Please complete this survey to provide the Local Authority with the relevant details about the size of your workforce and the number of people eligible for the first COVID -19 vaccination in priority cohort 2, as per the Joint Committee on Vaccination and Immunisations definitions.

You can read the standard operating procedure for the vaccine deployment for frontline social care workers here, which gives more details about the types of roles that are in scope, here: https://www.england.nhs.uk/coronavirus/publication/vaccinating-frontline-social-care-workers/

You can read section 14a of the Public Health England immunisations green book, which provides more details about the COVID-19 vaccinations and who is in the priority groups here: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/948757/Greenbook_chapter_14a_v4.pdf

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* 1. What is the name of your organisation?

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* 2. What is your organisation's post code?

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* 3. Which sector is your organisation from?

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* 4. Please give the details of your vaccination coordinator / single point of contact

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* 5. Please give a secondary contact for vaccination coordination:

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* 6. Which cohorts of service users does your service cover?
Please tick all that apply

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* 7. Is your organisation CQC registered?

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* 8. If yes, what is your CQC ID?

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