists (maybe vets ) should be able to give the shot." Yep. You just have to look at the number of pharmacies who already offer the flu jab - this is just an extension of that. | |||
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"We're fucked" That's a shame. | |||
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"You could also have drive through vaccination stations,we have logistic know how to do this, just not got to be put into private hands to fuck up. " I throught this drive through and it should be something the army forces could and should be deployed to do. Is it IM or IV | |||
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"You could also have drive through vaccination stations,we have logistic know how to do this, just not got to be put into private hands to fuck up. I throught this drive through and it should be something the army forces could and should be deployed to do. Is it IM or IV " IM like the majority of vaccinations. | |||
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"We're fucked" That's why you're here isn't it | |||
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"You could also have drive through vaccination stations,we have logistic know how to do this, just not got to be put into private hands to fuck up. I throught this drive through and it should be something the army forces could and should be deployed to do. Is it IM or IV IM like the majority of vaccinations." So it's not that hard to administer so could be done with a pen | |||
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"You could also have drive through vaccination stations,we have logistic know how to do this, just not got to be put into private hands to fuck up. I throught this drive through and it should be something the army forces could and should be deployed to do. Is it IM or IV IM like the majority of vaccinations. So it's not that hard to administer so could be done with a pen " Correct | |||
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"You could also have drive through vaccination stations,we have logistic know how to do this, just not got to be put into private hands to fuck up. I throught this drive through and it should be something the army forces could and should be deployed to do. Is it IM or IV IM like the majority of vaccinations. So it's not that hard to administer so could be done with a pen Correct " So any medical person could give this from a vet to a army medical corps trained volunteer so why use doctors at a drive through you could do a family in on hit in seconds. And keep Gp's open doing what they need to. | |||
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"You could also have drive through vaccination stations,we have logistic know how to do this, just not got to be put into private hands to fuck up. I throught this drive through and it should be something the army forces could and should be deployed to do. Is it IM or IV IM like the majority of vaccinations. So it's not that hard to administer so could be done with a pen Correct So any medical person could give this from a vet to a army medical corps trained volunteer so why use doctors at a drive through you could do a family in on hit in seconds. And keep Gp's open doing what they need to." Totally agree. Some trained medics will be needed at each site in case of adverse reactions though. Lots of allied health professionals could be used to administer the jab though. | |||
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"You could also have drive through vaccination stations,we have logistic know how to do this, just not got to be put into private hands to fuck up. I throught this drive through and it should be something the army forces could and should be deployed to do. Is it IM or IV IM like the majority of vaccinations. So it's not that hard to administer so could be done with a pen Correct So any medical person could give this from a vet to a army medical corps trained volunteer so why use doctors at a drive through you could do a family in on hit in seconds. And keep Gp's open doing what they need to. Totally agree. Some trained medics will be needed at each site in case of adverse reactions though. Lots of allied health professionals could be used to administer the jab though." And if it was in a pen like shot you could almost do it your self | |||
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