Vaccination Update

Leyburn Medical Practice has provided the following update

The programme for groups 1-4 in Richmondshire has been substantially completed, with a take-up rate within Richmondshire, Hambleton & Whitby Clinical Commissioning Group area of 97% and in excess of 90% for the Leyburn practice.

Currently, groups 5 & 6 are being contacted for vaccination. While NHS policy is to contact those in group 5 and ask them to attend mass vaccination centres, the option remains for those in that group to wait to be contacted to attend the local vaccination centre. The practice is contacting patients in those groups in order of age.

While vaccine supplies have been uncertain recently, as the pharmaceutical companies reconfigure their plants to increase output, this will pick up again in March.

Patients who received their first dose before Christmas will be contacted to attend for their second dose on either 11 or 12 March at Tennants.

Vaccinations update from Leyburn Medical Practice

Covid-19 vaccination update

Almost all of our patients in groups 1 to 4 have now received their first vaccination.

We are being asked to focus efforts on inviting group 5 and group 6.

Group 5 (those aged 65-69) will be receiving an invitation from the national booking service to attend a vaccination centre or community pharmacy. For patients in this group it is a personal choice – if you are willing to travel to vaccination centre for both vaccinations you can book appointments otherwise please wait to be contacted by the practice.

Group 6 is a large and complicated group of patients which includes those aged 16 to 64 who have an underlying health condition recorded in their medical records.

These groups are going to be invited in age order, starting with the oldest.

We are inviting by text message where possible, otherwise we will call you. Please don’t call us to check if you’re in these groups as our phone lines will be overwhelmed.

Currently timescales are unclear and depend on when our deliveries come.

For those awaiting confirmation of appointments for their second dose we will provide these as soon as confirmation of deliveries is received.

We will keep Facebook and our website updated with supporting information.

 

Vaccination Update from Leyburn Medical Centre

Clinics are running at Tennants all of this week up to 8:00pm on Sunday with the aim of meeting the Government’s target of vaccinating all those in cohorts 1 to 4 including those who are clinically extremely vulnerable. The practice is continuing to invite patients directly so there is no need for them to call the practice at this stage

Vaccination update from Leyburn Medical Centre

While Richmondshire, in terms of the case rate per 100K, continues to have the highest rate in North Yorkshire, in national terms this rate is still low.

Last week vaccination clinics were held on Mon, Tues and Sat (the AstraZeneca vaccine) and more are planned for this week as supplies are now improving.

Currently, the practice is inviting the 75–79-year-old cohort for vaccination. Invitations are currently being made by phone call (patients are asked to be alert for fake invitations sent through the post – any invitations coming from the practice where phone calls have not made contact will be on the practice’s headed notepaper) and patients attending for vaccination are given their next appointment on leaving.

 

North Yorkshire County Council – update on infection rates and useful summary of current lockdown rules – 18 January 2021

These are unprecedented times and we recognise that going into a third national lockdown due to the Covid-19 pandemic will be very difficult for many of you.

Covid-19 infection rate in North Yorkshire

The Covid-19 infection rate in North Yorkshire remains high and it is essential that everyone continues to follow the rules and does not to relax their vigilance. While infection rates in the county have reduced in recent days, they remain many times higher than they were last summer after the first lockdown. The new variant of the virus is far more transmissible than the earlier strain and infection rates could easily rise again unless we all follow the rules to stay at home expect for essential journeys. The NHS is continuing to roll out the vaccination programme across the county, focusing on people living in care homes for older adults; people over the age of 80 years old and frontline health and care workers first, and it is important we all keep up our guard while this takes place. Please read the information below about how you can play your part and how to seek support if you need it.

See the latest Covid-19 data.

The information below is designed to help you to understand what this means for us all in North Yorkshire, and to make sure you know what support is available. We also want you to know that no-one in North Yorkshire should feel alone.

What is the current risk?

The new variant of the virus moves between people much more easily. A small amount of exposure can lead to infection. We know that people mixing inside homes has been a key way in which the virus transfers, so please play your part and do not meet other people inside. Infection rates have been rising very quickly in many areas of North Yorkshire, regardless of how rural the communities are. It is important to remember that one in three people with Covid has no symptoms and can be spreading it without knowing.

