Equitable COVID-19 Vaccination Strategy for People with Disabilities

Disability Strategy COVID-19 Vaccine and Immunisation Programme (CVIP) 23 April 2021

Disability Sector Contributors IIAG T tou Whaikaha Disability NGO Mana Whaikaha Govt Agencies Indep Crown Entity DPO EGL DHB DSS provider MOH DSS Vaccination event approach options Targeted Campaigns Workforce Data Integrity Consent Prioritisation Mainstream Home Bubble Safe Zone Alternate Formats and MOH Sector engagement Disability sector sub-group ACC NGO S MOE UNION MSD Carers / IF DPO DSS Providers

Areas Identified The key focus areas of our Disability strategy to acheive equitable outcomes are: Workforce Target Audience Delivery Logistics Approach Person Centred Aligned to needs Privacy Union Sequence Sequencing Framework Res Users IF / EGL SDM & Right 7 Data Accuracy Comms & Engagement Right content in the Right format to the Right Audience via the Right Channels

Disability COVID-19 Vaccination Demographics Tier 2 (Tier 3 under development) GROUP 2b) in the Sequencing Framework Prioritised disability - Residential Service Users Excludes Mental Health & Addictions. A separate dataset of 9200 people exist within provider services for this group. Includes ACC Goal : To allow each DHB to have access to all people with disabilities, eligible for group 2b) via their provider or IF/ EGL host with accurate information and a point of contact for each person. 13662 Disabled people in Supported Accommodation Each persons preferred option for vaccination and the necessary support to accommodate their needs is documented to allow DHB s to plan and deploy appropriately Have providers prepared with Social Stories, Supported Decision making and pre-work completed by providers to ensure Right 7 is upheld Fixed Community Sites 3010 people GP Visits 2732 people Temporary sites Safe Space visits 173 sites for 6920 people Temporary sites Home Bubble 500 sites for 1000+ people

Disability COVID-19 Vaccination Demographics Taikura Prioritised disability category Residential Service Users 66.8% 16.9% 6.7% 6.9% 1.0% 0.8% 0.8% Intellectual Physical Other Autism Sensory Neurological Not Specified Support Level NOT VERY HIGH 84.6% HIGH 12.7% MEDIUM 1.3% LOW 0.2% 3776 Total number of disabled people SPECIFIED 1.1% Age 1.3% 4.6% 7.4% 8.2% 7.9% 8.3% 10.3%12.1% 13.8% 11.1% 7.8%3.9% 2.4%0.7%0.1% 15-19 20-24 25-29 30-34 35-39 40-44 45-4950-54 55-5960-6465-6970-74 75-7980-84 85+ Ethnicity 67.2% 14.6% 10.8% 6.4% 1.1% European Maori Pacific Asian Other Safe Space Visits 1133 Community Clinic Visits 755 GP Visits 1510 Home Visits 250

Disability COVID-19 Vaccination Demographics NorthABLE Prioritised disability category Residential Service Users60.2% 19.2% 10.2% 4.1% 2.6% 2.6% 1.1% Intellectual Physical Other Autism Sensory Neurological Not Specified Support Level NOT VERY HIGH 94.7% HIGH 4.1% MEDIUM 0.0% LOW 0.0% 544 Total number of disabled people SPECIFIED 1.1% Age 1.5% 5.3%4.9% 8.3%7.1% 7.1% 8.6%13.5%16.5% 13.5% 8.3% 3.4%1.9% 15-19 20-2425-29 30-3435-39 40-44 45-4950-5455-5960-6465-69 70-7475-79 Ethnicity 63.2% 36.5% 0.4% 0.0% 0.0% European Maori Pacific Asian Other Safe Space Visits 163 Communit y Clinic Visits 109 GP Visits 218 Home Bubble 10

Disability COVID-19 Vaccination Approaches Vaccination sites in the community Accessible and with appropriate accommodation provided for disability needs Vaccinators trained on Disability and aware of approach required Supported Decision Making Framework (SDM) in place and deployed where required. Quiet Zones available Variable Volume / throughput per day. Allow for twice the time of mainstream / Border Workers. Fixed Community Vaccination Centres Complex individuals who are unable to access public spaces without escalated anxiety. Already accessible spaces that people frequent to their trusted GP GP/ clinic need to be briefed on SDM and right Disability training deployed and aligned approach deployed Higher support worker presence Supported Decision Making Framework in place and deployed where required Lower volumes possible compared to above model. Suggest target 30 people per site per day Community sites / GP DHB Sites in the community -Quiet Zones available Clincs Provider Sites that are familiar / safe spaces for complex individuals Already accessible spaces that people frequent weekly (Day programmes) Vaccination set-up remains aligned to accommodation disability needs Disability training deployed and aligned approach deployed Higher support worker presence SDM Framework in place and deployed where required Application of Right 7 in the absence of consent demonstrated is well articulated to vaccinators Lower volumes possible compared to above model. Suggest target 30 people per site per day Temporary sites Pinnacle of Complex vaccination delivery Full Scoping under development Already accessible spaces where people live Vaccinator to visit prior to develop the vaccination plan and ensure social stories and SDM Target the House Bubble (People, Staff and Family) Achieve efficiencies Vaccinator workforce well informed and experienced in challenging behaviours Provider Behaviour support team present to support / Trusted people present Volumes in multiples of 6 to maximise the vaccine ampule. Aim for 12 per site Temporary sites Home Bubble

How can you help ? Data Integrity. Response to NASC s Verification of Target for Group 2 Consent Flag WG Contact Person Venue availability Vaccination Sites Familiar venues for people to access their vaccination. Need to have these identified ASAP DHB s will engage and plan for the target Audience Numerous benefits Accessible SDM Assist Social Stories and SDM Once published Use them Prepare a Vaccination Plan Easy read SDM WG consent Right 7c prep work Workforce Contact List shared with NZDSN Reach out to your DHB Share content / comms Encourage