Staff COVID-19 vaccines in care homes consultation

Staff in care homes with older adult residents in England may be required to have a COVID-19 vaccine to protect residents from the virus.

  • Consultation launched on making COVID vaccination a condition of work for people who are deployed in these homes
  • Care home workers urged to take up offer of a vaccine now to keep themselves and those they care for safe

The government claim that making vaccines a condition of deployment would help to further protect older people living in care homes. Some providers have already implemented similar policies.

Experts on the social care working group of SAGE advise 80% of staff and 90% of residents need to be vaccinated to provide a minimum level of protection against outbreaks of COVID-19. Only 53% of older adult homes in England are currently meeting this threshold.

This means nearly half of all care homes with older adult residents, home to 150,000 vulnerable people, don’t meet SAGE’s recommended vaccination thresholds for care homes and staff.

Currently the staff vaccination rate is below 80% in 89 local authority areas – more than half – and all 32 London boroughs. There are 27 local authority areas with a staff vaccination rate below 70%.

The vaccine is claimed to have a significant impact on reducing hospitalisations and deaths, with more than 10,000 lives saved between December and March.

A 5-week consultation is launched looking at requiring care home providers, caring for older adults, to deploy only those workers who have received their COVID-19 vaccination.

Health and Social Care Secretary Matt Hancock said:

Older people living in care homes are most at risk of suffering serious consequences of COVID-19 and we have seen the grave effects the virus has had on this group.

Making vaccines a condition of deployment is something many care homes have called for, to help them provide greater protection for staff and residents in older people’s care homes and so save lives.

The vaccine is already preventing deaths and is our route out of this pandemic. We have a duty of care to those most vulnerable to COVID-19, so it is right we consider all options to keep people safe.

This will not include those who can provide evidence of a medical exemption from COVID-19 vaccination.

With some providers already implementing similar policies, the consultation will help inform decision-making around how the change could be implemented and whether respondents think it will be beneficial.

The consultation will seek views on the proposal, it’s scope, any potential impact it could have on staffing and safety as well as how it is implemented and who could be exempt.

Staff, providers, stakeholders, residents and their families are being urged to take part to have their views heard with a final decision expected this summer.

Chair of the Adult Social Care COVID-19 Taskforce, David Pearson said:

I would like to thank all our social care workers for providing care and support during the last very difficult year, for having the vaccine and supporting people who have social care services to be vaccinated.

It is absolutely vital those who have not yet taken the opportunity to have their vaccine do so to keep themselves and those they care for safe.

NHS England has been running a minimum 4-visit schedule for each older adult care home and with hundreds of vaccination centres across the country to make vaccinations as easy as possible.

Vaccination is seen as a safe and effective way of protecting people from infectious disease. Vaccines can help prevent the most serious symptoms and there is growing evidence the vaccine reduces transmission.

Taking up the COVID-19 vaccine will protect those who work in care homes, their colleagues, residents and provide reassurance to their families.

All eligible care homes have been visited and vaccines offered to staff and residents, with the vast majority of homes having now had repeat visits.

Last week, the JCVI advised that it is preferable for adults aged under 30 with no underlying conditions to be offered an alternative to the AstraZeneca vaccine where available.

The MHRA – the UK’s independent regulator – and the JCVI have said the benefits of the vaccine far outweigh the risks for the vast majority of adults.

Requiring care home providers, caring for older adults, to deploy only those workers who have received their COVID-19 vaccination will increase uptake in these areas and assist in helping all care providers reach the required rate of uptake to keep people safe and save lives.

Barchester Healthcare chief executive Dr Pete Calveley said:

Barchester believes the vaccination programme has transformed the outlook for the vulnerable residents in older people care homes, a significant proportion of whom will not acquire full immunity despite being vaccinated.

We have not lightly introduced our vaccine policy, but we take the view that providing safe care for those we care for is our paramount obligation.

As the Chief Medical Officer has said, it is a professional duty for care home staff to accept the vaccine unless there is a medical reason they should not.

As time has progressed, the safety, efficacy and transmission-reduction evidence has become ever stronger, which supports our initial view.

For those reasons we support the proposal by the DHSC to open a consultation on this important matter and strongly encourage other providers to support this proposal.

Background information

The Making vaccination a condition of deployment in older adult care homes consultation has been published.

Some individuals have an allergy or condition where the Green Book or the Joint Committee of Vaccination and Immunisation (JCVI) advises seeking medical advice, before proceeding with vaccination, where a professional medical opinion should be sought on whether the individual should be exempt. It will be ensured that the regulations allow for exemptions on medical grounds. The regulations will be drafted in line with the Green Book on Immunisation against infectious disease (COVID-19: the green book, chapter 14a and JCVI which reflect clinical advice.

Both nationally and internationally, no concerning safety signals have been identified so far in relation to the vaccination of women who are pregnant. JCVI is continuing to review data on the risks and benefit of vaccination for women without significant underlying health conditions who are pregnant. As evidence becomes available, it will be reviewed, and advice offered as appropriate.

TUC – compulsory vaccinations for care staff is “ill-thought through”

Commenting on the governments announcement of compulsory vaccinations for care staff, TUC General Secretary Frances O’Grady said:

“Care workers have had a raw deal during this pandemic.

“While they’ve risked their lives to care for our loved ones, they’ve been rewarded with inadequate PPE, ongoing poverty pay, and no action on zero-hours contracts in the care sector.

“Today’s ill-thought through plans will be a further blow to care workers’ morale.

“We all want to get as many care workers vaccinated as possible. But forcing workers to get the jab will harm trust and employee relations. And it may be discriminatory, leaving employers open to legal challenge.

“Ministers should instead strongly encourage every care worker to get vaccinated – and make it as easy as possible.  

“That means giving care workers paid time off for the appointments and taking away any financial worries by guaranteeing decent sick pay for any recovery time afterwards.”

PAYadvice.UK 14/4/2021

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