CORONAVIRUS COVID-19

Ahead of the changes to the rule of 6 from tomorrow and outdoor hospitality next week, please find attached an image and accompanying copy below we’d appreciate if you could share via your available communication channels.

We also have a brand new Reasons Video (with suggested copy detailed below). Reminding the public of the reasons why we need to Keep Wales Safe, even as restrictions continue to ease, which we have uploaded to the DropBox folder here: https://www.dropbox.com/sh/n1ldrgg5dapcwyk/AACnCvuqkK9W4J5D1XhyOYKpa?dl=0

Suggested copy-rule of 6/hospitality:

From Saturday 24 April, 6 people from any number of households will be able to meet up outdoors.

We have also confirmed that outdoor hospitality will be able to reopen from Monday 26 April.

More information here:

https://gov.wales/outdoor-hospitality-given-go-ahead-reopen-and-rules-mixing-outdoors-relaxed-wales

O ddydd Sadwrn 24 Ebrill, bydd 6 o bobl o unrhyw aelwyd yn gallu cwrdd yn yr awyr agored.

Rydym hefyd wedi cadarnhau y bydd lletygarwch awyr agored yn gallu ailagor o ddydd Llun 26 Ebrill.

Mwy o wybodaeth yma

https://llyw.cymru/lletygarwch-awyr-agored-yn-cael-caniatad-i-ailagor-ar-rheolau-ar-gymysgu-yn-yr-awyr-agored-yn-cael

New Reasons Video

Please also find below some example copy to accompany the reasons video:

Twitter/facebook:

One day we won’t have to keep our distance. Soon we’ll see everyone smile.  

Let’s keep it up. 

Because we’ve all got a reason to #KeepWalesSafe. 

Un diwrnod fydd dim rhaid i ni gadw pellter. Cyn bo hir cawn weld pawb yn gwenu.

Daliwn ati 

Mae gan bawb ei reswm i ddiogelu Cymru #DiogeluCymru

Longer form copy

Coronavirus is still here and it’s going to need a big team effort for us to live alongside it safely. This hasn’t been an easy time for anyone and coronavirus has really changed our lives. We’ve all got a reason to keep doing our bit to stop the spread of coronavirus so we can get life going again. We all have a part to play, by thinking every day about what we should do, rather than what we can do, to protect lives, livelihoods and our ways of living. More information: https://gov.wales/together-well-keep-wales-safe

