COVID-19 Vaccination Rollout - #over 18, Pharmacy Guild of Australia

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COVID-19 Vaccination Rollout - #over 18, Pharmacy Guild of Australia
COVID-19
Vaccination Rollout

#over 18,
 get the vaccine
PRESENTED BY TRENT TWOMEY
COVID-19 Vaccination Rollout - #over 18, Pharmacy Guild of Australia
Hon Greg Hunt
Minister for Health

                      1
COVID-19 Vaccination Rollout - #over 18, Pharmacy Guild of Australia
Pharmacy Onboarding
5800

                                                                      3500+

                            1500                               3500
                                                        2500
                                                 1500
                                   456
                49
0

       June              July               August                September

       As 2 August there were 288 pharmacies vaccinating.
       By 6 August there will be 673 vaccinating.

                                                                              2
COVID-19 Vaccination Rollout - #over 18, Pharmacy Guild of Australia
Patient Eligibility

                      3
COVID-19 Vaccination Rollout - #over 18, Pharmacy Guild of Australia
26.3 million COVID-19 vaccine doses
                 not yet given to patients
                             Number of COVID-19 vaccine doses yet to be given to patients,
                            population 20 and over (data to 25 July 2021 and 2 August 2021)
          18,000,000
                                                             16,089,954
          16,000,000                                                                                                              15,392,267

          14,000,000

                                         11,634,635
          12,000,000                                                                                          10,951,232

          10,000,000

           8,000,000

           6,000,000

           4,000,000

           2,000,000

                   0
                                                  25 July 2021                                                       2 August 2021

                                               1st dose not yet given                        2nd dose not yet given
Source: Guild estimate based on data from Dept Health: https://www.health.gov.au/initiatives-and-programs/covid-19-vaccines/australias-covid-19-vaccine-rollout
COVID-19 Vaccination Rollout - #over 18, Pharmacy Guild of Australia
Medicare Changes
Unintended consequences of change to enable patients
not eligible for Medicare to get vaccinated at pharmacy
The advice in PPA program rules creates an issue with
AIR uploading
Advice from GuildCare to help resolve the AIR issue is:
•   Don’t enter the special Medicare number into GuildCare
•   Manually claim via the PPA portal using the Special
    Medicare number

     Urgent Clinical Need Special Medicare Number:
                      25437529911

                     PPA Portal:
           https://www.ppaonline.com.au/

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COVID-19 Vaccination Rollout - #over 18, Pharmacy Guild of Australia
Hints for non-eligible patients
Different countries have different naming
conventions. It may be unclear what is
their given name and surname.

The electronic strip at the bottom of
the page follows the same rule: family
name
COVID-19 Vaccination Rollout - #over 18, Pharmacy Guild of Australia
AstraZeneca dosing intervals and efficacy

The recommended interval between two doses is 4 to 12
weeks.
In outbreak settings, the preferred interval has been
adjusted to between 4 to 8 weeks.
In non-outbreak settings, the preferred interval remains at
12 weeks.

https://www.health.gov.au/sites/default/files/documents/2021/08/covid-19-vaccination-atagi-clinical-guidance-on-covid-19-vaccine-in-australia-in-
2021_0.pdf (last updated 30 July 2021)

                                                                                                                                                    7
COVID-19 Vaccination Rollout - #over 18, Pharmacy Guild of Australia
AstraZeneca dosing intervals and efficacy
Efficacy increases with longer intervals
                   weeks

 Efficacy         55.1%             59.9%            63.7%             81.3 %

Protection increases following two doses
                                          Dose 1                 Dose 2

 Symptomatic infection                    30%                    71%

 Infection and hospitalisation            67%                    92%

In outbreak settings, shortening the gap between
doses brings forward short term protection
https://www.health.gov.au/news/atagi-statement-on-use-of-covid-19-vaccines-in-an-outbreak-setting
COVID-19 Vaccination Rollout - #over 18, Pharmacy Guild of Australia
Latest Updates

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Advertising

Your onboarding pack contains a
Communications Kit to support you with
compliance to the TGA Advertising Act.

Included in this kit are templates to help with
social media and web content.
For any further content please visit the PGA
website:

https://www.guild.org.au/resources/business-
operations/covid-19/vaccination/vaccination-resources

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Point of Care Testing
•   Range of COVID tests registered for use in
    Australia                                            Rapid Antigen testing
                                                                could be
•   Accurate, high specificity, improving sensitivity
                                                        expanded ‘very shortly’
•   Quick – results in 15-30 minutes                          – possibly to
                                                         pharmacies and “The
•   Community pharmacy can play a useful role
                                                          possibility remains
     •   Easily accessible                                 over the coming
     •   Testing asymptomatic people                        months for self-
                                                         diagnosis, that is not
•   Particular value in outbreaks and high-risk
    situations e.g. ‘test often’ strategy                 off the table at all”.

