Psnc.org.uk/flu#getreadyforflu Read and delete this slide Alongside the guidance and resources available at psnc.org.uk/flu, PSNC Briefing 053/15 provides

psnc.org.uk/flu #getreadyforflu

Read and delete this slide

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

mailto:[email protected]


The Community Pharmacy Seasonal Influenza Vaccination Advanced

Service


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.


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…


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%


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


Service documentation

• Service specification• Secretary of State Directions• Patient Group Direction• PSNC Briefing 053/15


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


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


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


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


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


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


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


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


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


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


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


Full information on the service…

…at psnc.org.uk/flu

Documents

Psnc.org.uk/flu#getreadyforflu Read and delete this slide Alongside the guidance and resources available at psnc.org.uk/flu, PSNC Briefing 053/15 provides