The COVID-19 vaccine rollout in Australia has begun

Which is why they should stop promoting GPs as a channel and start better promoting these clinics and then give more doses to the state run mass vac clinincs which are not struggling for bookings at all - the demand at Olympic Park is huge.

But also why people whining their GP doesn't have a dose need to make an actual effort and go to where the vaccines are. There is no need to have a consult with GP and wait in a waiting room full of sick people just to get a vaccination.

The Pfizer registration for 40-49s with NSW health is only for Olympic Park and Blacktown sites at this stage - and you provide your postcode, so hopefully they will offer to NSW residents first.

No worries about interstate take up of AZ, as there is plenty of unused (and unwonted) doses of that readily available at clinics run by commonwealth therefore available to all.
How silly.GPs are already doing more than half the total numbers of jabs as it is.More sensible to divert supplies to the GPs from underutilised hubs.
Remember you think the UK has done a great job delivering the vaccines.This was mainly done through GPs.
 
How silly.GPs are already doing more than half the total numbers of jabs as it is.More sensible to divert supplies to the GPs from underutilised hubs.
Remember you think the UK has done a great job delivering the vaccines.This was mainly done through GPs.

Don't even bother. If it has GP, AZ or VIC in the post then expect complete rejection ;)
 
GPs are already doing more than half the total numbers of jabs as it is

Well because publicly accessible state run vaccine hubs have only been running for a few weeks (2 weeks in NSW, 4 weeks in Vic) vs 4 months of GPs. The unused doses arent at the state hubs they are at commonwealth run GPRCs.

The commonwealth program hasn't really promoted their GPRCs they never get mention in adverts or press conferences, they just say GPs, and most GP practices aren't telling their customers that they don't have to wait for them to get stock, they should be directing them to the GPRCs.

My parents called their GP, he didn't have doses, they were going to wait BUT I made Dad look up nearby GPRCs and he was offered a same day appointment. My elderly parents have accepted the risk of AZ because they are in a high risk category, but I am under 50 with a different risk profile and it makes zero sense to risk health complications from AZ when there is no covid circulating, better to wait for safer vaccine.

In NSW the mass vaccination hub at Olympic park only does Pfizer, they don't add AZ till later in May. The state run hubs are in very high demand, if spare doses were sent there they will be used very quickly as the pre-registered wait list already has 200k names on it. no GP practice has a pool of 200k to draw from.

Vaccination hubs is what is working in the USA (and most fo he world) and are proving very popular in Sydney and Melbourne (especially with people who work) diverting people to GPS is inefficient. Once the other 49 NSW mass vac Pfizer hubs start taking under 50s you will see GPS left in the dust.
 
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Well because publicly accessible state run vaccine hubs have only been running for a few weeks (2 weeks in NSW, 4 weeks in Vic) vs 4 months of GPs. The unused doses arent at the state hubs they are at commonwealth run GPRCs.

The commonwealth program hasn't really promoted their GPRCs they never get mention in adverts or press conferences, they just say GPs, and most GP practices aren't telling their customers that they don't have to wait for them to get stock, they should be directing them to the GPRCs.

In NSW the mass vaccination hub at Olympic park only does Pfizer, they don't add AZ till later in May. The state run hubs are in very high demand, if spare doses were sent there they will be used very quickly as the pre-registered wait list already has 200k names on it. no GP practice has a pool of 200k to draw from.
I would hazard a guess that when you look at all NSW GPs they have more than 200K on their lists.
And it was only the publicly run centres that were giving vaccines in the first few weeks.GPs were excluded.They have only had their supply increased for the last week or two.
 
GPs have been vaccinating 1A and 1B since Feb, and 2A since 10th May.

they have more than 200K on their lists

But inefficiently distributed, and many of those (anyone in 1A, 2B and over 50s in 2A) need not be on a GP wait list at all list because they are already go to straight to one of the many GPRCs right away for a same day appointment.

It doesn't make sense to be creating queues at small GP practices when there is a readily available alternative, which just needs to be better promoted.
 
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No GPS have been vaccinating 1A and 1B since Feb, and 2A since 10th May.



But inefficiently distributed, and many of those (anyone in 1A, 2B and over 50s in 2A) need not be on the GP wait list at all list because they already go to straight to one of the many GPRCs right away for a same day appointment.
Yes, but only in small numbers as they were receiving limited doses, and starting to ramp up now that AZ becoming more freely available from CSL.

All this inefficiently delivered stuff is just so off the mark - if we are to vaccinate the most vulnerable, GP delivery is vital. So many people I talk to will only go to a GP, where they feel they will receive advice they can trust alongside the printed advice form. Most people I have spoken to here in Sydney that have had, or are booked in for a Covid shot, are using the GPs.
 
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Not sure why the continued negativity and misinformation of the GP Channel in NSW as GPs have done the heavy lifting in that state to date.

