2015/16 Vaccination and immunisation programme agreement
Existing programmes – rolling over with no changes
Programme Specification Service
or SFE
timeframe
Cohort
Vaccine/Dosage
Vaccine
Supply
Payment details
Hepatitis B
(newborn
babies)
Newborn babies
Four doses – first dose expected to be
delivered in hospital.
Monthly
Newborn babies whose mother
has hep B have an increased
risk of contracting the disease.
This programme identifies these
babies and ensures they receive
vaccination within the first three
months after birth and a fourth
dose at the age of 12 months.
1st dose @ newborn
2nd dose @ 1 month
3rd dose @ 2 months (four weeks between
doses)
4th dose after 12 months AND deliver or refer
for a heel prick blood test
Practice to
obtain direct
from
manufacturer
SFE ONLY
In line with
SFE - 1
April to 31
March
Patients will present for other
vaccinations for at least one of
the doses and there are no
contra-indications to this.
The expected cohort is between
2000 and 3000 new born babies
per year nationally (0.4% of the
ante-natal population).
MMR
Rotavirus
Pertussis
SFE ONLY
SFE ONLY
Included in
the SFE as
an IoS fee for
providers of
childhood
immunisation
additional
service.
Specification
ONLY
In line with
SFE - 1
April to 31
March
In line with
SFE - 1
April to 31
March
16 years and over
Immunise patients as required,
aged 16 and over that have no
record or incomplete
vaccination, either
opportunistically or who selfpresent to the practice
requesting vaccination.
Children aged 6 weeks and 6
months (but not over 24 weeks).
Payment for
second dose only
made after
delivery of third
dose.
The first dose will be provided by the hospital
at birth. In the event that it is not, practices will
be required to administer the first dose in the
event hospitals or midwives at-home birth have
been unable to immunise at birth. Women with
hep B are not recommended for home birth
and as such these numbers should be minimal.
The practice must update the patient record
with the results of the blood test and notify
parent/carer and make referral to paediatrics
as necessary.
One or two doses as required
Manual reporting
via CQRS only
Payment
£
£7.64 per
dose.
PA fees
also
available to
claim for
vaccines.
Payment for
fourth dose after
results of blood
test are recorded
in patient record
and parents/carer
updated.
Central
supply
Monthly
£7.64 per
dose
Manual reporting
via CQRS only
Two doses
Central
supply
Payment made
on completion of
second dose
£7.64 per
completed
course
CQRS/GPES
1/4/15 –
31/3/16
Pregnant women
Vaccination is required for each pregnancy.
Vaccination of pregnant women
and new mothers who missed
the opportunity to be vaccinated
while pregnant.
Central
supply
Monthly
CQRS/automatic
extracts planned
for 15/16
1
£7.67 per
dose
Additional information
In most cases it is expected hospitals will
provide the first vaccination and obtain details
of the babies/mother’s practice/ intended
practice and inform the practice of the child’s
health/conditions and immunisations.
Due to the risk of babies being registered
elsewhere or details not being provided by the
hospital, practices are required to identify
newborn babies registered with the practice
(by checking mother’s status, not relying on
hospital notice) who are at risk of hep B and
provide appropriate vaccinations.
Existing programmes – changes
Programme
Specification
or SFE
Service
Timeframe
Cohort
Vaccine/Dosage
Vaccine Supply Payment details
Childhood
seasonal
influenza
vaccination
programme
Specification
Only
31/9/14-31/3/15
2, 3 and 4 years as at
31 August 2015
One dose for most children.
Central supply
Administrative
change to the
timeframe from
1 September to
31 August to align
with school years.
Practices are required
to operate call and
recall services for all
eligible patients.
Children aged between two to
less than nine years defined as
at-risk require a second dose
where they have not received
influenza vaccination previously.
Specification
ONLY
14/15 and
15/16 changes
14/15
Change from
1/4/14 – 31/10/14
to 31/3/15
15/16
1/4/15- 31/03/16
Seasonal
influenza
and
pneumococcal
polysaccharide
vaccination
programme
Directions
and
specifications
Seasonal
influenza
1/9/15-31/3/16
(Change from
1/8/14-31/3/15)
Freshers aged 17-25
years at any time in the
financial year, attending
university for the first
time, who have not
been vaccinated after
the age of ten and selfpresent to their practice
for vaccination.
Seasonal influenza
At-risk patients as
defined in the service
specification and Green
Book (expected to be
as 14/15 programme)
Where two doses are required,
they must be delivered at least
four weeks apart.
One booster dose
Central supply
Monthly
£7.64
CQRS/automatic
extracts planned
for 15/16
Minor changes to
CQRS
Seasonal Influenza
Influenza vaccines should be
concentrated between 1/9-30/11
in line with Green Book/advice
from CMO to ensure optimum
coverage - service will still run to
31/3.
Seasonal
influenza
Central supply
for eligible
patients under
18 years.
Pneumococcal
At-risk patients as
defined in the service
specification and Green
Book (expected to be
as 14/15 programme)
Pneumococcal
All vaccines to
be ordered
directly from the
manufacturer.
