Last week they were getting no direction and seemed to being left to make decisions at a local level that really should have been directed nationally, they are now awataing more direction from above so thats good.
The main areas causing issues are to do with not wasting vaccine, the experts from the NHS predicted 25% waste, the gov have said make it 5. The issue there is the vaccine arrives in cases of 900 doses, many places will not be able to administer 900 doses before it goes off. So it needs packing down into smaller cases, now there are very strict rules about packing down drugs. Last week the MHRA's advice was dont pack it down, but this would result in an awful lot of waste. So now its coming down to just how strictly are the normal rules to be followed, or how do we follow all of the rules without a huge delay.
Another issue is the viles contain four doses, that means putting a needle in a vile thats already been opened, ideally you have one does per vile and throw the vile when done. Thats not to say it cant be done like this, but all people administering it will need to understand and follow correct aseptic techniques.
My other half doesnt think these are huge problems, but we are likely to see hiccups and delays.