Developing a fast-track COVID-19 vaccination clinic for pregnant people

2022 ◽  
Vol 30 (1) ◽  
pp. 41-46
Author(s):  
Kirsty Cater ◽  
Jonathan Yazbek ◽  
Paul Morris ◽  
Karen Watts ◽  
Claire Whitehouse
Keyword(s):  
High Risk ◽  
Fast Track ◽  
Vaccine Uptake ◽  
Expert Advice ◽  
Multiple Deprivation ◽  
Index Of Multiple Deprivation ◽  
Deprived Areas

A pilot fast-track COVID-19 vaccination clinic was created in the east of England to provide expert advice, education and support for pregnant people. As the COVID-19 pandemic has progressed, it is clear that pregnant people are at high risk of becoming seriously unwell with the COVID-19 virus. Establishment of the clinic led to a 20% increase in COVID-19 vaccine uptake in this group, with 211 vaccinations between 28 June and 30 September 2021. Almost two-thirds (59%) of pregnant people reported they would not have taken up the vaccination if they had not discussed it as part of this service. Over half of those attending (50.2%) reside within the index of multiple deprivation levels 1–4, the most severely deprived areas. This article explores the development of the fast-track vaccination service and seeks to support others wishing to replicate its delivery in their areas.

scholarly journals The use of the Scottish Index of Multiple Deprivation as an indicator to evaluate the impact of policy on widening access to higher education

2019 ◽  
Vol 28 (4) ◽  
pp. 414-433 ◽  
Author(s):  
Lindsay Paterson ◽  
Lucy Hunter Blackburn ◽  
Elisabet Weedon
Keyword(s):  
Higher Education ◽  
Household Survey ◽  
Access To Higher Education ◽  
Growing Up ◽  
Multiple Deprivation ◽  
Widening Access ◽  
Education Statistics ◽  
The Impact ◽  
Index Of Multiple Deprivation ◽  
Deprived Areas

Policy on widening access to higher education in Scotland is defined mainly in terms of students who live in deprived areas as defined by the Scottish Index of Multiple Deprivation. Although area measures can be informative, and are convenient because they require only a postcode to classify any person into a deprivation category, they are crude. We use data from the Higher Education Statistics Agency, the Growing Up in Scotland Survey and the Scottish Household Survey to analyse the extent to which neighbourhood measures can be used as the basis of valid indicators of widening access. We conclude that they are flawed, although not wholly useless, and ought to be supplemented by more valid measures of students' social circumstances.

scholarly journals Deprivation, policy and rurality: The limitations and applications of area-based deprivation indices in Scotland

2019 ◽  
Vol 34 (1) ◽  
pp. 33-50 ◽  
Author(s):  
David Clelland ◽  
Carol Hill
Keyword(s):  
Rural Areas ◽  
Allocation Of Resources ◽  
Rural Regions ◽  
Multiple Deprivation ◽  
High Profile ◽  
Deprivation Indices ◽  
Index Of Multiple Deprivation ◽  
Indices Of Multiple Deprivation ◽  
Deprived Areas

Indices of multiple deprivation have become increasingly sophisticated and high profile as a means of identifying and targeting deprived areas and populations. However, these have been challenged on a number of grounds, both conceptual and practical, with particular concerns about their applicability to rural areas. At the same time, there is little research on how such measures are used in practice or how they influence policies or the allocation of resources. This paper seeks to quantify the effectiveness of this type of measure in terms of inclusion or exclusion of deprived populations implied by targeting areas based on the results of the Scottish Index of Multiple Deprivation. The results show that the proportion of deprived individuals within these apparently most deprived areas varies widely across different regions. However, this was not strongly related to rurality, suggesting that claims of an inherent bias against rural regions resulting from the use of these measures should be treated with caution. Nevertheless, this analysis demonstrates potential drawbacks to the uncritical reliance on indices of multiple deprivation as a basis for policy and highlights the need for the aims and rationales of such approaches to be more clearly articulated.

scholarly journals 354 Differential Attainment in Surgical Training

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
Z Vinnicombe ◽  
M Little ◽  
J Super
Keyword(s):  
Academic Performance ◽  
Surgical Training ◽  
General Medical Council ◽  
Career Progression ◽  
Medical Council ◽  
Multiple Deprivation ◽  
Surgical Trainees ◽  
Economic Background ◽  
The Relationship ◽  
Index Of Multiple Deprivation

