1. Protecting and improving the nation’s health
National Immunisation programme: Delivering a high quality accessible service in primary care Kent & Medway Screening & Immunisation Team Public Health England – South East
(June 2018)

2. What do we do? PHE Screening & Immunisation Team
Protecting and improving the nation’s health
What do we do?
PHE Screening & Immunisation Team

3. Your statistics are vital – using data
Protecting and improving the nation’s health
Your statistics are vital – using data
Provides evidence for efficacy and cost-effectiveness of immunisations and monitors whether targets are being achieved
Enables analysis, to ensure information is reliable and accurate
Supports future planning including progress towards eradication/ elimination of disease
Monitor trends and enables comparison of disease epidemiology
Supports improving practice by monitoring issues and incidents
Highlights areas of low immunisation uptake
Essential role in managing and improving immunisation delivery .
Evaluates the success of the National vaccination programme.
Records Coverage measurement – those that have received a particular vaccine dose
PHE Screening & Immunisation Team

4. Immunisation programmes and data
COVER: data for vaccinations administered is sent by GP practices to Child Health Information System (CHIS)
CHIS upload the data on to SystmOne (S1)
Every quarter CHIS extract the data and submit to COVER for publication
ImmForm: data for vaccinations administered is automatically extracted from the GP practice system
The exception is health care worker flu vaccination data which is uploaded manually to ImmForm by the GP practice
Additionally vaccination data for the school aged immunisation programmes is extracted from S1 and manually uploaded to ImmForm
Please note: Published public health uptake data is reported from ImmForm and COVER. Open Exeter data is a separate data source used for payment calculations.
PHE Screening & Immunisation Team

5. 5 PHE Screening & Immunisation Team
Protecting and improving the nation’s health
PHE Screening & Immunisation Team

6. 6 PHE Screening & Immunisation Team
Protecting and improving the nation’s health
PHE Screening & Immunisation Team

7. 7 PHE Screening & Immunisation Team
Protecting and improving the nation’s health
PHE Screening & Immunisation Team

8. Measles outbreak 8 PHE Screening & Immunisation Team
Protecting and improving the nation’s health
Measles outbreak
PHE Screening & Immunisation Team

9. Season Influenza 2018/19: Vaccine ordering
Protecting and improving the nation’s health
Season Influenza 2018/19: Vaccine ordering
The adjuvanted trivalent vaccine (aTIV) for all aged 65 years and over
The quadrivalent vaccine (QIV) for patients aged 18 – under 65 years and IN a clinical risk group
The live attenuated influenza vaccine (LAIV) for children aged 2 and over
PHE Screening & Immunisation Team

10. Protecting and improving the nation’s health
Flu Clinic ideas: Staggered delivery of the adjuvanted trivalent vaccine
Points to consider:
Staggering invites to your patients aged 65 years and over and inviting patients aged 18 – under 65 years and IN a clinical risk group first and children aged 2 and over
Keep a check of your aTIV stock to ensure your clinics are sufficiently covered, being more mindful of your delivery dates and fitting clinics around them
PHE Screening & Immunisation Team

11. Key points for 2018/19 Flu Season
Protecting and improving the nation’s health
Key points for 2018/19 Flu Season
Aged under 65 in a clinical risk group including pregnant women
At least 55% uptake in all clinical risk groups and maintaining higher rates where those have already been achieved. Ultimately the aim is to achieve at least a 75% uptake in these groups given their increased risk of morbidity and mortality from flu.
Children’s programme
Preschool children aged 2 and 3 years old
At least 48% uptake with most practices aiming to achieve higher.
School aged children (in reception class & years 1 to 5)
An average of at least 65% uptake to be attained by every provider across all years.
(These children are offered the vaccine by the school immunisation team)
PHE Screening & Immunisation Team

12. Seasonal Flu: aged under 65 IN a clinical risk group by CCG
Protecting and improving the nation’s health
Seasonal Flu: aged under 65 IN a clinical risk group by CCG
PHE Screening & Immunisation Team

13. 2017/18 Seasonal Flu uptake by CRG in Kent and Medway
Protecting and improving the nation’s health
2017/18 Seasonal Flu uptake by CRG in Kent and Medway
PHE Screening & Immunisation Team

14. 2017/18 Seasonal Flu: CRG uptake in Kent and Medway
Protecting and improving the nation’s health
2017/18 Seasonal Flu: CRG uptake in Kent and Medway
PHE Screening & Immunisation Team

15. Shingles vaccination From 1st April 2018:
Protecting and improving the nation’s health
Shingles vaccination
From 1st April 2018:
The shingles vaccine should be offered to:
patients aged 70 years, on or after their 70th birthday
patients aged 78 years, on or after their 78th birthday
patients who were previously eligible, that is anyone in their 70s who was born on or after 2/9/1942 and 79 year olds (until their 80th birthday)
A new checklist has been designed to help immunisation practitioners plan their shingles immunisation programme, this can be downloaded at:
The shingles calculator has been updated and is available at:
Mention PGD

16. Vaccine incidents / Significant events
Protecting and improving the nation’s health
Vaccine incidents / Significant events
Patient safety is paramount: practitioners should report all significant events/incidents and ‘near misses’ to their practice manager and to the SIT
Following a significant event being identified, the practitioner should refer to the “Green Book” or contact the Health Protection team regarding any immediate clinical actions that need to be taken
Practitioners should complete the SIT significant event reporting form which can be obtained by contacting the SIT by or telephone
The purpose of reporting the event is to record actions and measures undertaken to prevent future events and for subsequent learning to be shared

17. Vaccine Stock loss 2017/18 17 PHE Screening & Immunisation Team
Protecting and improving the nation’s health
Vaccine Stock loss 2017/18
PHE Screening & Immunisation Team

18. Immunisation queries 18 PHE Screening & Immunisation Team
Protecting and improving the nation’s health
Immunisation queries
PHE Screening & Immunisation Team

19. School-Aged Immunisation
Working together CCG
CHIS
Health Visiting
School-Aged Immunisation
Teams
Midwives
GPs/Practice Nurses
PHE Screening & Immunisation Team

20. Summary and key points:
Protecting and improving the nation’s health
Summary and key points:
Immunisation remains one of the most effective public health measures
Ensure all the hard work you do for your patients is reflected and demonstrated by your data
Ensure that you are using the correct READ codes
Identify, invite and re-invite unvaccinated children for vaccination
Work collaboratively with partners such as Health Visitors and Midwives
Make Every Contact Count
PHE Screening & Immunisation Team

21. Contacts and further information
Protecting and improving the nation’s health
Contacts and further information
SIT - or ImmForm - or The Green Book - PHE.gov.uk immunisations -
PHE Screening & Immunisation Team

22. Workshop: How do we identify unvaccinated children and improve uptake?
Protecting and improving the nation’s health
Workshop: How do we identify unvaccinated children and improve uptake?
1st task 15 mins
Identify the processes in place in your practice to identify unvaccinated children
What actions do you undertake?
How do you contact parents?
How do you follow up children who DNA?
Have you had an ‘eureka’ moment?
3rd task 20 mins
What do you think the solutions to increase uptake are?
What can you do as a practice? Who can help you and how?
Throughout the workshop please consider:
Your ‘take away’ actions
What actions would you like the SIT team to consider
What actions would you like the CCG teams to consider?
2nd task 15 mins
What do you think are the barriers to increasing uptake?
PHE Screening & Immunisation Team

23. Feedback What are your key points from each section?
Protecting and improving the nation’s health
Feedback
What are your key points from each section?
PHE Screening & Immunisation Team