Vaccines tsar Nadhim Zahawi admits vaccine target is 'stretching'

Pharmacists have begged the Government to let small chains dish out coronavirus vaccinations to help Boris Johnson fulfill his ambitious promise of immunising 13million people and ending the national lockdown by March.

The Royal Pharmaceutical Society said today there were thousands of high street pharmacies ‘ready, willing and able’ to assist in the rollout of the programme, which will require jabbing a mammoth 3million Brits a week. 

So far only 1.3 million people in the UK have been vaccinated with the Oxford/AstraZeneca or Pfizer/BioNTech jabs since the programme launched a month ago. There is a growing clamour today for the process to be ramped up dramatically – with concerns that local chemists and other facilities are not being used enough.  

The Government has approved several larger pharmacies to begin dishing out doses from next week, but the sites were only chosen if they were able to guarantee they could deliver at least 950 doses per day and had two trained pharmacists administering them at all times, sources say. This was necessary for the Pfizer vaccine – which was complicated to store and handle – but the arrival of the Oxford-AstraZeneca jab opens the door for much smaller sites to help. 

The Royal College of GPs warned Number 10 must ditch its ‘bureaucratic barriers’ and start recruiting pharmacists if it wants the roll out to be a success, while the National Pharmacy Association claimed it was a ‘no-brainer’ that local chemists are brought on board because the nation was ‘crying out for convenient access to the vaccine’.

Sandra Gidley, president of the RPS, said small high street pharmacies could help administer an extra 1million doses a week and bolster the lagging rollout. She told the BBC Radio 4 Today programme: ‘We are already used to delivering the flu vaccine. You have got an army of trained vaccinators who are ready, willing and able to play and part.

‘With the AstraZeneca vaccine there is no reason why that could not be delivered through community pharmacies. There are over 11,000 pharmacies. If each of those does 20-a-day that is 1.3 million-a-week extra vaccines that can be provided, very often to those who are hardest to reach. Why would any government not want to do that?’ 

It came as the Government’s vaccines tsar Nadhim Zahawi admitted this morning that the 13million vaccine goal was ‘very stretching’ – but can be delivered.  Challenged that given the speed of the rollout so far the weekly figure will need to be more like three million than two million by February to hit the PM’s target, Mr Zahawi nodded and said: ‘You’re going to see that increase – the NHS have got a very clear plan. We’ve got a fantastic team working, seven days a week, all hours to deliver this. No doubt, it is a stretching target. But I think it’s one that we should absolutely look to deliver.’ 

There are growing concerns that the Government is already trying to downplay its vaccination promises after Matt Hancock yesterday described the prospect of giving the coronavirus jab to the 13million vulnerable people who are most by mid-February as a ‘best-case scenario’ – despite it being the only way the country will get out of lockdown, with the livelihoods and mental well-being of millions riding on it.

Meanwhile, some GPs have claimed they are still waiting to receive deliveries of Oxford vaccine doses that were due to arrive last month. Dr Rosemary Leonard, an NHS GP and columnist for the Express newspaper, tweeted : ‘My group of practices was initially told we would get our first delivery on December 28. Then Jan 4. Then Jan 11. Now we are ‘6th wave’ and it will be 13th, 14th or 15th Jan. We are raring to go, but have no vaccines. WHY?’

Nadhim Zahawi said goal of covering more than 13million of the most vulnerable within seven weeks was 'very stretching' – but can be delivered

Nadhim Zahawi said goal of covering more than 13million of the most vulnerable within seven weeks was ‘very stretching’ – but can be delivered

Britain was the first country to start vaccinating members of the public against Covid-19 and has now given jabs to more than 1.3million people, but has had to begin a controversial strategy of stretching the gaps between doses in a bid to protect the elderly from an out-of-control second wave (Pictured: Joan Barnes, 88, gets a vaccine at a drive-through in Manchester)

Britain was the first country to start vaccinating members of the public against Covid-19 and has now given jabs to more than 1.3million people, but has had to begin a controversial strategy of stretching the gaps between doses in a bid to protect the elderly from an out-of-control second wave (Pictured: Joan Barnes, 88, gets a vaccine at a drive-through in Manchester)

Slides presented at the briefing showed that one in 50 people in England are thought to be infected with coronavirus

Slides presented at the briefing showed that one in 50 people in England are thought to be infected with coronavirus 

UK needs to vaccinate 5MILLION people a week to get pandemic under control, Tony Blair claims 

Britain needs to inoculate a staggering 5million Brits a week to get a grip on the pandemic, Tony Blair claimed today.

