Open Access vaccinations for unregistered population
Service Level Agreement from September 2014 – January 2015
Context
NHS England is working with Public Health England to secure the delivery of winter immunisation
programme in targeted high-risk cohorts of children’s and adults ~
1. anyone over the age of 65
2. pregnant women
3. children and adults with an underlying health condition (particularly long-term heart or respiratory
disease)
4. children and adults with weakened immune systems
5. All children aged two, three and four years
This SLA is a supplementary agreement between NHS England immunisation commissioners and the
General Practice, across London Region. It is designed to secure the timely and effective arrangement and
delivery of winter immunisation programme, as per the national guidance frameworks ~
Green Book (Department of Health)
https://www.gov.uk/government/publications/influenza-the-green-book-chapter-19
All appropriate materials subject to the The Joint Committee on Vaccination and Immunisation
(JCVI)
Vaccination and immunisation programme, June 2014
http://www.nhsemployers.org/~/media/Employers/Documents/Primary%20care%20contracts/V%20
and%20I/V%20and%20I%20Home%20Page/Vaccination%20immunisation%20programmes%201415%20guidance%20audit%20requirements.pdf
Aims and intended service outcomes
1. To reduce the serious morbidity and mortality from influenza by immunising people in the target
groups, who are most likely to have a serious or complicated illness should they develop influenza.
This can avert the need for the patient to be hospitalised.
2. To improve choice and access to seasonal influenza immunisation programme in primary care.
3. To increase the provision of seasonal influenza vaccination to all target groups, particularly hard to
reach and unregistered groups
Provider Delivery Plan
All providers will
1. Arrange dates, times, facilities, logistics, cold chain and clinical waste management with regards to
their statutory responsibilities and best practice guidelines.
2. Deliver all immunisation as per the
a. Health Protection Agency algorithm
b. Nursing and Midwifery guidance on Administration of Medicines
c. Provider Patient Group Directions (PGDs), which will come from NHS England
d. NHS England voucher scheme for front line staff – copy attached
3. Record all clinical audit data in the patient’s clinical record, including refusal, reactions or reasons
for withholding immunisation.
4. Record any incident using the provider clinical governance process.
5. Keep records of who has been vaccinated, ideally via the computer system. Client records must be
kept by the practice. This will include name of client, vaccine batch number, date of expiry, site and
date of vaccination (Appendix 1)
6. Ensure that the details of vaccinations are given to patients for personal record purposes to
minimise the risk of patients receiving double immunisation
7. Maintain appropriate records to ensure effective ongoing service delivery and audit. Records are
confidential and should be stored securely and for a length of time in line with local NHS record
retention policies.
Invoicing and Payment
From September 2014, all immunisation activity delivered will be paid from NHS England, via this SLA.
Providers are requested to invoice NHS England each month, using the following method for
reimbursement ~
Each invoice must have the following clinical audit data ~
1.
Dates
2.
Specific regime
3.
Numbers of vaccines given
All detailed clinical activity reports must be retained as these may be requested for assurance purposes
and you may be requested to share with our Local Authority colleagues. DO NOT SEND EITHER PARTY
ANY PATIENT IDENTIFIABLE DATA.
For clarification, Seasonal Flu vaccination will be afforded @ £7.64 per vaccine given, unless dovetailed
vaccines are given at the same appointment, when the second vaccines will be based on a £7.64 tariff.
All invoices must be sent to:
XXKGIBSON
X24Payables K005
Phoenix House
Topcliffe Lane
Wakefield
WF3 1WE
For enquiries, please email ~ immunisation-submissions.london@nhs.net
Provider Authorisation signature ~ please sign for acceptance and return to the above email.
Provider Name:
Officer Name and Designation:
Signature:
Date:
Appendix 1 – Details required to be kept by the GP Practice following influenza
vaccination (may be kept in computerised records)
Name
of
client
Date
of
birth
Date of
administration
of influenza
vaccine
Batch
number of
influenza
vaccine
Expiry
date of
influenza
vaccine
Site of
Clinical
administration risk
group
Voucher
intervention