_____________________________________________________

Update 1st March 2021

Dear Colleagues
Our COVID-19 vaccination programme has now reached 50,000 first doses,
and 56,000 total doses (first & second). This is excellent progress in
delivering this vital protection for the people of Powys.
Over 56,000 vaccination doses have been delivered in Powys
Last week the main focus for our vaccination programme included:
 Continuing our first dose vaccinations for people aged 65-69. Over 80%
of people in this group have now received their vaccination. The final
invitations to people in this group will land on doormats this week.
 Beginning our invitations for adults with underlying health conditions.
Around 40% of people in this group have received their first dose vaccination.
Invitations will continue during March.
 Putting in place arrangements for vaccination for unpaid carers. Welsh
Government published its national guidance last week on eligibility for
vaccination for unpaid carers. A new eligibility tool is expected later this week
for unpaid carers to check if they are eligible and request an appointment.
 Continuing to deliver the second dose vaccination for people who
received their first dose in the first weeks of our vaccination
programme. This is in line with UK guidance that people should receive their
second dose vaccination with 12 weeks of their first dose.
More information about the COVID-19 vaccination programme in Powys is available from our website at:
www.pthb.nhs.wales/covid-vaccine
Page 2
As mentioned in previous bulletins, we continue to be in a period where the UK
vaccine supplies we receive in Powys are below the peak that we saw earlier this
year.
During the week we also saw some significant developments in national policy and
guidance:
 Welsh Government issued their updated vaccination strategy, confirming that
Priority Groups 5-9 will be invited by mid April, and the rest of the adult
population will be invited by the end of July.
 The updated national vaccination strategy also endorsed the latest guidance
from the Joint Committee on Vaccination and Immunisation (JCVI). The JCVI
has recommended that vaccination for the rest of the adult population should
be based on age groups – 40-49, followed by 30-39, and then 18-29.
 In their strategy, Welsh Government also clarified that eligibility for vaccination
in Priority Group 6 is different from the seasonal flu invitation. A key difference
is for people with asthma: people with Severe Asthma are included in Priority
Group 6, whilst those with moderate or mild asthma will be invited based on
their age group.
 The strategy also includes the Welsh Government’s latest guidance on
eligibility for unpaid carers, and for people with learning disability and severe
mental illness (COVID-19 vaccinations: prioritisation of individuals with
learning disability or severe mental illness | GOV.WALES)
You can read the updated national strategy on the Welsh Government website at
https://gov.wales/covid-19-vaccine-strategy-update-february-2021
At a national level too, this weekend saw Wales exceed 1,000,000 vaccinations
across the country. In just a few short weeks this is a tremendous achievement.
Looking ahead to this week and next, vaccine supplies do continue to be a limiting
factor, and our expected period of reduced supply is continuing. This means that we
expect our mass vaccination centres to only deliver second dose vaccinations this
week, with, whilst first dose supplies being directed to GP practice. However, we do
expect the supplies to increase again during the month.
Key priorities for the fortnight ahead include:
 The final invitations will be in place for people aged 65-69. This will include a
temporary two-day pop-up clinic in Ystradgynlais for first dose
appointments for people aged 65-69 who have not yet received an
invitation. Please do not call your GP or health board about this clinic – you
will receive an invitation, and the clinic will be by appointment only.
 Invitations will continue for people with eligible underlying health conditions. In
order to ensure that our vaccination programme is as efficient as possible,
different age groups of people with underlying health conditions will be invited
to different locations: 50-64 year olds to mass vaccination centres, 18-49 year
olds to GP practice, and eligible 16-17 year olds to mass vaccination centres
(note that vaccination is currently only recommended for certain 16-17 year
olds with clinical conditions).
More information about the COVID-19 vaccination programme in Powys is available from our website at:
www.pthb.nhs.wales/covid-vaccine
Page 3
 The new online eligibility tool will be in place for unpaid carers, so that you can
check your eligibility and request a vaccination.
 Planning will continue ready for invitations to begin for people aged 60-64 –
before proceeding to 55-59 and 50-54 before the middle of April.
 We will continue with our second dose vaccinations. We expect to reach around
12,000 second doses by the end of next week.
More information about progress and next steps on each of these areas can be found
later in this newsletter.
But also in the weeks ahead, we reach some poignant milestones in our life with
COVID-19. During March we will see the first anniversaries of the first confirmed case
in Powys, of coronavirus being confirmed as a pandemic by the World Health
Organisation, of sadly the first death in Wales, and of the country entering our first
lockdown on 23 March.
This has been a difficult year for us all. Together we have experienced grief, loss and
sacrifice. But alongside this we have been touched by great team spirit, community
support and astonishing resilience and friendship. My thoughts are with everyone at
this time.
As we draw on those experiences from the year gone by, it is vital that we all
remember that COVID-19 is very much still with us. Our vaccine gives is hope, but
COVID-19 continues to circulate in the county. This includes the new, more
infectious strain of COVID-19 – the ‘Kent’ variant. This is concerning because it is
more easily spread, and it is more likely that exposure to the virus will lead to
infection.
This is why it remains vital that we all continue to follow the advice to stay at home,
follow social distancing rules and wear face coverings in indoor public places.
Vaccination does offer the hope of a brighter future – as well as reducing the risk of
serious illness from COVID-19 – but for now it is crucial that we continue to do all we
can to protect ourselves and others from COVID-19. Remember – Hands, Face,
Space.
Thank you for everything you are doing to Keep Powys Safe – and please do feel free