NSW

GP's 597,494
State 314,613
Feds 106,371

So, so far people in NSW have gone through GPs over State Delivery at about double the rate.

Demand is at Olympic Park as that is the publicly available Pfizer channel in NSW. Demand would in the main not be due to preferring a large hub over GP run clinics. If you made Olympic Park AZ only then just watch the demand there drop off.


I checked yesterday and one does not have to wait at all for GP delivery as appointments are readily available to be booked in online. Waiting is only an issue if one's own GP has a waitlist, and that waitlist is often a result of the previous 50/week cap for small practices. If one is ok to use any GP, appointments abound now with no delay to get in.

If you book an appointment at a GP you get a time slot and so there are not queues.


The GP channel is very scalable and if supplied at the correct rate can easily do many more vaccinations than they have. There is also no reason at all that select GP Clinics could not be doing Pfizer as well.



Also note that the GP RC are not run by the commonwealth. They are run by GP's.
In Vic I used one and it was super quick and efficient. I parked my car 20 m from where I was vaccinated and I doubt you could do that at any state run hub ;)

All channels are good. The more channels the better.
 
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heavy lifting in that state to date

Again you are ignoring the time difference between the two channels, and two different vaccine types, so not a fair comparison. Compare next week (a single week not life to date) and you will see much lower difference between State and Commonwealth GPs. Gladys's opening Olympic Park (and now Blacktown) and adding standby lists for 40-49s is doing more to promote uptake than GPs who delay appointments rather than refer their unserviceable patients to GPRCs.

f you made Olympic Park AZ only then just watch the demand there drop off.

Of course because there is significant hesitancy and rightful distrust of the AZ vaccines, as evidenced by the fact that so many vacancies at GPRCs for AZ appointments. When the other 49 Pfizer clinics open to Public you will see a mad rush, you will also see a small jump in Olympic Park numbers when they add AZ to the mix later this month.

if we are to vaccinate the most vulnerable, GP delivery is vital.

The most vulnerable are 1A. Workers in that cohort got Pfizer at hospital hubs, and those living in aged care got Pfizer delivered to them, they didn't go to a GP. GPs mostly done 1B and 2A to date and until the state runs hubs opened most of those people only had a choice of GP or GPRC. That is changing now the better option of mass hubs are opening.

Most people I have spoken to here in Sydney that have had, or are booked in for a Covid shot, are using the GPs

Where as most people here in Sydney I have spoke to have had AZ at a GRPC (including my parents as wait for GP was not clear), Pfizer at a hospital hub (friends who are doctors, nurses and some of my staff who work onsite at various hospitals), Pfizer at Olympic Park (including my BIL who is 1B because of his job), are over 50 and refusing AZ (the largest group by far - all hoping government secure a better option for over 50s) or are under 50 and desperately wanting Pfizer having waitlisted at Olympic Park. I only know 1 person waiting for their GP.

To date the approach has been highly skewed towards older people who aren't working and probably have health issues which mean they go to a GP regularly, this is much less appealing for a younger cohort many of whom don't see a GP regularly. For healthy people preventive health measures are commonly done elsewhere i.e. flu shot at work, travel vaccines at travel clinic, skin cancer checks at skin cancer clinic, cancer screening through Breast Screen vans etc - they only go to GP if really unwell and go to which ever is closest and has a vacancy, they don't necessarily have regular GP or any interest in meeting a new one.

This weeks work poll (and over 50% of our clients work in health) asked both our staff (and any customers who visited our offices at some of our hospital sites) where they would prefer to be vaccinated. The options were:
A. At work - the leading result by the way, and luckily an option for those working at the hospitals;
B. Mass vac centre near workplace - the second highest number of votes or
C. GP - which tracking a long way behind A & B.

Not planning to use workplaces like they do for Flu vax is the largest missed opportunity now that we are moving to working age cohorts.

There is also no reason at all that select GP Clinics could not be doing Pfizer as well

Would be a very tiny number that have facilities to keep at recommended temperature, most would be storing at higher temperatures meaning short window of viable usage and more wastage likely if people don't show up etc. The mass vac centres can store Pfizer at -70, and so only need take small numbers out of super cold storage at a time and will eventually be able to take walk-ups too to ensure no wasted doses.
 
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I suspect the hubs will become more important when trying to reach the younger age groups. When I was in my 20's and 30's living in Melbourne and Sydney, I did not really have a regular GP. I suspect many in the age group still do not. Most of my relatives in their 70's and 80's do seem to have a regular GP and do want to get their vaccine there.
 
I suspect the hubs will become more important when trying to reach the younger age groups. When I was in my 20's and 30's living in Melbourne and Sydney, I did not really have a regular GP. I suspect many in the age group still do not.

Exactly what I have been saying.

