Covid-19 Vaccinations

Covid-19 Vacc available landscape

The NHS COVID-19 vaccination programme is well underway, with patients called for vaccination in priority list order:

  1. residents in a care home for older adults and their carers
  2. all those 80 years of age and over and frontline health and social care workers
  3. all those 75 years of age and over
  4. all those 70 years of age and over and clinically extremely vulnerable individuals ("shielded" patients)
  5. all those 65 years of age and over
  6. individuals aged 16 years to 64 years with underlying health conditions putting them at higher risk of serious disease and mortality
  7. all those 60 years of age and over
  8. all those 55 years of age and over
  9. all those 50 years of age and over
  10. all those aged 40 to 49 years*
  11. all those aged 30 to 39 years*
  12. all those aged 18 to 29 years*

*preliminary cohorts for Phase 2

We are now offering vaccination to Priority Group 9 and above:

  • patients aged 50 years and over

  • shielded patients (aged 16 and over) 

  • patients with underlying health conditions (aged 16-64 yrs, see FAQ) 

  • frontline health & social care workers (anyone employed to give direct personal care) - please check with your employer for vaccination arrangements in the first instance

Vaccinations are offered either within PCN clinics (see below for more information) or clinics that are just for Fireclay Health patients - both clinics are delivered from the usual GP & Nurse clinic rooms at Lodgeside Surgery

Next Clinics:

Sat 9th April (Pfizer - 2nd doses ONLY)

Sat 10th April am (AstraZeneca - 2nd doses ONLY)

If you had a 1st Pfizer or AstraZeneca vaccine at Lodgeside Surgery before 24th Jan please contact us now to book your 2nd dose

We do not currently have any 1st dose clinics available to book

Clinics are based on our vaccine deliveries which are being managed at a national level - there will be no choice of vaccine on the day.  

This page is updated with our clinic dates and vaccine available when known  (Pfizer/BioNTech or Oxford/Astrazeneca) so a preference can be accommodated by booking on the relevant date. 

When attending for vaccination

Please wear a face covering and

  • do not arrive more than 5 minutes early
  • when we are running large PCN clinics the Lodgeside Surgery car park will be restricted to Blue Badge holders - street parking is available nearby with additional parking at Cossham Hospital for these clinics only (access via Selkirk Road from Lodge Road - only free of charge when directed by clinic marshalls)

If you are aged 50 or over, or believe you are at risk (cohorts 4 & 6 - see FAQ below) and haven't yet received/booked your first vaccination, please contact us or call 119 / visit the online National Booking Service to book at a Mass Vaccination Centre or pharmacy.  You will only be given a choice of appointment times online if eligible and can attend whichever location is most convenient.  It will be easier to book if you have your NHS number to hand - you can find your NHS number here.

Otherwise we will invite our eligible patients when we are able to offer vaccination.

We are working tirelessly to vaccinate our patients as quickly as possible using every potential slot and every dose of vaccine as soon as we receive it. Please be patient and kind to our staff; we will be in touch when it is your turn. 

We send SMS invitations using a service called AccuBook - sent by 'Fireclay', these texts include an accurx.thirdparty.nhs.uk link to book your appointment online (using Smartphone or by copying link into web browser). 

This is a unique link - you can only use it for the person the SMS is addressed to (date of birth confirmation required).

You can use this link to book or decline invitation, including letting us know if you are booked to receive vaccination elsewhere

We will supplement this system with emails and phone calls - we will contact you if you do not have a mobile phone or your SMS link remains unused.

You may also receive a letter from the national booking team with an invitation to vaccination at Ashton Gate or other Mass Vaccination Centres - you are welcome to book at whichever location is more convenient.

If necessary please contact us to update your details with us to ensure you receive prompt notification of appointment availability.  

 

17/3/21: We are aware that some countries have temporarily suspended use of the Oxford AstraZeneca vaccine

  • The AstraZeneca vaccine has been rigorously tested by the UK medicines regulator (the Medicines and Healthcare products Regulatory Agency, MHRA), the European Medicines Agency and the World Health Organisation for safety and efficacy
  • The UK has administered 11 million doses of AstraZeneca vaccine and there has been no demonstrable difference in the number of blood clots since the vaccine was introduced
  • The benefits of the AstraZeneca COVID-19 vaccine outweigh any risks and people should still go and get their COVID-19 vaccine when asked to do so
  • All vaccines that are available have been approved because they pass the MHRA’s tests on safety and efficacy, so people should be assured that whatever vaccine they are given will be highly effective and protect them from coronavirus
  • Due to the nature of vaccine supply combined with the evidence that all the available vaccines are safe and effective, it is not possible for individuals to choose which vaccine brand they receive

This information is also available on the NHS website and the Healthier Together vaccination page along with lots of other responses to common FAQs

If you receive an invitation for vaccination that asks for your bank details this is a scam

Covid-19 vaccination is being provided free of charge under the NHS and at no point will you be asked to pay. 

