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... or wait 6 months until you can get hold of something privately ? We've lost a whole year. What's another half .... surely the Oxford one widely delivered on this basis seems very likely to promote early mutation to increased virulence and vaccine resistance ?
At 82 and not the best health she probably hasnt got that many 6 months. Like I said hard choices
 
Why is she not getting the Pfizer vaccine? Who is getting it, if not 80+ year olds? Or is she afraid of genetic engineering?
The only thing Joan is scared of is any more time without bingo, swimming and Derek ?

She may get the Pfizer, I'm only guessing that once the Oxford roll out starts that her chance of getting that is higher
 
Yeah the thing is they've not really done trials with just one dose so it's hard to know.

Suspect it will be lower % of completely immune to infection but the risk of severe disease is very low. So like you said, reduce the nhs pressure and letting things open up a bit. Then sort out long term immunity.

So not unlike the flu jab, only 60% ish efficacy to stop you actually getting the flu but does also reduce severity if you get it.

Oxford can be mass produced quickly and around the world in many facilities. So like someone else said, if reduces the amount of virus in circulation, that would be a big help.

Ps: I think if they get a lot vaccinated with just 1 dose, they will be keen to open everything up quickly to stop the economy ending up in a massive rut. They will just sat those at risk who have only had 1 dose to remain careful, the rest, off we go?

I think you are right that will be their plan of action. All the country has had some level of protection: so get back shopping, eating and drinking. And to me that is a sensible option, the economy simply can't survive much longer. We'll end up staying home due being unable to afford anything due to massive Tax payments in a few years if this goes on much longer. History also tells us its hard and costly to get the long term unemployed back to work. In the 00s boom years they were still struggling to get 80s mining communities and their kids and grandkids into work for example.

There's no reason some low impact on being sociable measures like mask wearing, sanitiser available, table service, frequent cleaning etc cant go on a bit longer anyway. Like the rules we had July-September.
 
Other way round, So if you accept the full first dose you can't wait for the data to catch up and "fix it" with a half-2nd dose. The way it's panned out they're going to rush full first doses in the millions. Basically offering the UK population the 3rd world "something better than nothing" option rather than the US-EU "best option".
Don't think I agree with it being a "3rd world option" at all. It's all about what you can manufacture and how quickly I think. I would happily take a 60% effective one dose and then be topped up 12 weeks later to a higher level in the first half of this year via the Oxford jab than have to wait another year to get the Pfizer one.
 
Don't think I agree with it being a "3rd world option" at all. It's all about what you can manufacture and how quickly I think. I would happily take a 60% effective one dose and then be topped up 12 weeks later to a higher level in the first half of this year via the Oxford jab than have to wait another year to get the Pfizer one.

I agree. Also worth pointing out they don't always get the normal Flu vaccine completely right, its a best placed guess of what strains will hit using data from Australia (due to the opposite seasons) we're never going to have something 100% effective.
 
Don't think I agree with it being a "3rd world option" at all. It's all about what you can manufacture and how quickly I think. I would happily take a 60% effective one dose and then be topped up 12 weeks later to a higher level in the first half of this year via the Oxford jab than have to wait another year to get the Pfizer one.

It's down to handling and logistics. Like the UK's management of PPE vs Germany's. 'Nuff said. How come they managed to roll out the vaccine to care homes in Berlin from Day 1 and in UK they couldn't. It's because UK cannot plan (anything) properly or efficiently and is underskilled and understaffed in key areas.
 
It's down to handling and logistics. Like the UK's management of PPE vs Germany's. 'Nuff said. How come they managed to roll out the vaccine to care homes in Berlin from Day 1 and in UK they couldn't. It's because UK cannot plan (anything) properly or efficiently and is underskilled and understaffed in key areas.

The NHS is good for lots of things and I fundamentaly believe in free health care, but Public sector is not as quick as the Private sector. Private sector companies are of course focused on profit so will seek out the most efficient ways and the culture is to resolve any blocking points quickly to get the deal done and get payment made. I find Public sector likes to stick to what it knows and everything needs a rubber stamp or approval to get anything moving. Of course ideally you need a happy medium between the two points of view but its a very hard balance.