Here is a summary of the key points of this national lockdown. You are only allowed to leave home to:

  • shop for essentials for your household or a vulnerable person/people you are helping and this should be as locally as possible;
  • go to work, or provide voluntary or charitable services, if you cannot work from home;
  • exercise with your household (or support bubble) or one other person, this should be limited to once per day and you should stay local;
  • meet your support bubble or childcare bubble where necessary, but only if you are legally permitted to form one;
  • seek medical help or avoid injury, illness or risk of harm (including domestic abuse); and
  • attend education or childcare, for anyone who is eligible.

You can find information from the government website. You can find out more about help and advice in this area on our website.

What is a support bubble?

If you live alone or are a single parent who lives only with your children, you can meet one other household without social distancing. This is called a support bubble. Not everyone meets the government criteria for a support bubble and you can check if you do on the government website, above.

Symptoms

The main symptoms are a new and continuous cough, a fever, loss of taste and/or smell. Find out more about the symptoms.

If you feel unwell, with even mild Covid symptoms, please protect your friends and family by behaving as though you are infectious – self-isolate and book a test. You can book a test online or call 119.

If you are required to isolate, you must comply for the full period required. This is ten days for anyone who tests positive or for anyone who lives with, or has come into contact with, anyone who tests positive. You are increasing the risk for others if you do not.

Supporting each other

Thank you to everyone looking out for friends and neighbours, and the many thousands of volunteers helping people across North Yorkshire. Please keep checking on people who might need a hand with things like shopping, collecting medication of just having someone to talk to. A brief telephone chat can make a huge difference to people who may feel lonely or isolated. Please keep in touch with friends and neighbours by phone or online. Find advice about how to help safely.

We all know that mental and physical health is important. All of us are allowed to undertake daily exercise, outdoors, once a day if we can. As long as we keep two metres apart, we can exercise with someone from another household, too.

What to do if you need help

If you need help with shopping or other essentials, please let family, friends or neighbours know how they can help you. If you do not have anyone to help you, you can contact us and we will direct you to help in your area.

You can complete an online form to let us know what help you need. We are currently dealing with a high number of phone calls, so please use this form if you can. If you do not have access to the internet, our contact centre is open seven days a week between 8am and 5.30pm so please call 01609 780 780.

Shielding

People who are clinically extremely vulnerable are being asked to shield again. If you are in this group, the government will write to you with the latest advice. We will continue to offer support to North Yorkshire residents who are asked to shield. There is an online form to let us know what support you need. If you do not have access to the internet, our contact centre is open seven days a week between 8am and 5.30pm so please call  01609 780 780.

Vaccine roll-out

The NHS in North Yorkshire is working hard to roll out vaccinations across many sites that are equipped to deliver it. When it is your turn, your GP will contact you directly and give you an appointment. If you cannot attend, please let them know so they can re-arrange the appointment for you and vaccinate someone else. Surgeries and other NHS staff are really busy, so it is important everyone remains patient and waits for their invitation.

Team North Yorkshire

As well as working with a network of community support organisations helping people right across the county, North Yorkshire is fortunate to have a strong spirit of volunteering. There are hundreds of people out there who can help you so please do not feel alone. Thanks again for looking out for those around you. We know that many people will want to get involved in their communities and help where they can. If you have the time and want to volunteer, we can introduce you to local organisations in your own community. See more information about volunteering.

Buy Local

If you cannot get out, there are also lots of great North Yorkshire businesses standing by to deliver services and shopping direct to you. There has probably never been a more important time to support local businesses. We encourage you to shop locally to support jobs and the economy at this really difficult time. Please have a look at our Buy Local website for details of businesses in your area.

Thank you

Even with the new lockdown measures, we still have personal responsibilities to protect ourselves, our families, friends and neighbours. Please remain careful, whether at home or outside for the permitted reasons. Act as if you have the virus and Stay Home, Protect the NHS and Save Lives. Thank you.

 

Vaccinations update/cervical screening

We have received the following from  Leyburn Medical Practice Patient Participation Group (PPG)

Vaccinations

Currently, Richmondshire is receiving only limited quantities of the Astra Zeneca (AZ) vaccine with the instruction that this must first be used for care home patients and staff and those patients over 80 who have not yet received a vaccination. This means that it is not possible at the moment to arrange full clinics at Tennants. At the moment, it is not known when the next batches of either the AZ or Pfizer vaccine will be delivered to Richmondshire.

