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Alongside the guidance and resources available at psnc.org.uk/flu, PSNC Briefing 040/16 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 rosie.taylor@psnc.org.uk Last updated: 25th August 2016

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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
• Second year of the nationally commissioned service
• Aims:

– to sustain and maximise uptake of flu vaccine in at risk groups 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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Data from 2015/16

• 595,467 flu vaccinations administered by

community pharmacists

• 7,195 (60.9%) provided the service
• Average number of vaccinations by

each participating pharmacy was 83 How many vaccinations will community pharmacists provide in 2016/17?

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Service timings

• Runs from 1st September 2016 until the end of

March 2017

• Focus of vaccination continues until December
• Apply clinical judgment if offering vaccination

in January/February/March

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Service documentation

• Service specification
• Patient Group Direction
• Secretary of State Directions
• PSNC Briefing 040/16

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The national PGD

• One national PGD – not a locally

authorised PGD

• This year a dedicated PGD is

being used

• Download; read; understand; sign
• Authorising manager declaration
• If you sign a copy of the wrong

PGD, it won’t be legally valid

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Patient eligibility

• People aged 65 years and over (including those

becoming age 65 years by 31 March 2017)

• Pregnant women aged 18 years or over
• Carers aged 18 years or over (this does not

include care workers)

• Household contacts aged 18 years or over of

immunocompromised individuals

• People aged from 18 to less than 65 years of age

in clinical risk groups

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Patient eligibility

• People living in long-stay residential care homes
• r other long-stay care facilities; however,

consent will need to be obtained from the local NHS England team for off-site vaccination

• If patients are not eligible for the Advanced

Service:

– but are eligible for NHS vaccination, refer to their GP practice – and not eligible for NHS vaccination, potentially offer them a private service

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Premises requirements

• The 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 two years

• Declaration of Competence (DoC) – Seasonal

Influenza Vaccination Advanced Service

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The ‘how to’

• Developed by the CPCG/CPPE
• Restructure – focus on reflection
• Download and save the DoC self-assessment framework

and review/complete competencies

• Where are your gaps? Learning and

assessment

• Sign the DoC statement to

acknowledge professional responsibility

• Complete step 5 – date of declaration

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Key considerations

• Make sure you complete the right DoC!
• Read the ‘how to’ guide
• Only sign when you have a working

knowledge of service spec and PGD

• Keep a copy of statement in pharmacy
• Undertake every two years: Align
• Core competencies: what are you

doing to meet the standards?

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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 – this must be done annually

• Flu vaccination record and consent form
• GP notification form (reason for vaccination)
• Request to provide vaccinations in care homes/long

stay residential care homes form

• Use of IT systems (e.g. PharmOutcomes and Sonar)

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Paperwork - Patient questionnaire

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Payments

• £7.64 + £1.50 (£9.14) per administered dose
• Reimbursement of vaccine costs at basic price

(list price) of the individual vaccine administered + an allowance at the applicable VAT rate

• Claim payment via the form sent to the NHS

BSA at month end

• Last claim must be submitted by 5th April 2017

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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
• Sunil will talk about getting

prepared and top tips

• Get all the team involved in the

process

• Use the promotional materials

available

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Summary of changes from 15/16

• Service duration – until end March
• Separate PGD
• GP notification form – addition of reason for

vaccination

• Patient questionnaire website
• Submission of final claim

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Top tips on running the Flu Vaccination Service

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Before the service starts

• Think about your pharmacy and your patients

– Would appointments work or would a ‘drop in’ service be better? – Consider having a six-week period when you focus on flu above other services

• Be organised

– Consider multiple delivery drops of vaccines, bearing in mind your fridge capacity – Utilising the skills of your staff is pivotal

• Speak to your local GP practices

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Promotion of the service

• Tell patients about the service before it launches
• Promote the service using resources available at

psnc.org.uk/flu

• Attach small vaccination flyers to prescriptions
• Have a list of eligible groups near

the counter

• Consider using website/social media
• Go ‘all in’ – there’s no point being

half hearted!

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Preparation at the beginning of the day

• Have paperwork sets in order, ready to use
• Make sure pharmacy staff working that day

know who is eligible and the process in place at your pharmacy, e.g.

– Should they make appointments or give an expected waiting time? – Ensure they know where the Anaphylaxis Pack/Adrenaline injection is kept

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When someone requests an NHS flu vaccination

• Pharmacy staff can check a patient’s eligibility

and encourage them to start filling in a consent form whilst they wait for their turn with the pharmacist

• Appoint one member of staff a ‘flu helper’

who can be on hand to help patients complete the forms

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Administering the vaccine

• The pharmacist will need to check paperwork

and confirm consent before administering the vaccine

• The patient must be given the necessary

documentation in regards to their jab

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After vaccination - patient

• Once vaccinated, the patient will need to stay

in the pharmacy for a short while in case of anaphylaxis

• This is a good opportunity for the pharmacy

‘flu helper’ to ask the patient to complete the feedback survey

• Can also advise the patient about other

services which may be beneficial to them

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After vaccination – pharmacy

• The pharmacist and flu helper will need to complete

the necessary paperwork and note the vaccination on the patient’s PMR record

• Also, if your pharmacy uses an online recording system,

the required data will need to be entered

• The appropriate GP practice must be informed that the

patient has been vaccinated

• The necessary paperwork (other than claiming for

payment) should be completed by the end of the day

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Additional support

• Your LPC may be able to assist with promotion
• f the service as well as guide and support you

with any negative reaction you may receive from local GP practices

• Work together locally, with other contractors,

to highlight the service is available from their local pharmacies

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Full information on the service…

…at psnc.org.uk/flu