•   Pharmacy testing undertaken in UK, Canada,               Greg Hunt,
    USA                                                   Minister for Health
•   Pharmacy trials have been conducted in QLD &
    SA
                                                                                12
The Rollout

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Timelines
Week          Assumed events         Previous timeline            New timeline
commencing
26 Jul        Pharmacies must have   Pharmacies complete          Pharmacies complete online form
              AIR ID                 readiness questionnaire      via link from PPA
                                                                  Assessment

2 Aug                                Questionnaire assessment     Onboarding pack – commence
                                                                  distribution. (Group 1) Place order

9 Aug         Moderna training       Selection and notification   Scheduling window
              available

16 Aug                               Onboarding                   Vaccine & consumable delivery

23 Aug                               Place Order                  AZ full rollout

30 Aug                               Scheduling window

6 Sept                               Vaccine & consumable
                                     delivery

15 Sept       Moderna available      Vaccinations commence

Mid October                                                       Commence Moderna rollout

                                                                                                        14
Booking a Vaccine
•   Huge interest in people
    wanting to get the vaccine in
    community pharmacy
•   Please open your booking
    portals as soon as you have
    placed your order, before
    you receive any stock.
•   Make sure you update your
    booking portal in MyGuild       findapharmacy.com.au

                                                           15
Orders in outbreak areas
•   Maximum orders of 600 doses per fortnight.
•   Vaccination sites in outbreak areas are able to access additional
    AstraZeneca deliveries to support demand.
•   If you work in an outbreak area and would like to receive additional
    AstraZeneca doses, please contact the VOC on 1800 318 208.
•   The aim is to deliver all additional orders within 5 working days.
•   You can view the requested delivery date (RDD) for additional orders
    within your CVAS account.
•   Please note – additional orders for Pfizer are NOT available at this time.
•   Thank you for your patience, as this may increase waiting times when
    calling the VOC.

                                                                                 16
Training & Indemnity

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18
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Indemnity

                 4 August 2021

When considering vaccination with AZ vaccine for patients under 60
years of age, pharmacists should satisfy themselves of the following:

•    The Pfizer Comirnaty vaccine is not available to the patient
•    The benefits to the patient are likely to outweigh the risks
•    The patient gives informed consent to the vaccination knowing the
     risks
•    State legislation permits pharmacists to vaccinate in this age range

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Let’s Address Hesitancy

                          21
Vaccine Hesitancy
                                                                                         COVID-19 vaccine hesitancy versus
                                                                                          cumulative daily case numbers
                                                  40.0                                                                                                                                                         33,000
Proportion of adult population who are hesitant

                                                                                                                                                                                                                        Cumulative daily COVID-19 case numbers
                                                  35.0                                                                                                                                                         32,000

                                                                                                                                                                                                               31,000
                                                  30.0
                                                                                                                                                                                                               30,000
                                                  25.0
                                                                                                                             The relationship between hesitancy                                                29,000
                                                  20.0
                                                                                                                             and COVID-19 case numbers has                                                     28,000
                                                  15.0                                                                       changed in recent weeks – people are
                                                                                                                                                                                                               27,000
                                                                                                                             less hesitant as case numbers keep
                                                  10.0
                                                                                                                             growing                                                                           26,000

                                                   5.0                                                                                                                                                         25,000

                                                   0.0                                                                                                                                                         24,000
                                                         10 October 5 February 20 February   4 March   20 March   10 April    25 April   14 May    27 May   5 June 2021   18 June   9 July 2021 23 July 2021
                                                            2020       2021       2021         2021      2021      2021        2021       2021      2021                   2021

                                                                          Proportion of adult population who are hesitant                         Cumulative cases / day (right side axis)

                                                  Source: Melbourne Institute for hesitancy data. Our World in Data for cumulative cases
Health Spending
•   There will be growth in hospitals               Australian Government health spending components
                                                                       (% of GDP)
    spending over the next 10 years      5

                                        4.5
•   PBS spending will be flat for the    4
    next 10 years                       3.5

                                         3
•   Not taking up scripts due to cost
                                        2.5
    results in medication
                                         2
    non-adherence                       1.5

                                         1
•   Spending pressures on
                                        0.5
    hospitals and other parts of
                                         0
    system                                2000-01      2005-06   2010-11   2015-16     2020-21    2025-26     2030-31

•   Improving medicine affordability                PBS
    can help improve patient health                 Other (e.g. veterans, public health, medical research)
    and spending pressures                          Private Health Insurance
                                                    Hospitals
                                                    MBS

                                                                           Source: 2021 Intergenerational Report
Productivity and Participation
•   Population growth slowing
    and population ageing
    means a smaller economy

•   Productivity and
    participation will need to
    improve
                                   Working age population relative to people aged 65+
•   Productivity and
    participation are function
    of labour market flexibility
    and future reform

•   Labour market reform is
    required to ensure
    productivity and
    participation rise to offset
    the fall in population

                                      Source: 2021 Intergenerational Report
Recap

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Timeline

                                       Guild PR Campaign

                                           Moderna/mRNA
                                              rollout
              Accelerated onboarding

              AstraZeneca rollout

June   July    August          September         October

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Summary
Order full allocation of stock
•   You can transfer stock between participating pharmacies
•   Pharmacies from high risk areas can order more stock
Open your booking portal to begin receiving bookings
Activate realtime AIR integration – HW027 form
It's not too late to respond to your EOI if you haven't
already
Submit your questions to covid-19@guild.org.au

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More work to be done…
•   Keep providing feedback:
    covid-19@guild.org.au
•   Same job. Same pay
•   All vaccines
    All Australians
    All pharmacies
•   Offsite vaccination
•   Access to PPE via
    national medical stockpile

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NEXT WEEK’S SPECIAL GUEST

  Hon Scott Morrison
Prime Minister of Australia

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Remember we are here
for you!
Call 13 GUILD OR
covid-19@guild.org.au
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