The former Prime Minister said if ‘every single available bit of capacity’ is utilised then the NHS should be able to vaccinate up to 3million a week by the end of January, 4million a week by the end of February and 5million a week in March.

He claimed the new, highly-transmissible strain of Covid meant most of the previously effective lockdown measures were now useless.

Speaking to Good Morning Britain, Mr Blair said: ‘You’ve got two vaccines that are available, we’ve got several million of the Pfizer vaccine, that’s more difficult to administer its true and the settings in which you administer need a different level of expertise, I believe the AstraZeneca vaccine will be up to 2million by the end of January, they should get it above that in February and then as I say you’ve got several million of the Pfizer vaccines, if you position yourself properly to be able to use these vaccines, you should be able to get to 3mil a week by the end of january and then in february you can increase that further.

‘If you really throw absolutely everything at this, I think you could get to the stage where by roughly the third week or maybe the last week of March you’ve got over half the population vaccinated.

‘The crucial thing they’re not doing is they’re not using every available possibilty for vaccinators. We should have all the GPs surgeries organised to do this, I think you’ll find that not all the GP practices have signed up to this yet.

‘Occupational health workers, several thousand of those, are perfectly qualified to give what are essentially a flu jab i would have mobile facilities as well going round place by place you could use polling stations we manage on election day to get 30million people through the doors voting.’

WHO refuses to back UK’s move to space Pfizer Covid vaccine doses by 12 weeks because there is no proof it will work 

The World Health Organization has refused to give its blessing to Britain’s plan to space the two doses of Pfizer’s coronavirus vaccine by more than a month.

Officials in the UK have decided to use all available doses of the Pfizer/BioNTech jab, which was the first to be approved, to get a single dose to as many people as possible. In the process they will leave people waiting up to 12 weeks for their second jab. 

Covid cases started to fall around 12 days after people got their first dose in studies but, because everyone got a second shot just 10 days later, scientists don’t know how long immunity from the initial jab would last. 

The WHO yesterday said governments should be giving people their second dose within 21 to 28 days of having the first, to make sure the vaccine works long-term.

But it did not attack Britain’s decision not to do this, admitting the Government had been forced to make a difficult decision because of spiralling infections and deaths in recent weeks.

One of the experts said they ‘totally acknowledge that countries may see needs to be even more flexible in terms of the administration of the second dose’.

It comes after England’s chief medical officer, Professor Chris Whitty, defended the controversial move again last night, saying the benefits of it outweigh the risks. 

He admitted there was a chance it could increase the risk of the virus developing vaccine resistance in the future but that the need to vaccinate people now was overwhelming.

Mr Zahawi told Sky News: ‘I’m confident that as we begin to deploy and get more sites operational – I talked about the hospitals, the GPs, the community pharmacies and the national vaccination centres – so we will be at over 1,000 sites vaccinating.’

There have been concerns about the speed at which vaccines can be ready for injection.

The bulk vaccine has to undergo a ‘sterility test’ when it goes to the ‘fill and finish’ operation to make it ready for use.

‘The MHRA (Medicines and Healthcare products Regulatory Agency) are doing everything in their capability to do it properly without cutting corners and safety to test every batch,’ Mr Zahawi said.

‘The worst thing we can do… in a national vaccination programme that is the biggest in this nation’s history, is to get this wrong.’

Shadow health secretary Jonathan Ashworth piled pressure on NHS England to use local pharmacies to get the jab into as many Britons as possible, and bring the pandemic to a swift end.

‘Community Pharmacy already deliver flu jabs, are respected and trusted by local people,’ he said.

‘As well as GPs, community pharmacy should be mobilised everywhere to meet the vaccine challenge.

‘We need to go further and faster on vaccination. There isn’t a moment to lose.’

Leyla Hannbeck, the chief executive of the Association of Independent Multiple Pharmacies, today called on the NHS to make use of the ‘invisible army’ of local pharmacies to roll out the vaccine.

‘We can do millions of jabs through pharmacies,’ she told MailOnline. ‘I’ve been banging on the doors of NHS England about this.

‘We know the Oxford/AstraZeneca vaccine isn’t as challenging to give out as the Pfizer one because it can be stored at a lower temperature, so it could be treated like the flu vaccine.

‘I know some of my members, they can just get in there and do thousands. So please just get in touch with pharmacies and we can get millions done in weeks.’

