COVID-19 vaccination programme: Workforce and training toolkit - Version 5, 10 March 2021

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COVID-19 vaccination programme: Workforce and training toolkit - Version 5, 10 March 2021
OFFICIAL

COVID-19 vaccination programme:
Workforce and training toolkit

Version 5, 10 March 2021
COVID-19 vaccination programme: Workforce and training toolkit - Version 5, 10 March 2021
Contents

   Section                                 Slide(s)   This workforce and training toolkit is for Regional Leads and
                                                      Regional Workforce Leads to use as a practical guide and:
   Workforce & training context            4
                                                      •   provides information on the workforce and training approach
   National supply                         5-7            to support the local mobilisation of workforce and training
                                                          activities
   Workforce staffing models               8-11
                                                      •   provides information that can be shared with appropriate
   Legislation                             12-15          stakeholders and delivery organisations

   Regional mobilisation                   16-29      •   explains how delivery organisations can access the national
                                                          workforce supply
   Training requirements                   32
                                                      Please note the information in this pack will be updated, in
   Workforce Planning Tool                 33-37
                                                      particular the training requirements and pathways for each
                                                      role.
   Volunteer guidance                      36-38
                                                      Changes are highlighted in yellow.
   Appendices:
   1. Operational guidance for workforce   37-54
      deployment
   2. Memorandum of Understanding          55-56
About this pack

   This pack supports providers to prepare for the workforce and training mobilisation of the COVID-19 vaccination
   programme. It includes:

   • Workforce delivery models: Staffing models to support local recruitment and guidance on the employment
     credentials that need to be in place for each of the staff groups.

   • National supply: The mechanisms to draw down from the nationally procured contracts with lead providers
     as this is how local trusts will access new supply routes.

   • Mobilisation: The frameworks for lead providers, an outline of the interface with local providers and regional
     workforce bureaus, to support workforce optimisation. There is also an outline of how rostering works to
     support the deployment of the nationally recruited workforce.

   • Training: Details of the training journeys for both registered and non-registered staff, including training
     requirements and modes of delivery.
Workforce and training: context

• Planning needs to focus on identifying workforce capacity beyond the core vaccinators working in the NHS (by expanding who is able to
  administer a vaccine through the changes to medicines legislation). Planning will also need to take into consideration business as usual
  planning within the NHS including elective recovery.
• The role of the vaccinator and registered healthcare professional have been developed to be generic roles, filled by people with the
  relevant skills, so we are less reliant on one staff group.
• The model job descriptions have been graded through Agenda for Change for the tasks and competencies required. These can be used
  to support local recruitment efforts.
• Some staff will be newly recruited to the NHS (new vaccinators) while others will be freed up by NHS organisations, where possible.
• All staff, regardless of how they are secured, will need to undergo national training and a competency assessment before they can
  vaccinate patients (except for volunteers from St John Ambulance who will have already been trained). Supervision must be provided.
• The recommended staffing pod models can be flexed depending on local requirements. The skill mix must be assured at a local level
  through safe staffing and clinical supervision arrangements and variations entered into the Workforce Planning Tool to ensure any local
  variations are reflected in local demand data.
• The lead employer model has been established to support NHS Providers and Primary Care (PCN’s and Community Pharmacies). This
  will also include the services to which primary care supports.
• Deployment will prioritise the use of existing staff and local temporary recruitment. Where there is insufficient capacity identified locally,
  providers can access additional capacity via National Workforce Suppliers (see next two pages).

4 |
National workforce suppliers

                   Overview of support              Roles provided
       Supplier                                                                 How do I access national supply?
                   provided                         by supplier

                   SJA will manage and deploy       •       Vaccinator          Lead providers can contact SJA to discuss mobilisation and plans of action by emailing NHS-Vaccinations@sja.org.uk
                   30,500 volunteers to vaccination         Volunteer
                   centres, including 10,000        •       Vaccination Support To access the Volunteer Workforce please follow these steps:
                                                            Volunteer (post
                   vaccinators. This will be
                                                            observation care)
                   available across all seven                                   1.    Workforce Bureau and/or Lead Provider provides the workforce requirement to the Single Point of Contact via the prescribed
                                                    •       Patient Advocate
                   regions.                                                           online form
       St John                                                                  2.    SJA Single Point of Contact uploads the required shifts onto the SJA Global Rostering Service (GRS)
                                                                                3.    SJA Volunteers will then self-roster the shifts in accordance with the Lead Provider requirements.
       Ambulance
                                                                                4.    When Volunteer arrives on-site the Lead Provider will be required to conduct the onsite inductions and ensure any face-to-face
       (SJA)                                                                          training has been completed for Vaccinator Volunteer role. Where required, the Lead Provider may request that the Volunteer
                                                                                      signs a Volunteer Agreement in accordance with its local procedures to ensure areas such as confidentiality and data protection
                                                                                      are covered accordingly. The National Team has provided a template should the Lead Provider wish to use this – see slide 7.
                                                                                5.    Volunteer will conduct their shift under the supervision of the Lead Provider.
                                                                                6.    SJA will invoice NHS England and NHS Improvement directly every month for the services delivered in that monthly period. All
                                                                                      invoices will be broken down regionally.

       Royal       RVS can provide c.50,000             •   Steward - Patient   The Lead Employer will be able to access the RVS nation supply chain via the GoodSAM app. To access the Volunteer Workforce
       Voluntary   volunteers aligned to the                Flow                please follow these steps:
                   current NHS Volunteer
       Services
                   Responder model.                                             1.     Workforce Bureau staff and/or Lead Provider staff will be trained via an online webinar on how to upload requests onto the
                                                                                       GoodSAM application.
                                                                                2.     Workforce Bureau and/or Lead Provider uploads demand to the GoodSAM application
                                                                                3.     Volunteer will respond to GoodSAM application and sign up to shifts within their geographical areas.
                                                                                4.     When Volunteer arrives on-site the Lead Provider will be required to conduct the onsite inductions. Where required, the Lead
                                                                                       Provider may request that the Volunteer signs a Volunteer Agreement in accordance with its local procedures to ensure areas
                                                                                       such as confidentiality and data protection are covered accordingly. The National Team has provided a template should the
                                                                                       Lead Provider wish to use that.
                                                                                5.     Should there be any issues or queries in relation to the Volunteers, RVS will provide a Regional Relationship Manager who
                                                                                       will be your first escalation point.
                                                                                6.     RVS Volunteer will be inducted and deployed as per the Lead Provider Requirements.
                                                                                7.     RVS will invoice NHS England and NHS Improvement directly every month.
 5 |
National workforce suppliers

                             Overview of support to be
       Supplier                                                        Roles to be provided by supplier                How do I access national supply?
                             provided
                             Multiple Occupational Health Providers    •     Registered OH Nurse - Onsite / face-to-   The Occupational Health DPS Framework with 23 suppliers is accessible from the NHS
                             can provide additional Registered               face                                      England and NHS Improvement People Directorate. To access the Framework please follow
                             Occupational Health Professionals.        •     OHA (qualified OH nurse; part 3 of        these steps:
                                                                             register) Onsite / face-to-face           1.     Provider/trust to identify specific requirements eg 2 OH nurses to work at X location for
                                                                                                                              2 months.
                                                                                                                       2.     Provider/trust to identify the required local funding
                                                                                                                       3.     Region accesses full list of accredited suppliers on NHS Health at Work Network
       Occupational health                                                                                                    https://www.nhshealthatwork.co.uk/login.asp?origin=covid.asp
       providers                                                                                                       4.     Once a supplier is identified through the Framework, Lead Employers can contact the
                                                                                                                              supplier directly and enter an agreement with them.
                                                                                                                       5.     OHP employee will be inducted, trained and deployed as per the System Lead
                                                                                                                              Provider requirements.
                                                                                                                       6.     The Provider/ Trust will be invoiced directly.