Please remember too that this is not a practice based programme, the vaccines delivered are for the whole of Richmondshire  which means that individual practices are not permitted to move onto the next group of patients until the first group for all of Richmondshire has been vaccinated.

Cervical Screening

The practice is encouraging all eligible patients to attend for their cervical screenings.

 

Covid vaccinations – message from Medical Centres – updated 12 January 2020

The Chair of  Leyburn Medical Practice has written as follows:

This is just to reassure you, and anyone who might ask you, that despite the recent poor weather, no doses of the vaccine have been lost or wasted at any of the vaccination clinics held locally. As we would expect, Leyburn Medical Centre, like every other practice, has supplied the vaccination centre with reserve lists of patients to call at short notice, should this be necessary. Patients should still wait to be invited to attend as the centres work through the Government’s priority groups.

Previous message was:

We have received the following message, if you are expecting to be called for a vaccine but have not been called yet.

Since some patients who have not yet been called forward for vaccination have been uncertain whether they have been missed off the list, can I ask you to assure anyone who has such concerns that patients are being contacted in tranches as the vaccine is available, and NHS advice is that they should not contact the practice but wait to  be contacted.

 

Coronavirus vaccination arrangements – how to help those without transport

A vaccination centre has been set up at Tennants in Leyburn which will operate briefly before Christmas.  This is operated through the Heartbeat Alliance, which is the federation of Primary Care Networks across Whitby, Hambleton and Richmondshire.

We understand that they have recruited sufficient volunteer stewards and marshals via an existing support group.  This support group may need more volunteers in future however as the vaccines become more widely available, but at the present time they are fully subscribed.

Cllr Byford has sought clarification on how this will work going forwards.  Whilst there is some coordination between the Heartbeat Alliance and the Leyburn hub system, which is one of 23 set up by NYCC, they are separate initiatives with their own lists of volunteers.

The volunteers that the Town Council and the joint Rectors work with have a primary role within Middleham, as and when requested, to check on residents, run errands and provide transport.  Our volunteer group works in conjunction with the Leyburn hub.

We understand that the initial invitations for vaccination will be sent to the more mobile members of the aged 80+ cohort who will probably be able to get to Tennants under their own steam.

When the vaccination programme gets fully under way in the New Year, it is likely to operate much more intensively – possibly 6 days per week.  At that point there is likely to be an increased demand for transporting Middleham residents, which we shall coordinate.

We now have contact with the Heartbeat Alliance support group. If you would like to volunteer for stewarding/marshalling at future vaccination events at Tennants, please let our Clerk know office@middlehamtowncouncil.co.uk and we will put you in touch with their Coordinator.

The coordinators of both Heartbeat Alliance and the Leyburn hub have asked us to write to our local volunteers to say that our primary role should remain to local support initiatives, particularly community transport.

We have also been asked to emphasise that anyone already closely linked to supporting a vulnerable person should make sure they are not exposed to additional risk by their volunteering activity.

Helpful Summary of the Christmas and New Year Covid Rules

A summary of the current rules, the below guide has been received from NYCC

North Yorkshire Coronavirus Data

At 13 December, there have been 14,562 positive tests since 3 March, with 1,203 new cases reported in the past two weeks. Over the past week, the average number of new cases is approximately 79 per day. Work continues to ensure effective monitoring of all areas, with support for incidents being provided across a range of settings, which are reviewed daily.

Further information on North Yorkshire data provided at county, district and local area level can be found here: https://www.northyorks.gov.uk/coronavirus-data.

Change in Self-Isolation Guidance

On 14 December, the isolation period for people who have tested positive for COVID-19 and their close contacts changed from 14 to 10 days. Anyone with COVID-19 symptoms or a positive test result must stay at home for the full isolation period. This is because they could pass it on to others, even if they don’t have symptoms.

Your isolation period includes the day your symptoms started (or the day your test was taken if you do not have symptoms), and the next 10 full days. This means that if, for example, your symptoms started at any time on the 15th of the month (or if you did not have symptoms but your first positive COVID-19 test was taken on the 15th), your isolation period ends at 23:59 hours on the 25th. You must complete your full isolation period. Your isolation period starts immediately from when your symptoms started, or, if you do not have any symptoms, from when your first test was taken.

