More vaccine for next week

We squeezed another 24 doses from 2x 10 dose vials today and overall we are making good progress with almost all patients aged over 75 vaccinated, around 350 vaccinated.

Next week we are expecting another 80-100 Oxford vaccines for Hartland, with perhaps a similar number of people to be invited to Barnstaple for Pfizer vaccine. We will not book for Hartland until the oxford vaccine have been delivered to Barnstaple, given the last minute cancellation 10 days ago. We will update once a delivery date and amount is confirmed, and again when the vaccine has arrived.

In addition, we are aware of people being invited by post to ring up and book at Westward Ho! or Wadebridge for the Oxford Vaccine (we are not informed of who is being offered these)

This should hopefully help us reach nearly all those who are clinically extremely vulnerable or aged over 70 by end of next week (Priority groups 1-4).

After that, we will be moving onto

  1. Aged 65-69 (237 people)
  2. Aged 16-64 with underlying health conditions (199)
  3. Aged 60-64 (164)

It would be great to get these all done by the end of February, fingers crossed!! Just remember the vaccine protection start from about 2 weeks (pfizer) and 3 weeks (oxford) after the jab.

Small supply for Hartland this week

This week we have 20 doses of Oxford vaccine which we will be booking for Wednesday afternoon 3rd Feb. Our current “totals” recorded on our systems are 10% of total patients have had a first dose, mainly aged over 75:

  • 131 Oxford Vaccine (128 given in Hartand)
  • 145 Pfizer Vaccine (141 given in Barnstaple)

We are roughly “half way” to getting high risk and aged over 70 done (as planned by mid February), so progress is being made!

We are aware of many vulnerable people who would still prefer to be done locally rather than travel to Westward Ho! or Barnstaple, and we hope there is more supply “in the pipeline” for next week, but we would still advise take up any offer of vaccine to get protected as soon as possible.

We are still sending invitations to Barnstaple hub, and as the age groups get younger we are using an SMS / online booking system called Accubook for invitations.

Vaccine invite by post – for Arnolds in Westward Ho!

Many of you have recently received an invitation to book a COVID vaccine by letter.

It appears that Arnolds pharmacist in Westward Ho! has been given several thousand doses of Oxford Vaccine which were switched away from going to our GP practices last Friday, with just a few hours notice. The letter is inviting you to book an appointment with them.

So right now we are trying to book patients into a few slots in the Barnstaple hub, when many of you have already taken the offer of a jab booking in Westward Ho!

All we can suggest is please take up any offer of a vaccine, and as soon as we have more Oxford Vaccine supply confirmed (and delivered!) we will let you know with updates on the website.

We will also keep offering pfizer vaccine slots in Barnstaple when we have them.

No vaccine in Hartland this week

We have no Oxford vaccine coming this week, but we will have Pfizer vaccine at Barnstaple Leisure Centre for upcoming Wednesday, Thursday, Friday and Monday (over 4000 doses).

This should mean that more than half of our 75-79 group will be offered a jab in Barnstaple in the next few days, and we can hopefully finish this group by some time next week.

We will be in touch, using SMS to those with a mobile number, or by phone call.

UPDATE WEDNESDAY 27 Jan at 5pm:

Now fully booked places for above days, if you have not been called, we hope to have more Oxford Vaccine supply next week, and some more slots in Barnstaple for the pfizer jab.

Some people have received an NHS letter giving them a number to ring and book an appointment at Arnolds Pharmacy in Westward Ho!

We will be delighted for any of you to get protected as soon as possible, but we are also unhappy that Oxford Vaccine which was meant to come to North Devon for GP practices last Friday appears to have been diverted to this service, with less than 12 hours notice given last Thursday evening and causing huge amounts of rebooking appointments in Bideford and Torrington.

All set for this afternoon – moved to the surgery

We’ve had a difficult evening last night with a late change in vaccine supply, but now are all set for this afternoon and have received our planned amount to vaccinate our over 80s.

For next week we will need to wait until the Oxford vaccine is delivered to the Barnstaple hub before we can book a clinic for any patients in Hartland, ages 75-79. It may now be the following week before we can get this group done.

Other Torridge practices are needing to rebook some of their appointments this weekend, so we are very grateful that they have allowed us to honour all our Friday appointment’s and we will be helping in Barnstaple on Saturday to help catch up with vaccines which other practices were hoping to give on their own site. A great team effort by local GPs who are all working hard to get their patients vaccinated.