                             The Bring Back Scheme mechanism is        •     Vaccinator - Pay Band 3                  Existing BBS routes should be undertaken by the NHS organisation.
                             where the System Lead Provider            •     RHCP - Draw-up & Clinical Assessment* -
                             identifies a BBS colleague.                     Pay Band 5                               Where routes do not exist, NHS Professionals may be used as a route to contract.
       Bringing Back Staff                                             •     Registered Healthcare Professional - Pay
                                                                             Band 6

                             NHSP has launched a targeted “call for    Covid-19 Vaccination Programme Vaccinator-       Practices and PCNs will be able to make requests for additional staff via their Lead
                             action” to recruit to specific roles as   Pay Band 3                                       Provider, but will be required to fund these posts locally, in line with Agenda for Change pay
                             additional workforce. NHSP will be                                                         rates and put in place a collaborative agreement with the Lead Provider.
                             responsible for the end-to-end process,   Specific roles have been developed to be generic
                             from managing centralised demand, to      (not specific to a professional clinical group). To access resource, PCN groupings should follow the drawdown processes for the National
       NHS                   recruitment and virtual training and                                                       Workforce Supply Routes.
       Professionals         confirming employment hosting
       (NHSP)                arrangements.

                             More details are available at: NHS
                             Professionals - Join the Covid-19
 6 |                         Vaccine Team
Useful National Workforce Supplier documents

Supplier           Title of Document                        Contents                                                                                 Document Link
                   Provision of resources to the Covid-19   Provides overview of NHSP resource draw-down                                             https://future.nhs.uk/CovidVaccinations/vie
      NHSP         Vaccination Programme                                                                                                             w?objectId=94215717
                                                            Defines the three rostering and deployment models:

                                                            1.Lead employer is an NHSP customer
                                                            2.Lead employer is not an NHSP customer, and uses Allocate
                                                            3.Lead employer is not an NHSP customer, and uses another roster/ bank technology

                                                            Outline of roles and responsibilities

    St John        Information Document                     •     Provides overview of SJA resource draw-down                                        https://future.nhs.uk/CovidVaccinations/vie
   Ambulance                                                •     Roles & training                                                                   w?objectId=94215909
                                                            •     Governance arrangements
                                                            •     Clinical assurance
                                                            •     Contact information

    St John        Template Volunteer Agreements                                                                                                     https://future.nhs.uk/CovidVaccinations/vie
   Ambulance                                                If required Lead Providers can use the attached template. Please note if you decide to   w?objectId=94215813
                                                            use your existing Volunteer Agreements for Volunteers, please ensure the provision on
                                                            insurance is aligned and/ or incorporated as per the Template. The Template includes:

                                                            •   The volunteer role
                                                            •   Induction and training
                                                            •   Insurance
                                                            •   Confidentiality

Royal Voluntary    Template Volunteer Agreements            If required Lead Providers can use the attached template. Please note if you decide to   https://future.nhs.uk/CovidVaccinations/vie
Service Template                                            use your existing Volunteer Agreements for Volunteers, please ensure the provision on    w?objectId=94215813
                                                            insurance is aligned and/ or incorporated as per the Template. The Template includes:

                                                            •   The volunteer role
                                                            •   Induction and training
                                                            •   Insurance
                                                            •   Confidentiality
Workforce summary based on one vs. multiple pod site – under National
Protocol
• The table below outlines the workforce requirements to support the safe and effective delivery of vaccinations across a single vs. a multiple pod site. This is aimed to be used for
  vaccination centre models and shows the crude numbers needed at any given time for the models to operate. Please note the table below does not account for FTE sick leave, breaks,
  2 shifts per day.
• Please note the site size dictates the required governance structure, which can vary between a one pod site vs multiple pod site as scaling involves increased management governance
  and accountability. This is a recommended workforce structure only and it is subject to local flexibility and adjustment.
• Updated pod model documents for VCs and HHs can be found on NHS Futures.

                                                                                                                              Total number of workforce required       Narrative and
        Role               Band                                            Description
                                                                                                                              One pod site       Multiple pod site      comments

     Registered               6         • Supervision* of the vaccination activity and staff within the pod and observation        1                1 per pod
     Healthcare                           area.
 Professional (HCP)
                              5         • Responsible for the patient clinical assessment pre-vaccination (x5).                    6                6 per pod
                                        • Responsible for vaccination draw-up (x1).
     Vaccinator               3         • Responsible for the delivery of vaccination.                                             2                2 per pod
                                        • Responsible for the disposal of clinical waste and change of PPE (when
                                          required).                                                                                                                       For scaling
                                                                                                                                                                         purposes, the
     Healthcare               3         • Responsible for sanitisation and infection control (e.g. wipe down surfaces).            1                1 per pod
                                                                                                                                                                      numbers show the
   Assistant (HCA)                      • Support the vaccination process.
                                                                                                                                                                          roles needed
   Admin Support              3         • Responsible for patient record keeping.                                                  2                2 per pod          relative to the pod
                                        • Responsible for recording vaccination data (such as batches, numbers).                                                       ratio, but does not
                                                                                                                                                                     imply the location of
  Post Vaccination          SJA         • Responsible for managing the post vaccination observation area & provide BLS.            2                2 per pod         the roles inside the
    Observation                                                                                                                                                                pod.
       Steward            Volunteer     • Responsible for patient flow management.                                                 5                5 per pod
  Patient Advocate          SJA         • Responsible for answering patient queries and address any concerns.                      1                1 per pod
   Front of House         Proposed      • Responsible for patient check-in and pod allocation.                                     2                2 per pod
                           Band 2       • Responsible for patient queries on the day.
       Marshal            Volunteer     • Responsible for patient flow management.                                                 5                5 per pod

 *Safe staffing and supervision guidance will be developed and provided by the national programme.
Workforce summary based on one vs. multiple pod site – under National
Protocol continued
• The table below outlines the workforce requirements to support the safe and effective delivery of vaccinations across a single vs. a multiple pod site. This is aimed to be used for
  vaccination centres and shows the crude numbers needed at any given time for the models to operate. Please note the table below does not account for FTE sick leave, breaks, 2 shifts
  per day.
• Please note the site size dictates the required governance structure, which can vary between a one pod site vs multiple pod site as scaling involves increased management governance
  and accountability. This is a recommended workforce structure only and it is subject to local flexibility and adjustment.

                                                                                                       Total number of workforce required
        Role             Band                                Description                                 One pod site          Multiple pod                     Narrative and comments
                                                                                                                                   site
     Registered            6        •   Supervision* of the clinical assessment activity.                       0               1 per max 3      Within the one pod site, the clinical assessors can escalate
     Healthcare                     •   Escalation point for clinical assessment.                                                  pods          to the Senior Manager. Scaling up, we anticipate the need
    Professional                                                                                                                                 of a Band 6 as direct escalation point, one responsible for
       (HCP)                                                                                                                                                          up to three pods.