A genuine text message from the Government’s secure Notify service will invite you to book online at nhs.uk/covidvaccine or by calling 119 and will appear as being sent from 'NHSvaccine',  Our own text messages appear as sent from 'Fireclay'.

See this Action Fraud alert for more information and action you can take to report a vaccination scam

We have also been alerted of patients receiving phone calls from a company claiming to be the National Immunisation Management System (NIMS), asking for details about their COVID-19 vaccination - we have been advised that this is also likely to be a scam call

Covid-19 vaccinations are being delivered through Primary Care Networks (PCNs).  Fireclay Health is part of the FOSS PCN (Fireclay and Old School Surgery) PCN - staff from both practices will be working together to deliver vaccination clinics at our Lodgeside Surgery site.  

You can read Old School Surgery's information about Covid-19 vaccination here - their patients will be able to make an appointment via their own practice.

We apologise if you will have further to travel to our clinic location however this is necessary in order to deliver the vaccination at scale, with the cold chain requirements for the Pfizer vaccine giving us nearly 1200 doses to deliver within 3 and a half days.

If you would like to volunteer to provide support to the mass vaccination programme you can email recruitment.massvaccination@nhs.nhs.uk

Who can and cannot receive vaccination

  • The Covid-19 vaccines are safe for people with immune system disorders as they do not contain living organisms
  • They do not contain any animal products or egg

Under current advice you should not be vaccinated if you:

  • have had a positive Covid-19 test in the last 4 weeks
  • are generally unwell - try to have it as soon as possible after you have recovered
  • are self-isolating, waiting for a COVID-19 test or unsure if you are fit and well
  • have had another vaccination (e.g. Flu) in the previous 7 days
  • are aged under 16 years of age

Vaccine specifics

  • If you have ever had a serious allergic reaction to medicines, vaccines or food you are advised not to receive the Pfizer vaccine. The AstraZeneca vaccine can be given unless you have had a previous severe allergic reaction to another vaccine.
  • If you are aged 16-17 you should receive the Pfizer vaccine - the AstraZeneca vaccine is not licensed for under 18's

Pregnancy & Breastfeeding

  • There are no known risks for women who are vaccinated against COVID-19 during any stage of pregnancy or shortly before conception, however vaccination with the Pfizer or AstraZeneca vaccine will only be considered for pregnant women when the potential benefits outweigh any potential risks for the mother and foetus
  • Women who are trying to become pregnant do not need to avoid pregnancy after vaccination
  • There is no known risk associated with giving non-live vaccines whilst breastfeeding - breastfeeding women may be offered vaccination with the Pfizer or AstraZeneca vaccines

For more information, please read:

Your second vaccination dose

Two doses of Covid-19 vaccine are advised - without the second dose the immunity gained from your first dose may not be strong enough or last long enough.  However even with just one dose the Pfizer/BioNTech vaccine has been estimated to offer 89% effectiveness from two weeks after it is given and the Oxford/AstraZeneca has been estimated to offer 74% effectiveness in the same timeframe.

We will contact you again when it is time for you receive your booster dose.  Vaccine deliveries are scheduled for 11 weeks after our first dose clinics - we plan to run our first Pfizer 2nd dose cline on 3/4/21.

Your second vaccine dose should be with the same vaccine as your first dose - missing the second dose or switching between vaccines is not advised as this may affect the duration of protection*

For more information on the NHS protocol for second doses see this patient information leaflet produced by BNSSG Healthier Together

* we do not administer Pfizer vaccinations at home due to the cold chain requirements.  If you received a Pfizer first dose in hospital and are now housebound, we would ask you to attend a Pfizer 2nd dose clinic at Lodgeside Surgery wherever possible.  If this is no possible we can offer you AstraZeneca vaccination at home - this is allowable under Green Book guidance

Frequently Asked Questions

Can I choose a particular Covid-19 vaccine?

No - when you book into a vaccination clinic you will be given the vaccine we have been supplied for that date. 

Please see our upcoming vaccination clinic information at the top of this page for vaccine on offer.  We would advise reading the patient information for both Pfizer/BioNTech and Oxford/AstraZeneca vaccines so you are prepared to consent for either vaccination.

The Moderna vaccine has also been approved for use however we do not expect to receive this.

Can I stop you inviting me for Covid-19 vaccination?

If you wish to DECLINE vaccination, please let us know - we will record this on your notes and will not then invite you again.

If you are booked or received vaccination elsewhere, please let us know - we do not otherwise know that you have booked elsewhere and we do not always get notification that vaccination given.

You can email this information to fireclayhealth.appts@nhs.net

Does my health condition qualify me for priority vaccination?

In general vaccination has proceeded down age cohorts however Group 4 and Group 6 include prioritisation of patients most at risk for vaccination before they would otherwise become eligible for vaccination due to their age.  