Abstract Introduction Differential attainment (DA), according to the General Medical Council (GMC), is the gap between attainment levels in different groups. Attainment measures should cover aspects that include academic performance and career progression. Two such areas in surgical training are the MRCS examinations and ARCPs, both of which are required for progression in a career in surgery. Our aim was to investigation whether socio-economic background was a significant factor for progression in surgical training. Method Data from the GMC for Core Surgical Trainees (CSTs) taking the MRCS examination between 2016 and 2019 and CST ARCP outcomes between 2017 and 2019 were obtained. Socio-economic background was assessed using the Index of Multiple Deprivation (IMD). ARCP and MRCS outcomes were assessed against IMD. Results Trainees from IMD Q1&2 (most deprived) had a significantly higher (p < 0.01) mean number of attempts (1.86) to pass MRCS examinations than trainees from IMD Q4&5 (least deprived) (1.54). IMD Q1&2 were significantly more likely to obtain unsatisfactory outcomes (24.4%) than trainees from IMD Q4&5 (14.2%) (p < 0.05). Conclusions There is clear evidence that differential attainment exists within Core Surgical Training. The reasons for this are likely to be complex and more work is needed to further investigate the relationship.

scholarly journals Influenza Vaccine Uptake and Associated Factors in Aged Care Facilities

2019 ◽  
Vol 34 (s1) ◽  
pp. s140-s140
Author(s):  
Mohana Kunasekaran ◽  
Mallory Trent ◽  
Elisa Lai ◽  
HaoYi Tan ◽  
Abrar Chughtai ◽  
...  
Keyword(s):  
High Risk ◽  
Influenza Vaccine ◽  
Influenza Vaccination ◽  
Aged Care ◽  
Vaccine Uptake ◽  
Care Staff ◽  
Age Related ◽  
Care Facilities ◽  
Aged Care Facilities ◽  
The Impact

Introduction:Influenza vaccine is recommended for high-risk populations in Australia (including those aged over 65 years) but is less effective in the elderly due to a progressive and predictable age-related decline in immune function, referred to as immunosenescence. Aged care facilities (ACF) are known to be at high risk of explosive outbreaks of influenza (even in highly vaccinated populations) and may reflect a higher intensity of transmission within the closed setting of ACF, as well as lower immunity and immunosenescence in the frail elderly.Methods:To measure the impact of influenza in aged-care staff (ACS) and residents as well as vaccine effectiveness, a prospective observational epidemiological study was conducted in collaboration with an aged-care provider with multiple sites from March to October 2018. Weekly active surveillance on influenza-like symptoms and questionnaires were used to collect data on two groups: ACS and residents. A range of variables was examined against their 2018 influenza vaccination status in statistical analysis.Results:Vaccination rates were high in residents and consistent with other studies. Vaccine rates in aged-care staff were lower and consistent with other studies.Discussion:Residents and relatives are unlikely to change their minds about vaccination from year to year unless there is targeted effort to persuade them to so, and negative perception of the vaccine is likely to persist. Workplace influenza vaccination programs targeted at staff could be an effective method of raising vaccine uptake.

scholarly journals An audit looking at the impact of poverty on referrals to child and adolescent mental health services

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S338-S338
Author(s):  
Aida Nourbakhsh ◽  
Kandarp Joshi ◽  
Breige Yorston
Keyword(s):  
Mental Health ◽  
Service Provision ◽  
Well Being ◽  
Referral Criteria ◽  
Medication Intervention ◽  
The Impact ◽  
Mental Well Being ◽  
Index Of Multiple Deprivation ◽  
Made In ◽  
Deprived Areas

AimsRecently, there has been a greater focus on how mental health in young people (YP) can be improved. Up to 10% of YP in Scotland have a diagnosable mental health condition1 and half of all adults with mental ill-health have had symptoms from their mid-teens2. Poverty is an important factor associated with poorer mental well-being from an early age which worsens if left untreated3. The aim of this audit was to answer the question: Are more YP referred from the least deprived areas, and are they more likely to require medication intervention or high intensity (tier 4) care? The results of which could help identify possible avenues for intervention to help improve retention of those most at risk of negative outcomes.MethodNHS Grampian CAMHS provides service to Aberdeen City, Aberdeenshire, and Moray. Pre-collected data over 15 months from these areas were analysed using the Scottish Index of Multiple Deprivation (SIMD) deciles to distinguish any differences between referrals made. In addition, this audit evaluated the data to define any trends of deprivation linking YP to medication intervention or tier 4 care.ResultResults showed that more referrals were made for YP in low-ranking areas (3.19% of decile one compared to 1.74% of decile ten). The referrals were also more likely to be rejected based on the referral criteria, 33% in decile one versus 21% in decile ten. The increased rejection of referrals is most likely a reflection of the health inequalities faced by communities in more deprived areas. In terms of service provision, the patients from the most deprived areas are 3 times more like to require tier 4 care while the least deprived are 1.5 times more likely as compared to percentage of population. With regards to medication intervention patients from deciles one, five, six and seven have significantly higher numbers.ConclusionThis project set out to look at the current service provided by CAMHS and found that despite best efforts deprivation has had an impact on the acceptance of referrals. Going forward this data will be shared with multiagency stakeholders to develop service provisions, in particular the issues identified with the rejection of referrals in more deprived areas. Higher level of medication use in more deprived population is not unexpected but highlights the need to share the findings with a multiagency network.

