Tees Valley Covid Vaccination Roll Out Update - Governing Body - 27th January 2021 - NHS Tees ...
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Tees Valley Covid Vaccination
Roll Out Update
Governing Body - 27th January 2021
Overview • Large scale vaccination service [mass] • Local vaccination service [PCN] • Hospital vaccination service • Local Pharmacy vaccination service
Governance
NHSE/I Regional
vaccination
Vaccine operations
cell centre
Systems
ICS vaccination
Vaccination
board
operation
centre
Lead
Tees Valley provider ,
Vaccination CCGs,
board Covid 19
leads, PCNs
Priority Patient Groups
• Sites are following national guidance and vaccinating patients in line with the
Joint Committee on Vaccination and Immunisation (JCVI) priority list, which as of
7th January 2021 and to be offered by the 15th Feb includes:
1. residents in a care home for older adults and their carers
2. all those 80 years of age and over and frontline health and social care
workers
3. all those 75 years of age and over [where vaccine supply allows]
4. all those 70 years of age and over and clinically extremely vulnerable
individuals
Further to the patients in cohorts 1-4 being vaccinated the following cohorts will
be vaccinated:
5. all those 65 years of age and over
6. all individuals aged 16 years[footnote 2] to 64 years with underlying health
conditions which put them at higher risk of serious disease and mortality
7. all those 60 years of age and over
8. all those 55 years of age and over
9. all those 50 years of age and overJCVI cohorts - rationale
• Current evidence strongly indicates that the single greatest risk of mortality
from COVID-19 is increasing age and that the risk increases exponentially
with age.
• Data also indicates that the absolute risk of mortality is higher in those over
65 years than that seen in the majority of younger adults with an underlying
health condition (see below). Accordingly, the committee’s advice largely
prioritises based on age.
• An age-based programme is also likely to increase uptake in those with
clinical risk factors as the prevalence of these increases with age.
• There is clear evidence that those living in residential care homes for older
adults have been disproportionately affected by COVID-19 (as they have
had a high risk of exposure to infection and are at higher clinical risk of
severe disease and mortality.
• Frontline health and social care workers are at increased personal risk of
exposure to infection with COVID-19 and of transmitting that infection to
susceptible and vulnerable patients in health and social care settingsPriority patient groups - COVID-19 Actuaries Response Group • COVID-19 Actuaries Response Group found that: • the priority groups, which comprise less than half the UK population, make up 99% of the observed COVID deaths. The top two priority groups alone cover two-thirds of the deaths. • amongst care home residents vaccinating 20 will save one life • If we include staff in care homes, this increases the vaccinations required to prevent one direct death to 40. • In priority group two for the over 80s population vaccinating 160 will save one life.
Background – Local Vaccination Service PCN • 9th November 2020 - draft ‘Enhanced Service’ and a Designated Site Process published • Practices required to work collaboratively in Primary Care Network (PCN) groupings • Key requirement for practices wishing to deliver the Covid Vaccination Programme (CVP) was access to a local vaccination site • CCG and LMC met with each PCN Grouping during November 2020 to undergo an assurance process – including ensuring maximum use of the vaccine
Background - continued • Site readiness assessment undertaken prior to sites going live • November and December 2020 – sites were approved by NHS England • 13 sites approved across Tees Valley • 2nd December 2020 - Pfizer/BioNTech COVID-19 vaccine approved • 30th December 2020 - Oxford/ AstraZeneca vaccine approved • 8th January 2021 – Moderna vaccine approved (not in circulation currently)
Designated Sites • Designated sites have been rolled out in ‘waves1-6’as directed nationally • Sites in waves prior to 30th December 2020 received only the Pfizer BioNTech vaccine • From 4th January 2021 sites have started to also receive the Oxford/ AstraZeneca vaccine • Vaccine supply is on a ‘push model’ • The total number of vaccines delivered to Tees Valley sites as of 22nd January 2021 is c62k (numbers delivered cannot be used to determine number given)
Hartlepool -Designated Sites
Name of PCN
Name of site Wave Go Live Date
grouping(S) PCN Grouping Practices
One Life Hartlepool Bank House Surgery Havelock 1 14/12/2020
Chadwick Surgery Grange
Havelock Grange Practice
Hartlepool Health Headland Medical Centre Victoria 2 17/12/2020
McKenzie Group Practice Medical
Wynyard Road Practice Centre
Hartlepool Network Drs Koh & Trory Hartlepool 2 18/12/2020
Gladstone Surgery Town Hall
West View Millennium Surgery
Hart Medical Practice
Seaton SurgeryStockton – Designated Sites
Name of PCN
Name of site Wave Go Live Date
grouping(S)
PCN Grouping Practices
North Stockton Queens Park Medical Centre Queens Park 1 15/12/2020
Tennant Street Medical Practice Medical
Alma Street Medical Practice Centre
Stockton Woodlands Family Medical Centre Riverside 4 28/12/2020
Dovecot Surgery Practice
Densham Surgery
Riverside Practice
Arrival Medical Practice
Elmtree Surgery
Woodbridge Medical Practice
Billingham & Norton Norton Medical Centre Marsh House 5 06/01/2021
Kingsway Medical Centre Medical
Marsh House Medical Centre Practice
Roseberry Practice
