Minutes:
The Committee considered a report of the Director of Adults
and Communities which provided an update on mandatory Covid-19 vaccinations for
people working in care homes, including anyone entering as part of their
employment, and how the Council was supporting care home providers with this
new requirement. The report also described the recently closed national
consultation on proposals to extend mandatory vaccination for Covid-19 and
seasonal flu to frontline health and wider social care staff in England. A copy
of the report marked ‘Agenda Item 12’, is filed with these minutes.
Arising from discussion the following points arose:
(i)
Concern was raised that even a small percentage
of care home workers declining the vaccination could have a detrimental effect
on the workforce and on a sector that was already struggling with recruiting
and retaining staff. The Director reported that the take-up of the vaccines in
Leicestershire’s care homes had increased since the report to the Committee had
been written. The percentages for take-up amongst care home staff were now at
94.6% for dose 1 and 88.7% for dose 2. It was acknowledged that the gap for all
care home workers to become fully vaccinated was still significant, but as the
vast majority were on track to meet the requirements the risk of provider
failure was considered to be low. Focus was therefore being given to ensuring
care homes were able to deal with any residual challenges. Part of this focus
included a significant amount of work being undertaken in respect of recruiting
and retaining staff, for example some of the red rated care homes had increased
staff wages to attract more recruits. Other mitigations included some homes
looking at how they might restrict new admissions if this happened to be
necessary and looking at the use of agency staff as a short-term solution to
ensure residents’ safety. Members noted that it was also expected that there
could be a surge in the uptake of workers receiving their second dose nearer
the final deadline as had happened nearer the first dose deadline.
(ii)
With regard to the National Government’s
consultation on mandatory Covid-19 vaccination of health and wider social care
staff, it was acknowledged that a number of other vaccines such as for
prevention against Hepatitis B were already a requirement of some health
related roles, but the challenge with bringing in new vaccination requirements
from a social care perspective was that the process was relatively untested and
there would not have been an expectation for existing workers to have the
Covid-19 vaccine when signing up to their role. There was therefore a risk that
any further requirements would put additional pressure on a sector that was
already experiencing issues with recruiting and retaining staff.
(iii)
It was clarified that the deadlines around the
mandatory vaccine requirements, including those in respect to the temporary
self-certification process had been set by the National Government. The overlap
of the deadline dates for the requirements for care home workers to become
fully vaccinated by the 11 November 2021 and the deadline for when the temporary
self-certification was due to expire on 23 December 2021 reflected the fast
moving nature of the developments and related to the timing of when the
Government was able to agree and release the relevant policies. For example,
time had been needed to consider how to ensure that people with a genuine need
could receive a medical exemption including pregnant women who might be
hesitant to receive the vaccine during pregnancy. Members noted that a person
requiring a temporary exemption after the self-certification expiry date would
still be able to receive one so long as this was confirmed by the appropriate
clinician.
RESOLVED:
That the contents of the report regarding the mandatory Covid-19 vaccination for workers in care homes and the national consultation on extending the requirement for vaccination to the wider health and social care workforce, to cover Covid-19 and seasonal flu vaccination, be noted.
Supporting documents: