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 report identifies patients aged 18 years and over who may be immunocompromised, according to the GPES payment extract codes, and have not received any dose of the shingles vaccine.

Practices should review this list and add the code 'Requires vaccination against shingles - 1730561000000103' with today's date if the patient needs the vaccine.


The second report identifies patients aged 18 years and over who may be immunocompromised (according to the GPES payment extract codes) and who 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 the 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.

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

Using the 'Check Patient' functionality here will allow you to view the coding and the date when the patient was marked as eligible.  If you are unsure about using 'Check Patient', please refer to our support article on this. 

 

If practices would like to investigate further why patients are appearing as 'may be immunocompromised', the categories are provided in reports and searches in the following folder, found within the '1. Review before inviting' 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 reports in folder '2. Coded requires shingles vaccine' identify patients aged 18 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 reports categorise 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

Folder '3. Eligible due to age' contains reports to identify patients aged 65, and 70 to 79 only when they reach the eligible age.
  • Due 1st dose - Shingrix (65y + 70-79y) - includes patients aged 65 AND 70-79 years 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 advises 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 reports provided 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 report folder will highlight any inaccuracies in data recording. The report 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 reports 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 reports below 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