The Government has published the UK Vaccines Delivery Plan.

Here it is:
gov.uk/government/pub…

Some comments in the thread below.
"By 15 February we *aim* to *have offered* a first vaccine dose to everyone in the top four priority groups identified by the Joint Committee on Vaccination and Immunisation (JCVI):
This is more nuanced message than in the Prime Minister's statement on 4 January which is ambiguous: 'expect to have offered' in the first paragraph' and 'vaccinating' in the second

gov.uk/government/spe…
Fortunately, the press release accompanying the statement clears this up, 'vaccinated', although here it's now an 'NHS hope'

gov.uk/government/new…
This is indeed the JCVI top four groups.
The JCVI has a longer priority list, which is *much* longer. This is phase 1 of the JCVI priority list. We expect an update including prioritization in phase 2 in mid-February.

gov.uk/government/pub…
We divert into Management-speak here: couldn't quite make 4 Ps, but close:
A defensive section on supply, with 'has so far secured access to 367 million doses'.

This is not the same number of vaccines available.
Some information on the Wrexham 'fill finish' capacity from Wockhardt, the Mumbai-headquartered pharmaceuitical and biotechnology company.

It appears that the vaccines are not manufactured here, but are put into vials.
On to prioritization. The JCVI list. Some discussion of one vs two doses. (It's clear that we need to get as many first doses into people as quickly as possible, particularly with the new variant.)
There is a very useful table of the numbers in each JCVI priority group.
One point to make is that this is the *percentage of Covid deaths* in each category.

If the NHS is overwhelmed, urgent operations and other critical care is diminished or cannot take place. This will also add to deaths in lower age groups.
Now on to places. This is where people will be vaccinated
96% of people within 10 miles of a vaccine centre. Not immediately clear how people will get to these if they find it difficult to travel.
There's a nice map of where the vaccine distribution centres are in England. Some rural gaps, but mobile units are expected to fill in these gaps
On to people.

"the vaccination programme is a marathon not a sprint"
Where can we track the roll out? Simplest data below.

"On 14 January and then on a weekly basis, NHSEI will publish a more detailed breakdown of vaccinations in England, including by region."

This isn't good enough. The detailed data needs to be here.

coronavirus.data.gov.uk/details/health…
The @RoyalStatSoc published *very detailed* recommendations on what *needs* to be published in the vaccine roll out data.

It's worth reading to see what data we *need*
Here's the information on each vaccine, and how many doses the Government has 'secured access'
This is a creditable acheivement. But given the new variant, we need supply *now*
A discussion of the UK Government's involvement with COVAX/GAVI @covaxxvaccine
More detailed discussion of the one-dose decision for Phase 1 (Groups 1 to 9)
Phase 2
"As the first phase of the programme is rolled out across the UK, the Government will consider all relevant data and set out plans for Phase 2 of vaccination once all at-risk groups 1 to 9 have been offered their first dose of vaccine."
It is imporant to emphasize that 99% of the *deaths* will be covered by Priority groups 1-9 (over 50s and the clinically vulnerable).

- there may be some who are not aware that they are clinically vulnerable
- there may be morbidity (e.g. Long Covid) consequences for others
Overall, it is a comprehensive document.

High level reports often suffer from high-level thinking. They are impressive, but the operational implementation is left to others.

This is a bit of both - it is a plan. The test will be in its execution.
Documents don't vaccinate people.

What we need now are two things:
- supply of vaccine into the UK
- vaccination using of all available vaccine without delay
- comprehensive data on who has and who has not received the vaccine
- fast.
Here is my interview with @IainDale on @LBC discussing the vaccine rollout plan

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More from @Dr_D_Robertson

12 Jan
We need to treat the new variant as a new pandemic, and recalibrate our response accordingly.

A short thread.
The responses to Covid so far - 'Covid-secure', social distancing, etc. have up until now been calibrated on two things:
- the transmissibility of Covid
- a political calibration based on society's acceptance of direct effects of Covid (deaths etc) balanced against other effects
We have a new variant that is *so much more transmissible* that something is going to have to give
Read 8 tweets
9 Jan
The Government is making the same mistakes as it did in the first wave. Except with knowledge.

A thread.
The Government's strategy at the beginning of the pandemic was to 'cocoon' the vulnerable (e.g. those in care homes). This was a 'herd immunity' strategy. This interview is from March.

This strategy failed. It is impossible to 'cocoon' the vulnerable, as Covid is passed from younger people to older, more vulnerable people.

We can see this playing out through heatmaps. e.g. these heatmaps from the second wave.

Read 18 tweets
8 Jan
It is interesting to produce charts today that were presented at the first Number 10 press conference of the first lockdown.

Here are slides from the first press conference on 30 March and their equivalent today.

And a short thread on where we are now.

gov.uk/government/pub…
Transport use - March 2020
Transport use - January 2021

Much higher than the first lockdown.
Read 13 tweets
7 Jan
Here are the heatmaps for Covid detected cases, positivity, hospitalizations, and ICU admissions. This is for the week to 3 January 2021.

I have marked a line on 21 September, when SAGE recommended a circuit breaker, so you can see how the situation has deteriorated since then. Image
Detected cases increasing significantly in all age groups (colour and monochrome version).

(The vertical line is 21 September when SAGE recommended a circuit breaker.) ImageImage
Positivity for males. Increasing in each age group.

(The vertical line is 21 September when SAGE recommended a circuit breaker.) Image
Read 8 tweets
7 Jan
The lastest @PHE_uk surveillance report has been published.

Care home outbreaks/incidents have increased significantly.

assets.publishing.service.gov.uk/government/upl…
Cases are increasing in all areas of the country
Here is a summary of detected cases.
Read 5 tweets
7 Jan
Since the March lockdown, there have been a number of changes to the list of who can go to school.

For instance, children with a 'lack of devices' 'should attend school'

The rollout of laptops was promised in the first lockdown. What happened to that? Image
In addition, hundreds of thousands of university/HE lecturers and support staff are now classified as 'critical workers'. Some of course are critical. Some less so. Image
So, we have extra pressure on school places. This will allow the virus to spread.

Government policy should be systematic.

Individual Government departments will want to maximize their own interests.

The PM and Cabinet are responsible for these trade offs and overall policy.
Read 5 tweets

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