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COVID-19: VACCINATIONS

There is now a COVID-19 vaccine available from Pfizer. Other COVID-19 vaccines are in development, with some in late stage trials. When sufficient data on vaccine safety and efficacy are available, these will be considered by Joint Committee on Vaccination and Immunisation (JCVI) and information on timescales for delivery will be published.

Arrangements to deliver the vaccine to vulnerable groups and care staff are being developed. HCPA will provide more information as it becomes available here and in our Vaccination Update mailers.

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Vaccination Webinar Resources

Find below slides and recording of Vaccination update webinars from by HCPA, ACS and Public Health on the week of the 11th January. The information was correct on the day of the webinar.

Care Home Vaccination Update Webinar 11th January 

 

All Adult Non Care Home Services Vaccination Update Webinar 11th January 

Timescale and Priority List

The Joint Committee on Vaccination and Immunisation (JCVI) have produced a priority list for rolling out the vaccine, plus a poster:

Process for vaccination

The vaccine will be made available via:

  • Hospital hubs
  • Vaccination centres – large sites convenient for transport networks 
  • Local vaccine services – provided by GPs and pharmacies

You will be contacted by the relevant organisation when vaccinations are available for your service. We strongly recommend that you take up the opportunity when contact is made so that the vaccine programme progresses rapidly and effectively.

Guidance on group transport for Staff and people who use Care Services

The following guidance gives information for all Care Providers on providing transport for groups of people during the pandemic. You may find this helpful if you have several staff invited for COVID19 vaccination at the same site.

Consent

Consent will be required from individuals prior to being given the vaccine.

Please note that the COVID-19 Vaccination Relative view form for Care Home residents gives relatives the opportunity to record their views on whether or not a COVID vaccine would be in the best interests of the person concerned. It is not a consent form as without an activated Lasting Power of Attorney (Health and Welfare) in place, families cannot give such consent, but it does allow relatives to express a view that might be helpful to the clinician who will make the best interests decision.

Mental capacity is time specific, and the vaccine story is changing so rapidly at the moment that the information that needs to be understood may change. Care Homes can begin to prepare people to make this decision as soon as possible, by encouraging conversations and helping people to think through what they might decide.

Consent webinar resources

Download the resources and slides from the vaccination webinar ran by HCPA and HCC recently.

