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Covid vaccine priority to continue by age in phase two rollout

by Costanza Pearce
26 February 2021

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Phase two of the Covid vaccination programme will not prioritise key workers but continue in age order, starting with those aged 40-49.

This follows advice by the Joint Committee on Vaccination and Immunisation (JCVI), published today, which the UK Government said would be adopted by all four nations.

Last month, NHS England’s chief executive suggested key workers could be made a vaccine priority cohort.

But today Public Health England (PHE) announced that evidence suggests an ‘age-based approach remains the most effective way of reducing death and hospitalisation from Covid-19’ as risk reduces with age.

Once all cohorts in phase one have been offered ‘at least’ their first jab, JCVI interim advice is for those aged 40-49 to be prioritised, following by those aged 30-39 and then those aged 18-29, it said.

Modelling has indicated that the ‘speed of vaccine deployment is the most important factor in maximising public health benefits against severe outcomes’, PHE added.

A statement said: ‘The committee agreed that mass vaccination targeting occupational groups would be more complex to deliver and may slow down the vaccine programme, leaving some more vulnerable people at higher risk unvaccinated for longer. 

‘Operationally, simple and easy-to-deliver programmes are critical for rapid deployment and high vaccine uptake.’

It added that the JCVI ‘strongly advises that priority is given to promoting vaccine uptake’ in groups at higher risk of hospitalisation such as men, those from BAME backgrounds, those with a BMI over 30 and those living in deprived areas.

A UK Government spokesperson said: ‘All four parts of the UK will follow the recommended approach, subject to the final advice given by the independent expert committee.

‘The UK Government remains on course to meet its target to offer a vaccine to all those in the phase one priority groups by mid-April, and all adults by the end of July.’

The Government added that 18.7 million people have now received at least one Covid vaccine dose across the UK.

JCVI Covid-19 chair Professor Wei Shen Lim said: ‘The current strategy is to prioritise those who are more likely to have severe outcomes and die from Covid-19. The evidence is clear that the risk of hospitalisation and death increases with age. 

‘The vaccination programme is a huge success and continuing the age-based rollout will provide the greatest benefit in the shortest time, including to those in occupations at a higher risk of exposure.’

PHE head of immunisations Dr Mary Ramsay added: ‘The age-based approach will ensure more people are protected more quickly. 

‘It is crucial that those at higher risk – including men and BAME communities – are encouraged to take the vaccine, and that local health systems are fully engaged and reaching out to underserved communities to ensure they can access the vaccine.’

The JCVI was asked by the Department of Health and Social Care (DHSC) to advise on the ‘optimal strategy’ to reduce mortality, morbidity and hospitalisation from Covid, PHE said.

It comes as the Government this week announced a new target for all adults in England to have been offered a first jab by the end of July – with priority cohorts one to nine to have been covered by the end of April.

Meanwhile, an NHS England team is working to boost Covid vaccine uptake among minority groups by targeting staff from BAME backgrounds – while one GP is ‘personally calling’ every vulnerable patient who has yet to take up a jab.


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