Vaccines and Immunisations - Guidance for Practices
Patient Group Directions
PGDs in Dorset, Hampshire and the Isle of Wight (Wessex)
- All PGDs can be found at: https://www.england.nhs.uk/south/info-professional/pgd/wessex/
PGDs in Bath, Swindon and Wiltshire
- All PGDs can be found at: https://www.england.nhs.uk/south/info-professional/pgd/bgsw/
For more advice and guidance on PGDs and PSDs go to: https://www.wessexlmcs.com/patientspecificdirectionspsdsandpatientgroupdirect
Vaccinations and Immunisation Programs
The national arrangements for providing vaccines and immunisations are set out in the additional services section of the Statement of Financial Entitlements (SFE).
Those vaccines and immunisations that are provided as enhanced services will have their arrangements outlined in service specifications
The 2018/19 Programmes
From 1 April 2018, the item of service (IoS) fee for the following vaccinations was increased from £9.80 to £10.06 per dose in line with the consumer price inflation (CPI) index:
- Hepatitis B at-risk (new-born babies)
- HPV completing dose
- Meningococcal B
- Meningococcal ACWY freshers
- Meningococcal completing dose
- Singles routine
- Shingles catch-up
The Item of Service fee for the following programmes is unchanged at £9.80 per dose:
- Childhood seasonal influenza
- Seasonal influenza and pneumococcal polysaccharide
The payment for pneumococcal PCV will remain at £15.02.
A number of changes have been agreed to the vaccination and immunisation programmes.
- Hepatitis B (newborn babies) – programme name changed to hepatitis B at-risk (newborn babies). Vaccine changes and number of recommended doses set at three, therefore the payment of the second dose has now been uncoupled from the third dose. This was an in-year change effective 30 October 2017, included for completeness.
- MenACWY 18 years on 31 August – programme removed.
- Meningococcal completing dose – cohort extended to include eligible school leavers previously covered by the 18 years programme. The eligibility is now 1 April 2012.
- Meningococcal B – programme moved in to the SFE, but is not included in the targeted programme. There are no changes to eligibility of payment requirements.
- Pneumococcal PCV three-month dose – removed from the targeted childhood programme, however the funding for the remaining dose remains at £15.02 and was not subject to the IoS increase.
The following programmes continue unchanged:
- childhood seasonal influenza
- hepatitis B at-risk (babies)
- human papilloma virus (HPV) completing dose (adolescent girls)
- measles mumps and rubella (aged 16 and over)
- MenACWY freshers
- pneumococcal polysaccharide (PPV)
- seasonal influenza
- shingles (routine)
- shingles (catch-up)
The requirements for the following vaccination programmes are available in the service specifications which are available to download:
The detail of these programmes will be available in the vaccination and immunisation programmes 2018/19 guidance and audit requirements document which will be published in due course.
The technical requirements for 2018/19 GMS contract changes document will be published in due course.
It is recommended that you read all the specifications to confirm the eligible cohort and ensure that you are able to deliver the requirements in full, including all the data requirements.
Sign up to CQRS is required and will indicate your full participation in the programme. Payments will be made via CQRS and sign up is required no later than 30 June 2018. Failure to do so may result in delayed payments as the offer will close and you will be unable to claim on CQRS for any programme that you are not signed up to.
GP Collections Timetable 2018/19
To download HSCIC’s GP collections timetable for 2018/19, click here: https://digital.nhs.uk/services/general-practice-gp-collections
Information for Immunisation Professionals
For further information/links to the national immunisation schedule, incomplete immunisation algorithm and e-learning resources, go to:
The Green Book
The Green Book has the latest information on vaccines and vaccination procedures, for vaccine preventable infectious diseases in the UK. To download a version click here: https://www.gov.uk/government/collections/immunisation-against-infectious-disease-the-green-book
For advice on travel vaccinations, go to: https://www.wessexlmcs.com/patientspecificdirectionspsdsandpatientgroupdirect
BMA ‘Focus On’ Guidance
Focus on travel immunisation
This guidance explains which travel immunisations are available on the NHS and which can be charged for privately.
Focus on hepatitis B immunisations
The Focus on hepatitis B immunisations aims to clarify the circumstances where charges can be made and where active attempts to encourage immunisation ought to be made.
Above link includes details on: Hep B, MenC, MMR, Pertussis, Rotavirus, Seasonal Flu, Pneumococcal, Shingles.