scholarly journals Do alternative weighting approaches for an Index of Multiple Deprivation change the association with mortality? A sensitivity analysis from Germany

BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e028553 ◽  
Author(s):  
Florian Schederecker ◽  
Christoph Kurz ◽  
Jon Fairburn ◽  
Werner Maier
Keyword(s):  
Age Groups ◽  
Total Mortality ◽  
Premature Mortality ◽  
Area Deprivation ◽  
Multiple Deprivation ◽  
The Stability ◽  
Weighting Procedures ◽  
The Impact ◽  
The Relationship ◽  
Index Of Multiple Deprivation

ObjectivesThis study aimed to assess the impact of using different weighting procedures for the German Index of Multiple Deprivation (GIMD) investigating their link to mortality rates.Design and settingIn addition to the original (normative) weighting of the GIMD domains, four alternative weighting approaches were applied: equal weighting, linear regression, maximization algorithm and factor analysis. Correlation analyses to quantify the association between the differently weighted GIMD versions and mortality based on district-level official data from Germany in 2010 were applied (n=412 districts).Outcome measuresTotal mortality (all age groups) and premature mortality (<65 years).ResultsAll correlations of the GIMD versions with both total and premature mortality were highly significant (p<0.001). The comparison of these associations using Williams’s t-test for paired correlations showed significant differences, which proved to be small in respect to absolute values of Spearman’s rho (total mortality: between 0.535 and 0.615; premature mortality: between 0.699 and 0.832).ConclusionsThe association between area deprivation and mortality proved to be stable, regardless of different weighting of the GIMD domains. The theory-based weighting of the GIMD should be maintained, due to the stability of the GIMD scores and the relationship to mortality.

scholarly journals MANAJEMEN RISIKO PADA PROYEK KONSTRUKSI DENGAN METODE FAST TRACK STUDI KASUS PROYEK QUNCI VILLAS DAN PUTRI NAGA KOMODO

2015 ◽  
Author(s):  
I Gusti Ketut Wirawan ◽  
I K. Sudarsana ◽  
, IBN. Purbawijaya
Keyword(s):  
High Risk ◽  
Fast Track ◽  
Negative Impact ◽  
Risk Mitigation ◽  
Construction Method ◽  
Risk Rating ◽  
Track Method ◽  
Extreme Risk ◽  
Technical Risks ◽  
Mitigation Action

The rapid economic development such as now day, it need a construction method that may provide a facility faster and less cost. Therefore, fast track method has been widely applied in project management as happened in Qunci Villas Project at Lombok and Putri Naga Komodo Project at Loh Liang of Komodo Island. Fast track construction method has potential risks that can interfere the success of the project. This study aims to identify the risks, especially the mayor risk, to formulate the mitigation action, and to determine the risk ownership. This study was conducted using qualitative descriptive method by identifying the risks arising during the implementation of the fast track method on Qunci Villas and Putri Naga Komodo Projects through the study of literature, brainstorming, interview using questionnaires to those who knew or were involved in the project. So the frequency and magnitude of the consequences of each risk can be known. Then the risk assessment can be conducted to determine the mayor risk and the minor risk. Then determining mitigation action for the mayor risk to reduce the negative impact that may arise. Then allocating the risk ownership in other to the mitigation action can be handled properly. The risk identified totaled 25 risks consisting of : 1 risk (4%) which was medium risk rating,  6 risks (24%) which were high risk rating, and 18 risks (72%) which were extreme risk rating. The mayor risk amounted to 24 risks (96%). The mayor risk which were high risk rating consisting of : 1 planning risk, 3 technical risks, 1 project risk and 1 criminal risk. While mayor risk which were extreme risk rating consisting of : 5 technical risks, 10 project risks, 2 financial risks, and 1 human risk. Mitigation action were handled by reducing likelihood and consequence. The most risks ownership were allocated to the contractor.

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