to share this information in your organisations, networks and communities.
Carol Shillabeer, Chief Executive, Powys Teaching Health Board
More information about the COVID-19 vaccination programme in Powys is available from our website at:
www.pthb.nhs.wales/covid-vaccine
Page 4
Vaccination Heroes: Community Transport
In the latest of our series on vaccination heroes we met with one of our volunteer
drivers from the Community Transport service.
Ray Silvester (pictured below) and his wife Paget both volunteer as drivers for
Llanwrtyd Wells & District Community Transport Scheme. This is just one of 15
different community transport schemes running across Powys.
In such a rural area, they provide an essential service where public transport is often
limited. But during the COVID-19 pandemic they have been relied on even more as
many people have been understandably reluctant to use public transport.
Ray explained why he volunteers; “We moved to the area a few years back and one
of the reasons we fell in love with mid-Wales is its close community feel. I took early
retirement and love that I can give something to the community.
It’s not only great to be able to help others, but I love to hear their stories. It’s great
to be able to have the time in the car to listen to people and hear about their lives.”
When we met him, Ray was taking Michael Pace for his vaccination at the Royal
Welsh Showground. Michael told me “I’d not used the service before but without it I
couldn’t have come for my vaccine. I live in Llandod and I don’t drive. I’m not
More information about the COVID-19 vaccination programme in Powys is available from our website at:
www.pthb.nhs.wales/covid-vaccine
Page 5
comfortable using the bus at the moment so the transport scheme is an absolute live
saver.”
Community Transport schemes aren’t just about taking people to hospital and health
appointments. Across Powys the teams also help with a wide range of other transport
issues in the community from school runs to helping people get to the shops.
Thank you to all of the community transport schemes across the county for the
amazing work they do.
More information about travel and transport options for appointments at our mass
vaccination centres is available from our website: Information about Mass Vaccination
Centres – Powys Teaching Health Board (nhs.wales)
Vaccination Heroes: Our Team of Vaccinators
Vaccinating tens of thousands of people across Powys is a huge undertaking involving
huge numbers of people and teams from all areas. We have already published stories
on community transport, facilities teams, volunteers, estates team, administration
teams, military support, pharmacy team and others, but now it is time to talk about
the vaccinators themselves.
With three Mass Vaccination Centres across Powys we have a small army of
vaccinators working in shifts to ensure as many people as possible are vaccinated
safely as quickly as possible.
We’ve been lucky enough to meet a number of vaccinators and talk to them about
what it’s like to be part of something so momentous.
Two of our vaccinators are Helen Protheroe and Sarah Pritchard. They talked a
little about what it’s like to be a vaccinator.
Helen explained: “We have both been vaccinating people against COVID from the
beginning back in December. I find it extremely rewarding to be delivering the
vaccine to people who are really pleased to be here. This is the nice end of COVID. I
have worked in the testing centres and have seen how worried people get so being
able to deliver their protection is really rewarding. For many people this is the first
time that they have been out for a long time so they are extra pleased.”
Sarah said: “This is one of those roles where everyone is pleased to see you. Even
those that have travelled a fair distance to get here are really understanding of the
More information about the COVID-19 vaccination programme in Powys is available from our website at:
www.pthb.nhs.wales/covid-vaccine
Page 6
process and the need for the vaccine to be delivered in Mass Vaccination Centres.
Although we are the ones giving the vaccine it really has been a team effort. From
the volunteers right through the other teams everyone has been great and really
worked well together.”
We then met with three more vaccinators, Cath, Val and Jane.
Jane explained: “I’m a team-leader today, helping to manage the team but I’m
normally a vaccinator. I’ve been part of the vaccination team from day one back in
December and it’s been great to support so many people. I was a Practice Manager
for 30 years before retiring so have given a lot of vaccines over the years, but never
anything like this! When people come for their vaccine, some are a little anxious and
it’s great to be able to comfort them. For many it’s like their birthday and Christmas
have come at once!”
Val went on to tell us: “I’m normally a school nurse but was redeployed to the
vaccination team in January. I really enjoy it and it’s going well. There are loads of us
in the team and we are all doing our bit to deliver the vaccine. Some of the people
coming for their vaccine are concerned because they have read some of the false
information on social media about the vaccine. It’s really nice to be able to reassure
them and help get them protected.”
And Clare said: “I retired as a practice nurse a couple of years ago and came to live
in Powys to run a BnB. When the vaccination programme started I was really keen to
get involved and offer my skills. People are so grateful when they come for their
vaccine. It’s quite humbling to think that you could be saving their life by doing this.
Some of the people coming in haven’t been able to leave their homes in a year, being
part of what helps them to get out again is just the best feeling in the world.”
There are so many people involved in delivering the vaccine and it would be fantastic
to meet them all. But our heartfelt thanks go out to everyone for everything that
they do.
Find out more about the COVID-19 vaccination programme in Powys from our
website.
Update on vaccination for people in Priority Groups 1-4
Over 90% of people in Priority Groups 1 to 4 have already received their vaccination.
Some have not yet received their vaccination for clinical or social reasons, whilst
some people will have declined the vaccine. But, if you know someone who has not
yet been invited then please let us know so that we can make sure they are invited.
More information about the COVID-19 vaccination programme in Powys is available from our website at:
www.pthb.nhs.wales/covid-vaccine
Page 7
We now have a Priority Access Form for anyone in Priority Groups 1 to 4 who has not