  Senior Manager       Proposed     •   Responsible for clinical & operational oversight,                       1                    0                 Within the one pod site, a Senior Manager is able
                         8b-8c          governance of the site & staff supervision.                                                              to oversee both clinical and operational activity. Scaling up
                                                                                                                                                         to multiple pods, this role requires separation
  Nursing Manager          8a       •   Responsible for clinical escalations.                                   0               1 per max 3         of responsibility; therefore we propose that instead of a
                                    •   Responsible for overseeing the clinical activity for the pod                               pods          Senior Manager, a Nursing Manager is responsible for the
                                        and clinical assessment area.                                                                             clinical oversight of a maximum of 3 pods and there is on-
                                                                                                                                                  site presence of an Ops Director (see below) responsible
                                                                                                                                                                     for operational oversight.
  Medical Director      Med Gr.     •   Responsible for clinical leadership & site(s) governance.      Remote oversight        1 per site (can   We anticipate that a Medical Director can oversee multiple
                                    •   Responsible for clinical escalations above the Nursing         of difficult clinical     be remote)      sites remotely. This role may be covered by the GP in the
                                        Manager or Senior Manager.                                     queries (at least                                                 PCN model.
                                                                                                         1/Lead Trust)
     Operations          ESM        •   Responsible for non-clinical leadership & operational          At least 1 per Lead     1 per site (on     We anticipate that the Ops Director can oversee multiple
      Director           Equiv.         delivery of vaccination centres.                                 Trust covering            site)          one pod sites remotely. For multiple pod sites, this role
                                    •   Responsible for ensuring all workforce, consumables and           multiple sites                            may be required in-person, dedicated to that site.
                                        equipment are in place.                                             (remote)
         Pharmacy Team              Pharmacy input and oversight must be considered in the vaccination centres to maintain product integrity of the Vaccine, ensuring that appropriate cold chain processes
                                    are in place and that the staff carrying out tasks are adequately training to handle the vaccine(s). There will be a mix of new HC Professionals and new recruits hence
                                    good pharmaceutical oversight is essential to ensure patient safety. Specifically management of all aspects of ordering, receipt, storage and onward supply from stock
                                    of vaccine and medicines should be provided by a senior member of the local Pharmacy Team. SOPs are available on the Specialist Pharmacy Services websites.
                                                                                                  *Safe staffing and supervision guidance has been developed and provided by the national programme.
Workforce deployment: workforce by delivery model and supplier pools –
required under National Protocol
     Delivery Model                            Role                   Pay Band        No./pod*       No./site     Total                Supplier pool
                                                                                                                                                                  *Vaccination centre delivery model: The vaccinator figures are shown
Vaccination Centre         Vaccinator*                                   3               2             10          141                  NHSP, SJA                 for the hand-washing only requirement post each vaccination. If full
Delivery Model                                                                                                     (all
                           RHCP – Draw-up & Clinical Assessment          5               6             30         bands    Staff Sharing, Secondment, BBS, NHSP   PPE change is required, a higher number of vaccinators will be needed
                           Registered HCP – Supervisor**                 6           1 + 1/ 3x          7           &      Staff Sharing, Secondment, BBS, NHSP   per pod. The model assumes 5 pods per site.
•   A single location,                                                                                            volunt
                                                                                       pod
    capable of                                                                                                    eers)
    supporting safe        HCA                                           3               1              5                    Staff Sharing, Secondment, NHSP      **This role does not include the potential Supervisor needed to
    provision of           Vaccination Admin Support                     3               2             10                    Staff Sharing, Secondment, NHSP      oversee the Clinical Assessment activity which may be required in
    vaccinations over                                                                                                                                             large-scale sites.
    an extended            Post-vaccination Observation & BLS           SJA              2             10                                  SJA
    period to large        Steward – Volunteer non-clinical support    NHSV              5            50***                               NHSV
    numbers of people                                                                                                                                             *** Steward numbers have been calculated for a one pod site and may
                           Patient Advocate – Patient Interaction       SJA              1              5                               SJA, NHSP
    in a predominantly                                                                                                                                            be scaled down in large sites.
    indoor setting         Front of House / Reception                    2               2             10                      Existing workforce bank, NHSP
                           Nursing Manager                              8a           1 / max 3          2                       Staff Sharing & Secondment
•   This table shows
    the total workforce
                                                                                        pods                                                                      • The expected workforce requirements by role and band are set out in
    required for a 5-      Medical Director                           Med Gr          1 / site          1                       Staff Sharing & Secondment          the tables alongside the likely draw-down process from existing
    pod site, which        Operations Director                        Gr/ESM          1 / site          1                       Staff Sharing & Secondment          staffing pools.
    can be scaled up
                           Senior Manager                              8b-8c           1/one            0                       Staff Sharing & Secondment
    and down based
    on local
                                                                                      pod site                                                                    • The figures assume that 1.0 FTE provides 0.78 FTE of delivery time,
    requirements           Pharmacy Team                                 -                Required                                           -                      accounting for leave, sickness, training etc. vaccinations take 3 min at
                                                                                                                                                                    fixed and mobile mass sites (exclude pre/post vacc checks), 10 min at
                                                                                Pay
       Delivery Model                                 Role
                                                                               Band
                                                                                          No./pod*              Total                  Supplier pool                acute sites, 60 min at households (including travel) and 15 mins per
                                                                                                                                                                    residential and detained estates.
Hospital Hub Delivery            Vaccinator*                                     3               1            14 (all                   NHSP, SJA
Model                                                                                                        bands &
                                 RHCP – Draw-up & Clinical Assessment            5               6                         Staff Sharing, Secondment, BBS, NHSP
                                                                                                            volunteers)                                           • Acronyms: SJA (St. John Ambulance), NHSP (NHS Professionals),
•   Delivery of vaccination      Registered HCP – Supervisor**                   6               1                         Staff Sharing, Secondment, BBS, NHSP     NHSV (NHS Volunteers), BBS (Bringing Back Scheme), RHCP
    to the citizens in           HCA                                             3               1                           Staff Sharing, Secondment, NHSP        (Registered Healthcare Professional).
    hospital hubs
                                 Vaccination Admin Support                       3               1                           Staff Sharing, Secondment, NHSP

•   This table shows the         Front of House / Reception                      2               1                             Existing workforce bank, NHSP
    total workforce              Nursing Manager                               8a                1                              Staff Sharing & Secondment
    required for a two
    single lane pod              Pharmacy Team                                   -       Required                                            -
Job Descriptions under National Protocol

                               Role                                              Role

                        Band 3 Vaccinator                                     Band 3 HCA

                         Band 5 HCP –
                                                                          Band 3 Admin Support
                        Dilution required*

                          Band 5 HCP –
                                                                     Band 2 Front of House/Reception
                      Dilution not required*

                           Band 6 HCP
                                                                        Band 8a Nursing Manager
                       Clinical Supervisor**

 * The original Band 5 HCP was designed to cover vaccine dilution
 responsibilities. In instances where HCPs cannot dilute under the
                                                                       Band 8b-8c Senior Manager
 vaccine specifications guidance, please use the adjusted Band 5
 JD.

 ** The original Band 6 JD has been amended to allow Allied Health
 Professionals to be able to apply for this role.
                                                                        ESM Operations Director
Legislation

 As part of enabling the UK to deploy a vaccine, the Department of Health and Social Care amended the 2012
 Human Medicines Regulations. These amendments:

 1. Ensure that conditions can be attached to the temporary authorisation of an unlicensed vaccine, which allow
    the licensing authority to ensure that these products, where appropriate, can be treated in a similar way to
    products with a full marketing authorisation.
 2. Extend immunity from civil liability for regulation 174 so that it applies not just to manufacturers and
    healthcare professionals but also to the company placing the unlicensed vaccine on the market, and to
    clarify the consequences on immunity, should there be a breach of the conditions imposed.
 3. Enable the expansion of the workforce who can administer a vaccine under an NHS or Local Authority
    Occupational Health Scheme.
 4. Ensure the COVID-19 vaccine can be promoted as part of the national vaccination campaigns.
 5. Make provisions for wholesale dealing of the vaccines/treatments, in the case that the vaccine/treatment
    needs to be moved between premises at the end of the supply chain.
Who can be a vaccinator?