Pouring more money in isnt always the answer either as a lot gets wasted on more Management, Management Consultants, IT projects that never launch etc than actually more Nurses, GP's and things the public benefit from on the front line.
 
Wish they would stop putting an expiration date on these lockdowns/tiers/measures and just commit to them until there's a marked improvement

It's a bleak winter now. No way of salvaging it. So no point in yo-yoing.
 
The NHS is good for lots of things and I fundamentaly believe in free health care, but Public sector is not as quick as the Private sector. Private sector companies are of course focused on profit so will seek out the most efficient ways and the culture is to resolve any blocking points quickly to get the deal done and get payment made. I find Public sector likes to stick to what it knows and everything needs a rubber stamp or approval to get anything moving. Of course ideally you need a happy medium between the two points of view but its a very hard balance.

Pouring more money in isnt always the answer either as a lot gets wasted on more Management, Management Consultants, IT projects that never launch etc than actually more Nurses, GP's and things the public benefit from on the front line.

.... which is why there should be a private sector option. Let public sector deliver Oxford which requires no more organization than a third world rollout and let Private sector take over Pfizer and Moderna. Money saved for the NHS as people who pay privately won't be asking the taxpayer to fund the more expensive (or indeed any) option. I am virtually certain that if we hadn't privately funded cancer treatment I would have no parent alive right now.... I know they do the best they can but sometimes that isn't enough. When it isn't, you have a choice - pay or do without and pay with your health or your life.
 
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.... which is why there should be a private sector option. Let public sector deliver Oxford which requires no more organization than a third world rollout and let Private sector take over Pfizer and Moderna. Money saved for the NHS as people who pay privately won't be asking the taxpayer to fund the more expensive (or indeed any) option.
There's a fairly good bit of reasoning there. Can't see it happening unfortunately, as would be perceived as being elitist where you could buy your protection. However, I suspect there is already money changing hands and folk are receiving it who aren't on the priority list. No evidence to back this up, but cronyism is rife!
 
There's a fairly good bit of reasoning there. Can't see it happening unfortunately, as would be perceived as being elitist where you could buy your protection. However, I suspect there is already money changing hands and folk are receiving it who aren't on the priority list. No evidence to back this up, but cronyism is rife!

We're not a frigging Socialist / communist country yet. Or are we ?? :rolleyes:

You just spin it that the Government can't justify spending taxpayer money on the Pfizer / Moderna when there is a more affordable alternative which meets public health objectives. So if you want the fancy ones you have to pay for them. Plus NHS is then supporting UK industry over foreign industry. All the bullsh*t that brexit is about.
 
.... which is why there should be a private sector option. Let public sector deliver Oxford which requires no more organization than a third world rollout and let Private sector take over Pfizer and Moderna. Money saved for the NHS as people who pay privately won't be asking the taxpayer to fund the more expensive (or indeed any) option.

That does make sense...but it'd be a political hot potato as the left wing would be quick to point out that wealthy Surrey business man has got his jab before elderly Yorkshire lady.

It also makes sense to jab the denser populated areas first for cost and stopping the spread, but again that causes political problems. If they said for example they are not focusing on the Highlands because everyone lives so far away and its costly, they are doing London first, the SNP would be all over that.
 
The NHS is good for lots of things and I fundamentaly believe in free health care, but Public sector is not as quick as the Private sector. Private sector companies are of course focused on profit so will seek out the most efficient ways and the culture is to resolve any blocking points quickly to get the deal done and get payment made. I find Public sector likes to stick to what it knows and everything needs a rubber stamp or approval to get anything moving. Of course ideally you need a happy medium between the two points of view but its a very hard balance.

Pouring more money in isnt always the answer either as a lot gets wasted on more Management, Management Consultants, IT projects that never launch etc than actually more Nurses, GP's and things the public benefit from on the front line.
I think the problem is public services made to work more "efficiently" each year with reduction in money they get. Or they are forced to tender services to private companies that ain't too good at it. (Like how hospital cleaning was all outsourced under Thatcher years, but a lot of hospitals taking it back in house as its run better)

The diverting of funds and resources from NHS testing labs to the private lighthouse ones is a good case in point. The NHS labs had to work over capacity to deal with their failings ?‍♂️

The private sector is good for many things, especially if they smell pork, but at such a large scale only the likes of the NHS can deal with that imho. (With private companies helping out where they are genuinely competent and not just after the pork)

Making GPs having to be financial experts was another stupid move by the Tories, but hey ho.