yet received their invitation. This helps us to fast-track you to an appointment:
 People aged 80 and over who are registered with a GP in Powys: Over 80 in
Powys and not received an invitation to vaccination? – Powys Teaching Health
Board (nhs.wales)
 People aged 75-79 who are registered with a GP in Powys: Age 75 to 79 –
Powys Teaching Health Board (nhs.wales)
 People aged 70-74 who are registered with a GP in Powys: Age 70 to 74 –
Powys Teaching Health Board (nhs.wales)
 Adults who are Clinically Extremely Vulnerable and registered with a GP
in Powys: Clinically Extremely Vulnerable Adults – Powys Teaching Health
Board (nhs.wales)
 Frontline health and care workers providing intimate care for people in
Powys in the COVID-19 vaccination priority groups: Frontline Health and Care
Workers – Powys Teaching Health Board (nhs.wales)
A priority access form will be added later this week for people aged 65-69.
If you know people who live in Powys but are registered with a GP practice outside
Powys, then they will be invited for vaccination through the programme in the
neighbouring county:
Are you registered with a GP outside Powys? – Powys Teaching Health Board
(nhs.wales)
Update on Vaccination for People Aged 65-69 (P5)
The final invitations for people aged 65-69 are now due to land on doormats this
week. Appointments have been slightly affected by changes in UK supplies, so please
accept our apologies that some appointments are slightly later than we had hoped.
People aged 65-69 are in Priority Group 5 for vaccination. Around 80% of people in
this group have already received their vaccination. But, this is a large population
group, and we still have around 1000 people to vaccinate.
If you are aged 65-69 and you have not yet received your invitation then it will arrive
this week. Most people in this group will be invited to a mass vaccination centre – or,
for people, in the Ystradgynlais area, we will be running a two-day temporary popup
vaccination clinic. This pop-up clinic (organised by the health board) is for first
More information about the COVID-19 vaccination programme in Powys is available from our website at:
www.pthb.nhs.wales/covid-vaccine
Page 8
dose appointments with AstraZeneca vaccine for people aged 65-69, and is strictly by
appointment-only.
Please do not call your GP or the health board about appointments for
people aged 65-69 including for the pop-up clinics, as invitations will be sent
very soon.
Please note that we are not able to offer second dose appointments with
Pfizer/BioNTech from pop-up clinics. This is because the very specific requirements
for storage, transport and delivery of the Pfizer/BioNTech vaccine mean that we can
only offer this from our mass vaccination centres.
Later this month we will put in place a Priority Access Form for anyone aged 65-69
who did not receive their invitation for COVID-19 vaccination.
Update on Vaccination for Adults with Underlying Health
Conditions (P6)
Adults with underlying health conditions that are included in the national eligibility
criteria are in Priority Group 6 for COVID-19 vaccination. Over 40% of people in this
group have already received their vaccination, and invitations are continuing through
March.
The national eligibility criteria are very specific. More information is available from
our website at https://pthb.nhs.wales/coronavirus/covid-19-vaccination/adults-withunderlying-
health-conditions/
People in this group are being identified by a range of routes, including from medical
records. Because of the very specific nature of the eligibility criteria, some people
may not realise that their medical history makes them eligible in this group.
This process will reflect the Welsh Government’s latest guidance on eligibility for
unpaid carers, and for people with learning disability and severe mental illness
(COVID-19 vaccinations: prioritisation of individuals with learning disability or severe
mental illness | GOV.WALES)
One issue that can cause confusion is that eligibility for COVID-19 vaccination is
different from eligibility for seasonal flu vaccination. For example, people with severe
More information about the COVID-19 vaccination programme in Powys is available from our website at:
www.pthb.nhs.wales/covid-vaccine
Page 9
asthma will be invited in Priority Group 6, but people with mild to moderate asthma
will be invited based on their age group.
In line with national guidance, this is because: “Those with severe asthma are at
increased risk and included [in Priority Group 6]. Individuals with mild to moderate
asthma are not at increased risk and not recommended for vaccination by JCVI [in
Priority Group 6].” They will be invited for vaccination with their age group and we
aim to vaccinate everyone over the age of 18 by the end of July 2021.
People with severe asthma eligible for vaccination in Priority Group 6 will meet the
following national criteria:
 They are 16 or over AND
 EITHER they have had an emergency hospital admission for Asthma (at any
point)
 OR they have an asthma diagnosis and have had 3 prescriptions for oral
steroids over a 3-month period (each prescription must fall within separate
individual month windows), as an indication of repeated or continuous oral
steroids.
The location of vaccination for people in this age group will depend on their age:
 People aged 50-65 will normally be invited to a mass vaccination centre
 People aged 18-49 will normally be invited to their GP practice
 People aged 16-17 will normally be invited to a mass vaccination centre (and
offered the Pfizer/BioNTech vaccine) – remember that vaccination is not
routinely recommended for people aged 16-17 and is only offered to those with
certain clinical conditions.
Later this month we will publish guidance for people who have an underlying health
condition that makes them eligible in Priority Group 6 but who did not receive an
invitation for COVID-19 vaccination.
Update on Vaccination for Unpaid Carers (P6)
Subject to certain eligibility criteria, unpaid carers are included in Priority Group 6 for
COVID-19 vaccination. Later this week, Welsh Government will put in place a new
process for unpaid carers to check their eligibility for COVID-19 vaccination in Priority
Group 6, and request a vaccination. The new eligibility tool will be available on our
website later this week.
More information about the COVID-19 vaccination programme in Powys is available from our website at:
www.pthb.nhs.wales/covid-vaccine
Page 10
Welsh Government last week published updated guidance on eligibility for unpaid
carers. This highlights three important factors in deciding which unpaid carers should
be prioritised for vaccination:

  1. The vulnerability of the person being cared for:
     is 65 years old and over (groups 2-5)
     is deemed extremely clinically vulnerable (group 4)
     has a defined underlying health condition including mental illness (qualifying as
    group 6)
     is a child under 16 with complex medical needs/ severe neuro-disabilities
  2. The nature of the care provided to those 16 and over:
     includes, but is not restricted to, helping with eating, bathing, shaving,
    managing continence, dressing and walking. It may include intervening in
    challenging or risky behaviour. It may include providing significant levels of
    support and supervision at home or in the community and where social
    distancing is not possible
    The nature of the care provided to children under 16 with complex
    medical needs/ severe neuro-disabilities:
     is beyond the care and support parents ordinarily provide for a child. It is likely
    to include tasks like tracheostomy tube care, airway suction, repositioning to
    manage pressure areas and care interventions such as respiratory
    physiotherapy. It may include intensive personal care such as daily washing
    and continence care and /or managing behaviours that challenge.
  3. The unpaid carer is the sole or primary carer:
     we recognise that caring for some people may require two people to assist with
    such tasks as positioning, hoisting, bathing and changing. There may be
    arrangements whereby two people evenly divide the caring responsibilities. In
    such instances, both unpaid carers may be considered as the primary carers
    To be prioritised for vaccination, an unpaid carer should satisfy all three factors.
    Young carers under 16 will not be offered the vaccination. This is because no children
    under 16 are being vaccinated, unless in exceptional circumstances due to severeneuro
    disabilities.
    Eligibility for prioritisation is not dependant on receipt of carer’s allowance,
    membership of a carers’ organisation or being known to social services.
    Look out for more details on our website later this week including an online eligibility
    tool: https://pthb.nhs.wales/coronavirus/covid-19-vaccination/unpaid-carers/
    Update on Vaccination for People Aged 50-64 (P7-9)
    More information about the COVID-19 vaccination programme in Powys is available from our website at:
    www.pthb.nhs.wales/covid-vaccine
    Page 11
    People aged 50-64 are in Priority Groups 7 to 9. Invitations will begin later this
    month unless you are eligible in an earlier Priority Group (e.g. Underlying Health
    Conditions).
    Everyone in these Priority Groups is due to receive their invitation by mid April. This
    will begin with people aged 60-64 (Priority Group 7), then 55-59 (Priority Group 8)
    followed by 50-54 (Priority Group 9). Please be aware that in order to use all
    appointment slots as efficiently as possible there will be some overlap in invitations
    between different priority groups.
    Keep checking our website for further details:
    https://pthb.nhs.wales/coronavirus/covid-19-vaccination/
    Update on Vaccination for People Aged 18-49
    Last week the UK’s Joint Committee on Vaccination and Immunisation (JCVI)
    published its interim advice on vaccination for the rest of the adult population. They
    advise that vaccination for the rest of the adult population should be prioritised by
    age.
    Making this recommendation the JCVI said:
    “There is good evidence that the risks of hospitalisation and critical care
    admission from COVID-19 increase with age, and that in occupations where
    the risk of exposure to SARS-CoV2 is potentially higher, persons of older age
    are also those at highest risk of severe outcomes from COVID-19. JCVI
    therefore advises that the offer of vaccination during phase 2 is age-based
    starting with the oldest adults first and proceeding in the following order:
    More information about the COVID-19 vaccination programme in Powys is available from our website at:
    www.pthb.nhs.wales/covid-vaccine
    Page 12
    o all those aged 40 to 49 years
    o all those aged 30 to 39 years
    o all those aged 18 to 29 years
    “An age-based delivery model will facilitate rapid vaccine deployment.”
    In line with UK guidance, we aim to offer vaccination for everyone aged 18-49 by the
    end of July. Dedicated pages for these three age categories are now also available
    from our website.
    More information about the interim guidance from the JCVI is available from their
    website: JCVI interim statement on phase 2 of the COVID-19 vaccination programme
  • GOV.UK (www.gov.uk)
    Second Dose Appointments Continue
    We have already delivered over 5,600 second dose appointments. In line with UK
    national guidance we need to offer second dose appointments around 11 weeks after
    the first dose – and in some cases we have been able to offer these sooner.
    Please attend your second dose appointment:
    Second dose appointments are currently with Pfizer/BioNTech. It is vital that you attend your second dose appointment. Please attend at your booked appointment time wherever possible. What should I do if I cannot attend my second dose appointment (e.g. I am unwell, or have been advised not to attend due to COVID in my workplace)? If you cannot attend at your booked appointment time then let us know as soon as possible (e.g. if you are unwell, or have been advised that you cannot have your second dose just now because of COVID in your workplace).  Ring the number in your booking letter, or  Use our online form at https://pthb.nhs.wales/coronavirus/covid-19- vaccination/second-dose-appointments/ If you let us know that you cannot come, we are normally able to offer your appointment to someone else – if you do not let us know, there is more chance the dose could be wasted. More information about the COVID-19 vaccination programme in Powys is available from our website at: www.pthb.nhs.wales/covid-vaccine Page 13 Why is it important that people cancel if they cannot come? It is vital that no doses of Pfizer/BioNTech go to waste. This is because there are limited supplies of Pfizer/BioNTech available. We need to make sure we have enough vaccine to give a Pfizer/BioNTech second dose to everyone who received a Pfizer/BioNTech first dose. If people cancel their Pfizer/BioNTech second dose appointment, can I attend for a first dose appointment? No. We cannot offer second dose appointments to people waiting for their first dose. This is because Pfizer/BioNTech is currently available for second dose appointments only*. If we gave you a first dose we would not be able to offer you a second dose
    with the same vaccine.
    I received my first dose appointment on or before 26 December and
    have not yet heard about my second dose appointment. What should I
    do?
    If you received your first dose vaccination on or before 19 December and have not yet
    received your invitation for a second dose please use our Priority Access Form to let us
    know.
    *There are a very small number of clinical exceptions where some of the first patients to receive
    AstraZeneca are receiving their second dose vaccination, but please be aware that this is not currently
    routinely available.
    ** There are a small number of clinical exceptions for people aged 16-17 to receive Pfizer/BioNTech for
    a first dose appointment.
    REMINDER: Online Q&A Session with Carol Shillabeer
    You are invited to an online event with Carol Shillabeer from 5.30pm to 6.30pm on
    Wednesday 3 March 2021. This will provide an opportunity to update you on the
    COVID-19 vaccination programme in Powys.
    How do I join?
    You can join the session from most web browsers by clicking on this link.
    When do I join?
    You are welcome to join just before 5.30pm by clicking on the link above. The
    meeting will start shortly after 5.30pm to allow people time to join.
    How do I participate?
    This event will be provided through Microsoft Teams Live Event. It includes a Q&A
    function which allows you to ask questions. We regret that we may not have time to
    answer all the questions raised, but hope that the briefing will provide an opportunity
    to cover the main themes.
    I am having trouble joining
    The briefing will be recorded so that it is available for people who have trouble
    joining, or who are not available to join us at 5.30pm.
    More information about the COVID-19 vaccination programme in Powys is available from our website at:
    www.pthb.nhs.wales/covid-vaccine
    Page 14
    More information about being an attendee of a Microsoft Teams Live Event is
    available from the Microsoft website
    I cannot attend – will I still be able to watch?
    If you cannot attend on the day, you can watch the event at any time using the web
    link.
    Have Your Say
    You can help shape the future of health services for the people of Powys:
    Have your say on proposals for the future shape of vascular services in south east
    Wales (open until 16 April 2021) – these proposals mainly affect communities who
    access their acute hospital services in Gwent and Merthyr Tydfil:
     CY: https://biap.gig.cymru/newyddion/newyddion-y-bwrdd-iechyd/fasgwlaidd/
     EN: https://pthb.nhs.wales/news/health-board-news/vascular/
    Job Opportunities
    We have lots of great opportunities for people to join our team here at Powys
    Teaching Health Board:
     CY: www.biap.gig.cymru/swyddi
     EN: www.pthb.nhs.wales/jobs
    Whether you want to join us as a COVID-19 immuniser, mental health inpatient team
    lead, digital communication officer or assistant psychologist – you can find all our
    latest vacancies on our website.
    In case you missed our last edition
    Previous editions of our newsletter are available from our website. Last week’s edition
    included:
     Welcome from Carol Shillabeer
     Reminder to people in Priority Groups 1-4
     Online Q&A with Carol Shillabeer
     Accessible Resources
     A Safe and Organised Return to School
     Have Your Say
     Job Opportunities
     Useful Links
    Further Information about COVID-19 vaccination:
    More information about the COVID-19 vaccination programme in Powys is available from our website at:
    www.pthb.nhs.wales/covid-vaccine
    Page 15
    More information about our COVID-19 vaccination programme here in Powys is
    available from the Powys Teaching Health Board website:
     www.pthb.nhs.wales/covid-vaccine/
    More information about the national COVID-19 vaccination programme in Wales is
    available from the Public Health Wales website:
     Iechyd Cyhoeddus Cymru (CY) and Public Health Wales (EN)
    The latest information about the number of COVID-19 vaccination doses delivered in
    Wales is available from the Public Health Wales dashboard – please remember that
    PTHB has the smallest population of all health boards, and is around a third of the
    size of the next smallest health boards (Cwm Taf Morgannwg, Hywel Dda):
     Public Health Wales dashboard
    More information about the Welsh Government’s strategy for COVID-19 vaccination:
     Llywodraeth Cymru (CY) and Welsh Government (EN)
    You will receive an invitation when you are due for your vaccination. You don’t need
    to apply for an appointment – please don’t contact your GP, pharmacy, health board,
    hospital or local authority about an appointment until you are contacted.
    You can follow Powys Teaching Health Board on
    Facebook, and @PTHBhealth and @BIAPiechyd on Twitter
    for the latest social media updates from the health board.