She said NHS England had invited pharmacies to sign up to deliver the vaccine in late November, but that this was only for the Pfizer/BioNTech jab. This meant many pharmacies did not apply, because they didn’t have the right equipment to store the jab at -78C (-94F) required.

Andrew Lane, chair of the National Pharmacy Association, added: ‘Pharmacies can play a significant role in the Covid vaccination programme, and we’re well equipped to get started immediately. We have been on the health service frontline throughout the pandemic and now we want to join this latest, decisive, battle against this deadly virus.

‘The vast majority of pharmacies provide flu vaccinations, so there are thousands of potential local pharmacy sites for vaccinating against COVID, capable of protecting millions of people within weeks. We are bound to ask, what on earth is stopping the NHS from mobilising more pharmacies for this vital task?

‘Pharmacists want to help, they are already trained for giving vaccines, and people are crying out for convenient local access to the vaccine. It’s surely a no-brainer that pharmacies should be supported to take part in this urgent national effort.

‘The process for signing-up to give vaccines needs to be as agile as the workforce and should allow pharmacy teams to come on board rapidly. Approval of the Oxford-Astra Zeneca vaccine, for which storage is easier, means that many more pharmacies are now capable of offering vaccinations.’

The Royal College of GPs has warned the Government it must ditch its red tape and start recruiting pharmacists immediately because achieving the vaccine targets will require a ‘all hands on deck’ approach.

Professor Martin Marshall, chair of the RCGP, said: ‘GPs and our teams are working incredibly hard to vaccinate as many people as possible, starting with our most vulnerable, to protect them from this dreadful virus. This is alongside delivering the expanded flu vaccination programme, and the usual care and services our patients rely on us for. We need to vaccinate 2m patients a week – that’s a challenging but necessary target, and we can’t do it alone.

‘Pharmacists are hugely experienced in delivering the flu jab and play a key role in the delivery of the flu vaccination programme every year. They are ready and willing to help and it makes absolute sense for them to be able to – and it was encouraging to hear the Vaccine Minister say pharmacists will be involved in the CVP this morning. The situation is urgent. We need all hands-on deck and we’d like to see any healthcare professionals who are willing and appropriately trained to be able to join the effort do so with minimal bureaucratic barriers.’

It came after Tory MPs accused Matt Hancock of playing down the Government’s vaccination ambitions yesterday, amid claims that his department has snubbed an offer by pharmacists to help the biggest vaccination drive in history – and it emerged doses of the vaccine will not be delivered to GPs on a Sunday.

The Health Secretary described the prospect of giving the coronavirus jab to the 13million vulnerable people who are most by mid-February as a ‘best-case scenario’ – despite it being the only way the country will get out of lockdown, with the livelihoods and mental well-being of millions riding on it.

Many of his parliamentary colleagues were not reassured by his comments to them over Zoom yesterday morning, as fears grow that the government will not be able to move fast enough to hit the target. 

One MP who referred to the call as ‘Hancock’s half-hour’ said: ‘He emphasised that the prospect of the vulnerable being vaccinated by mid-February was a best-case scenario. It was heavily caveated.

Petition to get teachers vaccinated passes 300,000 

More than 300,000 people have signed a petition calling for teachers to be prioritised for a coronavirus vaccine.

The petitioned – which has gained 307,000 signatures in three weeks – urges all childcare staff to be put on the vaccine priority list in order to get schools back faster.

All pupils – except children of key workers and vulnerable youngsters – have moved to remote education until February half-term amid the national lockdown after data showed schools were driving transmission of the new strain of coronavirus and helping the disease spread into the wider community.

Exams have also been thrown into disarray for the second year in a row, with GCSE and A-level exams cancelled over summer.

The petition says: ‘Advice from the JCVI on the priority groups for a Covid-19 vaccine does not include school/childcare workers. 

‘This petition calls for these workers, who cannot distance or use PPE, to be kept safe at work by being put on the vaccine priority list when such a list is adopted into government policy.’

The vaccine priority list drawn up by the Joint Committee on Vaccination and Immunisation (JCVI) is based on how likely a person is to die from Covid.

It puts care home residents, frontline health and social care staff, elderly people and those with underlying health conditions at the front of the queue. 

The group does not currently offer any advice to vaccinate people based on their occupation or how likely they are to drive transmission. 

‘He set out plenty of reasons why it might not happen by then. He left himself plenty of wriggle room. It was very much an aspiration and there were no guarantees. I fear that they have not got the vaccine in sufficient quantities.’

