We are about to secure some additional vaccinations from the government reserves and we would like to understand if our registered patients that are eligible and haven’t had a vaccination yet, would like one. We need your help to understand how many of you definitely want one.
If you are in these groups of eligible people, the doctors at the Practice are recommending you have one this year, even if you have not had one in the past, due to the complications arising with the flu and Covid-19, if caught together. It is, of course, your choice.
Some of you have declined and may have changed your mind, some of you were not able to get the vaccination as the stock that was ordered before the pandemic (as per usual protocol) and had run out as they had been allocated to the present clinics – our next is 7th November and is fully booked. Unfortunately some of our Patients did not attend the clinic even though they were allocated an appointment and vaccine, this meant that some of you missed out on an appointment and could have had one. If you are allocated an appointment and vaccine, and cannot attend a clinic, please let us know as soon as possible so that we may give it to someone else.
Due to the government guildines for the release of additional vaccines to Practice, we must have allocated vaccine numbers before they will allow us to have them for our patients. So please, let us know if you would like one as soon as possible our team will put you on the list. We are planning for a flu clinic in early December at the Royal British Legion. At this point we cannot guarantee the date of clinic until we have had confirmation of the delivery of the additional vaccines and we can’t do that until you tell us you DEFINITELY want one. Remember you have to be in the eligible groups.
We would be happy for you to Ask the Practice a Question and let us know if you would like a flu vaccination and we can then reserve you one. Phone lines are busy, so if you can, use the website or reply to a text, if you get one.
Please remember this is only for the vaccination eligible groups at this time. The government has not yet released the vaccines for anyone over 50 and below 65 that are not in an eligibility risk group.
Eligibility is as follows:
- Aged 65 and over on 31st March 2021
- Diagnosed as pregnant
- Aged six months to 64 years (excluding patients aged two to three on 31st August 2020) as defined as ‘at risk’**
- Household contacts of an individual on the Shielded List
- Household contact of an immunocompromised individual
**At Risk/Eligible groups are determined by these specifications, if you are unsure please ask**
|Eligible groups||Further details/explaination|
|All patients aged 65 years and over||“Sixty-five and over” is defined as those aged 65 years and over on 31 March 2021 (i.e. born on or before 31 March 1956).|
|Chronic respiratory disease aged 6 months and over||Asthma that requires continuous or repeated use of inhaled or systemic steroids or with previous exacerbations requiring hospital admission.Chronic obstructive pulmonary disease (COPD) including chronic bronchitis and emphysema; bronchiectasis, cystic fibrosis, interstitial lung fibrosis, pneumoconiosis and bronchopulmonary dysplasia (BPD).
Children who have previously been admitted to hospital for lower respiratory tract disease.
|Chronic heart disease aged six months and over||Congenital heart disease, hypertension with cardiac complications, chronic heart failure, individuals requiring regular medication and/or follow-up for ischaemic heart disease.|
|Chronic kidney disease aged six months and over||Chronic kidney disease at stage 3, 4 or 5, chronic kidney failure, nephrotic syndrome, kidney transplantation.|
|Chronic liver disease aged 6 months and over||Cirrhosis, biliary atresia, chronic hepatitis.|
|Chronic neurological disease aged six months and over||Stroke, transient ischaemic attack (TIA). Conditions in which respiratory function may be compromised due to neurological disease (e.g. polio syndrome sufferers).All patients with a learning disability given their increased morbidity and mortality due to preventable pneumonia. For those with a specific assessment, to vulnerable individuals including those with cerebral palsy, multiple sclerosis and related or similar conditions; or hereditary and degenerative disease of the nervous system or muscles; or severe neurological disability.|
|Diabetes aged 6 months and over||Type 1 diabetes, Type 2 diabetes requiring insulin or oral hypoglycaemic drugs, diet controlled diabetes.|
|Immunosuppression aged 6 months and over||Immunosuppression due to disease or treatment, including patients undergoing chemotherapy leading to immunosuppression, bone marrow transplant, HIV infection at all stages, multiple myeloma or genetic disorders affecting the immune system (eg IRAK-4, NEMO, complement deficiency).Individuals treated with or likely to be treated with systemic steroids for more than a month at a dose equivalent to prednisolone at 20 mg or more per day (any age), or for children under 20 kg, a dose of 1 mg or more per kg per day.
It is difficult to define at what level of immunosuppression a patient could be considered to be at a greater risk of the serious consequences of influenza and so is offered a seasonal influenza vaccination. This decision is best made on an individual basis and left to the patient’s clinician. So please check with us.
Some immune-compromised patients may have a suboptimal immunological response to the vaccine and that will be considered in deciding upon vaccination or not.
|Asplenia or dysfunction of the spleen aged six months and over||This also includes conditions such as homozygous sickle cell disease and coeliac syndrome that may lead to splenic dysfunction.|
|Pregnant women||Pregnant women at any stage of pregnancy (first, second or third trimesters).|
|Morbidly obese (class III obesity)||Adults with a BMI > 40 kg/m2 (adults aged 16+).|
|Household contacts of an individual on the shielded patient list aged 6 months and over||Specifically, individuals who share or expect to share living accommodation with a shielded person on most days over the winter (part of / all of September through to March) and therefore for whom continuing close contact is unavoidable. Please contact us if you are unsure.|
|Household contacts of immunocompromised individuals aged 6 months and over||Vaccines are be offered to household contacts of immunocompromised individuals, who share or expect to share living accommodation with on most days over the winter and therefore for whom continuing close contact is unavoidable.|
|Carers||Those who are in receipt of a carer’s allowance, or those who are the main carer of an elderly or disabled person whose welfare may be at risk if the carer falls ill.|
Important to note this change of venue:
Due to the COVID19 pandemic, Mickleover Medical Centre have made alternative arrangements this year in order to keep all patients and staff safe.
This year’s clinics will all be held in the:
Royal British Legion (Mickleover) Club Ltd.
30 Poppyfields Drive, Mickleover, Derby. DE3 9GB
Your responsibilities as a patient in this program of vaccination are:
- PLEASE! Do NOT attend if you have any symptoms of COVID19 – high temperature, new continuous cough, loss of taste, loss of smell
- Do NOT attend if anyone in your household is isolating for COVID19
- All individuals aged 11 years and over must attend wearing a face covering over their NOSE & MOUTH and wear it all the time whilst on-site, unless within a government exemption category
- Arrive on-time for your appointment, please stay in your car if arrive early
- Attend unaccompanied unless you need a carer/parent
- Wear a short sleeve top in preparation for seeing the nurse and to reduce your time on-site
- Appointment will be for flu vaccine ONLY – there will be no opportunity to ask any other medical questions to the team on the day
- Bring an umbrella/coat as you may be waiting outside if you arrive early
What to expect from us:
- Fast and efficient vaccination service, reducing your exposure to any risk
- Large on-site car parking facilities
- Site is accessibility friendly
- One way through the building with different entrance and exit
- All clinicians and staff will be wearing masks
- No toilet facilities will be available unless for an emergency – due to covid safe restrictions
Where to find the Royal British Legion in Mickleover: