Part of the debate – in the Senedd at 3:15 pm on 2 February 2021.
On progress on those people who are refusing, part of our challenge obviously is that the vaccination is voluntary, and so there are people who for different reasons are more or less anxious about what to do, and it builds on your point about communication, about the range of concerns that there are, so we are looking at, as we've gone through this, understanding more of the concerns that people have to be able to combat them, and these are issues that are not just here in Wales; they're common issues right across the UK and indeed across Europe.
So, we are doing some specific work, for example, on black and Asian-origin communities. I think it was a very positive step forward to see Members of Parliament from the Conservatives and the Labour Party who really don't like each other; you wouldn't normally see James Cleverly and Diane Abbott share a platform, but they were both in a joint video, encouraging people to have the vaccine. Now, I think that's really important. In amongst all of the difference of opinion we will have about what has happened or what will happen, it's really important to encourage people to take up the vaccine because it's safe and it's effective.
And I think that then goes into your point about vaccine efficacy and new strains. So, with both, if you like, the Kent-plus variant, and the South African variant, there is concern that there'll be a less effective response for vaccines. That does not mean that vaccines won't be effective at all; they will still offer a good level of protection, and in fact it reinforces the need to continue going with real pace in our vaccination programme. And as you heard the public health director for Public Health England in the press conference that he did with Matt Hancock yesterday, you'll hear exactly the same advice from all public-health agencies right across the UK about the fact that there is concern that the vaccines will be less effective but not ineffective; still safe, still effective, and still important that everyone does take up the opportunity when offered, and you can expect to see primary care clinicians in particular looking to follow-up those people who have yet to have their vaccine, but the real challenge is in getting through groups 1 to 9 as quickly as possible, where we know that 99 per cent of the deaths take place. However, there is still a high number of hospitalisations for people outside categories 1 to 9, so even after that, it's not quite as simple as taking a Ryanair approach, to then saying, 'Everything can start and go back to normal.' We're in this still for some time to come.
On your point about care homes; these have not been reclassified. There is no sleight of hand taking place here. There is no neglect of care home residents taking place. The target was about older person care homes, because that's where the highest risk is, and it's the ones where we're seeing the, at times, horrific results of coronavirus getting into those care homes. People with other susceptibilities to coronavirus will be covered by other priority groups, so if you expect to see people with, for example, a learning disability, then those that are older, over the age of 50, will be covered by their age cohort and those with other healthcare conditions, those people, for example, who can get the NHS flu jab, can expect to be covered in priority group 6 as well, and so we're moving progressively through not just groups 1 to 4, but at some point we'll be inviting in earnest groups of people from 5, 6, and others to come forward as well. So, the pace isn't going to slow up in terms of what we're able to do and we're certainly not forgetting people, either.
In terms of the care homes that we have, I was just looking at some figures earlier, and I'll provide a note back to this, so I'm not misremembering and misrecalling what's happened, but of the care homes that have not been completed, there are a range that have been partially completed, because we did issue guidance across Wales so there was a consistent approach. If there were a handful of cases as opposed to a wider outbreak, on a risk-assessed basis, teams were able to go in and test those people who had tested negative. So, they went in and they'd been able to vaccinate a number of people, so we have a range of care homes that are partially complete for staff and residents, and we have others where they weren't able to go in at all, and I think the numbers for those are in the low 30s, where that's because there's been an active outbreak. But given you've asked the question now, I'll send a note out to Members afterwards to confirm that position.FootnoteLink
And then, finally, on your point about pharmacists, we expect to make more use of pharmacists, both in our mass vaccination centres and those that are able to undertake vaccinations on their premises as we go through. And the limiting step—and you'd have pretty much the same answer from any health Minister within the UK—is vaccine supply, because I think in every nation in the UK, and certainly here in Wales, we could deliver more vaccines if we had more supply, especially if it was the AstraZeneca supplier, because it's easier to use. We haven't completely maxed out the ability of primary care to deliver against that, and as we have more vaccine coming on board, and we certainly hope we will have in the future, we should then be able to make even greater use of the well of goodwill as well as the physical ability to deliver more vaccines than exist in primary care.