Flu Service 2014 Carol Trower Berkshire LPC Thames ValleyLPCs Better and Stronger Together

Flu Service 2014

Carol TrowerBerkshire LPC

Thames ValleyLPCs Better and Stronger Together


What will we cover tonight?

• Background to service commissioning• Why Vaccinate?• Targets for the Service• Service specification

• Who is covered• Accreditation

• Engaging Patients• PGD• Recording and Reporting• Local Support• What else is happening locally


Background to Service Commissioning

• Pilot in Berkshire West in 2012 and 2013• Showed Pharmacy could deliver vaccinations• Public liked Pharmacy as a location• Public trusted pharmacist to vaccinate• GPs slowly realised that there was room in the

market for both services• Tested the service and the reporting structure


Who were we vaccinating?


Age range


Clinical Conditions


When were we vaccinating


Why were patients choosing pharmacy?


Why Vaccinate?

• To protect vulnerable individuals from flu• To protect the population at large• Reduce hospital admissions and pressure on

healthcare services in the winter• Economic issues; less time off work • Flu kills!


Uptake targets for Flu Service

• Over 65s – 75%• Under 65 at risk groups -60% in 2014-15• Pregnant women- 60%in 2014-15• Children


Seasonal Influenza Vaccination Uptake Rates in Thames Valley.

CCG

65 and over

(%)Under 65 at

risk (%)Pregnant

women (%)

2013-14 2013-14 2013-14

AYLESBURY VALE 73.5 53.1 43.1

CHILTERN 73.5 50.9 39.5

OXFORDSHIRE 75.8 54.5 45.9

NEWBURY & DISTRICT 75.7 59.4 43.6

N&W READING 76.9 58.8 45.5

SOUTH READING 73.7 56.1 38.9

WOKINGHAM 74.4 53.5 44.8

BRACKNELL & ASCOT 73.2 59.1 46.5

SLOUGH 69.6 52.7 30.9

WINDSOR, ASCOT & MAIDENHEAD 71.4 51.5 41.6

Uptake in clinical risk groups 2013-14 and influenza related mortality ratios (age adjusted relative risk Sept 2010-May 2011)

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Service Specification

Vaccinating:– Over 18 and under 65 in “at-risk” groups– Pregnant Women– Carers in receipt of carer’s allowance

• Must meet training requirements• Must have read, understood and signed the

PGD• Must be pharmacist


Service Specification

• No need to send certificates to Area Team• PharmOutcomes has been set up with

recording for accreditation- will cover later• Each pharmacist will need to declare their

competency• Practical training and CPR


National Guidance

• The influenza chapter of ‘The Green Book’; Immunisation against infectious disease

• https://www.gov.uk/government/collections/immunisation-against-infectious-disease-the-green-book

• The annual flu letter (DH, PHE and NHS England)

• https://www.gov.uk/government/publications/flu-immunisation-programme-2014-to-2015

https://www.gov.uk/government/collections/immunisation-against-infectious-disease-the-green-book



https://www.gov.uk/government/publications/flu-immunisation-programme-2014-to-2015




Promoting the Service

• Use posters and postcards or stickers• Use your PMR to identify patients • Make sure the surgery knows you are

vaccinating and will be happy to take their referrals

• If no e-mail address in the system- will the surgery provide one?

• If not, how would they like you to handle notifications


Engaging Patients

Using your team to engage patients:• Train your team to sell the service• Encourage team to talk to patients• Use stickers as badges• Local activity?


