Community pharmacy flu vaccination services- preparing for 2014/15

Community pharmacy flu vaccination services- preparing for 2014/15

Novartis Flu and Travel Health Partnership Programme

Video

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Marketing the flu vaccination serviceto commissioners and patients

Lara Mapp, Novartis Vaccines Key Account Manager

London, April 1st 2014

Confidential Information Vaccines Prescribing Information available at the end of this presentation

Principal ObjectiveImproving patient access to flu vaccination through pharmacies

Increasing awareness Improving access

Novartis Vaccines is committed to the fight against flu

4 UK/FLU/13-0046 – Nov 2013 Confidential Information

Flu Vaccination– Unmet need5 Million ‘NHS at-risk’ patients not protected against flu

~5 million people eligible for the NHS free flu jab are not being vaccinated in England alone 1

Flu Vaccination Uptake rates of <65yrs ‘at-risk’ in the GP practices remain flat at ~ 50% 2

Private Flu Market: ~30% of pharmacy customers eligible for a NHS free flu jab – decide to pay out of their pockets 3

Convenience and personal preference being the key reason for 90% of NHS customers choosing the pharmacy for their flu jab 4

NHS commissioning of flu service: Potential to capture 5M at risk people in the pharmacy

1- Flu-vaccine-uptake-A-Z_SHA-PCT_2012_acc, Data source: DH and HPA Jan 20122- Chief Medical Officer. The Influenza Immunisation Programme 2012/20133- Pharmoutcomes, Flu Private service, Hampshire, Greater Manchester, Herefordshire & Worcestershire, Coventry & Warwickshire – accessed December 20134- Pharmoutcomes, Flu NHS service, Herefordshire & Worcestershire, Coventry & Warwickshire - accessed December 20135. European Scientific Working Group on Influenza (ESWI) Flu Centre. Seasonal flu, Economic impact. http://www.flucentre.net/knowledge-centre/seasonal-flu/economic-impact (accessed Dec 2013)


http://www.flucentre.net/knowledge-centre/seasonal-flu/economic-impact

Novartis Vaccines’ proven track record of success

2003 - Supported the development of the UK’s first pharmacist flu vaccination Xprogramme (NHS Grampian)

• Leading to the development of the successful City & Hackney PCT service

10 years successful experience creating, developing and supporting award- winning UK pharmacist-led vaccination partnerships.1

Actively supporting PCTs, CCGs and Scottish HBs to deliver NHS flu vaccination Xservices through pharmacy during the Flu season

1 - Pf Awards 2013 _ 2012 Winners, Finalists & Commendations

UK/FLU/13-0046 – Nov 2013 Confidential Information6

>10,000 UK pharmacists trained

>3,000 UK pharmacies participating

>1 Million vaccines administered

Data on file, Novartis Vaccines and Diagnostics Limited, Dec 2013. Cumulated figures since programme launch.

Includes:

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Novartis In-Pharmacy Flu Vaccination ProgrammeProgramme results since launch

UK/FLU/13-0046 – Nov 2013 Confidential Information

Independent Pharmacies - private and NHS flu service

National Retail Groups National Pharmacy Groups

NHS commissioning 2013: Overview MapNovartis actively supporting and partnering directly and indirectly with 102 CCGs


NHS commissioning of the Flu Service>5M NHS ‘at-risk’ patients remain unprotected in England alone

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18 PCTs partnering with NVD in 2012, 102 CCGs partnering directly & indirectly with NVD in 20131

~1,500 pharmacies trained by NVD in 2013 offering the flu service to NHS patients

Top pharmacies achieving more than 250 NHS patients / pharmacy in first 4 weeks of the flu season 2

MUR patients as potential to enhance uptake in “at risk” patients Flu service linking to all other healthy living services NHS commissioning capturing patients at risk across all ages

with 30% of patients under 65 years of age 3

In non-NHS commissioned areas, 30% of private patients choosing the pharmacy are eligible for a NHS free jab 3

