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Delivering Covid-19 vaccines to 160,000 people at very high risk of serious illness, hospitalisation or death is a jab in the dark. If only we had a database of these people. But we don’t, and the pity is: we could.

There is no national disease registry for the range of conditions described for the group known as cohort four for vaccination purposes. After nursing-home residents, frontline healthcare workers and the over-70s they are next, and next is now. Yet so far, fewer than 60,000 of these seriously ill people have received their first dose.

It’s not a supply or a distribution issue. It is a systems problem; either online public administration in this digital economy is non-existent or it is connected to nothing outside its