Ps: gov money spending on vaccine even if £25 a pop is chicken feed to what they spending to prop up the economy (£400 billion and counting)
 
That does make sense...but it'd be a political hot potato as the left wing would be quick to point out that wealthy Surrey business man has got his jab before elderly Yorkshire lady.

Not necessarily. You can instruct private sector to follow the same rules and principles about prioritization - i.e. for any batch opened it must be allocated to over-80s applicants first followed by over 75's etc etc

Public sector does not have the manpower to deliver more doses than Oxford could supply in a week I believe so it is a fallacy to suggest people who would otherwise have got it at the same time are being denied it.
 
Not necessarily. You can instruct private sector to follow the same rules and principles about prioritization - i.e. for any batch opened it must be allocated to over-80s applicants first followed by over 75's etc etc

Public sector does not have the manpower to deliver more doses than Oxford could supply in a week I believe so it is a fallacy to suggest people who would otherwise have got it at the same time are being denied it.

I personally agree with you. But the opposition parties and media are ready and waiting to pull the Tories up for anything and a 'rich' person paying to queue jump would be fuel on the fire. They won't care if the Private company has stuck to rules about prioritising, the headline would be 'rich man killed my poor grandma'
 
I think the problem is public services made to work more "efficiently" each year with reduction in money they get. Or they are forced to tender services to private companies that ain't too good at it. (Like how hospital cleaning was all outsourced under Thatcher years, but a lot of hospitals taking it back in house as its run better)

The diverting of funds and resources from NHS testing labs to the private lighthouse ones is a good case in point. The NHS labs had to work over capacity to deal with their failings ?‍♂️

The private sector is good for many things, especially if they smell pork, but at such a large scale only the likes of the NHS can deal with that imho. (With private companies helping out where they are genuinely competent and not just after the pork)

Making GPs having to be financial experts was another stupid move by the Tories, but hey ho.

Ps: gov money spending on vaccine even if £25 a pop is chicken feed to what they spending to prop up the economy (£400 billion and counting)

Agree with that. Private sector has its flaws and the Hospital Cleaning example you give is a good one, in-house cleaning where the Matron took pride in the ward gave a better service than Private operator not caring from a distance.

A mixture of the best of both industries is the nirvana. Or at least more people who've worked in both industries and haven't gotten into bad habits on either side.
 
Just had a phone call from my local hospital *heart jumps...and early jab???** "We have had a cancellation, can you pop in next week for your routine glaucoma scan?" *Heart sinks*.
 
The 12-week wait thing is a joke. Won't do the 1/2 followed by full dose approach as the testing sample sub-group was too small and yet proposing to go with a 12 week wait between doses on both jabs, something which has not been subject to any clinical trials AT ALL AFAIK. When politicians suddenly decide they can mix and match in a knee-jerk response to queueing ambulances. And we're being asked to trust them ? Elderly mum has just said she's lost all confidence and will be refusing the vaccine. That's from a household who were 100% pro. F'king shambles.
 
The 12-week wait thing is a joke. Won't do the 1/2 followed by full dose approach as the testing sample sub-group was too small and yet proposing to go with a 12 week wait between doses on both jabs, something which has not been subject to any clinical trials AT ALL AFAIK. When politicians suddenly decide they can mix and match in a knee-jerk response to queueing ambulances. And we're being asked to trust them ? Elderly mum has just said she's lost all confidence and will be refusing the vaccine. That's from a household who were 100% pro. F'king shambles.
What I heard is there where a range of durations between the doses, and the half full combo actually had a longer period than the "normal" 3 weeks. I think when the full dataset is released it will have more scrutiny.

But they not doing a good job of communicating the info clearly and the ranges of durations etc for sure.

Tldr
40k+ people in trial, most had 1 + 1 dose with a range of delays between first and second. Those with longer waits had better results.

The 1/2 + 1 had higher efficacy, but also had a longer than normal delay between doses. There not enough data to say if it was half dose or the longer delay that made it better.

So they going with the 3 month delay as the 1 + 1 results for groups who had that longer delay had 80% efficacy.

Confusing eh!?
 
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