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Alongside the guidance and resources available at psnc.org.uk/flu, PSNC Briefing 053/15 provides detailed information on the flu vaccination Advanced Service and it provides information for speakers using this PowerPoint presentation.
Questions or comments on this presentation can be addressed to [email protected]
Last updated: 21st September 2015
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The Community Pharmacy Seasonal Influenza Vaccination Advanced
Service
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Introduction
• Commissioned as the 5th Advanced Service in England• Aims:
– to sustain uptake of flu vaccine by building the capacity of community pharmacies as an alternative to general practice;
– to provide more opportunities and improve convenience for eligible patients to access flu vaccinations; and
– to reduce variation and provide consistent levels of population coverage of community pharmacy flu vaccination across England by providing a national framework.
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Introduction
• Another national service commissioned at a time where the focus is increasingly on local developments
• NHS England has responded to our calls for national commissioning
• So pharmacy needs to respond positively• As the NHS wants us to provide this service
extensively…
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Introduction
• And we need to for the sake of patients and the public
• 2014/15 data– at-risk groups 50.3%– pregnant women 44.1%– carers 45.1%
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Service timings
• Runs from 16th September 2015 until the end of February
• Focus of vaccination continues until December• Apply clinical judgment if offering vaccination
in January/February• Expectation that the service will be
commissioned on an ongoing basis
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Service documentation
• Service specification• Secretary of State Directions• Patient Group Direction• PSNC Briefing 053/15
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The national PGD
• One national PGD – not a locally authorised PGD
• Make sure you access the PGD via the PSNC website
• Download; read; understand; sign• Authorising manager declaration• If you sign a copy of the wrong PGD, it
won’t be legally valid• Eligible patient groups ONLY those in
Annex A of the service specification
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Patient eligibility
• People aged 65 years and over (including those becoming age 65 years by 31 March 2016)
• Pregnant women*• Carers* (this does not include care workers);• Household contacts of immunocompromised
individuals*• People aged from eighteen to less than 65 years of
age in clinical risk groups* Aged 18 years or over
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Patient eligibility
• People living in long-stay residential care homes or other long-stay care facilities; however, consent will need to be obtained from the local NHS England team
• If patients are not eligible for the Advanced Service:– but are eligible for NHS vaccination, refer to GP practice– and not eligible for NHS vaccination, potentially offer
them a private service
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Premises requirements
• Pharmacy must have a consultation room in which:– the patient and the pharmacist can sit down
together;– they can talk at normal speaking volumes without
being overheard by staff or customers; and– the room is clearly signed as a private consultation
area
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Training requirements
• National minimum standards for Immunisation Training and Core Curriculum
• Must complete a practical training course before self-declaration – list of training providers on PSNC website
• Face to face injection technique and basic life support training required every 2 years
• Declaration of Competence (DoC) – Seasonal Influenza Vaccination Advanced Service
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DoC
• Developed by the CPCG/CPPE• Make sure you complete the right DoC!• Print off the DoC self-assessment framework
which explains the competency requirements for pharmacists providing the service
• Review competencies and learning• Sign the DoC statement to acknowledge
professional responsibility that you are competent to provide the service
• Undertake every 2 years
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Practicalities
• Arrangements for disposal of clinical waste• Hepatitis B vaccinations • SOP • Needle stick injury procedure• Anaphylaxis telephone card• Anaphylaxis pack• Service availability over full opening hours
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Paperwork
• Notification to NHS England via the NHS BSA website of intention to provide the service
• Flu vaccination record and consent form• Patient questionnaire (the basis for evaluation
of the service)• GP notification form• Use of IT systems
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Payments
• £7.64 per administered dose of vaccine• Plus an additional fee of £1.50 per vaccination
(i.e. a total of £9.14)• Reimbursement of vaccine costs at basic price
(list price) of the individual vaccine administered + an allowance at the applicable VAT rate
• Claim form sent to the NHS BSA at month end
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Promoting the service to patients
• Posters, counter top notice, leaflets, flyers
• Template letters• Must comply with NHS brand
guidelines• Cannot offer free gifts to encourage
people to get vaccinated
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Implementation
• Read all the documentation• Use the PSNC checklist to guide
preparation• Get all the team involved in the
process• Use the promotional materials
available
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