It is fantastic to see the #COVID19 vaccination programme begin #VaccinesSaveLives. Some initial thoughts for now & the weeks/months ahead (personal views): 1. All hands on deck approach in hospitals led to efficient systems vaccinating large numbers in a short space of time
2. True multidisciplinary working meant that expertise to solve problems & evolve the process was on hand 3. The hospital facilities that were used for this will have ~ 2 week lull before the second dose (accepting some delayed vaccines in between)
4. Mass vaccination centres won’t be set up over night so these suggestions focus on the next few weeks 5. Legislation is in place enabling a broad range of health professionals to vaccinate 
6. Hospital staff cannot continue a programme to deliver further vaccinations without affecting hospital services- also, some hospitals are so busy with acute COVID care that their ability to deliver further vaccines is limited
7. There could be a significant effort now to continue to share learning, build a template process and keep vaccinating in these facilities if staffing issues can be addressed. This is where people can get imaginative.
Assuming that all questions of indemnity are addressed & that training is easily accessible, health staff from outside hospitals can staff an extended hours roster (e.g. GPs, Nurses, Pharmacists, Paramedics, EMTs, Physios) supported by a skeleton crew from the original team
Also- the efficiency of the current processes will be improved significantly when the Moderna vaccine lands (no reconstitution step). So there’s the challenge- can staff, management & policy makers step up a process that will administer these vaccines as fast as we can get them?
From what I have seen this week, the health service can quickly protect people. The ability to give the vaccines need not be a rate limiting step. We are only limited by our willingness to work in new ways & by the realities of procurement in a global pandemic. #VaccineStrategy
Sorry - broke the thread-No 6. again: Hospital staff cannot continue a programme to deliver further vaccinations without affecting hospital services- also, some hospitals are so busy with acute COVID care that their ability to deliver further vaccines is limited
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