Patients identified as clinically extremely vulnerable will have been sent a shielding letter and are eligible for Group 4 priority vaccination.  A Feb21 risk assessment exercise added more patients to the shielding list, including those with previous gestational diabetes. Shielding is advisory only - if you have received a letter you can choose not to shield but remain eligible for vaccination.

Other conditions may qualify for Group 6 priority vaccination - if you are eligible this will show as a flag on your record.  We believe we have now largely completed inviting the Group 6 cohort - if you have not been contacted, this may be because we do not have an up-to-date mobile or other telephone number for you or because your condition does not qualify you for this cohort. 

The group 6 cohort has been identified via complex coding which may have picked up some patients who are not necessarily at greater risk in order to best capture those who are.  You do not have to accept vaccination with the group 6 cohort - you can choose to wait until your age cohort is eligible.

 

Do I qualify for Group 6 vaccination?

You are likely to be in Group 6 if you are eligible for an annual flu vaccination due to your clinical risk and/or are invited by us for an annual Long Term Condition review however this may not always be the case.  This is a large and complicated cohort to define - some common queries include:

  • mild or well-controlled asthma does NOT qualify - only severe asthma, defined as an emergency asthma admission ever or continuous/repeated use of oral steroids (3 prescriptions in last year). People with asthma have been shown generally not to have increased risk of severe disease if they catch Covid-19
  • ME/CFS (Chronic Fatigue Syndrome) is NOT currently specified as an eligible Group 6 condition - you can follow any updates on this position via the ME Society
  • patients with Hypertension only do NOT qualify
  • Many conditions such as Rheumatoid Arthritis and Crohns disease only qualify if you are treated with immunosuppressive medication
  • patients with Coeliac disease only qualify if have only if reduced spleen function
  • all patients on our Learning Disabilities register are now eligible for vaccination under Group 6 - please contact us if you need reasonable adjustments made in order to attend an appointment

More detail about the Group 6 underlying health conditions is given in the Green Book chapter 14a (page 9)

I am a Carer - can I receive vaccination?

If you are employed to provide direct personal care this comes under priority Group 2 - please check vaccination arrangements with your employer in the first instance.

Unpaid carers qualify under priority Group 6 if:

  • eligible for a carer’s allowance, or sole/main carer of an elderly or disabled person who is at increased risk of COVID-19 mortality (clinically vulnerable)
  • delivering personal care to the individual at risk - this does not include for example, shopping or cleaning

If you are on a Carers Register (e.g. with us or your Local Authority if you are in receipt of Carers Allowance) you will be invited for vaccination by us and/or through the National Booking Service - please wait until you are called.

Unpaid carers can also now book for vaccination online with the National Booking Service - you will need to answer questions to check whether your caring responsibilities make you eligible for priority vaccination.

Please see our Carers page for information about support available.

My child is shielding - can they receive vaccination?

There is no Covid-19 vaccine licensed for use in under 16's.  However the Joint Committee on Vaccination and Immunisation (JCVI) have advised that children aged 12 years and over with severe neuro-disabilities and recurrent respiratory tract infections who require residential care can be vaccinated within the Group 4 cohort.  There is no data to support use of the vaccine in younger age groups or other clinical groups.

As this would be unlicensed use you would need to discuss the risks & benefits with your child's Specialist Team.  We understand specialist clinics will be arranged to deliver vaccinations to this cohort across Bristol.

Children under the age of 16 will not be offered vaccination by the practice.

For your own vaccination as a carer of a child whose welfare may be at risk if you fall ill, please see the Carer section in these FAQ.

 

I can't get to the surgery, can I have vaccination at home?

Our initial deliveries were Pfizer vaccine which is not suitable for taking to patient homes due to its cold chain requirements.  We now have supplies of AstraZeneca vaccine and are starting to provide vaccination to our housebound patients in the eligible cohorts - it may take some time before we can vaccinate everyone. 

We are inviting all patients in the currently eligible cohorts in case housebound patients are able to be supported to attend the surgery for earlier vaccination.  If this is not possible, contact us after receiving your invitation to be added to our housebound visit waiting list. 

If we do not have you recorded as housebound we would ask you to attend a surgery-based clinic for vaccination.

 

I am not a registered patient, can you vaccinate me?

Yes, if:

  • you are currently living away from your usual GP practice and cannot get to a Mass Vaccination Centre - to book with us we will need to know your NHS Number and Date of Birth
  • you are a local resident registered with a private GP - if you are not called by the National Booking Service, you can book straight in with us if you already have an NHS Number or you could register with us to obtain an NHS number 
  • you are not a usual resident of this country but are currently staying here - without an NHS number we will be unable to book you in for an appointment or add your vaccination to the IT system however we can add you to a standby list to call up for vaccination and keep a manual record of any vaccines given (NHS England are working on a solution for electronic recording of vaccinations where patients do not have an NHS number)