We have seen the
JCVI Recommendations for after the first phase (Gps 1-9, 9 is over 50s) which are just based on age: 40-49, then 30-39, then 18-29. The foundation for that is that the primary correlation with risk of severe illness is age.
It seems likely that the Government will agree/adopt these, for implementation from late April, slowly for 2 months (because of the second dose demand from then) and then at pace in July.
"However, no occupations will be prioritised. The JCVI has considered whether groups such as teachers and police officers should be vaccinated next, but concluded that the most effective way to prevent death and hospital admission is to carry on prioritising people by age."
Professor Wei Shen Lim, COVID-19 Chair for JCVI, said:
"Vaccinations stop people from dying and the current strategy is to prioritise those who are more likely to have severe outcomes and die from COVID-19. The evidence is clear that the risk of hospitalisation and death increases with age. The vaccination programme is a huge success and continuing the age-based rollout will provide the greatest benefit in the shortest time, including to those in occupations at a higher risk of exposure."
From a purely health PoV I'm sure the JCVI is right, and I expect the Government to follow on. By doing so (as opposed to introducing complications which have politico-economic aspects) they can keep good cover behind the concrete wall of the trusted medics/science. The other element of the JCVI thinking is that the NHS have advised that shuffling down by age is straightforward and anything more complicated (see below) is liable to slow down vaccine delivery. The 'phone for a jab' system seems to be working quite well: I can't really see why that would create friction or introduce inefficiency.
Once below 50 with their lower risk, the health aspects are proportionately less important to the country as a whole, imo, compared to a combination of risk of catching, risk to others of transmission and age-based vulnerability. The categories I list below (and there will be other equally justifiable groups) represent less than 2 days vaccinations' worth (700k). So I'd effectively delay the 40-49 year olds by two whole days.
I am surprised that various employment categories have not been nominated at the front of those cohorts: workers who have 'public facing roles' eg: police, prison officers, public road transport and taxi drivers, secondary school teachers. Not on the health basis, but because practically and politically there seems merit.