You can return to your normal routine and stop self-isolating after 10 full days if your symptoms have gone, or if the only symptoms you have are a cough or anosmia, which can last for several weeks. If you still have a high temperature after 10 days or are otherwise unwell, stay at home and seek medical advice.

If you are isolating because of a positive test result, but did not have any symptoms, and you develop COVID-19 symptoms within your isolation period, start a new 10-day isolation period from the day your symptoms began. Most people with COVID-19 will experience a mild illness. Seek prompt medical attention if your illness or the illness of someone in your household is worsening.

While you are isolating, stay as far away from other members of your household as possible, especially if they are clinically extremely vulnerable. Wherever possible, avoid using shared spaces such as kitchens and other living areas while others are present and take your meals back to your room to eat. Wear a face covering or a surgical mask when spending time in shared areas inside your home.

As a reminder, the most important symptoms of COVID-19 are recent onset of any of the following:

  • a new continuous cough
  • a high temperature
  • a loss of, or change in, your normal sense of taste or smell (anosmia)

Staff and exposed patients or residents in health and social care settings

Staff who have tested positive for COVID-19 in the community or at work should self-isolate for at least 10 days after illness onset. If, however, they have been admitted to hospital they should be isolated in hospital (or continue to self-isolate on discharge) for 14 days from their first positive test result. For the same reasons, the 14-day isolation rule also applies to other (non-staff) COVID-19 cases admitted to hospital.

Asymptomatic staff (i.e. usually not hospitalised) who have tested positive for COVID-19 should self-isolate for 10 days following their first positive test.

Residents who are known to have been exposed to a confirmed COVID-19 patient (an exposure similar to a household setting), should be isolated or cohorted only with residents who do not have COVID-19 symptoms but also have been exposed to COVID-19 residents, until 14 days after last exposure.

If you are a close contact of someone with COVID-19

A contact is a person who has been close to someone who has tested positive for COVID-19 with a polymerase chain reaction (PCR) test. You can be a contact anytime from two days before the person who tested positive developed their symptoms, and up to 10 days after, as this is when they can pass the infection on to others. A contact can be:

  • anyone who lives in the same household as someone with COVID-19 symptoms or who has tested positive for COVID-19
  • anyone who has had any of the following types of contact with someone who has tested positive for COVID-19 with a PCR test:
  • face-to-face contact, including being coughed on or having a face-to-face conversation within one metre
  • skin-to-skin physical contact for any length of time
  • been within one metre for one minute or longer without face-to-face contact
  • sexual contacts
  • been within two metres of someone for more than 15 minutes (either as a one-off contact, or added up together over one day)
  • travelled in the same vehicle or a plane

If you are a contact of someone who has tested positive for COVID-19 you will be notified by the NHS Test and Trace service via text message, email or phone and should follow this guidance closely.

If you are a close contact, you must stay at home and self-isolate. Do not go to work, school, or public areas and do not use public transport or taxis. Your isolation period includes the day the first person in your household’s symptoms started (or the day their test was taken if they did not have symptoms) and the next 10 full days. This means that if, for example, your 10-day isolation period starts on the 15th of the month, your isolation period ends at 23:59 hours on the 25th and then you can return to your normal routine.

If you do not have symptoms of COVID-19 yourself, you do not need a test. Only arrange a test if you develop COVID-19 symptoms or if you are asked to do so as part of a wider testing scheme. If for any reason you have a negative test result during your 10-day isolation period, you must continue to self-isolate. Even if you don’t have symptoms, you could still pass the infection on to others. Stay at home for the full 10 days to avoid putting others at risk.

If you develop symptoms while you are isolating, arrange to have a COVID-19 PCR test. If your test result is positive, follow the advice for people with COVID-19 to stay at home and start a further full 10-day isolation period. This begins when your symptoms started, regardless of where you are in your original 10-day isolation period. This means that your total isolation period will be longer than 10 days.

If you are identified as a contact and asked to self-isolate by NHS Test and Trace, including by the NHS COVID-19 app, you may be entitled to a payment of £500 from your local authority under the Test and Trace Support Payment scheme.

Failure to comply with self-isolation may result in a fine, starting from £1,000. Parents or guardians are legally responsible for ensuring that anyone under 18 self-isolates if they test positive for COVID-19 and are contacted by NHS Test and Trace and told to self-isolate.