Influenza Vaccinations 2020/2021

NATIONAL UPDATE

The national flu immunisation programme update letter was published on 5th August 2020 and can be found here, which gives key focus on on achieving maximum uptake of the flu vaccine in existing eligible groups, as they are most at risk from flu or in the case of children transmission to other members of the community.

As part of the wider planning for winter will be additionally offered to:

  • Household contacts of those on the NHS Shielded Patient List. Specifically individuals who expect to share living accommodation with a shielded person on most days over the winter and therefore for whom continuing close contact is unavoidable.
  • Children of school Year 7 age in secondary schools (those aged 11 on 31 August 2020).
  • Health and Social Care Workers employed to deliver domiciliary care to patients and service users.
  • The intention is to further extend the vaccine programme in November and December to include the 50-64 year old age group subject to vaccine supply. This extension is being phased to allow providers to prioritise those in at risk groups first.

LOCAL UPDATE

A Flu Webinar was held by Cambridgeshire & Peterborough CCG on 13 August 2020, you can access the link to the recording and updated FAQs here.

CAMBS LMC ADVICE

FLU QOF. There are two payment arrangements for the 20/21 flu season which reflect the current challenge facing practices and the need to resource an increased uptake of the vaccination by the wider population.

QOF points pertaining to flu have been doubled. COPD007 now 12 points (LS3). DM018 now 6 points (LS 2). STIA009 now 4 points (LS 1). CHD007 now 14 points (LS 3). Payment will no longer be linear but instead, practices will accrue a greater number of points once they reach the lower threshold (LS).

FLU IIF. The investment and impact fund incentive payment for PCN registered list flu imms for >65s (regardless of the arrangement by which such patients were immunised so long as it is accurately recorded in the patient record) is now confirmed for 2020/21 as £8million, with lower and upper thresholds of 70 and 77% respectively, representing an indicative value of £6.4K for an average PCN. The LMC recommends this is paid to member practices when received, on an equitable basis as described within the PCN network agreement.

Flu immunisations for SPLs household contacts.  We have received some enquiries about the requirement to vaccinate family members of those previously shielding, including concerns about not having enough vaccines or not being paid.  We have set out below our view on how these issues or concerns can be resolved. 

If the shielded registered patient’s household contacts reside in your practice area, you could offer to register them as patients, and then vaccinate them. This will ensure you receive the appropriate remuneration.  They can of course, remain with their own GP, and receive the flu jab from them.  As there isn’t a call/recall system in place, all vaccinations in this cohort will be opportunistic.

Focus on the cohorts most at risk first.

CPFT have the provision to vaccinate housebound patients and their carers, and have confirmed they will be undertaking all domiciliary vaccinations this year.

 

CAMBS LMC FLU RESOURCES 2020/21

Influenza Vaccinations Guidance Booklet – The aim of this booklet is to provide you with some guidance and hopefully some clarification and answers to frequently asked questions.  You will also find links to national and external resources to help guide you.  

Influenza Vaccinations Operational Aspects – This is a detailed document which goes into more depth about the operational aspects and key factors in planning flu delivery, vaccination strategy, and provides some suggestions and examples of case studies.

Influenza Vaccinations Crib Sheets/Checklists – Here you will find 2 crib sheets/checklists which you may find helpful when running your clinics.  There is  one each for clinics being run at practice locations and other locations.   

Influenza Vaccinations Planning Calculator – This calculator has been developed to help you plan and cost your flu campaign at a practice or PCN level. It looks at the income against the range of costs to run your clinics, as well as taking into consideration some of the constraints associated with delivery during a pandemic. 

Resources

Influenza Vaccinations Guidance Booklet

Influenza Vaccinations Operational Aspects

Influenza Vaccinations Planning Calculator

Practice Location Crib Sheet/Checklist

Other Location Crib Sheet/Checklist

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