Guidance from professional bodies
- Click here to read about Vaccination of adult household contacts of severely immunosuppressed individuals alongside JCVI priority Cohort 6 and completion of Cohorts 1-9 – New!
- The BMA has produced guidance for GPs and practice managers, which can be read here.
- The Royal College of Nursing had produced information and resources which can be read here.
- The General Pharmaceutical Council has produced guidance for its members which can be read here.
- Social Work England has information and resources for social workers which can be read here.
- The Health and Care Professions Council has information for its members which can be read here.
- Click here to read about the agreed threshold for adding people to the Shielded Patient List
COVID-19 vaccination: A guide for GPs and teams to support people with severe mental illness:
The way in which we access services is different for everyone, and this is the case when accessing a vaccination appointment. For some people, the vaccination process may require some reasonable adjustments to be made in order that they can access the service safely and in a way that meets their needs. The types of reasonable adjustments that we can make are many and varied and range from making small environmental changes, such as ensuring there is seating available for those with limited mobility, to ensuring that people are aware that they can bring someone with them to support them when receiving the vaccine.
Here is a quick video on why reasonable adjustments are important, and some examples of adjustments you can make.
NHS guidance on responsibilities under the Mental Capacity Act has been published for ‘Practitioners Delivering a Covid Vaccination Service to Care Homes’. Click here to download.
The Department of Health and Social Care has produced additional Mental Capacity Act guidance on Best Interest decisions when ‘Offering a vaccine to someone who lacks the relevant mental capacity’. The full guidance can be read here.
39 Essex Chambers has produced a ‘Rapid Response Guidance Note: Vaccination and Mental Capacity (First Update) December 2020’. The full guidance can be read here.
Norfolk and Waveney Health and Care Partnership has developed a useful flow chart for practitioners ‘Determining Ability to Consent to a Vaccination’. Click here to download.
The Safeguarding Adults National Network has designed a ‘Vaccination Assessing Capacity to Consent Form for assessors. Click here to download.
MENCAP has designed an Easy Read leaflet giving information on the vaccine which can support mental capacity conversations. Click here to download.
The Alzheimer’s Society has published support on ‘Consent to coronavirus (COVID-19) vaccination. The guidance can be read here.
People with dementia
Dementia UK has published guidance for professionals and families/carers on ‘Giving the Covid-19 vaccine to someone living with dementia.’ The guidance can be read here.
The Alzheimer’s Society has also published guidance on ‘Vaccines for coronavirus (COVID-19)’. The guidance can be read here.
From the Alzheimer’s Society website:
by Tony Ward
The call, next day – The Beacon, mask in place,
Allotted time, no queue, checked in, next space –
“In left, or right? Expose your upper arm”
The jab. Three weeks to wait, then free from harm.
The day draws nearer now, I see it clear,
That day will come, when Covid-free, no fear.
We’ll meet again, a hug, a cup of tea,
No screen, no PPE, just you and me
Tony’s wife Sheila has dementia and lives in a care home. Having the means he ‘can now look forward in hope’. The poem, and Tony’s blog about his experience of having the first dose of the vaccine, can be read here.
People with learning disabilities and/or autism
MENCAP has designed an Easy Read leaflet giving information on the vaccine. Click here to download.
The Suffolk Learning Disability Partnership has a range of resources on COVID=19 and the vaccination. More information on this, and their wider work, is available on their website at: https://suffolkordinarylives.co.uk/information_category/covid-19/
People with sensory impairments
Sight Advice FAQ has information for people with visual impairments on the COVID-19 vaccine programme ‘When will I receive the coronavirus vaccine and what happens when I get it?’ The answers can be read here.
The House of Commons Women and Equalities Committee launched its inquiry into ‘Unequal impact? Coronavirus, disability and access to services’. A film has been produced in BSL which highlights the challenges facing deaf people during the Covid-19 pandemic. More information, and the film can be viewed here.
Black, Asian and minority ethnic groups
The UK Household Longitudinal Study researched the ‘Predictors of COVID-19 vaccine hesitancy in the UK’. It concluded that:
“Older people at greatest COVID-19 mortality risk expressed the greater willingness to be vaccinated but Black and Pakistani/Bangladeshi ethnic groups had the greatest vaccine hesitancy. Vaccine programmes should prioritise measures to improve uptake in specific minority ethnic groups.”
On Monday 21 December 2020, the system held an event for local people to find out more about coronavirus. A panel of experts updated local people about the roll out of the vaccination, answered questions about the virus and gave wellbeing advice in the lead up and during Christmas. While this event was open to everyone, it was particularly aimed at ‘seldom heard’ groups and those people from Black, Asian and Minority Ethnic communities. A recording of the event can be viewed here.
Improving uptake of the COVID-19 vaccine
The Hertfordshire Behaviour Change Unit has carried out a review of ‘COVID-19 Vaccination: Reducing vaccine hesitancy’. It recommends:
Engage to understand
Barriers to vaccine uptake vary within and between groups, influencing behaviour to a greater or lesser extent. Engage with local stakeholders to understand their needs, values, and beliefs, and identify trusted sources of information.
Engage to empower
Co-produce tailored materials and resources with the group, applying the insights gained to address the specific barriers identified and emphasising the benefits of having the COVID-19 vaccine. Engage with key influencers to establish routes into the community and to gain endorsement and support for messaging.
Engage to evaluate
Assess if materials and resources are having the impact they were intended to. Influences on vaccination intentions fluctuate over time so strategies and communications will need to reflect changes to ensure they are still relevant.
The Lancet has published an article on the importance of community engagement. It highlights:
“The public is not a homogeneous entity. It is complex, composed of individuals, families, and other groups shaped by contexts, experiences, and desires in a constellation of communities with different patterns of health literacy, values, and expectations. A top–down, one-size-fits-all approach has derailed countless well meaning global health solutions, and in the context of vaccine implementation risks leaving many groups behind, again. Policy makers need to understand this diversity and adopt comprehensive local approaches that give communities a voice, and the necessary resources to put ideas into action. Such community-led strategies can ensure diverse local voices are heard, map local concerns and alliances, and codesign programmes to maximise vaccine uptake from the ground up.“
From: Burgess, RA, Osborne, RH et al (2021) ‘The COVID-19 vaccines rush: participatory community engagement matters more than ever’ in The Lancet vol 397:10268, pp8-10.
Last Updated on 17 April 2021