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NHS vaccinations made affordable.

CliveS

We hear a lot about NHS being overworked and stretched to the limit because all injections are performed by doctors or nurses BUT WHY???

What we need is a micro finger pricking lancelet with a hole down the middle with the vaccine in a small squeezable rubberoid top that can be inject by the patient themselves.

All the time wasted by NHS can be saved and also the volumes of instructions for use, H&S warnings, and legal getout clauses in all different languages can be put into the QR code likes this church funding one. See attached.  This can be posted to millions with no waste paper, injection paraphernalia, syringes etc. thus saving rubbishing the planet

   

  • how can you be sure that  a person who cannot read English  will manage  to read a QR code? Also can we be sure that there will not be loads of wounds/ infections due to folk not following good hygiene process. (after all this is a country where there are  ~ 2,5 million cases of hygiene related food poisoning every year - stabbing someone is more risky )

    Amusingly I have only just acquired a phone that does read the higher density QR codes - and I'm not exactly techno-phobic - I just have a job that means I am not in the habit of carrying a phone and do not need a new one every few years.

    But in terms of load reduction, there are plenty of folk who can do injections properly who are not NHS doctors - dentists, vets are obvious, the may well be others not coming  to mind right now, and in any case more could be trained. It takes less money to train a doctor than to employ one for 5 years, so I  do not see the problem with upping medical student quotas a  bit.

    Mike

  • I'm not sure that the vaccination program was that significant a factor in the NHS's problems - I think all my jabs were done by either a local pharmacist or trained volunteer and we lost a lot more of doctor's and nurse's time due to having to isolate after being exposed and having additional covid patients (plus all the ongoing underfunding and lack of support for discharged patients).

    With most jabs there is a small chance adverse reactions immediately afterwards - having trained staff on hand is no bad thing to my mind.

       -  Andy.

  • It is easy to forget that the Covid vaccinations currently in use need to be stored in carefully controlled conditions until a relatively short time before use.

    I agree, there are much more efficient ways of delivering injections of many types, particularly those supplied in self-inject packs.  One wonders if there is a measure if protective practice involved.  But it can be done.  When discharged from hospital after an operation last year, as a standard procedure for my operation, I was supplied with a 20 day pack of self-inject anti-coagulant drugs.  Simple instructions, diagrams and a sharps disposal bucket.   On the other hand I have a 6-monthly injection that is supplied on prescription in a self- inject pack that I collect from the pharmacist, keep in the fridge, but I am not allowed to use myself.  I have to make an appointment for a nurse to give it to me.

    Even the hygiene associated with injections and taking blood is changing.  Time was the area involved would be sterilised with a swab before penetration, but not now in our NHS Trust.  I had blood taken last week, no preparation, just a catheter inserted directly into a vein.

  • A reference to the new device would be useful.

    Forget the ritual of wiping an alcohol swab on the skin - it was shown to achieve nothing decades ago. There is a theoretical risk of the alcohol denaturing the vaccination. What you do need to ensure is that the tip of the needle is in the correct place. Hitting a blood vessel is not good. Most want to be in muscle, but IIRC for example, BCG (tuberculosis) is injected into the skin itself.

    One way or another, the vast majority of vaccination is undertaken by the NHS. That is one of the few advantages of having a state-run health service, but that is not to say that the private sector is not involved. Last year I had my 'flu' vaccination at a local pharmacy.

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