The people most likely to have a regular GP (and therefore interested in going to a GP for a vaccine) are older people with health issues, those with chronic conditions or young kids (especially those who go to day care which is essentially the equivalent of a cruise ship petrie dish).

Those without a regular GP would prefer mass vac centre than having to try and find a GP for a vaccine or go to GPRC which dont open on weekends.
 
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And if Pfizer was made available to the GP vaccinators there would be a great drop off in demand for the hubs.

As to how many have GPs at younger ages ~6% of Australians aged 18-64 are on the disability support pension.There are people now who are on the NDIS books instead of the DSP.
Then not everyone with a disability is receiving support.Quite a few do work or their partner works so that they are unable to access the DSP.

Throw in the families with children -not necessarily young children -and the numbers get quite large.
 
And if Pfizer was made available to the GP vaccinators there would be a great drop off in demand for the hubs.

We will see.

Personally I highly doubt this will be the case in metro areas for the 18- 50s. Based on survey I've seen at work. GP channel was least appealing option for those of working age. There was huge support for workplace schemes or being able to pop to a mass vac centre near office.

Given there is no need for a consultation / physical to get a vaccine, simply no need to go to a GP for most people. Easy booking, quick service and outside of working hours access are important, personally knowing the nurse/doctor that jabs you is not for most healthy people.
 
With GP administered
I suspect the hubs will become more important when trying to reach the younger age groups. When I was in my 20's and 30's living in Melbourne and Sydney, I did not really have a regular GP. I suspect many in the age group still do not. Most of my relatives in their 70's and 80's do seem to have a regular GP and do want to get their vaccine there.

A multi-channel system is required as different things will suit different people. The more channels to higher the total vaccination rate will be. Hubs make sense where you have high volumes of people that can easily get to them.

However you do not have to consult with a GP to get vaccinated via the GP channel. It is also no correct that you need to have a regular GP to get vaccinated via the GP Channel.

You do not need a regular GP. However early on the 50 /week cap on smaller practices plus the priority process meant smaller practices prioritised existing patients.

1/ You can use a GP RC Clinic run by a GP (as I did, and the GP was not my regular GP and indeed I have never been to their practice before and the only time I will do so again is when I get my second dose). No consultation with a doctor. Booked online. No hassle. Parking within 20m of where you get jabbed. With the GP RCs there are many options and often only several kms from where one might live or work.

2/ If you want to consult with a doctor you can book in to a GP Practice rather than a GP run RC.

a) This can be your regular GP if you have one,
b) But it can also be any GP Practice if they do vaccinations as not all do.

What will dry up the volume of vaccinations done via GP's if is the Feds do not supply them or at least select GPs (ie the GP RC's) with vaccines other than AZ. They will need access to Pfizer/Moderna/Novavax.
 
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Today's Update: ( Note that GP Channel in the last 24 hours delivered 59,583 doses. State Hubs 34,562 dose = GPs still doing the heavy lifting)
1621578576130.png1621578655866.png1621578701550.png
1621578742745.png
 
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It is also no correct that you need to have a regular GP to get vaccinated via the GP Channel.

Absolutely no one made that claim anywhere on thread.

However, plenty of reports of people booking appointments at GP practices (not GPRCs) where they absolutely make you fill in a new patient form to get a medical history, swipe your medicare card to get a consult fee from the tax payer, before giving a shot.

The point it is that only those with a regular GP would tend to seek to use that channel for a vaccine in the first instance. Those with no regular GP are far more likely to favour mass vaccination clinics for ease, accessibility and removing risk of encountering an unwell person while attending for preventative vaccine vs medical treatment.
 
The GP Channel in the last 24 hours delivered 59,583 doses (AZ Only) whereas State Hubs despite having the huge advantage of Pfizer plus AZ delivered 34,562 doses.


Even in Vic where they now have State run hubs operational throughout the state had 10,683 Hub vaccinations (Pfizer plus AZ) vs 13,500 via GP (AZ only).

= GPs still doing the heavy lifting

With Pfizer and ignoring those in aged/disability care facilities, apart from a limited number of GP's trialling Pfizer delivery, people have no choice but to go to a state facility.

So currently of the people who are free to choose whether to use the State Hub Channel or the GP Channel the clear majority are choosing the GP Channel. That is what the numbers clearly show.


If Pfizer stays at the Hubs only then more and more people will be forced to use that channel as it will be their only choice.



And there are no unwell people seeking medical treatment at GP RC's. They are really just smaller versions of the State run hubs., and indeed being less busy would mean less chance of encountering an unwell person.

ie.

Olympic Park Hub...

1621582002595.png


Verses the GP RC that I went to with no people at all waiting. Just those booked for their timeslot and where everyone was processed immediately.

