Vaccination and Immunisation summary table 2014-2015 (England) NEW Programmes from 1 April 2014 Hepatitis B for new born babies at riskSFE Run from/to 1 April 2014 to 31 March 2015 Newborn babies whose mother has Hepatitis B are at increased risk of contracting the disease. This programme is intended to identify these newborn babies and ensure they receive vaccination within the first 3 months after birth and fourth dose at the age of 1. Incorporated into SFE for providers of the childhood immunisation additional services. Patient cohort/age range In most cases it is expected hospitals will provide the first vaccination and obtain details of the mother’s practice or intended GP 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 Hepatitis B and provide appropriate vaccinations. Patients will present for other childhood flu vaccinations for at least one of the doses and there are no contra-indications to this. Vaccine Supply First dose provided by birth of the baby. In not, practices will be the first dose and can £7.64. the hospital upon the event that it is required to administer claim payment of Second dose at 1 month of age Third dose at 2 months (4 weeks between doses) Fourth dose after 12 months Refer for, or do if appropriate in practice, a blood test (which may a heel prick or venepuncture test) which can be taken at the point of the fourth dose. Update the patient’s record with the results of the blood test, notify patient and make referral to paediatrics as necessary. MenC vaccination (Freshers) - ES Booster offered to freshers not previously vaccinated with MenC since reaching age 10. Note: This is for first time students only - if a student who is in their second year self present at a practice and is under 25, they would be covered under the global sum payments. 1 April to 31 October 2014 To allow patients to be vaccinated by home or university town practice. Patients aged 17 to 25 at any time during the financial year 14/15 who are attending university (or higher education) for the first time and selfpresent to the practice requesting vaccination and have not been immunised since age 10. Enhanced service specification outlines the requirements There will be no requirement for practices identify these patients or demand proof of a university offer. This will NOT be centrally supplied. Practices to procure directly and claim reimbursement for vaccine and administration fee. Provided by central supply by PHE via the ImmForm website Payment dates Monthly from July 2014 Payment for the first dose after the first dose if hospital fails to administer. Payment for second and third dose after third dose. Payment £7.64 for each of the 3 or 4 (if first dose not done in hospital ) doses delivere d Separate payment for fourth dose payment dependant on completed blood test updated on patient record. Payment monthly from July 2014 paid per completed delivery (1 dose). £7.64 per dose Those that present to the practice are likely to do so in the summer months after acceptance at University. Practices may offer the immunisation opportunistically to eligible patients. Prospective students will be advised to seek vaccination when they receive a provisional or firm offer via UCAS. Existing programmes continuing from 1 April 2014 MMR – SFE The original MMR programme in 2013 was a response to an outbreak and required practices to identify patients aged 10-16 who were unvaccinated and invite them to receive a MMR vaccine. This requirement is now retired. Payment for this was covered in the Global Sum and continues to be the case for any patients aged 10-16 who selfpresent or are identified on an opportunistic basis. Run from/to Patient cohort/age range Vaccine Supply Payment dates Payment 1 April 2014 to 31 March 2015 Patients aged 16 and over that have no record of vaccination, who self-present to the practice requesting vaccination. Provided by central supply by PHE via the ImmForm website Monthly from July 2014 £7.64 per dose Moved from an enhanced service, to being included in the SFE. 1 or 2 doses may be necessar y Item of service fee for providers of the vaccination and immunisation additional service. 1 Additionally patients over 16 who had no record of vaccination, who self-present to the practice requesting vaccination, were to be vaccinated. This is to continue. Pertussis in pregnant women - temporary ES 1 April 2014 to 31 March 2015 Since 1 October 2012, a temporary programme of pertussis (whooping cough) vaccinations for pregnant women has been in place, while the JCVI evaluate the cost and clinical effectiveness of the programme. Rotavirus - SFE Enhanced service specification outlines the requirements. Vaccination of pregnant women and for new mothers who missed the opportunity to be vaccinated while pregnant. Provided by central supply by PHE via ImmForm website 1 April 2014 to 31 March 2015. Children aged between 6 weeks and 6 months (not over 24 weeks). Existing programmes continuing from 1 August 2014 Seasonal Influenza for at-risk patients DES/ES Service delivered from/to 1 August 2014 to 31 March 2015 The seasonal influenza programme is historically wider than the DES - as identified in the Green Book including pregnant women but excluding 2-4 year olds. The