Queenstree Practice
Melrose Medical Centre
Dr Rasool
BYTES Eaglescliffe Medical Practice Thornaby and 5 07/01/2021
Park Lane Surgery Barwick
Thornaby & Barwick Medical Group Medical
Yarm Medical Practice GroupMiddlesbrough – Designated Sites
Name of
Name of PCN grouping(S) Wave Go Live Date
site
PCN Grouping Practices
Holgate & Greater Borough Road & Nunthorpe Medical Practice North 3 21/12/2020
Middlesbrough Foundations 1 Ormesby
Foundations 2 Branch -
Linthorpe Surgery Linthorpe
The Village Medical Centre Surgery
Bluebell Medical Centre
Westbourne Medical Centre
Crossfell Health Centre
Newlands Medical Centre
Coulby Medical Practice
Parkway Medical Practice
Kings Medical Practice
Hirsel Medical Practice
Central Middlesbrough Park Surgery Thorntree 5 11/01/2021
Martonside Medical Centre Surgery
The Endeavour Practice
Discovery Practice
The Erimus Practice
Prospect Surgery
Thorntree SurgeryRedcar & Cleveland – Designated Sites
Name of
Name of PCN grouping(S) Wave Go Live Date
site
PCN Grouping Practices
Redcar Coastal Bentley Medical Practice Redcar 4 28/12/2020
Zetland Medical Practice Primary
Huntcliff Surgery Care
Ravenscar Surgery Hospital
The Greenhouse Surgery
The Saltscar Surgery
Coatham Surgery
Eston South Grange Medical Centre Low Grange 4 28/12/2020
Normanby Medical Centre Health
Manor House Surgery Village
Eston Surgery
Cambridge Medical Centre
East Cleveland Group Brotton Surgery The Garth 6 11/01/2021
Garth Surgery
Hillside Practice
Springwood Surgery
Woodside SurgeryDarlington – Designated Sites
Name of PCN Name of
PCN Grouping Practices Wave Go Live Date
grouping(S) site
Darlington Neasham Road Surgery Feethams 5 07/01/2021
Clifton Court Medical Practice House
Parkgate
St Georges Medical Practice
Denmark Street Surgery
Whinfield Surgery
Rockliffe Court Surgery
Orchard Court
Carmel Medical Practice
Blacketts Medical Practice
Moorlands SurgeryDaily Vaccinations Data – North East and Yorkshire
• Deliveries 72,897 per day
977kinto area to date
to date
• Numbers by ICP
• Numbers by LA broken down
• Cohorts vaccinated
• Gap
• The number of vaccinations in North East and Yorkshire per day is
steadily increasing from 25k on 18th Jan to 73k on the 23rd.
• On a per head of the population pro-rata basis the NEY daily volume
has surpassed the government target of 2m per week in each of the
last 3 days.Cumulative comparison of Vaccs as at 18th January 21 • NENC STP is in national upper quartile in both ‘% population received first dose’ and ‘% of 80+ received first dose’ • NENC ICS is best performing ICS in the NEY region
Communication and links to the
wider system
• PCNs receive regular updates from NHSE/I and
the CCG
• The CCG provide a weekly update report of key
documents issued during that week to PCNs and
ICP partners
• A daily reporting process for care home
residents vaccinated has been implementedCommunication and links to the
wider system
• A process is being developed to allow PCNs and
system partners to communicate on available
vaccines for health and social care workers
• Regular updates are provided to the ICP
vaccination board
• A delivery schedule of planned vaccine
deliveries is being developedCommunication – Public Messages • Communications pack developed which includes: – Key messages for the vaccines programme – Links to campaign materials – Other useful links, resources and contacts – FAQs
Example of Patient Message
‘COVID OXIMETRY @ HOME’
What is Covid Oximetry @ home? COVID-19 pulse oximetry enables health professionals to safely remotely monitor patients with suspected or confirmed COVID-19 at home for up to 14 days. Through the use of a pulse oximeter patients can monitor and report their oxygen levels to enable early warning of deterioration and rapid intervention and treatment. This is important as COVID-19 infection can result in low oxygen levels, without the normal symptoms of shortness of breath or coughing to such a degree that patients can suffer acute respiratory distress and organ failure known as ‘silent hypoxia’. The Tees Valley CCG oximetry @home formed part of a national pilot to evaluate both patient and system benefits. The ward uses digital technology to support home monitoring; patients are monitored remotely by a clinical team who intervene at the earliest opportunity should a patient show clinical indications of decline requiring admission.
Covid oximetry @home Pulse oximetry @home aim to reduce both COVID mortality and pressures on hospital capacity which will be vital as we continue to see more patients presenting with acute COVID. The programme can support early intervention upon signs of deterioration, but can also support earlier discharge when patients clinically stable. The programme uses digital technology to support home monitoring; patients are monitored remotely by a clinical team who intervene at the earliest opportunity should a patient show clinical indications of decline requiring admission. The community service is complimented by a hospital specialist run step down service for patients with more complex respiratory conditions,
Covid oximetry @home
Virtual Ward Criteria
>65 years old
COVID diagnosis, symptomatic
35
BAME populationCovid pulse oximetry • Covid Oximetry @home • remote monitoring service provided by an alliance of the GP federations across the Tees Valley • To date just over 600 patients have been through the service • Benefits : • Positive feedback from patients and staff • Better patient experience • Reduced length of in patient stays • Lower mortality • Evaluation ongoing.
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