In more deprived areas of England, the NHS is growing attempts to reach out to ethnic minority groups, as research indicates that poorer areas are vaccinating less people at risk. Fewer people over 80 and in their mid-70s had obtained their first dose of coronavirus vaccine by 7 February among the most poor parts of the world, relative to more prosperous regions, sparking concerns are left vulnerable to populations most at risk. Comparing local NHS vaccination data with the deprivation scores for Public Health England for each NHS zone shows that among the over-80s, six of the most deprived regions of England were in the bottom 10 local areas for vaccine uptake. East London, with only 73 percent of over-80s vaccinated by 7 February, was the worst performing NHS area.
As hospitals were overwhelmed early in the outbreak, East London was also one of the worst-affected areas during the second wave of the virus. The NHS regions of both North London and North West London were also among the lowest-performing vaccine uptake areas. By 7 February, Birmingham and Solihull, the most deprived NHS district, had a vaccination rate of just under 85% among the over-80s, compared to Gloucestershire NHS, the least deprived region, which had a vaccination rate of more than 98% among the over-80s. The Black Country and West Birmingham NHS district, the Greater Manchester Health and Social Care Region and the Nottingham and Nottinghamshire areas were all among the six most vulnerable regions with the lowest vaccination rates for the over-80s. Many are at greater risk of exposure to Covid-19 because they are more likely to have occupations that require them, such as working in care or retail, to be outside their homes. They are also less likely to have generous sick occupational insurance, raising the probability that they will continue to work rather than self-isolate, an expert explained.