Vaccinations Programme COVID-19 Service Delivery Framework Wave One

09 December 2020

DRAFT | OFFICIAL - SENSITIVE Purpose

To provide an overview of the national Covid-19 vaccination plan Policy Objectives: comprising the development of a Prioritisation Policy (based on JCVI advice), National Delivery Framework, and a Service • The most vulnerable people are protected by a vaccination Delivery Manual for SARS-CoV-2 Vaccination, specifically: programme that prevents transmission to them and/or minimises severity of illness. • To set out the priorities for Wave One • People would be able to resume and continue as close to • To set out the plans for Wave One normal life as possible. • To indicate planning assumptions for Waves Two & 3 • To outline the key elements of the National Delivery Framework to support successful delivery;

National Delivery Service Delivery Model Prioritisation Policy Local Planning Framework Guide

DRAFT | OFFICIAL - SENSITIVE Key Planning Assumptions for Wave 1,

Week 1 (w/c 7th December) Rest of December (w/c 14th December onwards)

Total Programme Current vaccine available to NHS Scotland as at 8/12 Awaiting confirmation of supply to end of December

65,500 doses available Additional doses to Scotland 4.45m Target Citizens Subject to advice on 16- 17 year olds

1 2 3 4 5

Care home workers Vaccinators, and Long term in-patients Residents in a care Vaccinators, and frontline healthcare who are over 80 home for older adults frontline healthcare workers prioritised by and their carers workers prioritised by risk (eg working in a risk (eg working in a covid red area and age) covid red area and age)

6.7m In which delivery setting Vaccinations (assuming 75% Uptake*)

NHS Vaccination Care Homes NHS Vaccination Centres Centres

* Based on seasonal flu uptake

DRAFT | OFFICIAL - SENSITIVE NHS Vaccination Centre locations (Wave 1)

GILBERT BAIN HOSPITAL Lerwick (NHS Shetland)

BALFOUR HOSPITAL Kirkwall (NHS Orkney) CAITHNESS GENERAL HOSPITAL Wick (NHS Highland)

WESTERN ISLES HOSPITAL Stornoway (NHS Western Isles)

RAIGMORE HOSPITAL BELFORD HOSPITAL Inverness (NHS Highland) Fort William (NHS Highland)

ABERDEEN ROYAL INFIRMARY Aberdeen (NHS Grampian)

NINEWELLS HOSPITAL Dundee (NHS Tayside)

GOLDEN JUBILEE NATIONAL HOSPITAL QUEEN MARGARET HOSPITAL Clydebank (NHS Glasgow & Clyde) Dunfermline (NHS Fife)

FORTH VALLEY ROYAL HOSPITAL LOUISA JORDAN HOSPITAL VICTORIA HOSPITAL Larbert (NHS Forth Valley) Glasgow (NHS Glasgow & Clyde) Kirkcaldy (NHS Fife)

EAST LOTHIAN COMMUNITY HOSPITAL UNIVERSITY HOSPITAL HAIRMYRES Haddington (NHS Lothian) East Kilbride (NHS Lanarkshire)

WESTERN GENERAL HOSPITAL UNIVERSITY HOSPITAL Edinburgh (NHS Lothian) Ayr (NHS Ayrshire & Arran)

UNIVERSITY HOSPITAL CROSSHOUSE St JOHNS HOSPITAL Kilmarnock (NHS Ayrshire & Arran) Livingston (NHS Lothian)

DUMFRIES & GALLOWAY ROYAL INFIRMARY BORDERS GENERAL HOSPITAL DRAFT | OFFICIAL - SENSITIVE Dumfries (NHS D&G) Melrose (NHS Borders) Wave 1- Care Home locations

The advice of the JCVI is to prioritise residents in a care home for older adults and their carers. We have mapped every care home in Scotland within each Health Board.

In Wave 1, we are planning that NHS Board teams will take vaccine to care homes to vaccinate both residents and staff.

Care home staff will also be able to access vaccinations at NHS Vaccination Centres

We will not be able to carry out vaccinations in care homes with an outbreak of Covid-19

DRAFT | OFFICIAL - SENSITIVE Covid-19 Vaccination Prioritisation – aligned to JCVI advice, and taking into account vaccine supply and logistics.

Wave 1 Wave 3

First week From second week

1 4 Residents in a care home for older adults Care Home workers Rest of the population and their carers

2 5 Vaccinators, Frontline health and social Vaccinators, Frontline health and social care workers working in Covid-19 “Red” care workers working in Covid-19 “Red” zones and face to face patient contact zones and face to face patient contact 3 Long term in-patients who are over 80 located at NHS Vaccination Centres

Wave 2

Those 80 years of age and over All those 65 years of age and over All those 60 years of age and over

Clinically extremely vulnerable individuals All those 75 years of age and over (over 16s and not including pregnant All those 55 years of age and over women)

All those 70 years of age and over and Adults aged 16-65 in an at-risk group and All those 50 years of age and over clinically extremely vulnerable individuals Unpaid Carers

DRAFT | OFFICIAL - SENSITIVE A national programme, locally delivered

Vaccines and vaccinations are Nationally developed Locally delivered not new. There are however characteristics of the Covid-19 • Policy direction • Local delivery plans (developed vaccination programme that • Prioritisation policy consistently and within the Service make this the most complex • Service Delivery Framework Delivery Framework) vaccination programme that has ever been planned: • Service Delivery Guide • Local recruitment and staffing • National information on cohorts • Local operations management and • New vaccines with particular • National workforce model delivery (delivered consistently in storage and transportation • National vaccine procurement and line with the Service Delivery considerations; logistics Manual) • National advice and booking • The volume of vaccinations to service* be administered is • National vaccination record system* unprecedented; • National performance dashboard* • Security considerations with risk of physical and cyber attack • Lessons have been learned from the recent seasonal flu campaign and have informed the • Need to collect consistent “Tramlines” within which a national vaccination programme will be delivered by NHS Boards. data on each vaccination given, to be able to • The start of Wave 1 will be in clinics close to the vaccine holding centres, to ensure that the understand any clinical first use of the Pfizer vaccine with its challenging storage requirements can be under the close adverse events and to monitor supervision of experienced pharmacy staff. the effectiveness of the vaccine • Additional delivery settings including GP settings, mass and super-size vaccination centres will come on stream as we have more vaccine available and can move into Waves 2 and 3 of the programme.

• NHS Boards are responsible for the development and delivery of their local Covid-19 vaccination plans; recruitment; and operations of clinics within their board area.

*in development DRAFT | OFFICIAL - SENSITIVE