PGD• Sent out by Area Team• Each pharmacist who will provide the vaccination

must sign the PGD in the pharmacy• If working in several pharmacies, then need to sign in

each one• Keep PGD in branch – do not send signed copies to

Area Team• PGD is the legal instrument that allows you to

administer vaccine• Must follow PGD


Recording and Reporting

• Use PharmOutcomes for recording• Do it at the time• When click save it will e-mail notification to GP

if this is set up• Secure e-mail- nhs.net account• System deals with invoicing – you do nothing• Patient consent form• Record form

Login• Login at

https://pharmoutcomes.orgIf you have any problems logging into the system please contact thePharmOutcomes Help Desk from the Help tab


Accreditation

• Before providing the FLU service for the first time you will need to complete the Enrolment Process:

• Log into Pharmoutcomes• Click on Services and select Seasonal Flu 2014• You will now see a screen titled “Enrolment

Requirements”• Click on the box and then “enrol me”• On next screen – enter your name and GPhC number

then answer the questions about training, PGD and SLA

Service data capture

Access the service data capture from the services tabOnce logged in click on the services tab as below

System functionalityruns from left to rightacross the top of thescreen. The home page isa message inbox. Youwill find commissioner communications here. Click on the services tabto find data capturequestion sets

Click the services tab to go to the service delivery screen

Data entryAccess the service question set from the left hand side of the screen that shows your pharmacy accredited services. If the Flu service does not appear here contact your LPC Chief Officer or Area Team

The main screen on the service tab show the service history. The sidebar shows the list ofaccredited services. Clickthe service title to go tothe data capture screen

Clicking on the service title here will take the provider to the service data capture screen

Data captureData capture screenshave been designed to use patient facing as saving data generates GP notification and populates the audit for commissioner. It also populates the claim for the pharmacy. Service questions have been included to ensurecompliance with PGD and to support the provider

Enter data requested. Please note where specific format is required

Side bar provides useful service information

Data capture

• You will find useful links in side information boxes to information or patient information leaflets

Side boxes give useful information and useful links to support Documents. The side bar text also provides links to other material such as PGD’s and SLA’s

Clicking the link here will take the

provider to the EMC patient

information leaflet

Data capture

• Saving data will generate GP notification (sent by secure email or by fax), populate claim for pharmacy and audit for commissionerGP notifications will be

automatically sent using secure email when data is saved as long as an nhs.net address has been provided for the GP. The providersends the notification using the in-built PharmOutcomes nhs.netaccount

Clicking the “save” button will save data, populate claim and audit and trigger GP

notification

GP notifications

• The system will send a read coded GP notification as data is saved

GP notifications are read coded to enable efficient entry at the GP practice

Read code hard coded on

notification letter

GP notifications

• The system will send a read coded GP notification as data is saved. If no email information has been provided for a GP practice the message below will appear on the service screen. These notifications will need printing and either posting, faxing or delivering by hand.

Some notifications will not be sent if no secure email is held in the system. These will need printing and sending by hand –either by fax or post within 24 hoursof vaccination

Clicking the link will show the

provider which notifications

have not been sent by secure

email

GP notifications

• Clicking the link will take the provider to the provision page. Please note the message in the left hand side of the service screen. The notification can be printed by clicking the GP notification link and then the orange button “sent manually” should be clicked to acknowledge the notification has been sent

Some notifications will not be sent if no secure email is held in the system. These will need printing and sending by hand

Click the link to print GP notification then click the

orange “Sent Manually” button to acknowledge this has been

sent and cancel the alert message


Invoicing

• Claims will run on the 6th of every month• Invoice will be created and e-mailed to TVPCA• Payment will be made based on:

– Professional Fee of £7.64– Vaccine cost of £6.25 plus VAT


Local Support

• Local PR – radio and press• Posters and leaflets (NHS)• Posters, postcards and stickers (LPC)• LPC Chief Officers available to help• PharmOutcomes help-desk• Area Team support


What else is happening locally

• GP Surgery campaigns• Maternity provisions – at antenatal clinics• Special Schools• Pandemic Flu planning• HELP


Contacts at Area Team

Screening and Immunisation Co-ordinatorsAmber Codd [email protected] Harpal Aujla [email protected]

Screening and Immunisation ManagerChris Cook [email protected]

mailto:[email protected]




And finally