We have also switched to jabbing at our practice building as there was a procedural requirement to deliver vaccines on an NHS site. We will run a “one way” system using our new side entrance to make things as safe as possible for you all.

Friday clinic – Now in the afternoon

We have been advised of a 24 hour delay in vaccine delivery, now arriving in Barnstaple on Friday morning, to use for our over 80’s.

We are currently booking a friday afternoon clinic, but if there is a further delay it is possible we would have to delay until Saturday.

We will update our website here if the friday afternoon clinic is delayed by 24 hours, but fingers crossed we will go ahead on friday as planned.

Over 80’s COVID vaccine clinic in Hartland, Friday 22 Jan – Provisional

We are planning our first COVID vaccine clinic in Hartland next Friday morning 22 January 2021, at Hartland Village Hall.

We have been allocated 132 doses, which should be enough to vaccinate the remainder of the group aged 80+ for their first jab using the Oxford vaccine.

If you are aged 80+ we plan to phone you or send an SMS between Monday and Wednesday next week with an exact time,  Dont call us to book, we will try you again if needed.

Housebound patients will be done seperately, sorry no update for them just yet. We really hope we may then get supply to vaccinate all our age 75-79 for the following week, before the end of January, perhaps on Friday 29 January.

We expect an update on the vaccine supply next week (around 10 days ahead). This week we had to wait for numbers of care home staff before we knew how many would be “left over” to bring out to practices.

We will try to keep updating the practice site when we have a good idea of what is coming ahead.

Vaccines have begun at last!

I spent yesterday in Barnstaple at the vaccine hub at the leisure centre, by the River, close to the train station, Lidl and Tesco. There is a great team of volunteers and GP practice staff from across North Devon. Volunteers are in the car park to show you the way and help if needed with mobility.

We have been giving the first 975 doses of the Pfizer, and we have also used spare vaccine to get an extra dose out of each 5 dose vial, using these to vaccinate some frontline GP practice staff – nothing is being wasted!

The rules are changing quickly, and we are now expecting Oxford vaccine and more dose of the Pfizer vaccine next week. The plan is to move to a 12 weeks gap between first and second jabs of both types, which we fully support to get more people protected.

What about Hartland?

At the moment we have not had permission to bring vaccine doses out to GP practices, but common sense suggests this could happen within a few weeks when enough vaccine becomes available.

We would love to start a “flu clinic” delivery in the village hall. Currently there is 15 minutes observation period required due to the vaccines being “brand new”, which will slow things down a little.

In the meantime, we are inviting patients to visit Barnstaple for a jab, starting with our oldest patients, so far its been the over 90’s. Please answer any phone calls in the coming few weeks.

Are the vaccines safe?

YES, we really believe so (and our staff are being vaccinated as soon as allowed!), and if you are choosing between the vaccine or the virus, there is no contest.

There is either a safe vaccine or a risky virus. Please get protected as soon as possible

How long does the vaccine take to work?

We think the Pfizer vaccine is working within 2 weeks, while the Oxford vaccine may take 3-4 weeks. We will get more details in the coming days.

Vitamin B12 injections, option to try tablets instead

We have a number of people who have required regular B12 injections every 3 months, or 20 injections every 5 years. This is because they don’t absorb B12 normally, and without extra B12 they are at risk of developing anaemia (low blood count) and Neuropathy (nerve damage). But are we doing this the best way?

What if they take very high strength B12 tablets?

Rather than replace with a usual 50mcg dose, patients in Sweden are usually treated with high strength 1000mcg tablets, taken once daily, or sometimes two daily. This approach seems to allow B12 to “leak in” rather than to be absorbed.

We cannot prescribe these high strength “food supplements”, but they can be purchased online at Holland and Barrett, Ebay and Amazon. These may cost £7-20 for a years supply.

We would therefore like to offer our patients who require B12, to stop injections and consider the option of a blood test to check B12 levels after 3 months of tablets, then after 9 months of tablets and finally after 18 months of tablets. If they maintain good blood levels (and feel well), then we would no longer recommend routine testing.

Finally if you are coming for a B12 blood test, please dont take any B12 tablets for 3 days (to help us measure your body store, rather than how much you have recently absorbed).