Long time lurker in this thread first time poster. Also happen to work for NHS England, not directly on vaccine roll out but close enough to know a little of what is going on.
Setting aside the political dimension of making timely decisions, (which I tend to absolutely agree with you on) the vaccine roll out speed right now is determined by the rate at which we are receiving the Pfizer vaccine. Remember we’ve been granted a v small initial allocation, 800k was the figure previously mentioned in the press. To date around 600k of over 80s and some frontline nhs and social care staff have been vaccinated. Given its a 2 dose vaccine that implies we have been able to get a little bit more, but still the numbers are tiny compared to what we need. However the MHRA are expected to approve the Oxford/AZ vaccine imminently and that’s the one that the uk govt have bet heavily on. The reasoning is sound, it’s cheaper, and easier to transport, alongside it being politically better as we can plaster a Union Jack over it. Once that is approved and starts to ship out we will see the rapid acceleration required.
My personal view is that if MHRA approval is granted before Friday, by about 4 weeks in we will have moved from not enough vaccine and too many people who wanted it, to not enough people who want it and too much vaccine.
There was an earlier comment talking about Wales and questioning the impact of their lockdown, the reason for their apparent acceleration in cases was a data issue which was resolved, that caused a sudden leap in cases
Computer maintenance led to cases being missed from December’s public health statistics
www.google.co.uk