DES Directions will not be updated to include at-risk group and pregnant women. Instead, an enhanced service specification will reflect both the DES and the other risk groups as identified in the Green Book. the Monthly from July 2014 £7.67 per dose – for each pregnanc y Provided by central supply by PHE via the ImmForm website. Monthly from July 2014 £7.64 for complete d course - two doses Patient cohort/age range Vaccine Supply Payment dates Payment The programme will mirror the at-risk groups in the Green Book to include pregnant women, but excluding 2-4 year olds, as they are covered under the childhood flu programme. There is a change to how the vaccines for atrisk children are supplied. All children aged 2-17 should receive Fluenz, as it is identified as the most clinically effective vaccine. Monthly from October 2014 £7.64 per dose Patients aged 6 -24 months in clinical risk groups need inactivated vaccine, which will be purchased and centrally supplied by PHE. For children aged 6 months to 17 years, the vaccine will be provided from central supply by PHE via the ImmForm website. The PA fee will not be applicable for this age group. 2-17 year olds need Fluenz or inactivated vaccine (where Fluenz is contraindicated) which will be purchased and centrally supplied by PHE. Excluding at-risk children, practices are required to procure their own vaccine and should ensure they have enough other vaccines for contraindicated patients. Practices will be reimbursed for the cost of the vaccine and for an administration fee. Practices will claim these fees in the normal way. From 1 July 2013, the rotavirus vaccine was introduced to the childhood immunisation schedule (at 2 and 3 months). NHS England has now agreed to commission the flu immunisation for the wider risk groups identified in the Green Book as from 1 April 2014. Practices are required to call/recall the patient for vaccination. 18-64 years in clinical risk groups and over 65s need inactivated vaccine and practices must procure from manufacturers themselves. 2 Childhood Seasonal Influenza - ES The children’s flu programme was introduced in September 2013; the intended cohort is patients aged 2-17 which will be rolled out over the next few years. 1 September 2014 to 31 March 2015 Enhanced service specification outlines the requirements. There is extension to the current enhanced service to include children aged 4, so that the new cohort is children aged 2-4. There is an addition to this programme to resolve a historic anomaly between the enhanced service and the recommended cohort as indicated within the Green Book. Monthly from October 2014 £7.64 per dose Monthly from October 2014 £7.64 per dose For children aged 6 months to 17 years, the vaccine will be provided from central supply by PHE via the ImmForm website. As from 1 April 2014, the enhanced service has been extended to include children aged 4, so that the new cohort is children aged 2-4. Practices are required to call/recall the patient for vaccination. Pneumococcal - DES There is a change to how the vaccines for atrisk children are supplied. All children aged 2 to 17 should receive Fluenz, as it is identified as the most clinically effective vaccine. The PA fee will not be applicable for this age group. 1 August 2014 to 31 March 2015 Patients who have achieved the age of 65 or who meet the at-risk criteria identified in the Green Book. The DES Directions incorporating this programme will come into effect 1 April 2014. Practices will be required to purchase adequate number of vaccines to deliver the programme. Practices will be reimbursed for the cost of the vaccine and for an administration fee. Practices will claim these fees in the normal way. The requirement from 1 April 2014 will be to offer vaccination to patients who have achieved the age of 65 (during the financial year 14/15) AND to patients are identified as at clinical risk as indicated in the Green Book, Practices are required to call/recall the patient for vaccination. Shingles routine aged 70 - SFE 1 September 2014 to 31 August 2015 Patients who have achieved the age of 70 but not 71 on 1 September 2014 Provided by central supply by PHE via the ImmForm website Monthly October 2014 Continuation of the existing programme to identify patients eligible for Shingles vaccination. Vaccination of patients is on an opportunistic basis and can be done alongside the flu vaccination programme. Shingles catch-up - ES Continuation of the existing catch-up programme which aims for patients aged 71-79 to be vaccinated – the programme is phased in view of vaccine supply and available funding. From 1 April 2014, the age cohort has been extended to include patients aged 78. from £7.64 Single dose to last lifetime 1 September 2014 to 31 August 2015 From 1 April 2014 cohort extended to include patients aged 78. Enhanced service specification outlines the requirements. Identify patients who have attained the age of 78 and 79 but not 80 on 1 September 2014 and offer a shingles vaccination. Vaccination of patients is on an opportunistic basis and can be done alongside the flu vaccination programme. 3 Provided from central supply by PHE via the ImmForm website Monthly from October 2014 £7.64 Single dose to last lifetime