                       Experienced vaccinators                     Can vaccinate with training and supervision                   Post legislative change

           Practice nurses (NMC)*                               Physiotherapists (HCPC)*                                St John Ambulance Volunteers
           School nurses (NMC)*                                 Radiographers (HCPC)*                                   Vaccinators created to support NHS
           Donor nurses (NMC) *                                 Pharmacists (GphC) [Primary Care &                      COVID-19 vaccination programme
           Midwives (NMC)*                                      Hospital setting] *
           Occupational Health Providers (NHS)*                 Pharmacy technicians (GphC)
           Community Pharmacists* (GPhC)                        Chiropodists and podiatrists*
           St John Ambulance* (clinical staff -                 Dental hygienist*
  RHCP     paramedics)                                          Dental therapist*                                         We train and deploy the workforce in three
           Dentists (GDC)                                       Dietitian*
           GPs (GMC)                                            Occupational therapist*
                                                                                                                          phases:
           Paramedics (HCPC)*                                   Optometrist*
           Nursing Associates (NMC -require                     Orthoptist*                                               1.    Train and deploy Registered Healthcare
           supervision)                                         Orthotist and Prosthetist*                                      Professionals experienced in vaccinations
                                                                Speech and language therapists
                                                                                                                          2.    Train and deploy Registered Healthcare
                                                                                                                                Professionals and healthcare workers
           GP Practice HCAs                                     Physicians associates                                           inexperienced in vaccinations.
  Non-                                                          Phlebotomists                                             3.    Train and deploy non healthcare workers who
  RHCP                                                          Blood &Transfusion Donor carers                                 are recruited through a call to action for the
                                                                HCA’s
                                                                Medical and Nursing students                                    new vaccinator role.

         Healthcare professionals who can administer vaccines under PGD are highlighted with *
         Nb: This list is not definitive i.e. for the unreigistered vaccinators anyone that meets the essential criteria in the Job Descriptions can apply.
On-boarding guidance for COVID-19 Vaccination Programme
 Below details the requirements for efficient operations of the COVID-19 vaccination programme delivery models.

                  Guidance
 Pre-employment   Must be in compliance with the temporary Covid-19 guidance and FAQs issued by NHS Employers which was agreed by DHSC, Home Office, CQC and NHS
 checks           England and NHS Improvement in March last year.

 Indemnities      The Service Provider is responsible for clinical governance arrangements for the services provided under the terms of their commissioning contract.
                  For directly employed staff, cover will be provided by CNST (Statutory sector) or CNSGP (GP practice) and staff sharing MOU agreements can be used to
                  ensure appropriate governance for staff deployed to other settings (indemnity and data protection).

                  For volunteers working in a provider (not directly employed), volunteer agreements and staff sharing MOU agreements will be used to ensure appropriate
                  governance (e.g. indemnity and data protection).

                  Where volunteers have been coordinated centrally through St John Ambulance with NHS England and NHS Improvement, it is St John Ambulance intention for
                  these individuals to be covered (for both clinical and non-clinical vaccination activity) by the existing insurance policy of the voluntary organisation. Therefore,
                  there are different volunteer agreements for St John Ambulance and Royal Voluntary Service volunteers to reflect the different indemnity arrangements.

                  Example staff sharing MOU and volunteers agreements are available below for systems to review and implement, in line with local needs.
                  Providers must also assure themselves that relevant public liability, employer’s liability and professional indemnity are in place. This is captured in the
                  commissioned service specifications.

                  NHS Resolution has information on its website to support PCN groupings to understand the indemnity and insurance requirements.
 Occupational     The Occupational Health guidance updated and published on the 01st December 2020 can be found here,
 Health
 requirements

 DBS checks       Please see next slide for details
Disclosure and Baring Service checks

 The DBS free and fast track service is strictly limited to regulated activity and where healthcare is being delivered by a registered healthcare
 professional, or under the direction or supervision of a registered healthcare professional. Latest advice suggests those administering the
 vaccine would fall under this definition and would therefore be eligible for a free and fast track DBS. However, the need to obtain a check is
 dependent on the factors outlined below:
  Workforce                DBS guidance
  Healthcare workers       • Staff who have had a DBS check within the last three years, or are subscribed to the DBS Update Service, do not need to rechecked.
  already working in the   • Where this is not the case, eg the DBS check was carried out more than three years ago, or their original disclosure showed offences that might
  NHS                        need to be considered, then consideration must be given as to whether a new check would be required.
                           • Those newly recruited to the NHS to work in regulated activity will be eligible for a free and fast track check.
  Deploying individuals    • Staff from the Bringing Back Scheme who can present a letter issued through the relevant regional team confirming clearances obtained, do not
  through BBS scheme         need to be rechecked.
                           • DBS clearances must be at the correct level for the work being undertaken. If no criminal record information was declared in their original disclosure,
                             then a further check should not be necessary.
                           • If there is a trigger for a new check and the staff member will be undertaking regulated activity, they are eligible for a free and fast track check. Other
                             levels of checks may be required for different support roles (see note on non-regulated activity below)
                           • Local trusts may require other pre-employment checks such as requiring individuals to show photographic ID on their first day. This will be clarified
                             locally.
  Support roles (non-      • Recruitment to non-regulated role may require DBS check.
  regulated activity)      • Although there is no equivalent fast track service for support roles, provisions are in place to enable them to start work or volunteer under
                             supervision, until their disclosure is received (in line with lead employer processes).
                           • NHS Employers has produced a guide outlining a range of role based scenarios and eligibility for different levels of check.
  Recruitment through      • The national contract requires that all staff and workers recruited by NHS Professionals will be DBS checked.
  NHS Professionals
  Volunteers               • Royal Voluntary Service volunteers will not be conducting regulated activity and will not be subject to a DBS check.
                           • St John Ambulance and the Red Cross are likely to have had DBS clearances but assurance will be required. SJA is contracted to DBS to check
                             their staff.

DBS guidance on COVID-19 roles which would be eligible for this type of check can be found on gov.uk.
Regional mobilisation: there is regional oversight and assurance of the programme working with
management and co-ordination organisations (MCOs) and providers to ensure successful delivery
locally
                                                                                                                                                                              Primary Care
                                                                               National programme
                                                                                                                                                                               programme
    National
     level               National Vaccine Oversight Centre (NVOC) operated by NHSE/I Vaccination Programme                                                             Via PCN DES sign up
                                                                                                                                                                       •   Legal entity (ie PCN) providing
   Regional                                                             Regional Vaccine Cell                                                                              Clinical Governance for
    level                                                                                                                                                                  service delivery including
                                                                                                                                                                           incident reporting
                                                                                                                                                                       •   Operation of community sites
                                                                                                                                                                           – both NHS and non-NHS
                        Management                          Management                           Management                          Management                        •   Act as a vehicle of workforce -
   Population                                                                                                                                                              employment and/or honorary
  accountability          and Co-                             and Co-                              and Co-                             and Co-                             contracts; commission in-
    – System             ordination                          ordination                           ordination                          ordination                           person training, onboarding
                                                                                                                                                                           and induction, and workforce
   geography            Organisation                        Organisation                         Organisation                        Organisation                          contracts and training
                          (MCO)                               (MCO)                                (MCO)                               (MCO)                               programme
                                                                                                                                                                       •   Creation and management of
                                                                                                                                                                           the rostering and staff sharing
                                                                                                                                                                       •   Monitored by MCO to ensure
                            Lead                               Lead                                 Lead                                 Lead                              population reach and
                                                                                                                                                                           accountability
                           Employer                           Employer                             Employer                             Employer
    Service
    delivery
                                                                                  PCN         PCN         PCN         PCN         PCN         PCN         PCN
                     PCN         PCN         PCN         PCN         PCN
                                                                                community   community   community   community   community   community   community
                   community   community   community   community   community
                                                                                   site        site        site        site        site        site        site
                      site        site        site        site        site

                   Via MCO contracts:                                                                                           Via lead employer contracts:
                   •    Anticipate same organisation contracted as both MCO and Lead Employer in each system                    •    Legal entity (ie acute trust) providing clinical governance for
                        geography                                                                                                    service delivery including incident reporting
                   •    Two distinct contracts drive different accountabilities                                                 •    Act as a vehicle of workforce - employment and/or honorary
                   •    MCO operates Local Workforce Operational Planning Cell                                                       contracts; commission in-person training, onboarding and
                   •    Seven day a week service centre provided for local providers                                                 induction
                   •    Responsible for draw down from national supply chain, invoicing and workforce contracts at              •    Creation and management of the rostering and staff sharing
                        system geography level (unless alternative arrangements agreed locally)                                 •    Access point for national supply chain for other NHS Trusts
                   •    Performance reporting across the system and to NHSE&I VOC                                                    and PCNs
Workforce roles and responsibilities
                      National Vaccination Operations                 Regional Vaccination Cell – Workforce                      Management and Co-ordination                                   Lead Employer                                    Other Providers (PCNs and Trusts)
   activity
    Level/

