Vaccination at GPs’ surgeries

Since March 2021, it has also been possible to get vaccinated against Covid-19 at general practitioners’ surgeries in addition to being vaccinated at vaccination centres. The rollout has been gradual and based on the amounts and types of vaccines available.

Who do general practitioners vaccinate?

1

Criterion

patients according to the age criteria announced by the Ministry of Health of the Czech Republic; from 16 years of age and upwards as of 4.6.2021, from 30 years of age and upwards as of 26.5.2021

patients whom the GP considers to be at risk of a serious case of Covid-19 that is similar to the risk of vaccinated people in the given period, especially in the case of patients with diagnoses and medical conditions with a high risk of suffering a serious case of Covid-19*

TIP

If a patient has registered for vaccination via the Central Reservation System, i.e. using the registrace.mzcr.cz website, they cannot be registered for vaccination with their general practitioner at the same time!

2

Criterion If the patient meets the conditions according to Criterion 1

patients who have not yet been vaccinated at a vaccination centre or who have not registered there for a vaccination/do not have a reservation

primarily patients registered with a general practitioner as their primary care provider, a GP’s registered patients

bedridden patients who cannot go to a vaccination centre, as part of the visiting service

high-risk patients according to the defined criteria

What vaccines do general practitioners use??

Vaccinations at general practitioners’ surgeries in Prague are currently being administered with the AstraZeneca vaccine – other vaccines will also be gradually distributed according to availability (starting with the Johnson & Johnson vaccine during May 2021).

How do people interested in getting vaccinated register with a general practitioner?

General practitioners vaccinate patients who express an interest in being vaccinated and patients whom the GPs actively call upon to be vaccinated because they fall into any of the appropriate categories according to the priorities set by the Ministry of Health of the Czech Republic. The general practitioner makes a “registration entry” in the ISIN-OČKO information system. This is automatically reflected in the Central Registration System (CRS). If, however, a given patient has already registered in the CRS, i.e. has registered on the registrace.mzcr.cz website, the vaccination should take place at the chosen vaccination centre. Registration leads to the creation of a list of patients for vaccination at each general practitioner’s surgery. The general practitioner then calls the patients in for vaccination at a specific time once the surgery has secured sufficient amounts of vaccine. There were initially insufficient numbers of available vaccines, especially at the beginning of the administration of vaccinations by general practitioners, and the supply of vaccines to surgeries has been rolled out gradually. Your doctor is therefore unable to influence the time when you will receive a vaccine at their surgery. Please be patient and look for more information on the surgery’s website or ask your general practitioner.

How are the vaccines coordinated and distributed to general practitioners?

The National Vaccination Coordinator (NVC) divides the doses among the regions on the basis of the 65+ population key and then sends them to the Regional Vaccination Coordinator (RVC) and the Regional General Practitioner Coordinator (RGPC). On the basis of this information, the Regional Vaccination Coordinator decides on how to divide the allocated vaccines among the vaccination centres and the network of general practitioners in the region and informs the distributor and the National Vaccination Dispatch Office (NVDO) of this decision. At the same time, the RVC also orders deliveries to the individual vaccination sites.

The Ministry of Health also sends the Regional Vaccination Coordinator and the Regional General Practitioner Coordinator information on how many patients have registered at the individual general practitioners’ surgeries using the ISIN-OČKO application.

How are vaccines ordered to the general practitioners’ surgeries?

The new reservation system for the Vaxzevria (formerly AstraZeneca) vaccine was launched on Monday 19 April 2021.

The new reservation system for Covid-19 vaccinations with the Vaxzevria vaccine administered at general practitioners’ (GPs’) surgeries has been created on a web interface in the Covid Forms App (CFA). This enables the simplification, greater transparency and increased effectiveness of the reservation system. General practitioners will receive regularly updated information on the processing of their orders.

Vaxzevria is usually delivered to the Czech Republic at weekly intervals. Because of the limited numbers of vaccines available, it will only be possible to order one box per surgery.

The orders will gradually be filled according to the available number of Vaxzevria vaccines and the ranking system on the basis of the fulfilment of the criteria that are monitored – the number of patients registered for vaccination in the ISIN-OČKO module (including with regard to the age of the individuals who are registered) and the number of doses administered. Consideration will also be given to whether the doctor has any Janssen vaccines available or has a confirmed order for them. It will only be possible to place a further order for the Vaxzevria vaccine once the previous order has been processed, i.e. after the confirmation of delivery.
The system will also record the need to order vaccines for the administration of any second doses and thus it will not be necessary to set aside vaccines to cover this. The Regional Vaccination Coordinator will maintain records of all the deliveries of the Vaxzevria (formerly AstraZeneca) vaccines that have been made in the past and will distribute the vaccines to the GPs for the second doses in line with these records. The goal is to vaccinate the greatest number of people possible.

More information is available on the website: koronavirus.mzcr.cz.

General practitioners’ surgeries in Prague are currently vaccinating patients with the AstraZeneca vaccine, while the distribution of the Johnson & Johnson vaccine is expected to commence during May.

*Diagnoses and states of health with a high risk of a serious case of Covid-19

Haematology-oncology patients outside the intensive therapy interval; haematology patients with an immunodeficiency (innate, acquired or therapy-induced) or with significant thrombophilia. The vaccinating physician or specialist haematologist decides on the suitability of the vaccination.

Patients with solid tumours who are undergoing anticancer treatment or have it planned or whose treatment ended less than 12 months previously. It is advisable for oncology patients to seek a recommendation from their oncologist with regard to Covid-19 vaccination.

Serious acute or long-term heart disease (the patient is under the care of a specialised outpatient unit, for example, heart failure, ischemic heart disease, valve defects, cardiomyopathy, pulmonary circulation disease or conditions after pulmonary embolisms).

Serious long-term pulmonary illnesses (the patient is under the care of a specialised outpatient unit or is being treated with the administration of oxygen at home).

Patients with diabetes treated with insulin or orally administered PAD antidiabetic medicines.

People with obesity (BMI > 40 kg/m²).

People with high blood pressure treated with two or more medicines.

Patients with any other serious illnesses that increase the risk of the occurrence of a severe case of Covid-19 on the basis of a clinical decision reached by the attending physician and/or general practitioner. Patients under the care of specialist units should request the unit’s recommendation for a Covid-19 vaccination.