1- NVD Data on file, 102 CCGs partnering with NVD including CCGs with NVD training and CCGs trained locally.2- Pharmoutcomes, Flu NHS service, Herefordshire & Worcestershire, Coventry & Warwickshire, December 20133 -Pharmoutcomes, NVD Flu Private Service, Hampshire, Greater Manchester, Herefordshire & Worcestershire, Coventry & Warwickshire December 2013


Novartis Vaccines & PharmoutcomesPiloting Pharmoutcomes in 2013/14: Private and NHS service

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Source: Pharmoutcomes, Flu NHS service, Herefordshire & Worcestershire, Coventry & Warwickshire, accessed December 2013; Pharmoutcomes, NVD Flu Private Service, Hampshire, Greater Manchester, Herefordshire & Worcestershire, Coventry & Warwickshire accessed December 2013

Total number of private and NHS flu jabs in the sample: 11,000, ~150 pharmacies.

Private Service 88% under 65 years – confirming the pharmacy as the best place to target this

patient group 30% NHS eligible 90% convenience/pharmacy preference 11% of the jab have been administered by the pharmacist at the work place NHS Flu Service in the Pharmacy: 33% under 65 years 45% respiratory disease & 20% diabetes And last but not Least: 1st time jab: between 9% and 21% in pilot areas


NHS commissioning of the Flu Service90% of customers chose the pharmacy for convenience & preference

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*Pharmoutcomes, Flu NHS service, Herefordshire & Worcestershire, Coventry & Warwickshire, accessed December 2013

8.5

26.5

63.4

1 0.6

NHS patients choosing the pharmacy*

Unable to attend GPPrefer PharmacyPharmacy more convenientGP unable to provide the serviceOther


2013/14 Training Programme – pharmacist feedback4

Online training

1 - Data on file. Novartis Vaccines and Diagnostics Limited, In-Pharmacy Vaccination Programme training report, January 2014

All aspects of the online training were scored as 4 (very good) and above

data from 2578 pharmacists

“An excellent and well constructed learning programme” “Thank you - I am thoroughly enthused & can't wait to get started”

“Excellent resource - had all my staff viewing CPR sections!!”

1=poor; 2=fair; 3=good; 4=very good; 5=excellent

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0

1

2

3

4

5 4.39 4.43 4.47 4.43 4.19 4.14 4.12 4.12



Online training – NHS Commissioned areas independent pharmacists

1 - Data on file. Novartis Vaccines and Diagnostics Limited, In-Pharmacy Vaccination Programme training report, January 2014

88% of scores: Excellent-Very gooddata from 714 pharmacists

1=poor; 2=fair; 3=good; 4=very good; 5=excellent

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012345 4.52 4.58 4.57 4.50 4.36 4.24 4.24 4.30


Excellent Very Good Good Fair Poor0

200

400

600

800

1000916

413

13417 5

Practical injection technique


200

400

600

800

1000

967

365

13219 2

Basic life support and Anaphylaxis


Practical live training

1- Data on file. Novartis Vaccines and Diagnostics Limited, In-Pharmacy Vaccination Programme training report, January 2014

“This was one of the best training events I have been to in the last few years”“Really enjoyed the day, a wonderful way to learn”


200

400

600

800

800

500

16122 2

Was the style of training interactive and com-fortable?



Marketing the Service to Commissioners


Novartis Vaccines support – NHS Commissioning Toolkitprovided by Novartis Vaccines for interested LPCs/CCGs


Novartis Vaccines case studiesbuilding the evidence and business case for ‘commissioning’


Supporting NHS commissioned programmes to get startedBusiness case-gauging interest-pharmacist training-SLA-service launch


Comprehensive training and support programmeprovided by Novartis Vaccines for NHS commissioned pharmacies


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The high quality and efficiency of an award winning programme:

Interactive and focused training consisting of online learning (~3 hrs) and Live Training (3.5 hrs)

Online-Only training after 1 year live training and at least 50 jabs

Ability to vaccinate 2 years and above customers under the private PGD NEW

Ability to vaccinate pregnant women also within the private PGD to achieve consistency with NHS PGD NEW

Medical support line Clinical governance support material Point of Sale material B2B support – flu jab vouchers Website www.dontforgetaboutflu.co.uk store locator Best sharing practice and uptake support through e-

newsletters - NEW

Flu Vaccination Programme Made SimpleMaximise the opportunity in a simple and convenient way


http://www.dontforgetaboutflu.co.uk/


Marketing the Service to PatientsOur Advice to Pharmacists

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Promoting your private and NHS flu serviceWhy it’s so important...