                               Centre (NVOC)                                      Workstream                                          Organisation (MCO)*                            (COVID-19 Roving Model and COVID-19
                                                                                                                           (Management and Co-ordination of COVID-                     Large Scale and Community Model)
                                                                                                                             19 vaccination programme at ICS level)

                      -   Accountable to National COVID-19        -    Accountable to the National Vaccination         -     Accountable to Regional Vaccination Cell Board      -   Accountable to Management and Co-ordination of         -   Accountable to MCO via contracted services
   Accountability

   responsibility

                          Vaccination Board                            Operations Centre (VOC)                               via contracted services                                 COVID-19 vaccination programme at STP level            -   Responsible for delivery of workforce elements of
                      -   Responsible for national oversight of   -    Responsible for regional oversight and          -     Responsible for delivery of workforce elements of   -   Responsible for delivery of workforce elements of          PCNs through enhanced service contracts (PCNs)
       and

                          the COVID-19 Vaccination                     assurance of workforce elements of COVID-19           Management and Co-ordination of COVID-19                COVID-19 Vaccination Centres, Hospital Hubs and            and vaccination of staff (NHS Trusts and PCNs)
                          Programme                                    Vaccination Programme                                 vaccination programme at STP level                      Local Vaccination Services.

                      -   Oversight and assurance of              -    Oversight and assurance of workforce plans at   -     Co-ordination of workforce plans within ICS –       -   Monitoring progress of workforce plans within own      -   Monitoring progress of workforce plans within own
                          workforce plans at regional level –          each MCO and regional level – progress                progress against workforce requirements of lead         contracted delivery models - progress against              contracted delivery models - progress against
   Oversight and
    assurance

                          progress against workforce                   against workforce requirements by staff group         employers and PCNs across all delivery models**         workforce requirements at individual level per             workforce requirements at individual level per
                          requirements by staff group and              and delivery model**                            -     Use of the Workforce Planning Tool to understand        delivery model through existing workforce, national        delivery model through existing workforce,
                          delivery model                          -    Use of the Workforce Planning Tool to                 capacity vs demand                                      contract call off and local recruitment***                 national contract call off and local recruitment
                      -   Use of the Workforce Planning Tool           understand capacity vs demand                                                                             -   Responsible for maintaining the Workforce              -   Inputting into the workforce planning tool at least
                          to understand capacity vs demand                                                                                                                           Planning Tool                                              weekly

                      -   Modelling of population, delivery       -    Support MCO with ICS level modelling of         -     Overall workforce planning for system with Lead     -   Workforce planning for Vaccination Centres,            -   Planning of own workforce requirements to
                          models and workforce requirements            population, delivery models and workforce             Employers and PCNs to deliver workforce                 Hospital Hubs and Local Vaccination Services –             vaccinate own staff – current workforce, workforce
   Workforce

                          at regional level                            requirements including Lead Employer and              requirements**                                          current workforce, workforce required, workforce           required, workforce gap and plan (PCN and
   planning

                      -   Production of standard role                  PCN**                                           -     Adopt or adapt of standard role descriptions and        gap and plan ***                                           Trusts)
                          descriptions and workforce service      -    Sharing of standard role descriptions and             workforce service specifications                    -   Adopt or adapt of standard role descriptions and       -   Planning of own workforce requirements to deliver
                          specifications                               workforce service specifications                                                                              workforce service specifications                           NHS ES contact – current workforce, workforce
                                                                                                                                                                                                                                                required, workforce gap and plan (PCN only)

                      -   National contracting with NHS           -    Regional link with NHS Professionals, St John   -     Reallocation of available workforce across          -   Local deployment of existing workforce to fulfil own   -   Local deployment of workforce to fulfil delivery of
   Workforce supply

                          Professionals, St John Ambulance,            Ambulance, NHS Volunteers and OH                      providers when gaps arise**                             workforce requirements***                                  own staff vaccinations (PCN and trusts)
                          NHS Volunteers and OH providers              providers**                                     -     System draw down of NHS Professionals, St           -   Deployment of NHS Professionals, St John               -   Deployment of NHS Professionals, St John
                      -   National recruitment campaigns for      -    Supporting MCOs to ensure NHS                         John Ambulance, NHS Volunteers and OH                   Ambulance, NHS Volunteers and OH providers                 Ambulance, NHS Volunteers and OH providers
                          clinical and non clinical vaccination        Professionals, St John Ambulance, NHS                 providers contract**                                    workforce***                                               workforce***
                          workforce                                    Volunteers and OH providers workforce has       -     Access to any supply identified through national    -   Local recruitment and employment of workforce***       -   Local recruitment and employment of workforce***
                                                                       equitable access**                                    campaigns or regionally identified

                      -   Production of Training Needs            -    Signpost MCO to TNA, relevant standards and     -     Develop system capacity and plans to deliver        -   Access training products against delivery models,      -   Access training products against delivery models,
                          Analysis and relevant standards              training products against delivery models,            relevant standards against delivery models,             workforce roles and workforce service                      workforce roles and workforce service
                          against delivery models, workforce           workforce roles and workforce service                 workforce roles and workforce service                   specifications***                                          specifications
   Training

                          roles and workforce service                  specifications                                        specifications**                                    -   Ensure workforce are trained and complaint with        -   Ensure workforce are trained and complaint with
                          specifications                          -    Support MCO with advice and expertise to        -     Adopt or adapt accessible training products             relevant training ***                                      relevant training
                      -   Production of accessible training            develop training delivery plans                       against delivery models, workforce roles and
                          products against delivery models,                                                                  workforce service specifications
                          workforce roles and workforce
                          service specifications

* MCO and lead employer expected to be contracted as the same organisations in each ICS operating under different service specifications
**Specified in draft service specification ‘Management and Co-ordination of COVID-19 vaccination programme at STP level’
Lead Employers – Midlands 10.03.2021

       Lead Employers      Which ICS/STPs will                   Which Providers will they support               Lead Employer SPOC       Regional Workforce       RVOC
                              they support                                                                                                      Lead

   University Hospitals   Birmingham and         Birmingham and Solihull Mental Health NHS Foundation Trust   morag.gates@uhb.nhs.uk        Steve Morrison   england.midsroc@nh
   Birmingham NHS         Solihull               Birmingham Community Health Care NHS Foundation Trust                                   stevemorrison@nhs.n        s.net
   Foundation Trust                              Birmingham Women’s and Children’s Hospitals NHS                                                  et
                                                 Foundation Trust
                                                 Royal Orthopaedic Hospital Birmingham NHS Foundation Trust
                                                 University Hospitals Birmingham NHS Foundation Trust
   Coventry and           Coventry and           University Hospitals Coventry and Warwickshire NHS Trust     mark.ratley@covwarkpt.nh
   Warwickshire           Warwickshire           South Warwickshire NHS Foundation Trust                      s.uk
   Partnership Trust                             Coventry and Warwickshire NHS Partnership Trust
                                                 George Eliot Hospital NHS Trust
   The Dudley Group     Black Country and        Birmingham Community Healthcare NHS Foundation Trust         James.Fleet1@nhs.net
   NHS Foundation Trust West Birmingham          Black Country Healthcare NHS Foundation Trust
                                                 Dudley Integrated Health and Care NHS Trust
                                                 Sandwell and West Birmingham Hospitals NHS Trust
                                                 The Dudley Group NHS Foundation Trust
                                                 The Royal Wolverhampton NHS Trust
                                                 Walsall Healthcare NHS Trust
                                                 West Midlands Ambulance Service NHS Foundation Trust
   NHS Herefordshire &    Hereford and           2gether Foundation Trust                                     scott.parker@nhs.net
   Worcestershire CCG     Worcester              West Midlands Ambulance Service NHS Trust
                                                 Worcestershire Acute Hospitals NHS Trust
                                                 Worcestershire Health and Care NHS Trust
                                                 Wye Valley NHS Trust
   Northampton General Northamptonshire          Kettering General Hospital NHS Foundation Trust              adam.cragg@ngh.nhs.uk
   Hospital NHS Trust                            Northampton General Hospital NHS Trust
                                                 Northamptonshire Healthcare NHS Foundation Trust
   System Led Bureau    Shropshire, Telford      Robert Jones and Agnes Hunt Orthopaedic Hospital NHS         nichola.bradford@nhs.net
   and Robert Jones and and Wrekin               Foundation Trust
   Agnes Hunt NHS                                Shrewsbury and Telford Hospital NHS Trust
   Foundation Trust is                           Shropshire Community Health NHS Trust
   Lead Employer                                 South Staffordshire and Shropshire Healthcare NHS
                                                 Foundation Trust
Lead Employers – Midlands ctd. 10.03.2021

