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FLU

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Contact

Coventry & Rugby CCG
David Palmer
david.palmer2@nhs.net
07717695360


Service Specification

Download Service Specification

PGD

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PGD Addendum

Leaflets & Flyers

NHS FLU Leaflet 2018/19

Where To Get Vaccinated

Forms


Supporting Documents


Accreditation & Learning


Declaration of Competence


Community pharmacists in England provided 595,467 flu vaccinations to patients under the national NHS Flu Vaccination Service in 2015/16.¹

On 20th July 2015, PSNC announced that community pharmacies in England can offer a seasonal influenza (flu) vaccination service for patients in at-risk groups.  The service can be provided by any community pharmacy that meets the expected regulations, has had the relevant training and notified NHS England they are offering the service.

The provision of flu vaccinations though local pharmacies, with no need for a prior appointment, increases access to this public health initiative to a wider cohort of patients who would not have previously accessed it.


Additional support and commonly asked questions.

  • Seasonal Influenza Vaccination Advanced Service 2018/19
  • Flu Vaccine Orders for 2019/2020
  • Which patients are eligible to receive a vaccine under the NHS community pharmacy Advanced Flu Vaccination Service?
  • Can children receive a flu vaccination under the community pharmacy Advanced Flu Vaccination Service?
  • Are pharmacy team members an eligible group for flu vaccination within the Advanced Service?
  • Are social care staff eligible for flu vaccination within the Advanced Service?
  • Do I need to print and sign the addendum?
  • What should I do if a patient returns to the pharmacy and says she was given a non-recommended vaccine for her age group?
  • More FAQs
  • Useful Links
Flu Vaccine Orders for 2019/2020
Which patients are eligible to receive a vaccine under the NHS community pharmacy Advanced Flu Vaccination Service?

The eligible groups for the 2018/19 service are:

  • all people aged 65 years and over (including those becoming age 65 years by 31st March 2019);
  • people aged from 18 to less than 65 years of age with one or more of the following medical conditions:
    • chronic (long-term) respiratory disease, such as severe asthma, chronic obstructive pulmonary disease (COPD) or bronchitis;
    • chronic heart disease, such as heart failure;
    • chronic kidney disease at stage three, four or five;
    • chronic liver disease;
    • chronic neurological disease, such as Parkinson’s disease or motor neurone disease, or learning disability;
    • diabetes;
    • immunosuppresion, a weakened immune system due to disease (such as HIV/AIDS) or treatment (such as cancer treatment);
    • asplenia or splenic dysfunction;
    • morbid obesity
  • pregnant women aged 18 or over (including those women who become pregnant during the flu season);
  • people aged 18 or over living in long-stay residential care homes or other long-stay care facilities*;
  • social care workers;
  • hospice workers;
  • carers aged 18 or over; or
  • household contacts of immunocompromised individuals who are aged 18 or over.

Source: https://psnc.org.uk/services-commissioning/advanced-services/flu-vaccination-service/flu-vaccination-eligible-patient-groups/

Can children receive a flu vaccination under the community pharmacy Advanced Flu Vaccination Service?

No. The NHS Advanced Flu Vaccination Service is for patients aged 18 years and over who fall into an eligible group; it does not cover children.

Are pharmacy team members an eligible group for flu vaccination within the Advanced Service?

No. Employers may wish to offer pharmacy staff flu vaccinations as part of their occupational health arrangements, but this cannot be undertaken as part of the Advanced Service. If a pharmacy team member is eligible for an NHS flu vaccination and falls into one of the eligible patient groups for the Advanced Service, they would be able to use the service at the pharmacy.

Are social care staff eligible for flu vaccination within the Advanced Service?

Yes. NHS England will provide free flu vaccinations for social care staff who offer direct patient care this flu season. This year, the free jab will also be extended to include health and care staff in the voluntary managed hospice sector who offer direct patient care.

Free-flu-vaccinations-for-social-care-and-hospice-staff

Extension-of-NHS-seasonal-influenza-vaccination

Do I need to print and sign the addendum?

Pharmacists are not required to sign the addendum, but it is important that they are aware that the PGD allows them to re-vaccinate a patient. It is strongly recommended that a copy of the addendum is printed and attached to the PGD in the pharmacy to ensure that new pharmacists signing up to the service are made aware of it.

What should I do if a patient returns to the pharmacy and says she was given a non-recommended vaccine for her age group?

For example, a patient who is 65 years old and received the QIV instead of the recommended aTIV:

Follow the process in PHE’s recently updated Inactivated influenza vaccine guidance for healthcare practitioners:

Inform the patient of the error and its potential implications

Advise the patient that although the QIV and aTIV will offer some protection to all age groups, individuals aged 65 years and over (particularly those more than 75 years of age) may not respond as well to the QIV as they would to the aTIV, and individuals aged under 65 years will not benefit from the opportunity to make protection against an additional flu strain if they have been given aTIV;

Following a discussion about the risks and benefits, advise the patient that they could, if they wish, be given a second dose of the vaccine they should have had

The clear benefit is the additional protection that may be offered by the correct vaccine, but they should be alerted to the potential increased risk of a local or systemic reaction.  Although there is no data available on the safety and effectiveness of administering a second flu vaccine shortly after the first in adults, this advice is based on general principles of vaccination, experience of flu revaccination following cold chain and administration incidents and information about the high dose flu vaccine used in the United States (which contains four times the amount of antigen that is in a single dose of QIV or aTIV).

If a decision is made to offer the vaccine the patient should have received, it is recommended that this is done as soon as possible after the first dose was given and ideally within a week. This will enable protection to be made as soon as possible. It can, however, still be given if more than a week has elapsed.

This advice also applies to those who have inadvertently been given non-adjuvanted trivalent influenza vaccine (TIV).

Further Resources:

https://psnc.org.uk/our-news/patient-leaflet-when-patients-are-asked-to-return-to-the-pharmacy-for-ativ/

Patient Leaflet – coming back to the pharmacy for your flu jab

More FAQs

For more Flu Vaccination FAQs click HERE.


References
(1) PSNC

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