Vaccinations in England

The COVID-19 vaccination programme began in England on the 8th December 2020.

To begin with vaccinations were administered in NHS hospital hubs although from the 14th December, vaccinations were also administered through local vaccination services such as GP practices and then in care homes from the 21st December. In the new year (from 11th January 2021) Vaccination Centres such as sports stadiums also started providing vaccinations.

Vaccine supplies are growing as fast as possible as are the local centres which are delivering them. However, it is anticipated that it will take until summer/autumn months of 2021 before all adults have been offered a COVID-19 vaccine.

The table shows the number of people who have received at least one dose of a COVID-19 vaccine in West Sussex districts.

Area Number of individuals aged 18+ receiving at least one dose Proportion (aged 18+) Number of individuals aged 18-64 receiving at least one dose Proportion (aged 18-64) Number of individuals aged 65 and over receiving at least one dose Proportion (aged 65+)

Data source: https://coronavirus-staging.data.gov.uk

It should be noted that we do not know exactly how many people have been offered a vaccine or how many are eligible (e.g. some health and social care staff of any age are eligible, or those who are clinically vulnerable) and so cannot say if uptake is better or worse in some areas than others.

The data provided by NHS England specify the number of individuals under the age of 25 who have been vaccinated, it is assumed that this figure does not include any individuals under the age of 16, as they are not currently eligible for vaccination. As such, the population denominator used excludes those aged 0-15.

Vaccinations over time

The figure below shows how many vaccinations have taken place by dose. It shows the cumulative number of first and second doses in each area and age group. By default it shows West Sussex overall with all those aged 18 and over but you can change the area and age group using the drop down menu.

The black line at the top is the latest estimated number of people on vaccine registers in the area. It is derived from primary care lists (e.g. where people are registered). As such, it may underestimate populations who are less likely to be registered to a GP practice (such as those who are homeless). For this reason, it is possible that the number of doses given can exceed the number of estimated population to vaccinate.

The number of estimated population, and the total number of first and second doses given so far are also displayed on the top left of the figure.

Data source: https://coronavirus-staging.data.gov.uk

You can get an idea of how much further the vaccination programme needs to go, by seeing how far the yellow line (representing first doses) and importantly the green line (representing the second dose) are away from the black line on the right hand side of the figure. The closer the lines, the more of a population has received the vaccination.

Younger age groups will likely have a bigger gap, but this will become smaller as the programme continues into the summer months.

The next figure shows the change in rolling number of vaccinations over time as new cohorts open up.

You can also choose whether to look at actual doses, or the crude rate of doses per 100,000 population. This helps to compare areas as if they had the same population size.

Data source: https://coronavirus-staging.data.gov.uk

The charts for most areas show that second doses ramped up in March 2021 and overtook first doses throughout April, although in some areas first doses have now increased again as younger cohorts have openned up.

There are different population demographics/structures in each area. Some areas have more people in the age groups that were invited first to have the vaccine. As such, some areas may appear to ramp up vaccinations at different points in time, and this may in part be due to the people in the area eligible for vaccinating.

The next figure shows first doses by age group, and this broadly shows that over time, as each new age cohort opens up on the national and local booking systems over time there are spikes in vaccination doses among younger and younger cohorts.

Data source: https://coronavirus-staging.data.gov.uk

For most areas, you can see more prominent spikes among older age cohorts in the earlier months of the vaccination programme, and this is in some part due to West Sussex having an overall older age structure. To control for this, you can use the rate per 100,000 tab to show the vaccinations as an age specific rate, which allows you to more easily compare across age groups and areas.

If age cohorts were accessing vaccinations equally, you might expect the rate per 100,000 peaks to be broadly similar. However, this is not always the case, with some younger cohorts not appearing to receive first dose vaccines as quickly as older cohorts.

There are several factors which may explain this, including supply, capacity at vaccination sites, and appointment take up upon receiving an invitation.

Change in vaccinations by week and age

The table below shows the number of first and second doses in the last three full weeks (Monday - Sunday) by age group.

By default, it shows West Sussex overall but you can search for a local authority area in West Sussex, or South East region and England. As well as searching for all age groups in one area, you can use the second search bar to search for a specific age group in all areas.

Lastly, you can also sort the table by by clicking on any of the headers. Click the header again to change the direction of the sort (e.g. from ascending to descending order, and vice versa).

Data source: https://coronavirus-staging.data.gov.uk

Local vaccine uptake

The map below shows the variation at a very localised area called an output area (Middle Layer Super Output Area, or MSOA for short) in the number of people aged 16+ having the vaccine across Sussex. This is a running total of people so far.

Remember, there will be more people currently eligible in different areas (particularly neighbourhoods with more older people or care homes). We will add more detail as it becomes available in the near future as soon as possible.

You can click on an area to find out more, and use your mouse or pointer to zoom in and out.

Data source: NHS England

The map below shows the proportion of adults aged and over who have had at least one dose of a COVID-19 vaccination. This may be more useful to understand inequalities in uptake across areas because all of those aged 18+ are now eligible to book an appointment.

Data source: NHS England

A deeper look at vaccination uptake

Ensuring that vaccination coverage is high overall as well as within underserved communities is essential for successful delivery of the COVID-19 vaccination programme just like any disease control and elimination strategy.

Inequalities are systematic differences in the status or distribution of resources between different population groups that are unfair or avoidable. We know that some groups may be more or less likely to get a vaccination because of factors such as access to transport, employment, education, ethnicity, as well as bariers related to language.

Whilst this page contains information on uptake by age and by neighbourhood location across Sussex, we have created a suplementary analysis page to explore some of the inequalities in uptake of the COVID-19 vaccine that we can see using the publicly available data on uptake. This can be found on our vaccination inequalities page.