     Lead Employers      Which ICS/STPs will they                    Which Providers will they support                 Lead Employer SPOC        Regional Workforce Lead     RVOC
                                 support

 Midlands Partnership   Staffordshire               Burton Hospitals NHS Foundation Trust                           mish.irvine@mpft.nhs.uk          Steve Morrison    england.midsroc@nhs
 NHS Foundation Trust                               Healthwatch Staffordshire                                                                    stevemorrison@nhs.net         .net
                                                    Healthwatch Stoke-on-Trent
                                                    NHS England
                                                    NHS Improvement
                                                    North Staffordshire Combined Healthcare NHS Trust
                                                    South Staffordshire and Shropshire Healthcare NHS Foundation
                                                    Trust
                                                    Staffordshire and Stoke-on-Trent Partnership NHS Trust
                                                    University Hospitals of North Midlands NHS Trust

 Derbyshire Community Derbyshire                    Chesterfield Royal Hospital NHS Foundation Trust                derby.svoc@nhs.net
 Healthcare Trust                                   University Hospitals of Derby and Burton NHS Foundation Trust   darren.tidmarsh1@nhs.net
                                                    Derbyshire Community Health Services NHS Foundation Trust
                                                    Derbyshire Healthcare NHS Foundation Trust
                                                    East Midlands Ambulance Service NHS Trust
                                                    Derbyshire GP Alliance

 Sherwood Forest        Nottinghamshire             Nottingham University Hospitals NHS Trust                       robert.simcox@nhs.net
 Hospitals NHS                                      Nottinghamshire Healthcare NHS Foundation Trust
 Foundation Trust                                   Sherwood Forest Hospitals NHS Foundation Trust

 Leicestershire        Leicester, Leicestershire East Midlands Ambulance Service NHS Trust                          Sarah.Willis@leicspart.nhs
 Partnership NHS Trust and Rutland               Leicestershire Partnership NHS Trust                               .uk
                                                 University Hospitals of Leicester NHS Trust                        Louise.Young@westleicest
                                                 Leicester Community NHS Trust                                      ershireccg.nhs.uk

 Lincolnshire CCG       Lincolnshire                East Midlands Ambulance Service NHS Trust                       julie.stevens20@nhs.net
                                                    Lincolnshire Community Health Services NHS Trust
                                                    Lincolnshire Partnership NHS Foundation Trust
                                                    United Lincolnshire Hospitals NHS Trust
Lead Employers – East of England 10.03.2021

       Lead Employers    Which ICS/STPs will they                     Which Providers will they support                 Lead Employer SPOC     Regional Workforce Lead   RVOC
                                 support

   Essex Partnership    Mid and South Essex &       Essex Partnership University NHS Foundation Trust                 jodie.russell@nhs.net       Jenny Hannington   england.eoe-
   University Hospital  Suffolk and North East      Mid and South Essex NHS Foundation Trust                          Jacky.dixon@nhs.net      jenny.hannington@hee vacprg@nhs.net
   NHS Foundation Trust Essex and support to        East Suffolk and North Essex NHS Foundation Trust                                                  .nhs.uk
                        other STPs within the       West Suffolk NHS Foundation Trust.
                        East of England             Basildon and Thurrock University Hospitals NHS Foundation Trust
                                                    Mid Essex Hospital Services NHS Trust
                                                    North East London NHS Foundation Trust
                                                    Southend University Hospital NHS Foundation Trust
                                                    South Essex Partnership University NHS Foundation Trust

   Hertfordshire        Hertfordshire and West East and North Hertfordshire NHS Trust                                 ruth.griffin2@nhs.net
   Community Services   Essex                    Hertfordshire Community NHS Trust                                    alisonlathwell@nhs.net
   NHS Trust            Bedfordshire, Luton, and Hertfordshire Partnership University NHS Foundation Trust
                        Milton Keynes            Princess Alexandra Hospital NHS Trust
                                                 West Hertfordshire NHS Hospitals Trust
                                                 Bedford Hospital NHS Trust
                                                 Luton and Dunstable University Hospital NHS Foundation Trust
                                                 Milton Keynes University Hospital NHS Foundation Trust
                                                 South Central Ambulance Service NHS Foundation Trust
                                                 The East of England Ambulance Service NHS Trust

   Cambridgeshire       Cambridgeshire and          James Paget University Hospitals NHS Foundation Trust             anne.foley1@nhs.net
   Community Services   Peterborough                Kings Lynn NHS Foundation Trust
   NHS Trust            Norfolk and Waveney         Norfolk and Norwich University Hospitals NHS Foundation Trust
                                                    Norfolk and Suffolk NHS Foundation Trust
                                                    Norfolk Community Health and Care NHS Trust
                                                    Queen Elizabeth Hospital
                                                    Cambridge University Hospitals NHS Foundation Trust
                                                    Cambridgeshire and Peterborough NHS Foundation Trust
                                                    Cambridgeshire Community Services NHS Trust
                                                    East of England Ambulance Service NHS Trust
                                                    North West Anglia NHS Foundation Trust
                                                    Papworth Hospital NHS Foundation Trust
Lead Employers – London 10.03.2021

          Lead Employers            Which ICS/STPs will they                    Which Providers will they support               Lead Employer Regional Workforce              RVOC
                                            support                                                                                SPOC             Lead
   Chelsea and Westminster          North West London          Central and North West London NHS Foundation Trust               pippa.nightinga       Jodie Gardiner       england.london-
   Hospital NHS Foundation Trust                               Central London Community Healthcare NHS Trust                    le@chelwest.n     jodie.gardiner@nhs.n   covid19voc@nhs.net
                                                               Chelsea and Westminster Hospital NHS Foundation Trust            hs.uk                       et
                                                               Imperial College Healthcare NHS Trust
                                                               London North West Healthcare NHS Trust
                                                               Royal Brompton And Harefield NHS Foundation Trust
                                                               The Hillingdon Hospitals NHS Foundation Trust
                                                               The Royal Marsden NHS Foundation Trust
                                                               West London Mental Health NHS Trust

   University College London        North Central London       Barnet, Enfield and Haringey Mental Health NHS Trust             d.grantham@n
   Hospitals NHS Foundation Trust                              Camden and Islington NHS Foundation Trust                        hs.net
                                                               Central and North West London NHS Trust
                                                               Central London Community Healthcare NHS Trust
                                                               Moorfields Eye Hospital NHS Foundation Trust
                                                               North Middlesex University Hospital NHS Trust
                                                               Royal Free NHS Foundation Trust
                                                               Royal National Orthopaedic Hospital NHS Trust
                                                               Tavistock and Portman NHS Foundation Trust
                                                               University College London Hospitals NHS Foundation Trust
                                                               Whittington Health NHS Trust

