Vaccinations summary table November 2013 Vaccination and brief explanation When is it being introduced? What does it mean for practices? Further information On 10 May 2013 this programme was extended for at least another six months. Provide the pertussis vaccine to pregnant women in the third trimester (recommended between 28 and 38 weeks of pregnancy). Information relating to the pertussis vaccination programme is available on the BMA website, as well as on the NHS Employers website, including a set of frequently asked questions. Pertussis Since 1 October 2012, a temporary programme of pertussis vaccinations for pregnant women has been in place. Following advice from Joint Committee on Vaccination and Immunisation (JCVI), the programme will be continued until further notice. Item of service fee of £7.67 will be paid per dose of vaccine given. Decide on the best way(s) to contact pregnant women registered with your practice, provide advice as necessary on the benefits of vaccination, administer the vaccine and report uptake to your Area Team / NHS England. The vaccine is centrally procured so there are no PA fees. Further information (including letters from the Chief Medical Officer, Professor Sally Davies and NHS Deputy Chief Executive, David Flory) is available here. MMR On 25 April 2013, NHS England, Public Health England (PHE) and the Department of Health (DH) jointly announced their intention to run a MMR catchup campaign in England aimed at quickly establishing a MMR vaccination service with GP practices to prevent cases of the disease and deaths as a result of children and young adults being unprotected. This catch-up service applies until 31 March 2014 and it is anticipated that all qualifying children and young adults will be vaccinated by 1 September 2013. Identify children aged 10 – 16 who have not previously received MMR vaccination or who have received only one dose and proactively contact their families. Item of service charge of £1.50 will be paid to invite each at-risk child aged 10-16 [up to the day before they turn 17] for a jab. [Please note that the minimum requirement for the catch-up service is a letter to be sent to the children’s parent or guardian.] Provide one or two doses as required to all unvaccinated patients aged 16 and over who present to the GP surgery requesting vaccination. Provision of vaccination to children aged 10 -16 is included in the capitation payment (‘global sum’) of the GP contract, assuming the practice provides additional services, so no claim for reimbursement applies. (General Medical Services Statement of Financial Entitlements Directions 2013 Annex B Part 2). The MMR specification, letter and joint FAQs are available on the BMA website. The FAQs are also available on Item of service fee of £7.64 will be paid per dose to vaccinate patients aged 16 and over. the NHS Employers website. The vaccine is centrally procured so there are no PA fees. Meningitis C Changes to the Men C vaccination schedule commenced on 1 June 2013. In summary, these changes are: 1 June 2013 Cease giving the second priming dose of Men C at age 16 weeks as this will be replaced by a booster dose given in adolescence. The adolescent booster dose for academic year 2013-14 will be introduced in schools (practices should not offer to provide this, as there will be no reimbursement). the removal of the second dose at 16 weeks (four months) from the routine schedule for infants; and, the introduction of an adolescent booster dose at around 14 years (school year 10) for the academic year 2013-14 From mid-August 2014, there will be a catch-up programme of limited duration to offer the vaccine to first time university entrants under the age of 25 years, i.e. those who will not have been vaccinated under the revised schedule at around 14 years. Further information about the catch up programme for pre-university students in August 2014 will be available nearer the time. A revised chapter on Men C vaccination, including clinical advice and information about the new Men C vaccination schedule, has been included in the Revised chapter on Meningococcal Vaccination of the ’Green Book’. The JCVI’s statement about the revised Men C vaccination schedule and subsequent discussions, with details about the changed schedule are available at: JCVI statement on revised Men C vaccination and JCVI minutes Oct 2012 and Feb 2013 Further information, including FAQs, has been published by Public Health England Rotavirus On 1 July 2013 a new vaccine for infants was introduced into the childhood immunisation schedule against the most common strains of rotavirus (following 1 July 2013 Provide the rotavirus vaccine as part of the childhood immunisation schedule (at 2 and 3 months). Item of service fee of £7.63 will be paid for a completed course. Guidance on the contract funding pages of the BMA website. Tripartite letter announcing the vaccination schedule. recommendations made by the JCVI). The vaccine is centrally procured so there are no PA fees. Green Book chapter on rotavirus. PHE Publications: This is an oral vaccine that should be offered routinely to all babies at the age of two months and again at three months (that is, two doses, four weeks apart) when they attend for their first and second routine childhood immunisations. Rotavirus training slideset Protecting your baby against rotavirus - leaflet Protecting your baby against rotavirus - flyer Rotavirus Q&As for healthcare practitioners Rotavirus Q&A factsheet Influenza (for 2 year olds) From 1 September 2013, all children aged two will be offered a nasal flu vaccine as part of a comprehensive vaccination programme. 1 September 2013 a. a proactive call basis, if not considered at-risk, or b. a proactive call and recall basis, if considered at-risk A small number of pilots to vaccinate primary and preschool aged children will run in some areas to make sure the NHS is ready to roll out the programme to all preschool and primary school children next year. Pilots for secondary school children will run in some areas in 2014 in order to roll out the programme nationwide in 2015. Shingles In April shingles patients 71, on 1 Fluenz is the recommended vaccine which is administered as a nasal spray. Item of service fee of £7.64 will be paid for each eligible patient. The childhood influenza specification is available here and FAQs are available on the vaccinations and immunisations pages of the BMA website. Information about the influenza programme is available in our Focus on vaccines and immunisations and in the letter from NHS England. Practices should be able to record all administered doses through a GPES extraction. 1 September 2013 2013, routine vaccination for aged 70, but not yet September 2013, was In addition to the current influenza DES, practices should also vaccinate children who attain the age of two and three years, but not yet four, on 1 September 2013 on either: Practices should provide the shingles vaccine to patients aged 70, but not yet 71 [route cohort] and all patients aged 79 [catch-up cohort], on an opportunistic basis. The shingles specification is available here. Further information, including FAQs, is available on the NHS Employers website. introduced as part of the 2013/14 GMS contract changes. A catch-up programme has also been agreed, effective from 1 September 2013. It will initially be rolled out to all registered patients aged 79 years on 1 September 2013. This programme will run for 12 months. There is no requirement (or payment) for practices to operate call and recall, but should instead offer vaccination to eligible patients when they access GP services. The vaccine is a single dose that can be given at the same time as the flu vaccine. Item of service fee of £7.64 will be paid for each registered patient who has received the shingles vaccine The vaccine is centrally procured so there are no PA fees. The programme may be extended in-year, to patients aged 78 years, subject to vaccine supply and advice from Public Health England. There is also some information on our contract funding pages on the BMA website.