1. Pharmacy Arrangements
Ordering Flu vaccine
PGDs available Other useful stuff..
CMO letter awaited

2. Background
Previously seasonal flu vaccines for adults ordered from community pharmacy
Since July 2016 ordered from Movianto
Returns arranged end of season by Movianto in 2017, and 2019 (by PDC in 2018)

3. Lessons learned so far No emergency orders required last season
Some confusion with packs of 10 v singles
Changes in policy cause problems with supply
QIV, aTIV
Central storage and distribution works well
On line ordering with track and trace, Direct delivery to GPs
Liaise with Movianto re mass clinics
But estimates of orders based on last year uptake have been supplied to Movianto.
Querying at time of ordering

4. Frequency of delivery 17-18
Number of deliveries per practice
Results awaited for 18-19

5. Efficiency of ordering 17-18
Results awaited for 18-19
Ave ordering efficiency 82% but 69 practices below 80%
Improving overall efficiency to 90% would result in saving of £90k!

6. Plan 2019/20
Adult flu vaccines Under 65 y and at risk Quadrivalent QIVe Tetra Myl –Mylan (>3y) Sanofi (>6mo)
Quadrivalent QIVc Flucelvax – Seqirus (>9y)
Over 65y Adjuvanted aTIV Fluad - Seqirus (>65y)
Children
Fluenz (>2y)
Use standard ordering form by e mail from PDC
SG contingency stock for pandemic
This slide gives the licensed ages of vaccine. Fluad eligibility confirmed as age at 31st March 2020
Be familiar with abbreviations, QIVe and QIVc and aTIV
Movianto added a reminder on the online system to confirm order quantity is correct/check pack size.  This was also in place last season.
Only Sanofi QIV available in singles and Sanofi ONLY available by telephone to Movianto (TBC)
QIVc order by phone from Movianto – maximum 50 per practice

7. PGDs Live vaccine (children) LAIV Fluenz®
For individuals 2y to under 18y
Inactivated (adults and children C/I Fluenz) aTIV Adjuvanted trivalent (Fluad®)
for individuals 65 years and older
QIVe Quadrivalent Tetra Myl® or Sanofi QIVc Quadrivalent Flucelvax
For individuals 6mo -74y in a risk group
Last year 3 PGDs, this year 2 PGDs
Ensure signed most up to date PGD on PHPU website.
App 1 excipients and age restrictions . PGDs expected to be circulated mid August (Alison Haughton and Lyn Wattret)

8. These are generic but NHS GGC has been allocated QIVe for <65 and aTIV for elderly
These will be available on NES website once CMO letter has been published
Appendix 1 to PGDs has the age eligibility criteria

10. Ordering
Movianto spreadsheet shows maximum amounts aTIV and QIV (adults)
Based on GP uptake plus small increase
Small amount QIVc available if required (phone)
Order from Movianto w/c 26th August (tbc)
Fluenz from PDC from w/c 23rd Sep
Likely date for ordering is w/c 26th Aug.
QIVe based on those immunised 18/19 plus 2% increase including pregnant women and carers
aTIV based on those immunised 18/19 plus 3% increase including pregnant women and carers

11. Fluenz ordering Initial order up to 20% of cohort
End of Oct 50% (last year same)
End of November 90% Last year GP practices ordered around 4,000 doses (12.5% cohort) by end of October
Order commence w/b 23rd Sep for administration w/b 7th Oct
Some GPs involved in test of change for 2-5y
See LAIV tracker
Initial order on separate order form

12. Use separate form for Fluenz for your initial order in case of delayed supplies to Fluenz so order can be fulfilled as soon as stocks arrive Or
Order from 23rd Sep for delivery 7/10/19
(pilot community clinics will order Fluenz and im from PDC)

13. magnetic cold chain poster and e learning flyer
Is this up to date?

14. Timetable w/c 26th August Online ordering to open
w/c 2nd September Movianto reminder
w/b 16th Sep Delivery initial order, some vaccines
Oct 19– April 20 Additional arranged orders
May Uplift of vaccine PDC order w/b 23rd Sep separate order form (20% cohort)
Needs to be confirmed
Fluenz amounts have been delayed. For first order GPs to order Fluenz on a separate order form so that PDC can keep these until Fluenz comes in and then fulfill the order. The ansaphone should have up to date info
Movianto to issue e mail this week that ordering will open w/c 26th August (LF 8/8/19)

15. Actions Ensure key contact(s) aware, details up to date
Review number of routine deliveries required? (£25)
Urgent delivery (£100)
search terms “QIV” and “aTIV
Check adequacy of fridge storage
FAQs /website
Movianto Customer Services or

16. Key points Know your order cut off time and expected delivery day
Review order
Store in fridge on receipt
Fluenz LAIV –less front loaded
Prior authorisation is required for urgent orders –

17. Key points cont…… Selection of vaccine
Vaccines and ordering is in packs of 10
Age indication
PGDs
Note
Ordering platform: Sanofi QIVc not displayed, needs to be ordered by phone
Needles are included with all vaccines. No safety needles at present
Sanofi QIVe is the only vaccine available in singles
Practices will only see what they can order so for NHSGGC this will be TetraMYL or Sanofi and Fluad