   Barts Health NHS Trust           North East London          Barking, Havering And Redbridge University Hospitals NHS Trust   delvir.mehet@
                                                               Barts Health NHS Trust                                           nhs.net
                                                               City of London Corporation
                                                               East London NHS Foundation Trust
                                                               Homerton University Hospital NHS Foundation Trust
                                                               North East London NHS Foundation Trust

   Guy's and St Thomas' NHS         South East London          Guy’s and St Thomas’ NHS Foundation Trust                        jessica.arnold1
   Foundation Trust                                            King’s College Hospital NHS Foundation Trust                     @nhs.net
                                                               Lewisham and Greenwich NHS Trust
                                                               Oxleas NHS Foundation Trust
                                                               South London And Maudsley NHS Foundation Trust

   Croydon Health Services NHS      South West London          Croydon Health Services NHS Trust                                lorissa.page@
   Trust                                                       Kingston Hospital NHS Foundation Trust                           swlondon.nhs.
                                                               The Royal Marsden NHS Foundation Trust                           uk
                                                               Hounslow and Richmond Community Healthcare NHS Trust
                                                               South West London and St George's Mental Health NHS Trust
                                                               St George's University Hospitals NHS Foundation Trust
Lead Employers – North West 10.03.2021
         Lead Employers         Which ICS/STPs                      Which Providers will they support              Lead Employer SPOC        Regional        RVOC
                                will they support                                                                                          Workforce Lead

   St. Helen's & Knowsley       Cheshire and        Alder Hey Children’s NHS Foundation Trust                    gary.watson14@nhs.net       Katy Coope       covid-
   Teaching Hospitals NHS Trust Merseyside          Bridgewater Community Healthcare NHS Foundation Trust                                  katy.coope@nhs 19.mvnw@nhs.n
                                                    Cheshire and Wirral Partnership NHS Foundation Trust                                         .net           et
                                                    Clatterbridge Cancer Centre NHS Foundation Trust
                                                    Countess of Chester NHS Foundation Trust
                                                    East Cheshire NHS Trust
                                                    Liverpool Heart and Chest Hospital NHS Foundation Trust
                                                    Liverpool University Hospitals NHS Foundation Trust
                                                    Liverpool Women’s Hospital NHS Foundation Trust
                                                    Mersey Care NHS Foundation Trust
                                                    Mid-Cheshire Hospital NHS Foundation Trust
                                                    North West Boroughs Healthcare NHS Foundation Trust
                                                    St Helens and Knowsley Teaching Hospitals NHS Trust
                                                    Southport and Ormskirk Hospital NHS Trust
                                                    The Walton Centre NHS Foundation Trust
                                                    Wirral University Teaching Hospital NHS Foundation Trust
                                                    Wirral Community NHS Foundation Trust
                                                    Warrington and Halton Hospitals NHS Foundation Trust
                                                    North West Ambulance Service NHS Trust

   Tameside and Glossop        Greater              Bolton NHS Foundation Trust                                  amanda.bromley@tgh.nhs.
   Integrated Care NHS         Manchester           Manchester University's NHS Foundation Trust                 uk
   Foundation Trust                                 Greater Manchester Mental Health NHS Foundation Trust
                                                    North West Ambulance Service NHS Trust
                                                    North West Boroughs Healthcare NHS Foundation Trust
                                                    Pennine Acute NHS Hospitals Trust
                                                    Pennine Care NHS Foundation Trust
                                                    Northern Care Alliance NHS Group
                                                    Stockport NHS Foundation Trust
                                                    Tameside and Glossop Integrated Care NHS Foundation Trust
                                                    The Christie NHS Foundation Trust
                                                    Wrightington, Wigan and Leigh NHS Foundation Trust

   East Lancashire Hospitals   Lancashire and       Blackpool Teaching Hospitals NHS Foundation Trust            emma.davies@elht.nhs.uk
   NHS Trust                   South Cumbria        Cumbria Partnership NHS Foundation Trust
                                                    East Lancashire Hospitals NHS Trust
                                                    Lancashire Care NHS Foundation Trust
                                                    Lancashire Teaching Hospitals NHS Foundation Trust
                                                    University Hospitals Of Morecambe Bay NHS Foundation Trust
Lead Employers – South East 10.03.2021
            Lead Employers          Which ICS/STPs will they                            Which Providers will they support       Lead Employer SPOC        Regional Workforce    RVOC
                                            support                                                                                                             Lead

   Sussex Community NHS            Sussex Health and Care      Brighton and Sussex University Hospitals NHS Trust           Caroline.haynes3@nhs.net       Shahana Ramsden england.servoc
   Foundation Trust                Partnership                 East Sussex Healthcare NHS Trust                                                          shahana.ramsden@nhs @nhs.net
                                                               First Community Health and Care                                                                    .net
                                                               Integrated Care 24
                                                               Queen Victoria Hospital NHS Foundation Trust
                                                               South East Coast Ambulance Service NHS Foundation Trust
                                                               Sussex Community NHS Foundation Trust
                                                               Sussex Partnership NHS Foundation Trust
                                                               Western Sussex Hospitals NHS Foundation Trust

   Central Surrey Health           Surrey Heartlands           Central Surrey Health                                        laura.rivet@nhs.net
                                                               Surrey and Borders Partnership NHS Foundation Trust
                                                               Surrey and Sussex Healthcare NHS Trust
                                                               Ashford and St Peter's Hospitals NHS Foundation Trust
                                                               Royal Surrey County Hospital NHS Foundation Trust
                                                               South East Coast Ambulance NHS Foundation Trust
                                                               Epsom and St Helier University Hospitals NHS

   NHS Frimley Health Foundation   Frimley Health and Care     Frimley Health NHS Foundation Trust                          tina.white@nhs.net
   Trust                           ICS                         South East Coast Ambulance Service NHS Foundation Trust
                                                               Surrey and Borders Partnership NHS Foundation Trust

   Solent NHS Trust                Hampshire and Isle of       Hampshire Hospitals NHS Foundation Trust                     Angela.murphy28@nhs.net
                                   Wight                       Isle of Wight NHS Trust
                                                               Portsmouth Hospitals NHS Trust
                                                               Solent NHS Trust
                                                               South Central Ambulance Service NHS Foundation Trust
                                                               Southern Health NHS Foundation Trust
                                                               University Hospital Southampton NHS Foundation Trust

   Oxford Health NHS Foundation    Berkshire, Oxfordshire and Berkshire Healthcare NHS Foundation Trust                     joe.smart@berkshire.nhs.uk
   Trust                           Buckinghamshire            Buckinghamshire Healthcare NHS Trust
                                                              Oxford Health NHS Foundation Trust
                                                              Oxford University Hospitals NHS Foundation Trust
                                                              Royal Berkshire NHS Foundation Trust
                                                              South Central Ambulance Service NHS Foundation Trust

   Kent Community Health NHS       Kent and Medway             Dartford and Gravesham NHS Trust                             Louise.norris@nhs.net
   Foundation Trust                                            East Kent Hospitals University NHS Foundation Trust
                                                               Kent and Medway NHS and Social Care Partnership Trust
                                                               Kent Community Health NHS Foundation Trust
                                                               Maidstone and Tunbridge Wells NHS Trust
                                                               Medway Community Healthcare CIC
                                                               Medway NHS Foundation Trust
                                                               South East Coast Ambulance Service NHS Foundation Trust
Lead Employers – North East 10.03.2021
      Lead Employers    Which ICS/STPs                    Which Providers will they support      Lead Employer SPOC       Regional            RVOC
                        will they support                                                                               Workforce Lead