Update for Stakeholders – Issue 7, 24 February 2021

Our COVID-19 vaccination programme will today reach 50,000 doses. At the
time of writing we have provided 47,000 people for their first dose, and
2,450 people for their second dose.
Nearly 50,000 vaccination doses have been delivered in Powys
Last week the main focus for our vaccination programme included:
 Continuing our first dose vaccinations for people aged 65-69. Over two
thirds of people in this group have now received their vaccination. The final
invitations to people in this group will land on doormats next week.
 Beginning our invitations for adults with underlying health conditions.
Around a quarter of people in this group have received their first dose
vaccination.
 Delivering the second dose vaccination for people who received their
first dose during December. This is in line with UK guidance that people
should receive their second dose vaccination with 12 weeks of their first dose.
But, alongside this great progress, we must all remember that COVID-19
continues to circulate in the county. This includes the new, more infectious strain
of COVID-19 – the ‘Kent’ variant. This is concerning because it is more easily spread
and it is more likely that exposure to the virus will lead to infection.
More information about the COVID-19 vaccination programme in Powys is available from our website at:
www.pthb.nhs.wales/covid-vaccine
Page 2
This is why it remains vital that we all continue to follow the advice to stay at home,
follow social distancing rules and wear face coverings in indoor public places.
Vaccination does offer the hope of a brighter future – as well as reducing the risk of
serious illness from COVID-19 – but for now it is crucial that we continue to do all we
can to protect ourselves and others from COVID-19. Remember – Hands, Face,
Space.
Update on vaccine supplies in the weeks ahead
As highlighted in last week’s edition, we are in a period where UK vaccine supplies
are below the peak we saw earlier this year when we were able to deliver nearly
10,000 first doses in a week. This is because:
 The Pfizer/BioNTech vaccine now needs to be used for second dose
vaccinations. This is vital to ensure that everyone receives their second dose
within 12 weeks of their first dose, using the same vaccine as their first dose.
 The AstraZeneca vaccine is not yet available in large quantities (we expect
sufficient supplies to deliver around 2,700 AstraZeneca first dose vaccinations
in our Mass Vaccination Centres this week).
 Whilst the Moderna vaccine has been approved for use in the UK, supplies are
not expected until later in the spring.
So, compared with a week ago we have delivered an impressive 7,500 vaccinations in
Powys in the last week. But, we are seeing a slower pace of first dose vaccinations
until AstraZeneca supplies build up further.
65 to 69 year olds urged to look out for invitation letters
The final invitations to people in Priority Group 5 (aged 65 to 69) will shortly be in the
post. This means that from the end of next week we will need anyone in this group
who has not yet received their invitation to contact us so that we can offer you a
More information about the COVID-19 vaccination programme in Powys is available from our website at:
www.pthb.nhs.wales/covid-vaccine
Page 3
priority appointment. Look out for more details in next week’s newsletter, and via our
website and social media channels.
Given the changes in UK vaccine supply, we are also closing our reserve list for the
time being. Our reserve list was a crucial part of our vaccination programme when we
were delivering first dose vaccinations using Pfizer/BioNTech. This is because we
needed to ensure that the large trays of around 1000 doses were used within four
days to prevent wastage. Thanks to your support we were very successful in
preventing waste.
But now our first dose vaccination programme is focused on AstraZeneca. This
vaccine is much easier to store, transport and deliver. This means we do not need a
dedicated reserve list to avoid wastage. Instead, we use cancelled slots to invite
anyone in Priority Groups 1-5 who has not yet received their first dose, and to
continue to invite people in Priority Group 6.
Thank you to everyone who joined our reserve lists in January and February. You
helped us to deliver our high levels of vaccination in Powys.
In fact, our rate of vaccination per head is the highest in Wales. This is an amazing
achievement given our rural geography. It is important to note that our high rates do
reflect that our population is older than the Wales average. This means that we have
a higher proportion of people to vaccinate in Priority Groups 1-5 than in other parts
of the country. This has given us a bigger vaccination challenge in these early weeks
– and this makes me even more grateful for the team effort we have seen from staff,
partners, volunteers and local communities.
And we were given a wonderful opportunity to share our progress on a national stage
last week when our Chief Pharmacist Jacqui Seaton was called by HRH The Duke of
Cambridge. Speaking about the experience, Jacqui said that this was such a privilege
and something that will stay with her forever, and The Duke wanted Jacqui to share
his thanks to everyone involved in the vaccination programme in Powys.
Invitations to people in Priority Group 6 under way
We know that the next few weeks of the vaccination programme will be complex.
This is because:
 We are in a period where first dose vaccinations are slower than in previous
weeks, and
More information about the COVID-19 vaccination programme in Powys is available from our website at:
www.pthb.nhs.wales/covid-vaccine
Page 4
 We are beginning to deliver vaccination for Priority Group 6, where eligibility is
based on medical history or carer responsibilities, rather than date of birth.
Given these challenges, we do ask everyone to please be patient and wait to be
contacted. A lot of work has been under way at a national level in recent weeks to
clarify eligibility in this group, as many people will clearly want to know whether they
will be included in Priority Group 6 because of underlying health conditions or carer
responsibilities.
Invitations to adults with underlying health conditions will be based on the
guidance provided by the UK’s Joint Committee on Vaccination and Immunisation.
There is also more detailed guidance in the “Green Book”, which provides specialist
advice on immunisation programmes. For example, people with severe asthma are
included in Priority Group 6 (defined as regular use of oral corticosteroids or
previously requiring hospital admission), but people with mild to moderate asthma
are not in Group 6 and instead would be invited based on their age category.
More information about eligibility in Priority Group 6 for adults with underlying health
conditions is available on our website at https://pthb.nhs.wales/coronavirus/covid-
19-vaccination/adults-with-underlying-health-conditions/ and we will continue to
update this page to reflect the latest guidance.
Certain categories of unpaid carer will also be eligible in Priority Group 6, and we
expect further guidance from Welsh Government later this week. More information
about eligibility in Priority Group 6 for unpaid carers is available on our website at
https://pthb.nhs.wales/coronavirus/covid-19-vaccination/unpaid-carers – and we will
update this once further guidance is available from Welsh Government.
Priority Group 6 is likely to be the largest group of the whole vaccination programme,
and it will take several weeks before everyone receives their invitation. We do thank
everyone for their patience until you receive your invitation.
Later next month we will publish information about what to do if you feel
you should be in Priority Group 6 and have not yet received your invitation.
More information about the COVID-19 vaccination programme in Powys is available from our website at:
www.pthb.nhs.wales/covid-vaccine
Page 5
And do please remember that it remains vital for everyone to continue to follow the
guidance on Hands Face Space even if you have received the vaccine. Coronavirus is
still circulating in Powys, and Wales is in lockdown and alert level 4. By following
social distancing, maintaining hand hygiene, and wearing a face covering we can
keep ourselves and each other safe.
Thank you for everything you are doing to Keep Powys Safe – and please do feel free
to share this information in your organisations, networks and communities.
Carol Shillabeer, Chief Executive, Powys Teaching Health Board
Reminder to people in Priority Groups 1-4
Over 90% of people in Priority Groups 1 to 4 have already received their vaccination.
Some have not yet received their vaccination for clinical or social reasons, whilst
some people will have declined the vaccine. But, if you know someone who has not
yet been invited then please let us know so that we can make sure they are invited.
We now have a Priority Access Form for anyone in Priority Groups 1 to 4 who has not
yet received their invitation. This helps us to fast-track you to an appointment:
 People aged 80 and over who are registered with a GP in Powys: Over 80 in
Powys and not received an invitation to vaccination? – Powys Teaching Health
Board (nhs.wales)
 People aged 75-79 who are registered with a GP in Powys: Age 75 to 79 –
Powys Teaching Health Board (nhs.wales)
 People aged 70-74 who are registered with a GP in Powys: Age 70 to 74 –
Powys Teaching Health Board (nhs.wales)
 Adults who are Clinically Extremely Vulnerable and registered with a GP
in Powys: Clinically Extremely Vulnerable Adults – Powys Teaching Health
Board (nhs.wales)
 Frontline health and care workers providing intimate care for people in
Powys in the COVID-19 vaccination priority groups: Frontline Health and Care
Workers – Powys Teaching Health Board (nhs.wales)
A priority access form will be added next week for people aged 65-69.
More information about the COVID-19 vaccination programme in Powys is available from our website at:
www.pthb.nhs.wales/covid-vaccine
Page 6
If you know people who live in Powys but are registered with a GP practice outside
Powys, then they will be invited for vaccination through the programme in the
neighbouring county:
Are you registered with a GP outside Powys? – Powys Teaching Health Board
(nhs.wales)

