This was in line with JCVI advice, as protection is highest in the first three months following COVID-19 vaccination, so by vaccinating those who are at highest risk later, we would give them greater protection over winter and into the new year . Although there is currently insufficient data to assess the potential severity or increase in transmissibility of new variant BA.2.86 (Pirola), in light of its emergence, along with the other nations across the UK, we took the precautionary measure to bring forward vaccination of care home residents, people aged 75 and over and people with weakened immune system aged 12 and over, where possible for Boards.