   Newcastle upon     North East and        North Cumbria Integrated Care NHS Foundation Trust   christine.mann2@nhs     Rachel Baillie-   england.ney-
   Tyne Hospitals NHS North Cumbria         Northumbria Healthcare NHS Foundation Trust          .net                       Smith              vacc-
   Foundation Trust                         South Tyneside & Sunderland NHS Foundation Trust                           Rachel.BaillieSm    cell@nhs.net
                                            Gateshead Health NHS Foundation Trust                                      ith@hee.nhs.uk
                                            County Durham and Darlington NHS Foundation Trust
                                            North Tees & Hartlepool NHS Foundation Trust
                                            North East Ambulance NHS Foundation Trust
                                            Cumbria, Northumberland Tyne & Wear NHS Foundation
                                            Trust
   Sheffield Teaching   South Yorkshire Doncaster & Bassetlaw Teaching Hospitals NHS             tom.evans7@nhs.net
   Hospitals NHS        and Bassetlaw   Foundation Trust
   Foundation Trust                     Rotherham Doncaster & South Humber NHS Foundation
                                        Trust
                                        Barnsley Hospitals NHS Foundation Trust
                                        Sheffield Childrens Hospital NHS Foundation Trust
                                        Sheffield Teaching Hospitals NHS Foundation Trust
   Leeds Teaching       West Yorkshire      Airedale NHS Foundation Trust                        sarah.brewer3@nhs.
   Hospitals NHS        and Harrogate       Bradford District Care NHS Foundation Trust          net,
   Foundation Trust                         Bradford Teaching Hospitals NHS Foundation Trust
                                            Calderdale & Huddersfield NHS Foundation Trust
                                            Leeds & York Partnership NHS Foundation Trust
                                            Leeds Community Healthcare NHS Trust
                                            Mid Yorkshire Hospitals NHS Trust
                                            Yorkshire Ambulance NHS Trust
   Hull University    Humber Coast          City Healthcare Partnership                          Tina.Smallwood@he
   Teaching Hospitals and Vale              Hull University Teaching Hospitals NHS Trust         y.nhs.uk
   NHS Trust                                York Teaching Hospital NHS Foundation Trust
                                            Harrogate and District NHS Foundation Trust
                                            South Tees Hospitals NHS Foundation Trust
                                            Humber Teaching NHS Foundation Trust
                                            Tees, Esk and Wear Valleys NHS Foundation Trust
Lead Employers - South West 10.03.2021

     Lead Employers         Which                       Which Providers will they support                 Lead Employer SPOC            Regional           RVOC
                        ICS/STPs will                                                                                                 Workforce Lead
                         they support
   NHSEI SW             All systems     7 Lead Providers                                               alastair.wilson3@nhs.net           Jo Howarth  england.swcovid1
   Workforce Bureau                                                                                                                   jo.howarth@nhs.n 9-voc@nhs.net
                                                                                                                                              et
   Gloucestershire      Gloucester      Gloucester Hospitals NHS Foundation Trust                      mel.murrell@nhs.net
   Hospitals NHS
   Foundation Trust
   North Bristol NHS    BNSSG           Avon and Wiltshire Mental Health Partnership                   Matt.Foxon@nbt.nhs.uk
   Trust                                North Bristol NHS Trust
                                        University Hospitals Bristol and Weston NHS Foundation Trust
   Royal United         BSW             Great Western Hospitals NHS Foundation Trust                   jenny.turton1@nhs.net
   Hospitals Bath NHS                   Royal United Hospitals Bath NHS Foundation Trust
   Foundation Trust                     Salisbury NHS Foundation Trust
   Somerset NHS         Somerset        Somerset Partnership NHS Foundation Trust                      Mandy.black@somersetft.nh
   Foundation Trust                     Taunton and Somerset NHSFoundation Trust                       s.uk
                                        Yeovil District Hospital NHS Foundation Trust
   Royal Devon and      Devon           South Western Ambulance Service NHS Foundation Trust           Claire.flavin@nhs.net
   Exter NHS                            University Hospitals Plymouth NHS Trust
   Foundation Trust                     Devon Partnership NHS Trust
                                        Northern Devon Healthcare NHS Trust
                                        Royal Devon and Exeter NHS Foundation Trust
                                        Torbay and South Devon NHS Foundation Trust
   Dorset University    Dorset          Dorset County Hospital NHS Foundation Trust                    francesca.pingarelli@dorsetc
   NHS Foundation                       Dorset Healthcare University NHS Foundation Trust              cg.co.uk
   Trust                                Poole Hospital NHS Foundation Trust
                                        The Royal Bournemouth and Christchurch Hospitals NHS
                                        Foundation Trust
   Royal Cornwall      Cornwall         Cornwall Partnership NHS Foundation Trust                      Laura.wheeler3@nhs.net
   Hospitals NHS Trust                  Royal Cornwall Hospitals NHS Trust
Rostering & Payroll Overview - Hospital Hubs and vaccination centres
Scenario 1: Lead Employer operated bank
                                                                                                  Local Trust workers paid from
                       Local NHS trusts                               Local NHS Trust               Local Trust ESR, fed by Lead      Lead Employer
                                                                                                         Employer HealthRoster
      1                                                                     ESR                                                         Rostering

   RECRUIT                                   Local Trust workers (substantive or bank) also onboarded to Lead
                                             Trust HealthRoster

                                             Recruited staff
      2               National Recruitment   (substantive & bank)                            Recruited staff added to
                                             onboarded to Lead         Lead Employer         HealthRoster via BAU ESR interface
                                             Trust ESR                      ESR
    TRAIN

                                                                                               Lead Trust pay their existing &         Lead Employers are
      3                     Agencies         Agency Workers engaged via                    newly onboarded staff via their ESR     responsible for the roster
                                                                                                                                    creation & management
                                             Lead Trust BAU processes                                                                for vaccination centres

   ROSTER                                                Agency workers paid by their agency and invoice processes as per BAU
                                                                                                                                            Lead and Local
      4                                                                                                                                     Trust workers
                                                                                                                                            use/book CVD
                                                                                                                                            duties via Lead
   DEPLOY                                    St John staff not rostered by Lead                                                             Employer app
                                             Employer: St John inform of filled duties

      5                                      No pay data sent to volunteer
                                             organisations from Lead Employer
 END CONTRACT

                                                                           Legend

                                                                                           Staff onboarding data flow

                                                                                           Payroll data flow

                                                                                           Roster creation

                                                                                           MI Reporting
Rostering & Payroll Overview - Hospital Hubs and vaccination centres
Scenario 2: NHSP operated bank
                                                                                                           Local Trust workers paid from
                               Local NHS trusts                                                              Local Trust ESR, fed by Lead      Lead Employer
                                                                              Local NHS Trust
                                                                                                                  Employer HealthRoster
      1                                                                             ESR                                                          Rostering

                                                     Local Trust substantive workers also onboarded to Lead Trust HealthRoster
   RECRUIT
                Local Trust
                bank                                 Recruited                                        Recruited staff added to
                workers       National Recruitment
                                                     substantive staff
      2         doing CVD                            onboarded to Lead
                                                                               Lead Employer
                                                                                    ESR
                                                                                                      HealthRoster via BAU ESR interface

                work join                            Trust ESR
                NHSp bank                                                                               Lead Trust pay their existing &
    TRAIN
                                                                                                    newly onboarded staff via their ESR
                                  NHSP Bank (Lead                                                                                               Lead Employers are
                                                     NHSp bank staff onboarded via BAU process / interface
      3                              Employer)                                                                                              responsible for the roster
                                                                                                                                             creation & management
                                                                           NHSp Bank Staff paid by NHSp using BAU interface / process         for vaccination centres

                                   Agencies           Agency Workers engaged via Lead Trust BAU processes
   ROSTER
                                                                                                                                                     Lead and Local
      4                                                          Agency workers paid by their agency and invoice processes as per BAU
                                                                                                                                                     Trust workers
                                                                                                                                                     use/book CVD
                                                                                                                                                     duties via Lead
   DEPLOY                                                                                                                                            Employer app
                                                     St John staff not rostered by Lead
                                                     Employer: St John inform of filled duties
      5                                              No pay data sent to volunteer
                                                     organisations from Lead Employer
 END CONTRACT

                                                                                   Legend

                                                                                                    Staff onboarding data flow

                                                                                                    Payroll data flow

                                                                                                    Roster creation

                                                                                                    MI Reporting
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