Lockdown Measures in Wales update 19.02.21

  • The First Minister today confirmed stay at home restrictions will continue in Wales for a further three weeks.
  • From Monday (22 February), children aged three to seven will begin returning to schools in a phased way, while some vocational learners on courses that require practical learning, will return to college. See the ‘Education, Children and Young People’ section below for the information on schools and colleges.
  • Welsh Government press release.
  • Watch today’s Welsh Government press conference with the First Minister here.

Education, Children and Young People

  • The Education Minister has given an update via video on what the review of Wales’ Alert Level 4 lockdown restrictions means for schools and colleges. Watch here.
  • WLGA press release: Clear timescale needed for schools’ return (17th Feb).
  • Leaders and Education Cabinet Members met with the Education Minister and Minister for Housing and Local Government on Wednesday to discuss the return of foundation aged pupils to school.
  • Updated Welsh Government operational guidance for schools and settings to support limited attendance.
  • Guidance for higher education: Keep Wales Safe (COVID-19).

Financial Support

  • Eligibility criteria for the Self-Isolation Support Payment widened

Contact Tracing

  • The latest Test, Trace, Protect statistics were published yesterday by the Welsh Government.

Welsh Language

  • On Wednesday the Welsh Government announced £1.3 million to support the Urdd’s recovery and rebuilding following the Coronavirus pandemic- Welsh Government press release.

Communities

  • On Random Acts of Kindness Day on Wednesday, the Deputy Minister and Chief Whip sent a message of thanks to the thousands of volunteers and community helpers in Wales who have shown kindness to people in need during the COVID-19 pandemic- Welsh Government press release.