» Click here to download the slides
» Click here to watch the webinar

FAQs

QuestionAnswerGovernment Advice
Can you catch COVID-19 from the vaccine?*The vaccine cannot give you COVID-19. However, it is possible to have been exposed to COVID-19 and not realise (the incubation from first exposure to developing the infection can be up to 14 days) until after your vaccination appointment. Please continue to have the regular screening tests that your employer arranges. If you have any of the symptoms of COVID-19, stay at home and arrange to have a test. Further information on symptoms is available on NHS websiteClick here
Are there any side effects to the Pfizer/BioNTech vaccine?*Like all medicines, vaccines can cause side effects. Most side effects are mild or moderate and go away within a few days of appearing. If side effects such as pain and/or fever are troublesome, they can be treated by medicines for pain and fever such as paracetamol. The COVID-19 vaccine may cause a mild fever which usually resolves within 48 hours. This is a common, expected reaction and isolation is not required unless COVID-19 is suspected. The most commonly reported COVID-19 symptoms are: a high temperature, a new, continuous cough, or a loss or change to sense of smell or taste. If someone experiences any of these symptoms they should get tested. The COVID-19 vaccine will not interfere with testing for COVID-19 infection. As has always been recommended, any fever after vaccination should be monitored and if individuals are concerned about their health at any time, they should seek advice from their GP or NHS 111.Click here
Can I go back to work after having the vaccine?*You should be able to work as long as you feel well. If your arm is particularly sore, you may find heavy lifting difficult. If you feel unwell or very tired you should rest and avoid operating machinery or driving.Click here
Can the vaccine be given to someone who has had the flu vaccine and are there any timescales?*It is recommended that appointments for the COVID-19 vaccine should ideally be separated by an interval of at least 7 days after the flu vaccine. So it is important to get your flu jab now so that you will be protected adequately against both viruses. However if you do have the Covid 19 vaccine now book to have your flu jab 7 days after the second dose of the Covid 19 vaccine.Click here
Is there a period between someone testing positive for Covid and having the vaccine?*People currently unwell and experiencing Covid-19 symptoms should not receive Covid-19 vaccine until they have recovered and are at least four weeks after onset of symptoms or four weeks from the first PCR positive specimen in those who are asymptomatic. This is to avoid wrongly attributing any new symptom or the progression of symptoms to the vaccine. As deterioration in some people with Covid-19 can occur up to two weeks after infection, ideally vaccination should be deferred until they have recovered and at least four weeks after onset of symptoms or four weeks from the first PCR positive specimen in those who are asymptomatic.Click here
Can people who have tested positive in the past still have the vaccine?*There is no evidence from clinical trials of any safety concerns from vaccinating individuals with a past history of COVID-19 infection, or with detectable COVID-19 antibody so people who have had COVID-19 disease (whether confirmed or suspected) can still receive COVID-19 vaccine. This is because it is not known how long antibodies made in response to natural infection persist and whether immunisation could offer more protection. If antibodies have already been made to the disease following natural infection, receiving COVID-19 vaccine would be expected to boost any pre-existing antibodies.Click here
How many doses of the vaccine do I need?*Two doses. It is important to have both doses of the same vaccine to give you the best protection. Plan to attend your second appointment which will be at the same place as you were given the first dose. You should have a record card with your next appointment written on it, for an appointment which will be between 3 and 12 weeks time. Keep your record card safe and make sure you keep your next appointment to get your second dose.Click here
Is there anyone who shouldn’t have the vaccine?*Please refer to full Information for UK recipientsClick here
What if a resident/member of staff does not wish to be vaccinated?*Consent must be given prior to any administration of the vaccine Each individual must make their own decision about whether to receive the vaccine. We must not assume blanket consent. Provider staff have an important role to play in supporting residents to make an informed decision. Guidance documents and forms on consent can be found at the link below. HCC guidance around mental capacity assessments and best interests decisions is available here : https://www.hcpa.info/wp-content/uploads/Covid-guidance.pdf Click here
Why do we need to be observed for 15 minutes after vaccination?*If you receive the Pfizer vaccination you will need to wait for 15 minutes. his is because a small number of people may develop a rare allergic reaction called anaphylaxis and the staff are trained to deal with this and have equipment to hand If you receive the Astra Zeneca/Oxford vaccine you will only have to wait for 15 minutes if you are either going to be driving or operating machinery following the vaccination.Click here
After I’ve had the vaccine will I still need to follow all the infection control advice?*There is a small chance you might still get coronavirus even if you have had the vaccine. To continue to protect yourself, your residents, your family, friends and colleagues you should follow the general advice at work, at home and when you are out and about – read this guidance for more advice https://www.nhs.uk/conditions/coronavirus-covid-19/social-distancing/what-you-need-to-do/ it is important to:• Continue to clean your hands regularly• Continue to follow social distancing guidance• If you can, wear something that covers your nose and mouth in places where it's hard to stay away from other people.PPE guidelines relating to your job role and care setting must still be followed following vaccinationClick here
Does the vaccine contain eggs or animal products?*The Covid-19 vaccine does not contain any animal products or eggClick here
How will I get my staff vaccinated?*You will be contacted by the relevant organisation. Please take the opportunity as soon as it is offered if at all possible.
All residents with dementia or cognitive impairment have a mental capacity and best interests signed by Home manager or Deputy Manager along with their GP’s signature - Would this be sufficient?*Unless the existing capacity assessment and best interests decision is specifically about the decision to have a covid vaccination, this would not be sufficient. • Mental capacity assessments are decision specific so any existing assessment or best interests decision won’t be relevant to this decision which is whether or not to have a covid vaccination. • Presence of dementia and/or cognitive impairment doesn’t mean a person doesn’t have capacity to make this particular decision even if they haven’t been able to make other decisions. • The law says we presume capacity but where there is reason to doubt a person’s capacity to make this particular decision (about whether or not to have the covid vaccination), staff should do all they can to help the person to understand and hold onto the relevant information long enough to make the decision. • If the person is assessed as not having capacity to make this particular decision, a best interests decision will be made by the relevant clinician (health colleague doing the vaccinating). This will be based upon the known views of the person and will assume the least restrictive approach.
yes, providing they have tested negative and strictly observe face, space and hands rules.
Our residents and staff were vaccinated last week, there were a few staff who have refused. If these staff members change their mind, will they be able to get the vaccination at a later date*Yes there will be opportunities for staff who have not been able to have the vaccination when offered. Please keep up to date via HCPA E-news and Website
Will the PCR test result can be modified by the vaccine and give us error positive results?*No, none of the vaccines will interact in anyway with testing for CoronavirusClick here
Do care homes have to do lateral test twice a week for residents and staff*Yes, the current testing arrangments for staff and residents must continue following vaccinationClick here
do you have to wait for vacination if staff are recovering from covid*Yes - a gap of 28 days is required following the positive test resultClick here
Am I right in saying that staff will not be given the vaccination in the care home unless there is any leftover so they must go to a site where they can. If they do get a vaccination in the care home then the second dose has to be offered in the care home again*The 2nd dose of vaccine must be given at the same place as the first. Care home staff can go to a different site to get the vaccination if there is not sufficient vaccine left as part of the home vaccination programme.
Can service and maintenance people who are working within the homes be sent for vaccinations and how can we organise this?*The two priority groups are older people care home staff and frontline health and social care staff. All other groups, will need to follow the Government priority framework, which can be found here: link to priorityClick here