2
Both
programmes
Monthly
£7.64 per
dose per
vaccine
CQRS/ automatic
extracts planned
for 15/16
PA fees
also
available
to claim
for those
vaccines
ordered
from
manufactu
rer
The influenza and
pneumococcal
programmes are
mutually
dependant in the
specification.
Due to the way
CQRS and GPES
work, they are
two separate
services on these
systems.
Additional information
The children’s flu programme was a new initiative in 2013.
The intended cohort is patients aged 2-17, to be rolled out
over future years. The programme is being developed by
PHE and the cohort included in this ES is subject to review
(due to vaccine supply and logistics) and change.
Schools programmes start with children in year 1 and does
not include children in reception classes. As such, with the 1
September cut-off date, there is a risk some 4/5 year olds
miss out on a vaccination. This change to 31 August brings
the age qualification in line with the school admissions
programme and qualifying children are not missed.
Minor timeframe
change required
for CQRS
All other
vaccines to be
ordered directly
from the
manufacturer.
Pneumococcal
1/4/15 – 31/3/16
then in line with
the SFE
(changed from
August to March)
£7.64 per
dose
CQRS/automatic
extracts
anticipated for
15/16
Vaccinations against influenza
should be concentrated
between 1/9-30/11 in line with
the Green Book and advice from
CMO to ensure optimum
coverage although the service
will still run to 31/3.
MenC freshers
Monthly
Payment
£
14/15
In year extend 14/15 timeframe to 31/3/15 in response to
increased demand from students following reported cases of
meningococcal disease.
15/16
Extend the timeframe for the programme to run to 31 March
2016 to allow practices more time to vaccinate eligible
patients.
Seasonal influenza
The DES Directions reflects the scope of influenza
immunisations NHS England commissions as a primary
medical care service. The Specification reflects that NHS
England commissions influenza immunisation for wider risk
groups identified in the Green Book including pregnant
women (excludes children 2-4 years). These are public health
functions carried out on behalf Secretary of State for Health
under the Section 7a Agreement
Requirement: offer vaccination to patients age 65 and over
(during the financial year 15/16) AND patients identified as “at
clinical risk” as indicated in the Green Book, on a proactive
call basis if not at risk, or proactive call and recall service for
at risk patients.
Programme now commences on 1 September rather than 1
August to bring the programme in line with influenza
season/vaccine supply/purchasing plans
Pneumococcal
Practices are required to operate a proactive call basis if not
at risk or proactive call and recall service for at risk patients.
Change to timeframe for pneumococcal to allow practices to
deliver and claim payment for vaccinations all year round.
Shingles
(routine)
SFE ONLY
1 September to
31 August
Patients aged 70 years
on 1 September 2015.
One dose provides lifetime
coverage
Centrally
supplied
Specification
ONLY
1 September to
31 August
Patients aged 78 years
on 1 September 2015.
£7.64
CQRS with
automatic
extracts planned
for 15/16
In addition, patients
aged 70 on or after 1
September 2013
remain eligible until
their 80th birthday.
Shingles
(catch-up)
Monthly
One dose provides lifetime
coverage
Centrally
supplied
Included in the SFE as an IoS for providers of vaccination and
immunisation additional services.
Change from 70
on 1 September
2015 to also
include patients
aged 70 on or
after 1 September
2013 but not after
they turn 80.
Monthly
£7.64
CQRS with
automatic
extracts planned
for 15/16
Change cohort
from 78 and 79,
to 78 only with up
to 80 still being
eligible until they
turn 80.
In addition, patients
aged 70 on or after 1
September 2013
remain eligible for
vaccination until their
80th birthday.
Vaccination is on an opportunistic basis. This programme can
be delivered alongside the seasonal influenza programme.
Continuation of the existing catch up programme which aims
for all patients aged 71-79 to be vaccinated - phased in view
of vaccine supplies and available funding.
Vaccination of eligible patients on an opportunistic/selfpresent basis.
This programme can be delivered alongside the seasonal
influenza programme.
New programmes
Programme
Specification Timeframe
or SFE
Cohort
Vaccine/dosage
Vaccine supply
Payment details
HPV Booster
SFE ONLY
14-18 years
Tbc
Centrally supplied
Monthly
Centrally supplied
CQRS only manual
payment. Only
where the patient
has missed or
declined schools
provision
Monthly
Meningitis C
(menC)
booster
SFE ONLY
Commence on
1 April 2015
then in line with
SFE - 1 April to
31 March
Commence on
1 April 2015
then in line with
SFE - 1 April to
31 March until
removed
Guidance will clarify details
14-25 years
Tbc
Guidance will clarify details
CQRS only manual
payment. Only
where patient has
missed or declined
schools provision
3
Payment
£
£7.64 per
dose
Additional information
New provision in the SFE for practices to administer and
claim for vaccinations delivered opportunistically or following
patient request when child unable to access or missed school
programme provision.
Practices are not required to proactively offer or encourage
patients to be vaccinated.
£7.64
New provision in the SFE for practices to administer and
claim for vaccinations delivered opportunistically or following
patient request when child unable to access or missed school
programme provision.
Practices are not required to proactively offer or encourage
patients to be vaccinated.