Where to find the latest information

  • Coronavirus information for Councils is available here on the WLGA website
  • The WLGA is collating good council practice during the coronavirus pandemic- here
  • Public Health Wales publishes an interactive daily dashboard of data about coronavirus cases across Wales, broken down by health board and local authority area
  • Public Health Wales also provides a daily update focusing on key public health information and updates
  • Information about coronavirus is available here on the Welsh Government’s website
  • The Welsh Government Vaccination Strategy is available here and vaccination data from PHW is available here.
  • The Welsh Government issues  a weekly COVID-19  bulletin with all the latest news, guidance, advice and assets for sharing on your channels. If you would like to receive the coronavirus bulletin please sign up here or email cabinetcommunications@gov.wales  
  • All the legislation passed in Wales inrelation to the coronavirus pandemic is available here
  • UK Government coronavirus information for individuals and businesses in Wales is available here

Lucy Sweet

Swyddog Cyfathrebu (Cyhoeddiadau a Digwyddiadau)
Communications Officer (Publications and Events)
Cymdeithas Llywodraeth Leol Cymru / Welsh Local Government Association

07833 539825

www.wlga.cymruwww.wlga.wales

@WelshLGA

How COVID-19 Affects the Mental Health of Seniors | Southern California Sunrise Recovery Mental Health Treatment (socalsunrisemh.com)

1st February 2021

Distribution- LA Leaders, All Councillors, Chief Executives, Heads of Democratic Services and Communications Teams.

This bulletin will be circulated on a Tuesday and Friday. We welcome feedback on this email update.    

WLGA Update

  • Leaders today met virtually with the Minister for Housing and Local Government and the Minister for Health and Social Services to discuss in particular the vaccine rollout and support for flooding events. The Minister for Health and Social Services reported that the mid-February target for vaccinating the top 4 groups is still on course to be met, with 26,000 vaccinated yesterday bringing the all Wales total to 362,253. Latest vaccination figures, including breakdown by groups, is available here and is linked to in the ‘Where to find latest information’ section at the end of this email update.
  • Yesterday the WLGA Education Spokespeople, Cllr Ian Roberts and Cllr Ellen ap Gwynn, the WLGA Workforce Spokesperson Cllr Philippa Marsden and the WLGA Health and Social Care Spokesperson Cllr Huw David gave evidence to the Senedd Children, Young People and Education Committee on the impact of the Covid-19 outbreak on children and young people in Wales. Watch here.
  • Yesterday the WLGA Director of Regeneration and Sustainable Development, Tim Peppin, joined colleagues from the Welsh Government’s Green Recovery Task and Finish Group to give evidence to the Senedd Climate Change, Environment and Rural Affairs Committee. The Committee is undertaking a consultation on the impact of the Covid-19 pandemic on the agriculture and fisheries sectors, food supply, animal welfare, climate change and the environment. Watch here.
  • On Monday the WLGA launched our Rural Wales Manifesto, outlining the WLGA Rural Forum’s seven key asks of the newly elected Senedd and Welsh Government to support vibrant and dynamic communities across rural Wales- WLGA press release

Coronavirus Measures in Wales

  • The First Minister today confirmed alert level 4 lockdown restrictions will remain in place in Wales for the next 3 weeks. He also set out the approach for the return to school (see the Education, Children and Young People section below) and provided more details of a £200 million package to top-up support for businesses (see the businesses section below).
  • Watch the press briefing here.

Education, Children and Young People

  • The youngest children in Wales could begin returning to school after the February half term, if rates of coronavirus continue to fall, the First Minister has announced today.
  • Welsh Government press release.
  • Yesterday the Education Minister published a written statement about education provision for vulnerable learners, children of critical workers and learners who need to complete essential exams or assessments.
  • On Wednesday the Welsh Government published operational guidance for schools and settings to support limited attendance at alert level 4.

Businesses

  • The Welsh Government has revealed further details of the £200 million package of support for non-essential retail, hospitality, leisure and tourism businesses that continue to be impacted by the ongoing COVID-19 pandemic- press release.
  • Welsh Government Written Statement: Extension of the Restrictions Business Fund.

Testing

  • A revised and updated Coronavirus Testing Strategy and a Community Testing Framework were published yesterday by the Health Minister.

Vulnerable People

  • Update Welsh Government guidance on protecting people who are clinically extremely vulnerable.
  • Written Statement: Advice to those who are Clinically Extremely Vulnerable – extension to period advice covers.

Planning

  • Updated Welsh Government guidance on creating safer public places: coronavirus.

Housing and Homelessness

  • “It’s never too late or too early to get help” – Welsh Government youth homelessness campaign targets those struggling due to Covid. Welsh Government press release.

International Travel

  • The Health Minister yesterday published a statement about the Health Protection (Coronavirus, International Travel) (Wales) Amendments, which includes an update on changes to the list of countries and territories exempt from health measures at the border.
  • Welsh Government guidance on travellers exempt from Welsh border rules: coronavirus (COVID-19).

Senedd Election

  • An emergency bill to ensure the next Senedd election can happen safely, despite the ongoing coronavirus pandemic, has been introduced before the Senedd by the Welsh Government- Welsh Government press release and written statement

Where to find the latest information

  • Coronavirus information for Councils is available here on the WLGA website
  • The WLGA is collating good council practice during the coronavirus pandemic- here
  • Public Health Wales publishes an interactive daily dashboard of data about coronavirus cases across Wales, broken down by health board and local authority area
  • Public Health Wales also provides a daily update focusing on key public health information and updates
  • Information about coronavirus is available here on the Welsh Government’s website
  • The Welsh Government Vaccination Strategy is available here and vaccination data from PHW is available here.
  • The Welsh Government issues  a weekly COVID-19  bulletin with all the latest news, guidance, advice and assets for sharing on your channels. If you would like to receive the coronavirus bulletin please sign up here or email cabinetcommunications@gov.wales  
  • All the legislation passed in Wales inrelation to the coronavirus pandemic is available here
  • UK Government coronavirus information for individuals and businesses in Wales is available here

Lucy Sweet

Swyddog Cyfathrebu (Cyhoeddiadau a Digwyddiadau)
Communications Officer (Publications and Events)
Cymdeithas Llywodraeth Leol Cymru / Welsh Local Government Association

07833 539825

www.wlga.cymruwww.wlga.