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Important Men ACWY Clarification & Guidance on PGD/PSDs

Date sent: Thursday 30 July 2015

Update March 2016:

MenC

Attached is the bipartite letter regarding changes to the infant MenC schedule; Removal of the infant dose of meningococcal serogroup C (MenC) conjugate vaccine given at three months from 1 July 2016.

MenACWY

As from 1st April 2016 those in DOB range 01/09/1997 – 31/08/1998 should be invited for conjugate MenACWY vaccination by the practice as part of the catch – up programme.

This means that practices should be offering MenACWY to the following groups:

The introduction of MenACWY is in response to a rapid and accelerating increase in cases of invasive meningococcal group W (MenW) disease, which has been declared a national incident. The MenACWY conjugate vaccine will provide direct protection to the vaccinated cohort and, by reducing MenW.

Please take every opportunity to offer MenACWY to all those in the eligible cohorts and ensure that all staff are aware of those who are eligible for vaccination.

All practices in Southampton, Portsmouth, IOW and most of Hampshire should be calling their adolescents for routine adolescent TdIVP and MenACWY. Please inform child health, via the immunisation returns, when vaccinations have been administered

Resources for this programme can be found at

https://www.gov.uk/government/collections/meningococcal-acwy-menacwy-vaccination-programme

 

Update January 2016:

As of January 2016 the vaccination of the next catch – up cohort for  MenACWY can commence.

This means that all adolescents in DOB range 01/09/99 -31/08/00 should now be offered the MenACWY vaccine, regardless of whether they have had MenC previously.

Where adolescent immunisations are delivered in schools; Dorset, Basingstoke, Rush and Hartmoor only, the school providers will be offering this vaccine to Yr11 in the Spring term.

MenACWY

The introduction of MenACWY is in response to a rapid and accelerating increase in cases of invasive meningococcal group W (MenW) disease, which has been declared a national incident. The MenACWY conjugate vaccine will provide direct protection to the vaccinated cohort and, by reducing MenW.

Please take every opportunity to offer MenACWY to all those in the eligible cohorts and ensure that all staff are aware of those who are eligible for vaccination.

All practices in Southampton, Portsmouth, IOW and most of Hampshire should be calling their adolescents for routine adolescent TDIVP and MenACWY. Please inform child health, via the immunisation returns, when vaccinations have been administered.

Resources for this programme can be found at https://www.gov.uk/government/collections/meningococcal-acwy-menacwy-vaccination-programme

 

Update September 2015:

Men ACWY for University freshers – missed cohort

A University Practice has highlighted an issue about a missed cohort of Men ACWY patients – namely patients born after 1 Sept 1997 who have just started University. Those in the current year 13 (DOB 01/09/1996-31/08/1997) would be in the school catch-up cohort and for a patient to be in the University freshers cohort they must be 19 years on 31 August 2015 in order to be eligible.

GPC raised this issue with NHS England who have confirmed that, as per the tri-partite letter, patients born between 01/09/1997-31/08/1998 will be eligible for vaccination from April 2016. As this means that this group of patients would not be protected against meningitis until then, we asked whether this group (although likely to be small) could be included in one of the cohorts (and funded nationally). However, the request to amend the service specification was refused, and instead the following FAQ has been added to the NHS Employers vaccs and imms FAQs: http://www.nhsemployers.org/your-workforce/primary-care-contacts/general-medical-services/faqs-and-queries/vi-faqs

Q: What about teenagers and young adults who are going to university early but do not meet the age criteria for the two MenACWY programmes?

A: As these patients fall outside of the eligible cohorts defined by the NHS England service specifications, they would not be covered by the automated data collections. As such, practices should discuss the vaccination of these patients with their commissioner on a case-by-case basis. In line with established procedures, where the practice and commissioner agree to the amendment the commissioner will adjust the practice achievement.

In the spirit of the agreement, we would expect these practices to be remunerated for vaccinating these patients.

Although we are pleased that this allows for these patients to be protected and should allow for payment to be made, we appreciate that the workload involved in claiming may negate any overall income received for the practices, and we would have preferred an amendment to the scheme.

 

 This email is being disseminated to all GPs and Practice Managers by Wessex LMCs

Men ACWY for University Freshers 

First time university entrants up to 25 years commencing August 2015 (primary care)

Please note, this is an update to our previous mailings regarding Men C/ACWY vaccinations, which should be discarded. The previous advice from the GPC, ciculated on the 1st July, appears to have been taken from the previous MenC vaccination programme and was misleading. Please accept our apologies for the confusion.

From the 1 August 2015, GP practices should opportunistically offer Men ACWY conjugate vaccine to older first-time university entrants up to the age of 25 years, directly replacing the MenC vaccine as part of the ‘freshers programme’. This includes those who may have previously received the MenC vaccine at 10 years and over.

First time university entrants aged less than 25 years who have previously received a dose of MenACWY conjugate vaccine 10 years or over do not require an additional dose of vaccine.

In short, all first time university entrants up to 25 years of age should be offered Men ACWY, even if they have had MenC vaccine previously. If they have received a dose of MenACWY conjugate vaccine at 10 years or over, they do not require an additional dose. Students will receive a letter from UCAS advising them to make an appointment with their GP.

As it states in the bipartite letter the reason the programme was introduced is in response to the rapid and accelerating increase in MenW, so the MenACWY conjugate vaccine is being offered to all the eligible cohort  to protect them against the four meningococcal groups.

Summary

 

Updated PGD and PSD guidance

The GPC’s guidance on Patient Group Directions (PGD) and Patient Specific Directions (PSD) in General Practice has been updated to clarify the rules surrounding private PGDs.

The guidance is available on the Drugs and Prescribing page on the BMA website and can be downloaded here.

Read Codes:

The codes for the Men ACWY are as follows:

657J  - Men ACWY vaccination
657J0 - First men ACWY vaccination
657J1 - Second men ACWY vaccination
657J2 - Third men ACWY vaccination
657J3 - Fourth men ACWY vaccination
657J4 - Men ACWY vaccination given by other healthcare provider
657J5 - Men ACWY vaccination declined

 

With best wishes,

Lisa

Lisa Harding | Director of Primary Care

Wessex Local Medical Committees Ltd

Phone | 023 8025 3874   Mob I 07771 624594 Fax | 023 8027 6414   

Email | lisa.harding@wessexlmcs.org.uk

Address | Churchill House, 122-124 Hursley Road, Chandler's Ford, Eastleigh, SO53 1JB

www.wessexlmcs.com

 

 

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Updated on 30 March 2016 1712 views