1. Vaccine Preventable Disease Programme
11 October 2011
Vaccine Preventable Disease Programme
Insert name of presentation on Master Slide
Dr Richard Roberts, Head

2. Acknowledgements Simon Cottrell James Crocker Leony Davies David James
Richard Lewis
Anne McGowan
Nicola Meredith
Clare Powell
Vaccine Preventable Disease Programme

3. Information for action
Surveillance and uptake data
Vaccine Preventable Disease Programme

4. Monitoring and providing meaningful uptake statistics
Feeding back at National and Health Board level.
Ensuring quality and comparability of data across Health Boards.
Monitoring uptake and interpreting trends.
Relating data to policy and practice where appropriate.
Ensuring statistics are as timely as possible (weekly feedback for flu).
Working with service users to ensure reporting is appropriate and useful.

5. Providing Health Boards with tools to improve uptake
VPDP produce resources to assist local monitoring and management.
Trends in the uptake of childhood immunisations are produced at National, Health Board and Local Authority level each quarter.
Available, with other summary data, through the VPDP intranet site as PowerPoint presentations ready for use in meetings.
Maps show coverage of selected immunisations in children at MSOA level and can be found in the Practice Level Immunisation Uptake Reports produced for each Health Board.
Individual web-pages are maintained for each Health Board area containing reports on uptake of routine immunisations from national to local level.

6. Helping Health Boards and Practices to monitor uptake
Local level reports on childhood immunisation contain Practice and MSOA level uptakes, updated every six months, similar reports are available on an annual basis for influenza immunisation.
Practice level uptake rates are presented using anonymous codes, HB Immunisation Coordinators control access to the codes.
Charts are produced for all Local Authorities to allow help to be targeted to practices with lower uptake and lessons to be learned from practices with highest uptakes.
Consistency in data collection, analysis and reporting allow comparison across locality areas.

7. Audit+ influenza immunisation module (with PCIP).
Working with the service to improve accuracy and usefulness of immunisation uptake surveillance
Advising Welsh Government on immunisation uptake data collection policy.
Working closely with Immunisation Coordinators, Local Public Health Teams and Primary Care to ensure accuracy of data collected and appropriate use of immunisation uptake reports.
Audit+ influenza immunisation module (with PCIP).
Working closely with the Child Health Users Group and the National Community Child Health Database Steering Group

8. Factors affecting uptake
Interpreting and feeding back local immunisation uptake related inequalities (DsPH reports).
Evaluating national campaigns.
Analysing deprivation associated inequalities.

9. Communication for action
Intranet and use
Vaccine Preventable Disease Programme

11. Website latest significant changes
Popular areas “Quick links”
Forthcoming Events
News from VPDP
e-Alerts are distributed when urgent information needs to be casdaded

12. Latest updates
FAQs
Diseases
Streaming -
Conference recordings

13. Accessing info News items Updates Yellow Alerts FAQs
Online clinical forum
Telephone
E bulletin
News item-topical info eg. MMR article or new research
Updates-GB WHC ML
Anyone can sign up for alert system
FAQs disease/vaccine specific

14. Clinical discussion forum
VPDP maintain the only active clinical discussion forum on HOWIS. This has been running for over 5 years. We get enquiries from PN’s and other clinicians pl promote further with HCP’s

15. Spreading the word Information leaflets Nurseries
Colleges and Universities
Media students
Long Term Conditions teams
Schools
cardiff Uni work/initatives
Long term conditions

16. Immunisations - don’t leave school without them. DVD and workpack.
Information for teenagers around immunisations
Teenage booster
MMR
HPV
Preventable diseases and other immunisations
For use in schools
For pupils of mixed ability
Key stages 3 and 4
Can be used in its entirety or chapters/sections can stand alone

17. Workpack
Supports DVD
Scheme of work supports a six week half term plan.
Lesson plans
Extension activities
Resource sheets

18. Training for action Provision and support
Vaccine Preventable Disease Programme

19. Training Do the HB have a training strategy?
VPDP had input into the drafting of these standards and promotes them in Wales, training resources available slide sets, specific to diseases and professionals ? midwives
Want to improve paed Hep B and BCG child health recording?
HPV recording in primary care
What are the issues for Hywel Dda re. training

20. Training events
Promoting training/monitor attendance/review

21. Standards and audit for action
Provision and support
Vaccine Preventable Disease Programme

22. Resources Guidance Documents Templates Leaflets Local initiatives VIP
Training tools

23. PGD template development
PGD template for all routine NHS vaccines
Fully reviewed every two years
Updated as necessary in light of GB changes
Source of information and support on PGDs

24. Child Health Immunisation Process Standards (CHIPS)
Made in Wales
Standards to provide consistency in immunisation data recording, reporting and collection for child health departments, healthcare practitioners, managers and immunisation leads, which will help maintain and improve immunisation uptakes and eliminate inequalities.

25. CHIPS: What are they? 13 Nationally agreed standards
Completion of scheduled and unscheduled immunisation forms
Basic house-keeping and data cleansing
Maximum age for inputting immunisation data on CH2000
Call and recall
Management of ‘living in, treated out’ children
Management of ‘living out, treated in’ children
Timeliness on inputting data and immunisation outcomes
Clinic scheduling
Missed appointments, outstanding lists and no consents
Immunisation status data
Local audit/ monitoring and improvement
National audit/ monitoring and improvement
Reporting routine childhood immunisation data at a national level
Agreed following consultation with LHBs, NHS Wales Informatics Services, LMC, WG & others Nov 2010
© Leah Millinship
Examples of how CHIPs will help ;
prior to CHIPS there was no agreed upper age limit for inputting immunisations given, this has been agreed at 18 years.
The Standards provide guidelines for CHD’s on how to identify and comply with recommended policy on appointing children for routine immunisation and on recall procedures.
Immunisation data returns from primary care have to be returned to CHD within 7 days these are date stamped, this in itself will help prevent a child being routinely called for immunisations they have already received but not yet been inputted

26. What’s next? Implemented across Wales 2011
Baseline national audit conducted by VPDP of 7 HB’s Sept 2011( pending)
Ongoing HB annual audits
Actions taken to remedy non-compliance
Develop this resource for management
Training for child health admin staff
Working with service to improve compliance
© Leah Millinship

27. Enabling action Information Communication Training Standards Audit
Relationships
Vaccine Preventable Disease Programme