• Tanveer Bawa, Dylan Smith, Daria Andreeva, Smitkumar Vaidya, Besmira Kruja, Tegan Farrell, Agata Ziemba, Clare Jones, Alexandra Travers, Andrew Guilder, Tiago Rua, Nigel Beckett, Ali Hashtroudi, Claire Mallinson, and Anna Goodman.
• Guy's and St Thomas' NHS Foundation Trust, London, UK tanveer.bawa2@nhs.net.
• Clin Med (Lond). 2022 Sep 1; 22 (5): 461467461-467.

BackgroundWe were aware of high numbers of inpatients unvaccinated against COVID-19 at Guy's and St Thomas' NHS Foundation Trust (GSTT). Due to this, an inpatient vaccination protocol was set up in July 2021, with initially limited uptake.MethodsFrom October 2021, a multidisciplinary team worked to improve the protocol for inpatient vaccination, with the development of a system that gave ownership to clinical teams.ResultsIn 4 months (July 2021 to November 2021), 20 inpatients had been vaccinated at GSTT. Following our intervention, rates of uptake increased, and 34 patients were vaccinated in less than 2 months (November 2021 to January 2022). Forty-five patients who had been referred were discharged without vaccination; attempts were made to invite them to receive a vaccine.ConclusionAn improved pathway and referral process increased the number of inpatient vaccinations delivered. Further work is required in order to ensure that more patients who have been referred are vaccinated.© Royal College of Physicians 2022. All rights reserved.

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