I parked my car. Walked 20 m to the person coordinating the site. Walked another 10 m to complete the paper work. and sat near about 6 people. Sat for 1 munute. Walked another 15 m to the room where a nurse vaccinated me. Walked back 25m to the observation period. As that was longer time period maybe 20 people all up.

Walked back the 20 m to my car and away. All very easy, all with minimal numbers of people and no queuing at all.



Personally I think the Sate Run Vaccination Hubs are a great idea. However the GP delivery option is safe and convenient for many people. Multiple options is the best option, including that some may also like to consult with a GP.
 
And there are no unwell people seeking medical treatment at GP RC's.

Again this was not what was said. I mentioned unwell people in waiting rooms at GP practices not GPRCs.

I have stated more than once I have sent people I know to GPRCs (including my parents) because of ease of same day appointments. Although you still have to book to go to a GPRC in NSW, no walk-ins allowed. And because the numbers are lumped in with GP practices, the fact that the GPRCs that are doing the heavy lifting is hidden.

GP practices need to be legally required to direct patients to a GPRC or state run vaccination hub if they dont have doses available to give a dose in a timely manner - asking people to wait weeks is very very poor form as completely unnecessary.

whereas State Hubs despite having the huge advantage of Pfizer plus AZ delivered 34,562 doses
NSW state run hubs are not yet administering AZ yet, its only Pfizer.

Olympic park (and the other 49 sites) are great and the queues show how popular they are and how many people are wanting Pfizer and willing to travel to get it there rather than sign a waiver to get AZ at a local GP or GPRC.
 
It's not that decentralised - there's around 3 million people in the Brisbane-Gold Coast corridor (geographically smaller than Greater Sydney) which makes up 60% of the state.
Absolutely no one made that claim anywhere on thread.

However, plenty of reports of people booking appointments at GP practices (not GPRCs) where they absolutely make you fill in a new patient form to get a medical history, swipe your medicare card to get a consult fee from the tax payer, before giving a shot.

The point it is that only those with a regular GP would tend to seek to use that channel for a vaccine in the first instance. Those with no regular GP are far more likely to favour mass vaccination clinics for ease, accessibility and removing risk of encountering an unwell person while attending for preventative vaccine vs medical treatment.
Absolutely no one made that claim anywhere on thread.

However, plenty of reports of people booking appointments at GP practices (not GPRCs) where they absolutely make you fill in a new patient form to get a medical history, swipe your medicare card to get a consult fee from the tax payer, before giving a shot.

The point it is that only those with a regular GP would tend to seek to use that channel for a vaccine in the first instance. Those with no regular GP are far more likely to favour mass vaccination clinics for ease, accessibility and removing risk of encountering an unwell person while attending for preventative vaccine vs medical treatment.
I am all for a multi channel approach but you seem to be quite negatively biased against GP delivery of vaccines. It is as important as mass vacc clinics
Again this was not what was said. I mentioned unwell people in waiting rooms at GP practices not GPRCs.

I have stated more than once I have sent people I know to GPRCs (including my parents) because of ease of same day appointments. Although you still have to book to go to a GPRC in NSW, no walk-ins allowed. And because the numbers are lumped in with GP practices, the fact that the GPRCs that are doing the heavy lifting is hidden.

GP practices need to be legally required to direct patients to a GPRC or state run vaccination hub if they dont have doses available to give a dose in a timely manner - asking people to wait weeks is very very poor form as completely unnecessary.


NSW state run hubs are not yet administering AZ yet, its only Pfizer.

Olympic park (and the other 49 sites) are great and the queues show how popular they are and how many people are wanting Pfizer and willing to travel to get it there rather than sign a waiver to get AZ at a local GP or GPRC.
You seem to be biased against GP vaccination delivery. Only about 10% of our patients took up offer for State hub/ respiratory clinics despite us pushing them towards it. Now we have adequate supply, barely anyone wants to go there. I think we will play more important role in reducing vaccine hesitation rather than any media campaigns. Trust is the issue. This is not a money making exercise for us but part of our community obligation
 
barely anyone wants to go there

But you just proved my point, that the people who favour using GP practices are those who already have a relationship with that GP practice. You are currently providing AZ to an older cohort who are already customers of your practice.

What people who don't have a regular GP or younger working age people getting Pfizer will want to do will be different, and we need to chnage the balance as more people become eligible to get a vaccine.

I quite openly admit that I do not favour GP practices as a preferred channel, as I think GPs would better serve the community by providing medical care for unwell people. If a nervous nelly make a GP appointment to chat about vaccine, that is an appointment unavailable for an actual sick person.

We see ERs inundated with people presenting with cases that should be treated by a GP, but they go to ER because ER doesn't require an appointment, and getting a GP appointment can be difficult in some areas and virtually impossible outside of business hours.

The majority of the Australian population is consolidated along the coastline in a few major cities - in these areas mass centres make the most sense in terms of efficiency and reducing potential dose wastage.
 
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