1. Community pharmacy flu vaccination services- preparing for 2014/15

2. Cumbria Seasonal & Intranasal Flu Programme 2013 Pharmacy delivery

3. HISTORY NHS Flu vaccination 1 st commissioned from pharmacy in 2012 – all risk groups, for all the flu season First season – 55 pharmacies involved – Over 5000 vaccinations delivered GPs really co-operative, and happy with the service …….NOT!

4. And so to 2013………………. PCT replaced by Cumbria, Northumberland,Tyne & Wear ‘Local’ Area Team Intranasal flu pilot for Cumbria? Joint approach to NHS England Screening & Imms Team from the CNTW LPCs – in April June (ish) – Screening and Imms lead agrees to commission I.M. service Parallel Service development

5. Effective training for all staff On Line Training provided by Area Team Screening & Imms Theory behind BLS, anaphylaxis & flu vaccination Face to face practical training Included BLS and practical scenario training All funded by pharmacy contractors Private trainer privately contracted with a member of the area team - very cost effective @ £37.50 each!

6. Disaster Strikes? Start of July – we are being commissioned End of July -No we’re not! What to do? Negotiate!!

7. THE FRANTIC PHASE All those PSNC ‘negotiating skills’ seminars can’t have been wasted……..

8. PROGRESS?? August – a place at the table The initial offer More Negotiation! Agreement!!

9. STILL MUCH TO DO PGD………… signed on Sept 19 th SLA…………...signed on Oct 1 st Payment mechanism…sorted over October Vaccination …. Started on 21 st September

10. MAXIMISING PERFORMANCE John Urwin

11. 9224 IM Flu vaccinations 81 out of 111 pharmacies participating Average 114 per pharmacy But....

12. THE BOTTOM 10 PERFORMERS 72 16 73 13 74 13 75 13 76 13 77 12 78 7 79 5 80 4 81 31% of Total

13. 1 711 2 644 3 422 4 326 5 314 6 265 7 257 8 254 9 246 10 21040% of Total THE TOP 10 PERFORMERS

14. What distinguishes the Top 10 from the Bottom 10? Enthusiasm Preparation Teamwork

15. Preparation Staff Training SOPs Ordering Vaccine & Stock Control Fridge Capacity Sharps Bins Consultation Room Resuscitation Paperwork Demand Management

16. Active not Reactive Create awareness Identify candidates Make appointments

17. Eligible Groups Over 65s Kidney Disease Pregnant Neurological Disease Respiratory Disease Diabetes mellitus Heart Disease Immunosuppressed Liver Disease Main Carer Long Stay Res./Nursing Home

18. Teamwork Every member of staff should be involved Identifying and recruiting candidates Counter Staff Dispensary Staff Pharmacist Drivers Cleaner

19. SERVICE DELIVERY Greeting and Opportunistic Recruitment - Counter Staff and Flu-Helper Helping with Flu Form and escorting patient to Consultation Room - Flu Helper Complete Flu Form, review responses, obtain consent - Pharmacist

20. W SIMPLE PAPERWORK! ONE SHEET ONLY

22. DEFINE STAFF ROLES Administer Vaccine and record details - Pharmacist See patient out of Consultation Room and assist them with patient survey - Flu Helper Complete notifications - Anyone / Everyone

23. PLANNING FOR NEXT SEASON START EARLY… MAKE SURE OF YOUR STOCK – ORDER IN SPRING LATE SPRING/EARLY SUMMER LPC MEETINGS TO CELEBRATE SUCCESS/PASS ON HINTS & TIPS LATE SUMMER – PMR TO GENERATE A LIST OF VACCINATED PATIENTS - CONTACT WITH REMINDER BY POST, TEXT, EMAIL OR CARRIER PIGEON

24. How Did We Do? Over 15,000 I.M. vaccines given in CNTW. 9,200 of these in Cumbria Approx. 12% - 1848 people were vaccinated in pharmacies who were NEW to flu vaccination Still only 3.6% of the region’s total – though 7.5% in Cumbria. Plenty more to go at!

25. INTRANASAL 13,573 vaccinations Of which…. 11,113 given in community pharmacies – 82% 37.2% of primary school age children

26. FEEDBACK From the public - Excellent! From the GPs…….. Largely Weary Resignation With occasional tantrums!