TABLE OF CONTENTS


Introduction

Ardens offers practices recall searches to help identify eligible patients for the Shingles vaccination. Additionally, it provides data quality searches to ensure accurate data recording.


Access Searches

To locate the searches, navigate to the Population Reporting module > Ardens Searches > 3.23 Vaccinations - Shingles search folder:

 


The search folder is broken down by the following sub-folders:


Review before inviting

In order to invite the correct 'severely immunocompromised' patients practices will need to action this folder before inviting patients. 

 

The first search identifies patients over 50 years that may be immunocompromised (according to the GPES payment extract codes) that have had a 1st dose of Shingles. Practices are advised to review this list of patients and if the patient requires a second dose to add code 'Requires vaccination against shingles - 1730561000000103' (code to be added with today's date). This is to ensure that the immunocompromised patients are recalled at the right interval. 


To determine why a patient has been included in the invite searches, refer to the Immunocompromised searches located in the zDenominator and sub-searches folder.

 

The 'Check Patient' functionality allows users to view the coding and the date when the patient was marked as eligible.

 

The second search identifies patients over 50 years old who may be immunocompromised, according to the GPES payment extract codes, and have not received any dose of the shingles vaccine. Practices must review this list and add the code 'Requires vaccination against shingles - 1730561000000103' with today's date if the patient needs the vaccine.

 

 

If practices would like to investigate further why patients are appearing as 'may be immunocompromised', the categories are provided in the following folder.

 

 

Please note - if patients do not require a Shingles vaccine, there are no further codes to add. Note that these patients will still appear in the search results. 


Coded requires shingles vaccine

The following folder identifies patients aged 50 and over who are coded with 'Requires vaccination against shingles - 173561000000103'. Results may display as '0' if the work in folder 1 has not been completed.

 

The folder categorises patients based on their need for either a first or second dose of Shingrix, according to the recommended interval between vaccines for immunocompromised patients. The invitation reports include patients' communication preferences to facilitate exporting for invitation purposes and also display any appointments already booked.

 

 


Eligible due to age

The following search folder will display patients aged 65 and 70 only and 71 to 80 only when they reach the eligible age.
  • Due 1st dose - Shingrix (65y + 70y only) - includes patients aged 65 AND 70 years (after 1st Sept 2023) who are eligible for a first dose of Shingrix. 
  • Due 2nd dose - Shingrix - includes all patients that have had a 1st dose of Shingrix and are now due the 2nd dose. Business rules (and therefore payment) state this should be 6-12 months after the 1st dose (please note this differs to  Green Book guidance which advise this may be given from 2 months after the 1st dose). Patients can be vaccinated with the 2nd dose up to the age of 81 years.
  • Housebound/EOL/Care Home - separates patients that are housebound, EOL or living in a care home for practices to manage accordingly. 


Use the provided searches and reports to invite patients accordingly. The reports include patients' communication preferences for export purposes and display any appointments already booked.

 

 

Important - when running all the above searches we suggest running the searches with a relative run date for the day of the planned clinic. This will then return all patients that are the eligible age on that day, avoiding calling patients in too early and payment being missed.


Data Quality

This search folder will highlight any inaccuracies in data recording. The search below will identify patients who were coded with a Shingles contraindication code before Shingrix was offered. Practices may wish to review these patients to determine if an additional contraindication code is necessary or if the patient needs to be manually recalled for the first and second doses of Shingrix. Patients with a contraindication code will be excluded from the recall searches.

 

 

The below searches identify where the vaccine has been coded in error with Zostavax. Practices should review these patients and consider re-coding with Shingrix as they will not be recalled for their second vaccine.

 

 

The below searches will identify patients vaccinated before they became eligible. Practices should review these patients and consult to the Green Book as they may need re-vaccinating 1 year after the previous vaccine.

 

 

If you require any further assistance on the process above, please contact Ardens support on: 
support-emis@ardens.org.uk