Flu vaccination opens the door to other services such as healthy living initiatives

In NHS commissioned areas, the pharmacy is an alternative venue to the GP surgery, for patients who look for convenience and cannot attend the GP surgery flu clinic

“The flu vaccination service is the single most important service that has helped us move forward in community pharmacy”

Pharmacist in Chorlton - more than 1,000 people have been vaccinated against flu in this pharmacy in the last 5 years

Reference: M.K., Chorlton, Flu and Meningococcal (ACWY) Vaccination Services Case Study, Novartis Vaccines and Diagnostics Limited, September 2012

22 22 | UK/FLU/13-0031 Vaccination Training Presentation – GENERIC May 2013 | Confidential

What is the key to the success of your vaccination service? Approach it as a team venture – engage all your pharmacy staff

Approach it as a pharmacy team venture

Ensure all of the team undertake the online learning

Discuss Point of Sale (PoS) materials

Allocate clear roles and objectives

Appoint a “Vaccination Service Champion”

Undertake customer engagement role plays

23 | UK/FLU/13-0031 Vaccination Training Presentation – GENERIC May 2013 | Confidential

Promoting the flu vaccination service: PoS materialsKey to success: create a visible pathway using ALL materials

Ensure ALL PoS materials are used: posters, leaflets, shelf wobblers

Position the materials at eye level and in visible places

Create a “pathway” from the entrance to the counter with the flu service materials


Promoting your flu vaccination service: whom to targetKey to success: talking to everyone entering your pharmacy

Identify whom you want to target

Speak with every customer about your flu vaccination service

Create a buzz!

If in an NHS commissioned area: • Target Medicines Use Review (MUR)patients

• Target patients included in your healthy living services

Encourage customers to have the jab

Every gained customer will return!

98% of people vaccinated in the

pharmacy said they would return next year for their flu vaccination

in the pharmacy1.

Reference: Data on file, IPFI Post Vaccination Feedback for 2011/12 influenza season In

Pharmacy, Novartis Vaccines and Diagnostics Limited, July 2012


Promoting your flu vaccination service in & out of your pharmacyKey to success: have a clear plan on how and whom to target

Promote your flu vaccination service via the media and in the local community

Inform your local GPs

Identify whom you want to target with your flu service, e.g.:• Private & NHS patients

• Practice nurses

• Dentist practices

• Social workers

• Teachers and more

Target local businesses


Promoting your NHS serviceIncrease your flu vaccination uptake

Establish relationships with GPs who may refer NHS or non-NHS patients• Patients unable to attend their GP flu

clinic will be referred to you

• Fully booked GP clinics: Patients referred to you

Target MUR, healthy living and smoking cessations patients


Promoting your flu vaccination service:Your pharmacy details on the Novartis flu website

Your pharmacy details will be included in the store locator on www.dontforgetaboutflu.co.uk

All elements of the online and practical training must be completed before a pharmacy details are added to the website



James Tibbs Video

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Conclusion and Key LearningHow to maximise the NHS service in the pharmacy

LPCs to start early to engage with Area Teams and subsequently start earlier inviting pharmacists

NHS PGD to include all at-risk patients. The pharmacy convenience is key driver at any age

Start the flu service in October to maximise the opportunity to capture the patients at risk not presenting at the GP practice

Invite pharmacists to attend live training sessions and complete their online learning at latest by end of August to allow enough time to promote the service and book appointments

Make sure that a representative of the Immunisation Screening Team attend the practical training sessions to cover the NHS PGD and the peripherals

The most successful pharmacies in the NHS service are the ones very strong in offering the private service

UK/FLU/13-0046 – Nov 2013 Confidential Information30

Optaflu® ▼prescribing information

31 UK/Flu/13-0004 - Jan 2013 Confidential Information

Fluvirin® prescribing information


Agrippal® prescribing information


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Community pharmacy flu vaccination services- preparing for 2014/15