2021 February Covid Vaccine Uptake Top Tipsv3

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Disclaimer: These are intended only as good practice prompts.

Use your clinical judgement

Top Tips for Clinicians


Specialists Dr Sara Humphrey, Vicky Donnelly, Dr Amy Tatham

Subject COVID-19 vaccine - how to support uptake


Date February 2021 / Review date 12m later
Top Tip 1 Top Tips for Dementia and COVID 19 vaccination
Useful tips on the Covid-19 vaccine for people with dementia guidance from RCPsych.
V Visual aids can be helpful
A Assess capacity to consent, use ‘best interests’ if needed
C Choose your moment
C Communicate clearly and offer reassurance
I Individualised approach
N Never rush
E Engage family and relatives
What happens if someone with dementia is unable to consent to their vaccine?
• It must be obtained via a ‘best interest’ decision (MCA 2005)
• Dementia UK – Changes in care: capacity and decision-making
• For useful links – Alzheimer’s Society – Consent to Covid-19 vaccination

Top Tip 2 Patients with Learning Disabilities (LD)


 Dementia tips above also relevant to LD population
 People with LD in general are not a high priority for the COVID vaccine. However, they are at
increased risk of getting COVID due to difficulties with social distancing & wearing masks, having
people provide personal care & getting up close to them, living in group settings with other
people, and on average having more long-term health conditions that the rest of the population.
Easy read link explaining about the vaccine that can help people make an informed choice
 People with Downs syndrome should be on the clinically extremely vulnerable list so should be
getting the vaccine offered as a priority
 Reasonable adjustments? Consider environment (busy environments may increase people's
anxiety), explain to people about PPE, have the person supported by someone familiar, & give
lots of positive reinforcement so people are happy to come back for their second jab

Top Tip 3 Resources to support talking with patients and carers


The CCG page will be kept up to date with the latest information CCG-covid-19-vaccinations
‘COVID-19 Vaccination: Why do I have to wait’ Government-C19-vaccination-leaflets-posters
BSL & Easy Read info PHE C-19 Vaccination Easy Read BSL video BSL-C19_Vaccine_video
Bradford Council for Mosques CouncilForMosques-videos
British Islamic Medical Society infographics britishima.org/covidmyths
Information in different languages by Bradford GPs BradfordGPs-C19-Vaccines

Top Tip 4 Pregnancy and Breast feeding


 No known risk associated with non-live vaccines in pregnancy or when breastfeeding
 The vaccines can’t replicate and so can’t cause infection in mother or baby
 JCVI recommend pregnant women are considered for vaccination if they are front line health or
social care workers or have underlying health conditions that put them at very high risk of
infection or complications of COVID
 Consider the risks and benefits of vaccination in the absence of safety data
 No indication to vaccinate all pregnant women
 Do not do a pregnancy test before vaccination or avoid pregnancy after vaccination
 There is a myth that the vaccine may cause infertility – this is not true!
The RCOG has useful, summarised information for further reading: RCOG-C19-vacc-Breastfeeding

2021_February_Covid_Vaccine_Uptake_Top_Tips

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