‘He said two million doses of the Oxford vaccine would arrive this week for use next week. They should have been stockpiling. The rollout needs to happen as fast as possible. It’s the only chance we’ve got.’ 

Meanwhile, the regulations enforcing England’s national lockdown came into effect at 12.01am today, as new figures suggested one in 50 people had coronavirus last week.

Data from the Office for National Statistics (ONS) suggested 1.1 million people in private households in England had Covid-19 between December 27 and January 2.

The number of daily confirmed cases of coronavirus in the UK topped 60,000 for the first time, while a further 830 people died within 28 days of testing positive for Covid-19 as of Tuesday.

The latest data from NHS England showed there were 26,467 Covid-19 patients in hospital as of 8am on January 5 – a week-on-week increase of 21 per cent.

England’s chief medical officer Professor Chris Whitty said the risk level will gradually decrease over time with measures being ‘lifted by degrees possibly at different rates in different parts of the country’, but warned some restrictions may have to be introduced again next winter.

Graham Medley, professor of infectious disease modelling at the London School of Hygiene and Tropical Medicine, and a member of Scientific Advisory Group for Emergencies (Sage), said ‘we’re in for a long haul’ in the fight with coronavirus.

He told BBC Radio 4’s Today: ‘Vaccination is a way out, but I think he’s right to raise that possibility that there could be – next winter or even the winter after – the possibility that we will see a resurgence of Covid to such an extent that Government again has to take measures to prevent another large outbreak.’

All parts of the UK are now under stringent coronavirus restrictions.

First Minister Nicola Sturgeon imposed a lockdown on Scotland for the rest of January, with a legal requirement to stay at home and schools closed to most pupils until February.

Schools and colleges in Wales will also remain closed until at least January 18 and move to online learning, with GCSE and A-level exams already cancelled.

In Northern Ireland, schools are to engage in remote learning until the mid-term break but there is no clarity on whether exams will go ahead.

Mr Williamson will set out his approach for England’s schools when he addresses MPs.

Public Health England’s Susan Hopkins said there was no guarantee that schools would be able to return after the scheduled February break.

She told the BBC: ‘I think it will really depend on the epidemiology of the virus… we will have to look at it by year, age group by age group, as happened the first time round, and the final decisions will lay with Government over when they want to bring the students back.’

Education Select Committee chairman Robert Halfon told Sky News the situation regarding schools was ‘a mess’.

‘I think now we have to move on and make sure we have an exam system that is a level playing field for students and fair to the disadvantaged,’ he said.

RESEARCHERS CLAIM THEY’VE MADE WORLD’S FIRST CORONAVIRUS VACCINE PATCH 

The world’s first coronavirus vaccine ‘smart patch’ is being developed in Wales, researchers have said.

The device, which works like a nicotine patch, is designed to allow patients to self-administer the vaccine before being able to monitor their body’s response to it.

The small patch will use tiny microneedles, which are measured in millionths of a metre, to break the skin barrier of a patient and deliver the vaccine in a less invasive way than a traditional hypodermic needle.

The device simultaneously measures a patient’s inflammatory response to the vaccination by monitoring biomarkers in the skin while being held in place on their arm with tape or a strap.

The real-time measuring of the vaccine’s effectiveness is hoped to speed up the containment of future Covid-19 outbreaks.

Researchers at Swansea University say the devices would be easy to distribute and low-cost to manufacture, with scope to expand the work to apply to other infectious diseases in the future.

A prototype will be developed by the end of March with the aim of having it put forward for clinical trials and then made commercially available within three years.

Project lead Dr Sanjiv Sharma said the quick measuring of the vaccines’ effectiveness ‘will address an unmet clinical need and would provide an innovative approach to vaccine development.’

He added: ‘The real-time nature of the platform will mean rapid results allowing faster containment of the Covid-19 virus. This low-cost vaccine administration device will ensure a safe return to work and management of subsequent Covid-19 outbreak waves.

‘Beyond the pandemic, the scope of this work could be expanded to apply to other infectious diseases as the nature of the platform allows for quick adaptation to different infectious diseases.’

‘We are currently getting the platform ready and we hope to do human clinical studies on transdermal delivery with our existing partners at Imperial College London, in preparation for final implementation.’

The project, titled ‘Smart vaccine devices for delivery of COVID-19 vaccination’, is being funded by the Welsh Government and the European Union’s European Regional Development Fund.

source: dailymail.co.uk