Coronavirus (Covid-19) vaccinations in Lincolnshire

The autumn Covid-19 vaccination campaign has now ended. Please keep checking these pages for updates about future campaigns.

You can also contact us via email for further advice – licb.imms@nhs.net

Additional vaccines for people with a severely weakened immune system

As outlined in Chapter 14a of the Green Book (page 32), if you develop a new health condition or start treatment that severely weakens your immune system (including stem cell therapy), you may need additional protection or to restart your vaccinations before the next seasonal COVID-19 vaccination campaign.

Severely immunosuppressed individuals aged 6 months and over:

Individuals who develop severe immunosuppression may be at high risk of severe COVID-19 and less able to sustain any protection from previous vaccination or exposure. Such individuals should be considered for additional dose(s) of the COVID-19 vaccine in between seasonal campaigns. This would usually be decided by their Specialist.

Vaccines for people receiving stem cell/bone marrow transplants:

Individuals who receive bone marrow transplants, and many individuals who receive CAR-T for certain conditions, may lose immunological memory from vaccination received prior to the treatment and the development of the underlying condition. After treatment and recovery, these individuals should be considered for a first dose of COVID-19 vaccine, regardless of the time of year. A subsequent dose should then be offered a minimum of three months later to extend the duration of protection and may be best aligned with a seasonal campaign.

How to get an additional vaccine?

Your specialist will assess and decide whether you need an additional vaccine. They will make a referral to the Lincolnshire Vaccination and Health Improvement Team and advise on the best timing for vaccination around your planned treatment.

Speak to your specialist for more information.

Where will you get your additional vaccine?

On receipt of the referral form, you will be given an appointment at a vaccination centre. Vaccinations are not available on a walk-in basis.

You can find more information on getting a Covid-19 vaccination here Getting a COVID-19 vaccine – NHS (www.nhs.uk)

Treatments for Covid-19 for those eligible for antiviral treatment

Some people at highest risk of becoming seriously ill from COVID-19 are eligible for antiviral treatments on the NHS and will have received a letter notifying them of this.  These patients include those with cancer, blood conditions, kidney disease, liver disease and autoimmune conditions, among others.  This also includes residents in care or other high-risk settings. Find out more below.

If you have become newly severely immunosuppressed, you should approach your hospital consultant who will be able to advise you on the best time to have the vaccination and make a referral to the appropriate service if a vaccination is required.

  • Treatments for Covid-19 for those eligible for antiviral treatment

    If a patient who is symptomatic and tests positive needs to access the Covid-19 Medicines Delivery Unit (CMDU) for antiviral treatment, then this is via NHS 111.  When patients call NHS 111, there are two outcomes:

    1. Following a Pathways assessment, if there are no “other” symptoms, the patient is referred via the Clinical Assessment Service (CAS) directly to the CMDU by the 111 provider. The CMDU will call the patient back within 24 hours. End of process.
    2. Following a Pathways assessment, if the patients DOES have other symptoms (eg chest pain, breathing difficulty, other etc…) then the DOS will refer them to the appropriate service to be managed, as with any other caller to 111. This service could be 999, ED, SDEC, Primary Care, UTC or GP OOH.

    Patients or clinicians can make the call to NHS 111 and will need to advise on eligibility for anti-viral treatment.  The Lincolnshire Clinical Assessment Service (CAS) should then refer the patient on to the Covid-19 Medicines Delivery Unit (CMDU) at Lincoln County Hospital rheumatology department. Please note that this process may be different to other areas.

    CMDUs are community hubs for administering neutralising monoclonal antibodies (nMABs) or antivirals to patients who are at high risk of complications from Covid-19.  Patients eligible for nMAB or antiviral treatment will be identified centrally and will have received a letter to inform them that if they get Covid-19 they should receive these treatments. GPs should not have to identify these patients.

    For more information, please refer to the NHS website Treatments for COVID-19 - NHS (www.nhs.uk)

    GP letter – update on COVID treatments for the highest risk individual

    COVID-19 treatment pathway – antivirals

  • Who can get a free COVID-19 rapid lateral flow test?

    COVID-19 rapid lateral flow tests are no longer free for most people.

    You may still be able to get free COVID-19 rapid lateral flow tests from the NHS if you have a health condition which means you're eligible for COVID-19 treatment

    • If you want to get tested but are not eligible for free rapid lateral flow tests, you need to pay for the test yourself. You can buy rapid lateral flow tests from some pharmacies and retailers, in person or online.

    For individuals who are eligible for free rapid flow tests, these are only available from participating local pharmacies that have agreed to sign up to the free Lateral Flow Device advance service.

    The find a pharmacy NHS webpage allows people to look up what treatment and services are provided by specific pharmacies using their postcode. If a pharmacy is signed up, this information should be under ‘treatments and services’ and then ‘screening and test services’ and will state ‘COVID-19 lateral flow tests (eligible NHS patients)’.

    If you’ve been sent a letter or email from the NHS about COVID-19 treatments, this should be shown to the pharmacy to help confirm your eligibility more easily.

Frequently Asked Questions

Find out more about the COVID-19 vaccinations.

See FAQs