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Coronavirus staff guidance University Hospitals Birmingham NHS Foundation Trust

Inpatient vaccination form

COVID-19 vaccinations are available for eligible inpatients.

All eligible in-patient COVID-19 vaccinations must be referred to the BSOL COVID Vaccination Team.

UHB Pharmacy do not stock the COVID-19 vaccine and it is not available to be dispensed to individual teams. Inpatient COVID-19 vaccination is undertaken by the BSOL COVID Vaccination Team.

A speciality arrangement can be made following a risk assessment and training in accordance with national guidance. Please contact the BSOL COVID Vaccination Team for further information.

Email: BSOLCovid-19VaccinationSVOC@uhb.nhs.uk

Patients may receive a vaccine when the clinical team has submitted the form below, pending current NHS eligibility guidance detailed in chapter 14a of Public Health England's Green Book.

The referred patient must have been assessed and approved as fit for vaccination by their clinical team.

Patients who require complex planning and co-ordination to receive their vaccine must be referred via this route. This includes patients that require sedation or a general anaesthetic to be vaccinated.

Tel: 07585 206 346
Email: Jane.Stallard@uhb.nhs.uk

If the patient is under 18 or has an allergy to the available vaccine, extra planning may need to be undertaken.

Please do not delay a patient discharge waiting for a vaccine as eligible patients will be able to be vaccinated elsewhere.

If you have any questions prior to referral, please email the BSOL COVID Vaccination Team.

Email: BSOLCovid-19VaccinationSVOC@uhb.nhs.uk

To request vaccination for an inpatient, you must be able to confirm the following …

To complete the request, please submit all of the required data in the following form.

Patient's details

Site [REQUIRED]

You must ensure the patient has given consent for their number to be used for this purpose. 

Patient's date of birth [REQUIRED]

Referrer details

We will only contact you if we have questions.

Once patients have been vaccinated, this will appear in their patient record.

Planned date of discharge [REQUIRED]

Do not delay a discharge to wait for a vaccine. Discharged patients can be vaccinated in the community.

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